PCQR Q&A

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Primary Care Quality Reporting Prototype Questions & Answers 1. What additional information is available on this project and why it is important? Project overview information and the collaborative work sessions’ records that developed this project are available at http://accesshealthcolumbus.org/#/primary-care-quality-reporting/.

2. What does ‘transparent reporting’ mean for this project? How will these reports be shared? Who will see them?

The project will provide a 30 day window for practices to privately view their reports and work out any data anomalies. The reports will then be shared within the collaborative organizations under a Terms of Use agreement. Files will be shared over a secure server, not through a web portal. To see a list of the organizations and the Terms of Use agreement, click here.

3. What are the specific measures that will have data collected and be reported?

Measures reflect Central Ohio priorities and are from the National Quality Forum’s measures set.  Adult practices can provide de-identified electronic medical record data for five measures: Diabetes (A1c, LDL, and Blood Pressure), Appropriate Medications for Asthma, Blood Pressure Control  Pediatric practices can provide de-identified electronic medical record data for two measures: Appropriate Medications for Asthma and Influenza Immunization

To view summary descriptions of the measures, click here.

4. How frequently will data be collected and reports be available?

Initial 12 month data (summary values) will be collected in August and September. Reports will be privately available in November and shared with the collaborative organizations in December. A quarterly schedule will then apply. Click here for a timeline view. Measure Period

3rd Qtr 2012-2nd Qtr 2013 4th Qtr 2012-3rd Qtr 2013 1st Qtr 2013-4th Qtr 2013 2nd Qtr 2013-1st Qtr 2014 3rd Qtr 2013-2nd Qtr 2014

Data collected by 9/30/2013 11/30/2013 2/28/2014 5/31/2014 8/31/2014

Private Report Viewing 11/2013 2/2014 4/2014 7/2014 10/2014

Collaborative Sharing 12/2013 3/2014 5/2014 8/2014 11/2014

5. How does this quality reporting relate to other reporting practices do?

Practices are participating in a number of other public and private reporting initiatives. Most initiatives do not include all patients of a practice, so lack a comprehensive view. To see some initiatives (current and emerging) relevant to this project and its set of measures, click here.

April 2013


6. At what level will this reporting be captured?

The project will be collecting and reporting information at the practice level. Provider level data will not be collected or reported.

7. What are the data requirements?

Access HealthColumbus will be collecting de-identified (non-Protected Health Information) numerator and denominator measure values. This summary level allows for detail specification use and extract coding to occur at the practice rather than within a centralized data warehouse process. National standard data electronic measure coding files are available. Click here to see the data collection template.

8. How can I obtain more information? A. View a live 45 minute webinar, click or copy/paste link to register:

1. Friday 5/10, 7:00-7:45 am: http://www.anymeeting.com/PIID=E955DD84874E30 2. Friday 5/10, 12:15-1:00 pm: http://www.anymeeting.com/PIID=E955DD84874A31 3. Tuesday 5/14, 5:15-6:00 pm: http://www.anymeeting.com/PIID=E955DD8487483F

B. Click here to see additional project information (or copy/paste: http://accesshealthcolumbus.org/#/primary-care-quality-reporting/ ) C. Questions? Contact Carol Deibel at carol@accesshealthcolumbus.org

April 2013


Participant Terms of Use, Primary Care Quality Prototype Reports ..Central Ohio stakeholders collaborating to improve quality reporting of local patient-centered primary care in 2013 A multi-stakeholder collaborative formed in the fall of 2012. The collaborative will implement a transparent allpatient local prototype of Primary Care Quality Reporting in 2013. Local health care leadership sessions and a project design team have readied this project for Central Ohio. The collaborative intends for this prototype to advance Central Ohio reporting readiness for future primary care quality improvement and demonstration. Participants are those organizations that provide data, view or review reports.

Participating Organizations Primary Care Practices

Terms of Use -provide timely, de-identified (no Protected Health Information) data from Electronic Medical Records for the selected measures -respond timely to data inquiry questions -share experiences of participating in local quality reporting -will not use report content to promote or publicize physician practices -use reports to improve quality in your practice

Healthplans, Employers, & Other health care organizations

-share experiences of participating in local quality reporting

Access HealthColumbus & its Public-Private Partners

-facilitate the collaborative process in benefiting Central Ohio

-will not use report content to promote or publicize physician practices -use reports to work with practices to improve primary care

-maintain project support integrity and timeliness -provide technical services sufficient to support the prototype -manage report sharing with participating organizations

See below for organizations participating in the multi-stakeholder collaborative and eligible to view the quality reports.

April 2013


Organizations participating in the multi-stakeholder collaborative and eligible to view the quality reports. 1

All Participating Primary Care Practices

21

Mount Carmel Health System

2

Access HealthColumbus and Board

22

Mount Carmel Medical Group

3

Aetna

23

Nationwide Children's Hospital

4

American Health Network

24

Nationwide Insurance

5

Anthem

25

Ohio Academy of Family Physicians

6

Cardinal Health

26

Ohio Chapter, American Academy of Pediatrics

7

Central Ohio Primary Care

27

Ohio Osteopathic Association

8

Columbus Medical Association

28

Ohio Public Employees Retirement System

9

Columbus Metropolitan Library

29

OhioHealth

10

Columbus Neighborhood Health Centers

30

OSU Health System

11

Columbus Public Health

31

OSU Physicians, Inc., OSU Faculty Group Practice

12

Employers Health Coalition, Inc.

32

School Employees Retirement System of Ohio

13

Franklin County Cooperative Health Benefits Program

33

State Teachers Retirement System of Ohio

14

Franklin County Public Health

34

The Dispatch Printing Company

15

Health Action Council

35

The Medical Group of Ohio

16

Heart of Ohio Family Health Centers

36

The Ohio State University

17

Humana

37

The Ohio State University Health Plan

18

Lower Lights Christian Health Center

38

The Ohio State University Wexner Medical Center

19

Medical Mutual of Ohio

39

UnitedHealthcare of Ohio

20

MediGold

40

Village Family Medicine

April 2013


Primary Care Quality Reporting – 2013 Prototype EMR Measures Adult Practices Domain

NQF#

Quality Measure

Steward

Clinical Process/Effectiveness

0059

Diabetes: Hemoglobin A1c Poor Control. Description: Percentage of patients 18-75 years of age with diabetes (type 1 or type 2) who had hemoglobin A1c > 9.0 %. Denominator: Patients 18-75 years of age with diabetes with a visit during the measurement period. Numerator: Patients whose most recent HbA1c level (performed during the measurement period) is > 9.0%

NCQA

Clinical Process/Effectiveness

0064

Diabetes: Low Density Lipoprotein (LDL) Management. Description: Percentage of patients 18– 75 years of age with diabetes whose LDL-C was adequately controlled (<100 mg/dL) during the measurement period. Denominator: Patients 18-75 years of age with diabetes with a visit during the measurement period. Numerator: Patients whose most recent LDL-C level performed during the measurement period is <100 mg/dL.

NCQA

Clinical Process/Effectiveness

0061

NCQA

Clinical Process/Effectiveness

0036

Clinical Process/Effectiveness

0018

Diabetes: Blood Pressure Management. Description: Percentage of patients 18-75 years of age with diabetes (type 1 or 2) who had a blood pressure < 140/90. Denominator: Patients in the initial population with a diagnosis of diabetes and at least 2 non-acute inpatient or outpatient encounters, or currently receiving medications indicative of diabetes during the measurement period or in the 12 months prior to the measurement period. Numerator: The number of patients whose most recent BP reading during the measurement period was <140/90 mm Hg. Use of Appropriate Medications for Asthma. Description: Percentage of patients 5-50 years of age who were identified as having persistent asthma and were appropriately prescribed medication during the measurement period. Denominator: Patients 5-50 years of age with persistent asthma and a visit during the measurement period. Numerator: Patients who were dispensed (or ordered or active) at least one prescription for a preferred therapy during the measurement period. Three age stratifications to report, 5-11 years, 12-50 years, and total. Controlling High Blood Pressure. Description: Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90 mmHg) during the measurement period. Denominator: Patients 18-85 years of age who had a diagnosis of essential hypertension within the first six months of the measurement period or any time prior to the measurement period. Numerator: Patients whose blood pressure is adequately controlled ( systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mm Hg) during the measurement period.

NCQA

NCQA

April 2013


Primary Care Quality Reporting – 2013 Prototype EMR Measures Summary Pediatric Practices Domain

NQF#

Clinical Process/Effectiveness

0036

Population/Public Health

0041

Quality Measure

Steward

Use of Appropriate Medications for Asthma. Description: Percentage of patients 5-50 years of age who were identified as having persistent asthma and were appropriately prescribed medication during the measurement period. Denominator: Patients 5-50 years of age with persistent asthma and a visit during the measurement period. Numerator: Patients who were dispensed (or ordered or active) at least one prescription for a preferred therapy during the measurement period. Three age stratifications to report, 5-11 years, 12-50 years, and total. Preventive Care and Screening: Influenza Immunization. Description: Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization. Denominator: All patients 6 months and older and seen for a visit between October 1 and March 31. Numerator: Patients who received an influenza immunization OR who reported previous receipt of an influenza immunization.

NCQA

AMA-PCPI

April 2013


Primary Care Quality Reporting, Practice Participation Timeline, 2013-2014

2013

Primary Care Practices

MAY

JUNE

Review Invitation and Questions & Answers, Enroll

JULY

AUG

NOV

DEC

1st Reports shared with the Collaborative

Data mine

Submit Summary Data

Submit Summary Data

1st Reports Compiled

MAR

APR

MAY

JUNE

JULY

AUG

3rd Reports shared with the Collaborative, 4th Data Submission

4th Report Private Viewing

4th Reports shared with the Collaborative, 5th Data Submission

FEB

Primary Care Practices

2nd Reports Compiled

2nd Report Private Viewing, 3rd Data Submission

3RD Reports Compiled

3rd Report Private Viewing

2014

SEP

OCT

NOV

DEC

5th Reports Compiled

5th Report Private Viewing

5th Reports shared with the Collaborative

Collaborative Reflections on Learning

Primary Care Practices

OCT

1st Report Private Viewing, 2nd Data Submission

JAN

2014

SEP

4th Reports Compiled

April 2013


Primary Care Quality Reporting Central Ohio 2013; Prototype Measures and their overlap with other relevant initiatives

Program:

Primary Care Quality Reporting Central Ohio (new in 2013) [1]

Comprehensiv Your Health e Primary Matters Care Initiative Greater SW Ohio [2] Cincinnati [3]

PatientCentered Medical Home Better Health Chronic Disease Greater Cleveland [4] Management [5]

Shared Savings Program Outpatient Accountable Prospective Care Payment Organizations System (in [6] discussion) [7]

4/2013

Physician Quality Reporting System [8]

Endorsed/ Developed by:

Measures:

‫٭‬

‫٭‬

‫٭‬

‫٭‬

‫٭‬

‫٭‬

x

‫٭‬

NQF/ NCQA

‫٭‬

‫٭‬

‫٭‬

‫٭‬

‫٭‬

‫٭‬

x

‫٭‬

NQF/ NCQA

‫٭‬

‫٭‬

‫٭‬

‫٭‬

‫٭‬

‫٭‬

x

‫٭‬

NQF/ NCQA

Asthma- Use of Appropriate Asthma Medications

‫٭‬

‫٭‬

Hypertension - Bp control

‫٭‬

‫٭‬

‫٭‬

‫٭‬

Diabetes HbA1c Poor Control Dibetes LDL Control Diabetes Blood pressure Control

Prevention- Influenza (Pediatric practices)

‫٭‬ ‫٭‬

‫٭‬

NQF/ NCQA

‫٭‬ ‫٭‬

‫٭‬

NQF/ NCQA NQF/AMA-PCPI

[1] http://accesshealthcolumbus.org/#/primary-care-quality-reporting/ [2] http://innovation.cms.gov/initiatives/Comprehensive-Primary-Care-Initiative/Ohio-Kentucky.html [3] http://www.yourhealthmatters.org/for-health-care-professionals-health-care.php [4] http://www.betterhealthmembers.org/performance_achievement_reports_primary.asp [5] http://www.commonwealthfund.org/~/media/Files/Publications/Data%20Brief/2012/1601_Rosenthal_recommended_core_measures_PCMH_v2.pdf [6] http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Quality_Measures_Standards.html [7] http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/index.html?redirect=/hospitaloutpatientpps/ [8] http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html?redirect=/pqri

April 2013


Primary Care Quality Reporting

Practice Summary Data Reporting Template (contained on next 4 pages) Measure Reporting Period: 3rd Qtr 2012 - 2nd Qtr 2013

April 2013


Primary Care Quality Reporting Practice Summary Data Reporting

Date:

General Information Medical Group Medical Group Name Primary project contact Name

first

Primary data contact Name

last

first last

initials Title

initials Title

Phone

Phone

Email

Email

Practice Sites (data reporting level [1]) 1.

Practice Site Name

Percent of patients

Address 1

Adult over 18

Address 2

Children under 18

City

Total

0%

State Zip

Key site project contact Name

Number of Providers [2] Estimated Number of Unique Patients Percent of patients by payer (should add to 100%):

first

Medicare

last initials

Medicaid Commercial

Title Phone

Self Pay/Uninsured

Email

Other Total

2.

0%

Practice Site Name

Percent of patients

Address 1

Adult over 18

Address 2

Children under 18

City

Total

0%

State Zip

Key site project contact Name

first last initials

Title

Number of Providers [2] Estimated Number of Unique Patients Percent of patients by payer (should add to 100%): Medicare Medicaid Commercial

Phone

Self Pay/Uninsured

Email

Other Total

0%

[1] If unable to report data at the site level, complete one 'site' with the medical group information [2] Physicians, Nurse Practioners, Physician Assistants

April 2013


Primary Care Quality Reporting Practice Summary Data Reporting

Date:

General Information Practice Sites continued (data reporting level) 3.

Practice Site Name

Percent of patients

Address 1

Adult over 18

Address 2

Children under 18

City

Total

0%

State Zip

Key site project contact Name

Number of Providers [2] Estimated Number of Unique Patients Percent of patients by payer (should add to 100%):

first

Medicare

last initials

Medicaid Commercial

Title Phone

Self Pay/Uninsured

Email

Other Total

4.

0%

Practice Site Name

Percent of patients

Address 1

Adult over 18

Address 2

Children under 18

City

Total

0%

State Zip

Key site project contact Name

Number of Providers [2] Estimated Number of Unique Patients Percent of patients by payer (should add to 100%):

first

Medicare

last initials

Medicaid Commercial

Title Phone

Self Pay/Uninsured

Email

Other Total

5.

0%

Practice Site Name

Percent of patients

Address 1

Adult over 18

Address 2

Children under 18

City

Total

0%

State Zip

Key site project contact Name

Title

first

Number of Providers [2] Estimated Number of Unique Patients Percent of patients by payer (should add to 100%):

last

Medicare

initials

Medicaid Commercial

Phone

Self Pay/Uninsured

Email

Other Total

0%

[1] If unable to report data at the site level, complete one 'site' with the medical group information [2] Physicians, Nurse Practioners, Physician Assistants

April 2013


Primary Care Quality Reporting

Practice Summary Data Reporting

Date:

Measures Data, Adult Practices Repeat for each Practice Site

Measure Reporting Period:

3rd Qtr 2012 - 2nd Qtr 2013

Practice Site Name: #

Measure #

1

0059 a.

Description Diabetes: Hemoglobin A1c Poor Control Numerator Patients qualified per the denominator with most recent (within the measure period) HbA1c >9%.

b.

Denominator Patients reaching 18-75 during measure reporting period, with diabetes within 2 years of the end date, with HbA1c tested within measure period, and NOT excluded. [1]

2

0064 a.

Diabetes: Low Density Lipoprotein (LDL) Management Numerator Patients qualified per the denominator with most recent (within the measure period) LDL-C<100 mg/dL.

b.

Denominator Patients reaching 18-75 during measure reporting period, with diabetes within 2 years of the end date, with LDL tested within measure period, and NOT excluded. [2]

3

0061 a.

Diabetes: Blood Pressure Management Numerator Patients qualified per the denominator with most recent (within the measure period) Blood Pressure <140/90 mg/dL (systolic <140 AND diastolic <90).

b.

Denominator Patients reaching 18-75 during measure reporting period, with diabetes within 2 years of the end date, with Blood Pressure tested within measure period, and NOT excluded. [3]

[1] 0059 see exclusion logic, includes patients with polycystic ovaries, gestational diabetes, and steroid induced diabetes. [2] 0064 see exclusion logic, includes patients with polycystic ovaries, gestational diabetes, and steroid induced diabetes. [3] 0061 see exclusion logic, includes patients with polycystic ovaries, gestational diabetes, and steroid induced diabetes. 4

0036

Use of Appropriate medications for Asthma Numerators (ages during the measurement period)

a.

Ages 5-11

b.

Ages 12-50

c.

Total Patients who were dispensed (or ordered or active) at least one prescription for a preferred therapy during the measurement period. Denominators (ages during the measurement period)

d.

Ages 5-11

e.

Ages 12-50 Total

f. Patients with persistent asthma and a visit during the measurement period. 5

0018 a.

Controlling High Blood Pressure Numerator Patients qualified per the denominator with most recent (within the measure period) Blood Pressure <140/90 mg/dL (systolic <140 AND diastolic <90).

b.

Denominator

Patients reaching 18-85 during measure reporting period, with and encounter during the measurement period, and NOT excluded. [4] [4] 0018 see NOT logic, includes End Stage Renal Disease and pregnancy

April 2013


Primary Care Quality Reporting

Practice Summary Data Reporting

Date:

Measures Data, Pediatric Practices Repeat for each Practice Site

Measure Reporting Period:

3rd Qtr 2012 - 2nd Qtr 2013

Practice Site Name: #

Measure #

1

0036

Description Use of Appropriate medications for Asthma Numerators (ages during the measurement period)

a.

Ages 5-11

b.

Ages 12-50

c.

Total Patients who were dispensed (or ordered or active) at least one prescription for a preferred therapy during the measurement period. Denominators (ages during the measurement period)

d.

Ages 5-11

e.

Ages 12-50

f.

Total Patients with persistent asthma and a visit during the measurement period.

2

0041 a.

Preventive Care and Screening: Influenza Immunization Numerator Patients qualified per the denominator who received OR reported previous receipt of an influenza immunization.

b.

Denominator All patients aged 6 months and older at start of measurement period and seen for a visit [1] between October 1 and March 31, NOT exceptions [2].

[1] 0041 Visits include varied office and other encounters, and occurrences of hemodialysis & peritoneal dialysis [2] 0041 See exceptions, includes documentation of medical, patient, and system reasons for not receiving influenza immuniation.

April 2013


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