1d2 CoP Presentation IQC Measures Data

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1d2 CoP Presentation IQC Measures Data

• Melissa Dorsey, MS Quality Improvement
  Consultant
• July 18, 2007

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Delmarva Foundation

• National, not-for-profit organization
• Mission Improve Health
• 30 year history, 250 employees (associates),
  30 Million Revenue
• Associates Physicians, Nurses, Scientists,
  Analysts, Reviewers, Improvers
• Quality Improvement Organization (QIO) for
  Maryland and DC
• Customers Centers for Medicare Medicaid
  Services (CMS), State Medicaid Departments,
  Agency for Healthcare Research and Quality
  (AHRQ), Private Foundations, Private Firms
• We Provide
• Resources Clinical Review
• Education Best Practice Sharing
• Training Collaborative Improvement
• Data Analysis Leadership

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Delmarva IQC Plan
Purpose to monitor and maintain the effective
and efficient implementation of the 8SOW. Plan is
designed to strengthen Delmarvas systems and
processes to enhance its operational capability
and capacity, and our 8SOW outcomes.

• Program Objectives
• Indicator Name
• Goals
• Measure Frequency and Type
• Definition of Measures
• Data Source

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Software used to capture data

• CMS claims data
• PARTners progress reports
• Excel spreadsheets
• Access database

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Who is designated to maintain the data ?

• Quality Improvement Consultant
• Data Analytic Staff

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Who Provides validation, feedback of IQC data ?

• Carmen Winston, VP, Quality Improvement Programs
• Melissa Dorsey, Quality Improvement Consultant

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Frequency of Reviewing Data

• QIC reviews data daily
• Weekly meetings QIO team meetings
• DF Senior Management team meetings

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Sharing Data

• 1d team meets three times a month
• 1d2 data reported and reviewed using
• Dashboards (DF)
• Physician Practice Progress Report (PPPR)
• UQIOSC Evaluation calculator
• Bi-monthly CMS Project Officer Calls
• VP of QI Program shares dashboard data with DF
  board members for their meetings

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Most Useful Elements about IQC grid

• Definition of Measure
• Data Source
• Goals

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Useful Resources

• Created Tracking Spread Sheets
• Document all inquiries for application
• and pre-assessments
• IPG Eligibility Tracking form
• OMH Theme Completion Roster
• PPPR Physician Practice Progress Report

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Opportunities to Share

• 1d team discusses details of IQC plan in terms of
  the measures, milestones, and deliverables
• Project Officer provides guidance and leadership
• UQIOSC provides guidance and clarification for
  deliverables and reports due

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Thank you !

• Melissa Dorsey, MS
• Delmarva Foundation
• Quality Improvement Consultant
• dorseym_at_dfmc.org
• Phone [phone]
• 800.937.3362