Michigan Quality Improvement Consortium

1
Michigan Quality Improvement
Consortium Measurement Committee Year-End
Report December 14, 2006
2
Principal Accomplishments

• Information sharing among plans
• Health plan use of LOINC codes in lab data
• Administrative data
• Measures for new guidelines
• Adult preventive services (18-49 and 50 65)
• Challenges
• Vetted measure(s)
• Eligible population
• Prevalence
• Examples
• Heart failure
• Deep Venous Thrombosis (DVT)

3
Principal Accomplishments

• Updated MQIC measurement specifications
• Remain current with
• HEDIS specifications
• MQIC guidelines
• Measurement practices of participating health
  plans
• MQIC Measures Summary document
• Measurement Specification document
• Reporting and Trending Policy
• Impact of rotated measures on trending
• MQIC best practice

4
Principal Accomplishments

• Aligned reporting with updated specifications and
  limitations
• Data Submission Tool for HEDIS measures
• MQIC non-HEDIS data submission form
• Web-based measurement resources
  (www.mqic.org/meas.htm)
• MQIC Measures
• MQIC Measurement Specifications
• Measurement Committee Year-End Report
• MQIC Lipid Lowering Agents

5
Principal Accomplishments

• Enhanced leadership links with Save Lives Save
  Dollars initiative
• Collaborative opportunity on health plan
  reporting
• Potential for further alignment on matters of
  mutual interest, such as implementation
• Patient lists with integrated data

6
Analysis and Reporting

• Product-specific, community-level results based
  on weighted data from reporting health plans
• Not simple average of plans as reported in
  Quality Compass
• Two or more health plans had to provide current
  year data for an indicator to be included.
• Rotated measures Included data as submitted in
  health plan Data Submission Tool (DST)
• Impact on year to year trends
• Diabetes non-HEDIS measure blood pressure
  control not required to report (rotation)
• Opportunity to collaborate with MDCH on voluntary
  diabetes chart-based data collection

7
Analysis and Reporting

• Data not available
• Could not calculate annual quit rate, a
  non-HEDIS tobacco control measure (eliminated
  recent quitters)
• Newly Reported in Quality Compass current
  smokers by health plan
• Need health plan data on members 18 for
  community rate
• Specification changes impacting trending and
  reporting
• Use of appropriate medications for people with
  asthma
• Redefined eligible population
• Significantly improved rate
• Breast cancer screening admin only measure
• Cholesterol management for cardiovascular
  conditions
• Expanded to include ischemic vascular conditions
• Measure not reported publicly by NCQA due to data
  / specifications

8
Analysis and Reporting

• Product line reporting and trending
• Specifications differ by product line
• Continuous enrollment
• Data availability
• Administrative only vs. hybrid
• Benefit design
• Covered benefits

9
Michigan Quality Improvement ConsortiumChart
Book - 2006

• MQIC Measurement Committee
• December, 2006

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• THANK YOU ALL
• FOR YOUR CONTRIBUTIONS
• Measuring
• Reporting
• Improving
• Collaborating