Mining the OMH Participation Data

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Mining the OMH Participation Data
Felicia B. Mobley, MHA Provider Relations
Coordinator
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Where are we now?
Theme 3 40 Theme 2 16 Theme 1 8
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Task 1d 2 Calculator
If you add the weighted scores above, plus those
of the Statewide Improvement (0.26) and Customer
Satisfaction (0.10), total evaluation score is
1.03 - Excellent Pass.
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Process for Reviewing Data

• Developed an IPG Tracking Tool
• Compared CCCM reports to IPG Tracking Tool data
  to confirm theme completions
• Input most current data in Task 1d2 Calculator to
  monitor progress

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Sample IPG Tracking Tool
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Identification of Missing Participants

• Kept accurate theme completion data in IPG
  Tracking tool
• Looked for participants on the CCCM reports
• If unsure of theme completion, would contact
  provider
• Called UQIOSC to report discrepancies

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Types of Errors Identified

• Missing Theme Completed by provider
• Missing Provider UPIN/NPI
• Missing QIO Designation

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Process for Correcting Errors

• Identify and confirm error
• Contact UQIOSC for assistance or investigation
• Identified one error and provider was a multiple
  site administrator accounted for 5 sites in IPG
• Correct on UPIN exception report

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Key Resources and Contacts

• Resources
• IPG Tracking Tool
• CCCM Reports
• Task 1d2 Calculator
• UPIN Exception File
• Contacts
• UQIOSC

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Questions?

This material was prepared by GMCF, the Medicare
Quality Improvement Organization for Georgia,
under contract with the Centers for Medicare
Medicaid Services (CMS), an agency of the U.S.
Department of Health and Human Services. The
contents presented do not necessarily reflect CMS
policy. Publication No. 8SOW-GA-OTPT-07-09