Performance Outcomes Measurement
Determining state priorities for systems performance is essential to ensuring that the right data are collected and analyzed to measure performance in reaching targeted goals. Strategic data collection can maximize resources and support quality improvement.
*Milestone details:
*Full name: Identify priority health status and systems performance outcomes and develop a data collection plan that allows measurement of those outcomes.
*Relevance to the ACA:
The ACA provides many resources to states with an interest in setting their own priorities for data collection and analysis. The ACA establishes national strategies, grants and systems capacity efforts which can support state data priorities. These include:
§3011 - Requires the Secretary to create a national strategy to improve the delivery of healthcare services, patient outcomes, and population health through the use of HIT.
§10333 - Establishes grants to support the development of community-based collaborative care networks, which can include provisions for telehealth services.
§934 - Establishes grants to provide technical support to institutions that deliver healthcare.
§5101 - Creates the “National Healthcare Workforce Committee” that will identify strategies to address the increased demand for workers in IT.
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District of Columbia
Learn more about the data needed to evaluate medical home initiatives here: http://www.statereforum.org/node/75#comment-9528
NBCH comment Establishment of Exchanges and Qualified Health Plans Proposed Rule
District of Columbia
Those interested in this topic may wish to consult this 2011 report from the California HealthCare Foundation, entitled A Framework for Tracking the Impacts of the Affordable Care Act in California.
Kansas
These two health reform briefs are the first in a series explaining how health reform might look in Kansas. Although related to other milestones as well, these lend themselves best to “Use your data” as they provide Kansas-specific coverage and access data. Additional briefs are forthcoming.
Minnesota
Some of our first certified health care homes in Minnesota are now going through the recertification process. Enclosed is information about the data and quality measures we are using in the HCH recertification process.
Massachusetts
On July 15, 2009, the Health Care Quality and Cost Council approved the creation of an Expert Panel on Performance Measurement. The goals of the Expert Panel are to identify measures that will be used to enhance the Council’s ability to post measures on the consumer website, track progress in improving health care quality across the entire system, and inform providers and policy makers. The Expert Panel will make on going consensus recommendations on health system performance measurement to the Council. The Expert Panel will consist of members who have expertise in performance measurement and who can advise on the selection of important and valid measures.
For more information, visit:
http://www.mass.gov/?pageID=hqccmodulechunk&L=1&L0=Home&sid=Ihqcc&b=term...
The Massachusetts Health Care Quality and Cost Council released the final recommendations for a three-year reporting plan for its consumer friendly website –MyHealthCareOptions – prepared by Massachusetts Health Quality Partners (MHQP) in 2009. The report details a plan for quality and cost measures to be calculated and displayed on the website for calendar years 2010, 2011, 2012 and beyond. For 2010, highlights of the report include expanding into physician group ambulatory care settings in 2010 as well as including new conditions of interest to consumers such as: hip and knee replacement, lower back pain, chronic diseases, and perinatal care services.
Read more at:
http://www.mass.gov/?pageID=hqccterminal&L=3&L0=Home&L1=The+Council&L2=A...
Illinois
How Does Your Community Measure Up on Medical Home?
Check out the medical home data portal at www.medicalhomedata.org. Brought to you by the Child & Adolescent Health Measurement Initiative, the National Center for Medical Home Implementation and the AAP, the Medical Home Data Portal presents state-by-state summaries and state comparisons on how children are meeting the overall criteria for having a medical home.
As pediatricians and other child health professionals work together to provide every child and youth with a medical home in their communities, this portal can provide state performance data on medical home for all children, including those with special needs. This data can inform communities on where there may be strengths or gaps in achieving medical home and then be used to help frame medical home initiatives or mechanisms for practice transformation. Data for these summaries and comparisons are taken from the National Survey of Children’s Health and the National Survey of Children with Special Health Care Needs, which are sponsored by the federal Maternal and Child Health Bureau and conducted by the National Center for Health Statistics.
The medical home measure used for this data set includes an assessment of whether children and youth:
• Have a personal doctor or nurse
• Have a usual source of care
• Receive care that is family-centered
• Receive care that is culturally sensitive
• Obtain needed specialty care referrals
• Receive needed help coordinating care across multiple providers and types of services
This user-friendly resource has the capability to interactively search and compare measures by important subgroups of children—such as age, sex, race/ethnicity, insurance type and household income. Further, states can be compared to one another or against the nation on the percentage of children who receive ongoing, comprehensive and coordinated care within a medical home.
District of Columbia
The Iowa Legislative Health Care Coverage Commission presented 18 recommendations to General Assembly regarding implementation of the ACA. Highlights include planning for a new eligibility system to support Medicaid, CHIP, implementing a number of cost-containment strategies, and establishing an operational insurance information exchange by July 1, 2011.
Access the presentation here:
http://www.statereforum.org/sites/default/files/final_2010_comm_recommen...