2018 Uniform Data System Training Overview. By: Mary Ellen McIntyre, Mark Josephson & Barbara Proffitt Jan.

Transcription

1 2018 Uniform Data System Training Overview By: Mary Ellen McIntyre, Mark Josephson & Barbara Proffitt Jan. 8, 2019

2 Housekeeping Restrooms Wi-fi Emergency exits Cell phones Parking - $30 self-parking Self-care Schedule: Breaks (10:15-10:30am & 2:30-2:45pm), Lunch (12:30-1:30pm) Other housekeeping questions?

3 Other Updates to Share - Welcome Welcome League as PCA Mary Ellen McIntyre Patient, Visit & Clinical Trends Mary Ellen DRVS / HCCN & the Importance of Documenting UDS Process Mark Josephson After Break (10:30am) HRSA Funding Growth Mary Ellen Before Lunch (12:30pm) Evaluations Mary Ellen (light yellow & bright yellow color paper) Website Resources Mary Ellen HRSA Quality Awards Barbara Proffitt

4 The League : Statewide Primary Care Association 4

5 Some League History Primary Care Association for Massachusetts Founded in 1972 to support and represent health centers; offices in Boston and Worcester Mission: To promote population health equity for all through leadership and programs supporting community health centers and members in achieving their goals of accessible, quality, comprehensive, and community responsive health care: Analysis of state and federal health regulatory and policy issues affecting health centers. Training and Education for health center administrators, clinicians and board members. Workforce Development Initiatives for recruiting and retaining primary care providers, and for increasing educational and economic opportunities in communities served by health centers. Management of and support for Clinical Quality Initiatives to improve and better integrate patient care. Information Technology Development primarily focused on assisting health centers as they work to upgrade their health information technology systems and capacity for using data. Support to Expand Health Access through work with state leaders and local health and advocacy organizations seeking to open health centers in their communities. Provided >300 League trainings in 2018 Membership is a mix of Federally Qualified Health Centers (aka Section 330 e, 5 g, h, i) & Hospital-Licensed Health Centers

6 MA Community Health Centers Provide a broad range of primary & preventive care, including dental, eye and mental health/substance use disorder care and other community-based services For Massachusetts 39 FQHC organizations: 95% with PCMH recognition (v. 76% nationally) 10.26% National Quality Leaders (v. 2.62% nationally) 52 Community Health Center organizations (FQHCs and hospital-licensed) 300+ sites reflect medical, dental, behavioral health, school-based and social services; provide patient-centered, culturally competent, high quality care 1 M total patients (MA population: 6.7 million) = 1 in 7 residents 4.8M total patient visits 41.03% Health Center Quality Leaders (29.93% nationally) 35.64% Access Enhancer (v % nationally) 53.85% Advancing HIT for Quality (v % nationally) Transform communities by delivering quality care and addressing the factors that underpin and perpetuate poverty 2

7 Expertise in the Room 1st UDS Report 2-5 UDS Reports 6-10 UDS Reports >10 UDS Reports BCRR Reports 7

8 Expertise in the Room 8

9 UDS Totals UDS National Quality Leader Health Center Quality Leader Access Enhancer Health Disparities Reducer Value Enhancer Advancing HIT for Quality Source:

10 UDS Totals

11 UDS Totals

12 UDS Totals Sexual Orientation and Gender Identity (SOGI)

13 UDS Totals Sexual Orientation and Gender Identity (SOGI)

14 UDS Totals +20k +11k

15 OSV Performance Analysis NEW!!! Targeted QI focus on Diabetes Control measure is required: As a part of the HRSA Health Center Program Diabetes Quality Improvement Initiative and consistent with the Site Visit Protocol, OSVs now include a review of the UDS diabetes measure and action planning using root cause analysis. Health centers will identify at least a three (3) action step to improve or sustain their performance on the measure and input the action plan in the HRSA s EHB. Subsequent to the OSV, Project Officers will monitor health centers progress in implementing their action plans. Source: performance-analysis.pdf 15

16 Slide from BPHC, NACHC P&I Forum: 3/17 16

17 UDS Totals

18 UDS Totals

19 Helpful Hint! DRVS / HCCN & the Importance of Documenting UDS Process - by Mark Josephson

20 UDS Time Capsule Data to save: Save copies of all reports Backup (patient level) data Report objects: Report source code, version numbers / dates Note dates reports were run, parameters used any other instructions Problems / workarounds: Narrative description of problem Names of contributing staff Instructions for next year

21 CHC UDS Team Composition 1 Person 2-5 People 6-10 People >10 People 21

22 Speaker Alec McKinney = EXPERT!

23 Other Updates to Share After Break Welcome League as PCA Mary Ellen McIntyre Patient, Visit & Clinical Trends Mary Ellen DRVS / HCCN & the Importance of Documenting UDS Process Mark Josephson After Break (10:30am) HRSA Funding Growth Mary Ellen Before Lunch (12:30pm) Evaluations Mary Ellen (light yellow & bright yellow color paper) Website Resources Mary Ellen HRSA Quality Awards Barbara Proffitt

24 UDSMapper.org

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26 IN 2016: SASE (20), HIIP (8), OH (15), QIA (39), PCMH (4), DSHII (39), NAP (0) = $25M FROM 2017 PRESENT: Quality Improvement: AIMS: 38 SUD-MH: 38 = $25 MILLION 26

27 Other Updates to Share Before Lunch Welcome League as PCA Mary Ellen McIntyre Patient, Visit & Clinical Trends Mary Ellen DRVS / HCCN & the Importance of Documenting UDS Process Mark Josephson After Break (10:30am) HRSA Funding Growth Mary Ellen Before Lunch (12:30pm) Evaluations Mary Ellen (light yellow & bright yellow color paper) Website Resources Mary Ellen HRSA Quality Awards Barbara Proffitt Closing (4:15pm) Approved UDS Changes for 2018 Mary Ellen Proposed UDS Changes for 2019 Mary Ellen

28 Evaluations Light Yellow HRSA: UDS Training Program Evaluation Bright Yellow League: Future Training Assessment

29 Website & UDS Materials

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32 HRSA Quality Awards HRSA Quality Awards by Barbara Proffitt, RN, NCQA PCMH CCE

33 HRSA Quality Awards Notice of Award: The purpose of the Fiscal Year Health Center Quality Improvement (QI) one-time grant supplement is to support health centers that displayed high levels of quality performance in Calendar Year Uniform Data System reporting to continue to strengthen quality improvement activities, including achieving new and/or maintaining existing patient centered medical home recognition.

34 HRSA UDS CY2017 Quality Awards Total HRSA Funding: $125,000,000 Total HRSA Mass Quality Award Grants: $3,688,809 Quality Award Total Amount # CHCs Awarded 1) EMR Reporters $165, ) Clinical Quality Improvers $756, ) Health Center Quality Leaders $692, ) National Quality Leaders $203, ) Enhanced Access to Care $120, ) Delivering High Value Care $ 000, ) Advancing Disparities $ 194, ) Advancing HIT $ 207, ) PCMH Recognition $ 1,350, Awards released August 2018:

35 Clinical Quality Award Criteria 1) Electronic Health Record (EHR) Reporters - utilized the EHRs to report on all clinical quality measures (CQM) data for all of the health center's patients. 2) Clinical Quality Improvers - demonstrated notable (10%) improvement in one or more CQMs from previous reported year 3) Health Center Quality Leaders - achieved the best overall clinical performance among all health centers. 4) National Quality Leaders - exceeded national clinical quality benchmarks, including Healthy People 2020 goals, for chronic disease management, preventive care, and perinatal/prenatal care. Electronic Health Record (EHR) Reporters Clinical Quality Improvers Health Center Quality Leaders National Quality Leaders

36 Clinical Quality Award Criteria 5) Enhancing Access to Care - Qualify for one Quality Award, minimum of 5% increase in total patients served from previous year, and demonstrated a 5% patient increase in at least one of the comprehensive service categories: Mental Health, Substance Use Disorder, Vision, Dental, or Enabling Services 6) Delivering High Value or Cost Efficient Health Care - Qualify for one Quality Award, qualify for an Access Enhancer Award, and performed better than the national average (medical cost per medical visit) than the national average, while increasing health care quality and comprehensive access

37 Clinical Quality Award Criteria 7) Addressing Health Disparities - Qualify for one Quality Award, Qualify for an Access Enhancer Award, and one or more Clinical quality measures included: Low Birth Weight, Hypertension, or Diabetes Control; Tiers: 1. Each race/ethnic group that met or exceeded Healthy People (HP) 2020 goal 2. Each race/ethnic group that made an improvement from previous year by at least 10% if the health center did not meet the HP 2020 goal

38 Clinical Quality Award Criteria 8) Advancing Health Information Technology (HIT) - Participated in at least one of five HIT services: 1. e-prescriptions 2. Clinical Decision Support 3. Health Information Exchange 4. Health IT Patient Engagement 5. Health IT Patient Portal AND/OR Telehealth Services 9) Achieving PCMH Recognition - Health centers that achieved PCMH recognition for one or more of their service delivery sites on or before June 30 th.

39 HRSA Slide - Patient-Centered Medical Home (PCMH) National Patient-Centered Medical Home (PCMH) Recognition in Health Centers (75% as of July 1, 2018) Ma. 95% Source: HRSA Accreditation and Patient-Centered Medical Home Report, 2018

40 Guidelines for the Use of Quality Award Funds Oblige by Award Terms and Condition The funding should be used within 12 months of receipt to support quality improvement activities Health centers have flexibility in using the funds to: Develop and improve health center QI systems and infrastructure; and Develop and improve care delivery systems Use of funds must be consistent with federal cost principles at 45 CFR 75 Guidance where by funding cannot be used; examples: bonuses, incentives, construction others. See

41 HRSA slide: Technical Assistance Resources QIA webinars and frequently asked questions (FAQs): quality/index.html FY 2018 QIA recipients: vement/index.html Health Center AQRs FAQs: rankingfaq.html UDS Performance Data publicly available at: acenter.aspx UDS resources: ting/index.html

42 Final Updates to Share Closing Welcome League as PCA Mary Ellen McIntyre Patient, Visit & Clinical Trends Mary Ellen DRVS / HCCN & the Importance of Documenting UDS Process Mark Josephson After Break (10:30am) HRSA Funding Growth Mary Ellen Before Lunch (12:30pm) Evaluations Mary Ellen (light yellow & bright yellow color paper) Website Resources Mary Ellen HRSA Quality Awards Barbara Proffitt

43 Evaluations & Thank You! Mary Ellen McIntyre