Tactics for Success Quality Measures Consulting Tools

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2 Tactics for Success Quality Measures Consulting Tools David R. Cook, Operations Director, HealthInsight Utah Panelists: Anne Timmins, HealthInsight New Mexico Jackie Buttaccio, HealthInsight Nevada Susan Yates Miller, HealthInsight Oregon

3 Introductions Who is in the room today?

4 Objectives Describe how the QIN-QIO has synthesized working knowledge through multistate teams into workable tools to support improvement Explain the four Tactics for Success tools and their current use in quality improvement Discuss future innovative use cases for Tactics for Success

5 About HealthInsight HealthInsight is the QIN-QIO serving a four-state region encompassing Nevada, New Mexico, Oregon and Utah.

6 About HealthInsight Our work includes: Task Order 1: Excellence in Operations and Quality Improvement Task Order 2: Improving Immunization Rates Task Order 3: Improving Behavioral Health Task Order 4: SIP2-Integrating Community Self-Management Education Programs into Patient Care Task Order 5: Transforming Clinical Practice Initiative (TCPI)

7 Let s Take a Poll! Everyone take out your mobile phone, start a new text message and put this five digit code in the to line Next, put a code for your answer in the body of the message and push send.

8 Poll Question #1 How does your QIN handle intervention development and sharing of expertise? 1. Most done at the state level % done across entire QIN % done across entire QIN 4. 75% or more done across entire QIN 5. Not applicable or don t know

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10 Poll Question #2 To what degree is your QIN working across tasks and capitalizing on combined efforts? 1. We work solo in our tasks team 2. Collaboration beginning - could do much more 3. Collaboration efforts well under way 4. Fully developed collaboration across tasks 5. Not applicable or don t know

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12 Our Landscape Supporting Medicare quality improvement activities continuously since 1984 In Utah since 1984 In Nevada since 1988 In New Mexico since 1984 and affiliated with HealthInsight in 2012 In Oregon (Acumentra Health) since 1984 and initially joined as a subcontractor under the QIN structure in 2014; now legally affiliated and becoming HealthInsight Oregon on July 1

13 Our Landscape

14 Tactics for Success

15 The Need Quality Measure Improvement Tool (The Why) B4 (Meaningful Use) and D1 (Quality Reporting) a major theme in both tasks is Quality Measures Improvement Many measures in all settings (over 300 in physician office setting) Tool needed to support project managers improvement efforts move quality evaluation metrics

16 The Design of the Tool (The What) Wanted a one-pager (front and back) Cross setting physician office focused, but very applicable in hospitals, HHAs, ASCs, CAHs, and IPFs Wanted front line tactics pick list of activities to choose from

17 The Development of the Tool (The How) Our medical director scoured the measures and classified the most popular measures into four major areas Cardiac, Diabetes, Behavioral Health, and Preventive Measures Expertise identified throughout QIN family many subject matter experts identified

18 Cross Over With Other Tasks (The How) B1 Cardiac expertise B2 Diabetes expertise G1 Behavioral health expertise F1 Preventive services expertise (Immunizations)

19 Cross Over With Other Settings (The How) Began as a physician office tool Recognized needs in hospitals, HHAs, ASCs, CAHs, and IPFs

20 Cardiac Tactics for Success (front)

21 Cardiac Tactics for Success (back)

22 Current Uses Direct technical assistance (to health care customers) Internal training (Behavioral health implementation example) Partner organizations (B1 Million Hearts example)

23 Current Uses - Newsletters

24 Panel Discussion Jackie Buttaccio, HealthInsight Nevada Anne Timmins, HealthInsight New Mexico Susan Yates Miller, HealthInsight Oregon

25 Panel Discussion From the state perspective, please comment on cross-task sharing or crossstate sharing of expertise? Can you share any current examples or future use cases for the Tactics for Success documents?

26 Open Discussion How have you approached intervention tool development in your QIN? What examples of cross task sharing and cross state sharing that are best practices that you have you seen?

27 How to Get These Tools Visit In the search box enter: Tactics for Success

28 Questions?

29 Thanks! David R. Cook, Operations Director, HealthInsight Utah This material was prepared by HealthInsight, the Medicare Quality Innovation Network -Quality Improvement Organization for Nevada, New Mexico, Oregon and Utah, 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.11sow-corp-16-38