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 Consortium Chart Book - 2006 MQIC Measurement Committee December, 2006

48. THANK YOU ALL FOR YOUR CONTRIBUTIONS Measuring Reporting Improving Collaborating