1 Western New York Quality Measurement Collaborative

2 WNYQMC Grant Funding Supports a two-year project focused on improving care for patients enrolled in health plans. P 2 Collaborative serves as grant administrator. Clinical Support Services, Inc. serves as PMO. The area’s three health plans -- Independent Health, HealthNow and Univera -- partnered together to obtain the WNYQMC funding. Program designed to make available to each primary care physician in the region’s eight counties his or her own aggregated quality measures report. –Internists –Family Practitioners –Pediatricians

3 Quality Measures Report The data will be comprised of pharmacy and medical claims data provided by the area’s three health plans and aggregated by a third-party technology vendor who will prepare the quality metric results. Physicians will be able to review their aggregated quality metric results via password-protected web portal.

4 Quality Measures Report Supporting patient-level data will be made available on the portal to individual physicians who sign and fax a Business Associate Agreement to CSS. For the first time, primary care physicians will be receiving one quality report detailing the results of 19 quality metrics, rather than three different statistical reports from each of the plans. Honorarium available for physician participation.

5 Report Distribution

6 WNYQMC Report Portal

7 NYSDOH Grant Nineteen health quality measures will be reported in the document: -Breast cancer screening- Cervical cancer screening -Colorectal cancer screening- Chlamydia screening -Childhood immunization status- Lead screening in children -Cholesterol management for patients- Persistence of beta-block with cardiovascular conditions treatment after a heart attack -ACE/ARB treatment (post-heart failure) - Prenatal/postpartum care -Comprehensive diabetes care- Antidepressant medication (hemoglobin A1C testing, retinal exam, management – acute phase nephropathy screening, LDL testing) treatment & continuation phase -Use of appropriate medications for - Appropriate treatment for people with asthma children with upper respiratory -Appropriate testing for children with infection pharyngitis

8 NYSDOH Grant Grant also calls for distribution of Inpatient Hospital Quality Rates as reported on

9 Timeline Data – Evaluated by WNYQMC Clinical Advisory Committee – June Data – Available to PCPs throughout eight WNY counties in November Q 2009 Data – Available via to physicians in December Q 2009 Data – Available via to physicians in February March Public reporting first two quarters A requirement of the RWJF grant.

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