Page 1 Current and Upcoming EQR Activities for Contract Year Four FY 2009 – 2010 Yolanda Strozier, MBA Project Manager, State & Corporate Services.

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Presentation transcript:

Page 1 Current and Upcoming EQR Activities for Contract Year Four FY 2009 – 2010 Yolanda Strozier, MBA Project Manager, State & Corporate Services

Page 2 Performance Improvement Projects (PIPs) Annual PIP validation process is targeted for completion in March 2010 MCOs will be given the opportunity to review HSAG’s completed PIP validation results and provide feedback and comments

Page 3 Performance Improvement Projects (PIPs) Next Steps Updated PIPs are submitted to AHCA/DOEA—June 2010 MCOs complete HSAG’s “Letter of Intent” survey listing all active PIPs— August 2010

Page 4 Performance Improvement Projects (PIPs) Collaborative PIPs — HMOs/PSNs Topic: Well-Child Visits Two separate tracks for Reform and Non- Reform plans. Non-Reform plans have collected and reported Baseline data for calendar year (CY) Reform plans have collected and reported Baseline data for CY 2007

Page 5 Performance Improvement Projects (PIPs) Collaborative PIPs — HMOs/PSNs Both types of plans have a two-year intervention phase (CY 2007–2008 for Non- Reform and CY 2008–2009 for Reform) All plans are participating in the collaborative intervention. The provider letter will be mailed during the first quarter of 2010.

Page 6 Performance Improvement Projects (PIPs) Collaborative PIPs — PMHPs Topic: Follow-up Within seven Days After an Acute Care Discharge for a Mental Health Diagnosis PMHPs have submitted Baseline (CY 2007) and Remeasurement 1 (CY 2008) data for the 2009 PIP submission

Page 7 Performance Improvement Projects (PIPs) Collaborative PIPs — NHDPs Topic: Retention Rate NHDPs began collecting Baseline data quarterly in 2009 and will prepare a 2009 calendar year roll-up rate

Page 8 Performance Measures Reform and Non-Reform HMOs/PSNs The validation of performance measures report is targeted to be finalized in January 2010 The HEDIS 2009 strategic analysis report will be provided to AHCA as a draft in January The report is targeted to be finalized in March 2010.

Page 9 Performance Measures Reform and Non-Reform HMOs/PSNs HEDIS 2010 data (CY 2009) will be analyzed and reported on during the next contract year (2010–2011)

Page 10 Performance Measures PMHPs PMHPs will be collecting and reporting performance measure data for CY Data are due to AHCA in July HSAG will conduct on-site performance measure validation (PMV) activities concurrently during the data collection and reporting cycle (June 2010)

Page 11 Performance Measures NHDPs NHDPs began collecting quarterly 2009 performance measure data HSAG conducted on-site PMV activities in fall 2009 Final 2009 PMV data are due to AHCA/ DOEA February 15, 2010 Final reports are targeted for April 2010

Page 12 Upcoming EQR Activities Quarterly EQR meetings (via Webinar and on-site at AHCA offices in Tallahassee) Other meetings (including collaborative PIP meetings and technical assistance sessions) will be scheduled in conjunction with the quarterly meetings

Page 13 Upcoming EQR Activities MARK YOUR CALENDARS! The next EQR quarterly meetings are: Wednesday, March 24, 2010 (Webinar) Wednesday, June 9, 2010 (AHCA offices) Wednesday, September 22, 2010 (Webinar)

Page 14 QUESTIONS???

Page 15 THANK YOU FOR YOUR PARTICIPATION!