Ambulatory Surgical Centers Data Submission: An Overview Mandi Proue, MPH Project Specialist, MN Community Measurement

MN Community Measurement Publicly reports health care quality measures with the goal of improving the health of patients 2004: HEDIS measures by medical group Health plan data 2006: DDS measures by clinic site Data submitted by clinics 2010: Statewide Quality Reporting and Measurement System

Registration & Data Submission Timelines SeasonTaskOpensCloses SpringRegistration opens: (starting in 2011 with an annual refresh of registration each following year) March 2011April 2011 SummerData Submission: -Prophylactic IV Timing -Appropriate Surgical Site Hair Removal -Hospital Transfer/Readmission July 1, 2011August 15, 2011

Getting Started:

Registration Download instructions: Register ASCs on MNCM Data Portal: First time users must request login/password ASC information Clinical Staff upload Questions?

Ambulatory Surgical Center Measures Three separate NQF Endorsed Measures Dates of Service (July 1, 2009 – June 30, 2010) ASCs will provide summary counts (numerators and denominators) for the following measures: Prophylactic IV Antibiotic Timing Measure used to assess the percentage of ASC admissions with an order for a prophylactic IV antibiotic for prevention of surgical site infection, who receive the prophylactic antibiotic on time. Hospital Transfer/Admission Measure used to capture any ASC admissions (patients) who are transferred or admitted to a hospital upon discharge from the ASC. Appropriate Surgical Site Hair Removal Measure used to capture the number of admission (patients) who have appropriate surgical site hair removal.

Data Submission Requirements Follow timelines Submit data for all required measures Participate in validation process Have rates publicly reported in State Health Care Quality Report Detailed Data Collection Guide will be available on the MNCM Data Portal and in late Springwww.mncm.org Educational Webinar coming in May

Data Submission Process Denominator Certification: Assurance that population (denominator) is identified according to measure specifications Data Collection – using tools available on Data Portal Total population or Random Sample Enter total population percentage split by payer type Submit summary data (numerators and denominators) to MNCM Data Portal MNCM validates the ASC’s data collection process

Keeping informed … MNCM site: Download registration instructions Learn about upcoming information sessions MNCM Data Portal: Register ASCs and Clinical Staff Register contact info to receive communications Resources tab Download data collection guide and tools FAQs by measure/topic Educational Webinar offered by Stratis Health in May – stay tuned to Questions?