1. Celebrating Success in MiPCT Practices!

2. The Methodology

3. Practice Awards-Categories Most Improved – Adult and Family Medicine Most Improved – Pediatrics Diabetic Metric Improvement Best Overall – Adult and Family Medicine Practices Best Overall – Pediatric Practices

4. Most Improved – Adult and Family Medicine Greatest difference in Overall Ranking between baseline (calendar year 2011) and current measurement period (calendar year 2013). Measures: – Inpatient Admissions – ED Visits per 1000 Patients – PCS ED Visits – Acute ACSC Admission Rate – Chronic ACSC Admission Rate – Diabetes Overall

5. Most Improved – Pediatric Greatest change in ranking between baseline and current measurement period. Measures: – Pediatric Inpatient Visit Rate with Previous Asthma Diagnosis – Pediatric ED Visit Rate with Previous Asthma Diagnosis – Pediatric Preventive Overall

6. Diabetes Metric Improvement Greatest percent difference in Diabetes Overall Score between baseline (calendar year 2011) and current measurement period (calendar year 2013) for all non-Pediatric practices.

7. Risk Adjustment for Top Overall Categories Rationale for adjustment Adjustment factors

8. Risk Adjustment Purpose To level the playing field so that practices are recognized for performance, not for the underlying characteristics of their population Considerations Health status Demographics Payer mix Practice average risk score (concurrent) % Medicare, % Medicaid, % Commercial

9. Risk Adjustment (continued) Methods – Implemented by MPHI and approved by the Stewardship and Performance Committee – Involves comparing how the practice actually performed to how we would have expected it to perform if we knew nothing other than these population characteristics Application – Best overall adult and pediatric awards – Not applied to award categories for most improved

10. Best Overall – Adult and Family Medicine Practices Composite score based on practices’ rankings in the following MDC (Dashboard) Measures: – Inpatient Admissions – ED Visits per 1000 Patients – PCS ED Visits – Acute ACSC Admission Rate – Chronic ACSC Admission Rate – Diabetes Overall

11. Best Overall – Pediatric Practices Composite score based on pediatric practices’ rankings for the following MDC (Dashboard) Measures: – Pediatric Inpatient Visit Rate with Previous Asthma Diagnosis – Pediatric ED Visit Rate with Previous Asthma Diagnosis – Pediatric Preventive Overall Pediatric Practices are defined as those where >= 85% of attributed patients (based on current measurement period patient attribution) are <= 21 years of age.

12. Most Improved – Adult and Family Medicine Campustowne Family Medicine --Spectrum Health Medical Group West Pavilion Family Medicine --Spectrum Health Medical Group 4100 Lake Internal Medicine --Spectrum Health Medical Group Thomas M. Hoffman MD --Physician Organization of Michigan Alpine Internal Medicine and Pediatrics--Spectrum Health Medical Group

13. The 2014 Winning Practices!

14. Diabetes Metric Improvement Cherry Street Health Center –CIPA SMG Holt -- Sparrow Medical Group New Day Family Medicine--Integrated Health Partners Dr. Dhiraj Bedi -- Genesys HFMC – Harbortown --Henry Ford Medical Group

15. Most Improved – Pediatric Mason Pediatrics -- Sparrow Physician's Health Network CHC Fort Gratiot -- Physician Healthcare Network, PC Northpointe Pediatrics-- St. John Providence Partners in Care, LLC Forest Hills Pediatric Associates PC-- West Michigan Physician's Network Wendy B. Lawton, M.D., P.L.C. -- Professional Medical Corporation, PC

16. Best Overall – Adult and Family Medicine Practices David Byrens MD- Integrated Health Partners Fenton Medical Center, P.C. -- Professional Medical Corporation, PC SMG Mason -- Sparrow Medical Group 4100 Lake Internal Medicine -- Spectrum Health Medical Group Bay Area Family Physicians, PC -- St. John Providence Partners in Care, LLC

17. Best Overall – Pediatric Practices Pediatric Specialists of Bloomfield Hills PC -- United Physicians, PC Wendy B. Lawton, M.D., P.L.C. -- Professional Medical Corporation, PC Southwest Pediatrics --United Physicians, PC Mason Pediatrics -- Sparrow Physician's Health Network Joseph B. Luna, M.D., P.C.-- Professional Medical Corporation, PC