Building the Perfect PIP for HMOs and PSNs Facilitators: Christi Melendez, RN, CPHQ Manager, Performance Improvement Projects Debbie Chotkevys, DHA, MBA Director, State and Corporate Services
Agenda Purpose of the PIP Current and Past PIP Performance Contents of the PIP Activity: Building the Perfect PIP
Purpose of the PIP Identify and measure a targeted area (clinical or nonclinical) Analyze data and identify opportunities for improvement Develop and implement interventions to improve performance (in quality and timeliness of and access to care) Develop a framework to improve health outcomes for the population served
HMO and PSN PIP Performance HMO PIPs received more Partially Met and Not Met validation status than Met PSN PIPs with a Met validation status declined by 50 percent and more PIPs received a Partially Met and Not Met validation than in the previous year
Contents of the PIP Activity 1: Study Topic Activity 2: Study Questions Activity 3: Study Indicators Activity 4: Study Population Activity 5: Sampling Methods (if sampling used) Activity 6: Data Collection Procedures Activity 7: Assess Improvement Strategies Activity 8: Review Data Analysis and Study Results Activity 9: Assess for Real Improvement Activity 10: Assess for Sustained Improvement
Building the Perfect PIP Activity 1: Study Topic Activity 2: Study Question(s) Activity 3: Study Indicator(s) Activity 4: Study Population Activity 5: Sampling Methods Activity 6: Data Collection Procedures Activity 7: Assess Improvement Strategies Activity 8: Data Analysis and Study Results Activity 9: Assess for Real Improvement Activity 10: Assess for Sustained Improvement Study Design Study Implementation Quality Outcomes Achieved