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