The Role of HIT in Pay for Performance The Medical Quality Improvement Consortium (MQIC) Michael Lieberman, MD, MS Informatics Director GE Healthcare, Practice Solutions

Medical Quality Improvement Consortium Data Warehouse Centricity EMR Users Use data to improve patient care Strengthen clinical reporting Disease management Quality of care Clinical research Free service

Centricity ® Physician Office EMR Data Warehouse Services 3 Reports & Outcomes MQIC Web Portal MQIC Components Database Centricity ® Physician Office EMR Data Warehouse Services Report Data Import 1 2 3 Staging Area 1 Data Extract System

Data Security HIPAA-compliant Remove patient-identifying information Name, SSN, Phone, Address Zip code to 3 digits only DOB --> Age PID --> transformed to EPID Only EMR customers can re-identify individuals

Data Captured

NCQA Software Certification First EMR in the Industry Diabetes Physician Recognition Program Automated Submission Enabling Pay for Performance Centricity EMR is the only EMR certified by the National Committee for Quality Assurance, NCQA. NCQA is a non-profit organization started in 1990, dedicated to improving healthcare quality. They accomplish this by measuring quality, because measurement leads to improvement. Certification is possible because of the unique data structure within Centricity EMR. The NCQA Physician Recognition Program is voluntary for physicians. Once certified, these physicians are recognized in many health plan directories, as well as being recognized for pay-for-performance programs.

Diabetes Decision Support Example

Diabetes Decision Support Example

Diabetes Decision Support Example

Diabetes Decision Support Example

Diabetes Decision Support Example

NCQA DPRP Report

Clinician Level Detail

Comparison by Specialty

Display One Provider Using the ‘Page By’ axis, you can display the report for one provider at a time. There is a crystal report available on the Knowledgebank website to generate a list of names for provider ids used in these reports.

Save File for Upload

Access NCQA Submission Site (https://iss.ncqa.org/PhysicianPortal/ )

Enter Practice Information

Enter Information for Provider The bottom of the screen also shows how you upload the file generated from the MQIC report

Confirmation One can also go to the Provider information page to submit information from another provider at the same clinic.

Additional Actions

Benefits Greatly simplify submission process 15 minutes via automated method Enable monthly feedback on current status Snapshot of entire practice vs. sample Tool for management of population health

The Role of HIT in Pay for Performance The Medical Quality Improvement Consortium (MQIC) Michael Lieberman, MD, MS michael.lieberman@ge.com