The Benefits of Data Exchange Between Registries and MCOs

Slides:

Advertisements

Similar presentations

Care Coordinator Roles and Responsibilities

Advertisements

August 12, Meaningful Use *** UDOH Informatics Brown Bag Robert T Rolfs, MD, MPH.

Thinking Outside the Box: Linking an Immunization Registry with Schools Tina Ellis Coyle RECIN Immunization Registry Marshfield Clinic Marshfield, Wisconsin.

National Immunization Registry Conference – Atlanta, GA Ready, Set, Register! Assessing Provider Readiness Eric Dansby Program Manager/Information Systems.

Trusts and ResourcesHealthy Communities 1 August 2010.

Indiana State Department of Health Meaningful Use Chris Mickens, CTCO March 16, 2012.

Health Information Technology The Texas Landscape Presentation to TASSCC 2010 Nora Belcher Texas e-Health Alliance August 3, 2010.

Getting Prepared in Region 5 Barbara Grice, MS, CHES Marge Heim, APRN, BC DHEC Public Health Region 5 South Carolina.

Maryland Medicaid’s Partnership in Improving Behavioral Health Services Susan Tucker Executive Director, Office of Health Services May 14, 2014.

Using a Help Desk Database to Identify Training Issues, Improve Customer Service, and Increase Office Efficiency Jennifer West, MPH Health Educator VaxTrack.

Improving Timeliness and Quality through an EDRS Kathlene A. Mueller, Manager Data, Statistics and Vital Records/ State Registrar.

Provider Management Database Facilitates Provider Enrollment and Program Evaluation Jennifer West, MPH Health Educator VaxTrack Immunization Registry Program.

Using an Outreach Planner to Accelerate Private Provider Recruitment Jennifer West, MPH Health Educator VaxTrack Immunization Registry Riverside County.

Adapting Mainstream Marketing Techniques for Difficult to Recruit Providers Letty Cherry Kreger, MHA VaxTrack Immunization Registry Riverside County Department.

Understanding Vendor Offerings Maximizing the benefit of your HL7 abilities Brandy Altstadter March 7, 2006.

Evolution of Data Exchange with the New York Citywide Immunization Registry: From Paper to Electronic Messaging Amy Metroka, Vikki Papadouka, Paul Schaeffer,

Successful Strategies that Prevent Vaccine Wastage Cherry Boardman, R.N., M.S.N. Becky Burkhart, M.Ed. Kathy Fredrickson, M.S., M.P.H. Arizona Immunization.

Immunization Registries and Public Health 2004 National Immunization Conference May 2004 Nashville, Tennessee.

Utilizing Registry Functionality and Data for Statewide School and Childcare Reporting First Year Results Mary Jo Flenner, B.S. Michigan Dept. of Community.

Influenza Vaccination of Healthcare Personnel The Indian Health Service Experience Amy Groom, MPH and Cheyenne Jim, MS IHS Immunization Program Division.

Letty Cherry Kreger, MHA California Immunization Registry (CAIR) Inland Empire Region.

Improving Adolescent Immunization Rates with a Phone Call-Based Reminder/Recall System Northeast Valley Health Corporation Allison E. Campos, BS Debra.

Enhancing Registry Data with School Nurse Data Collection Quan Le Louisiana Office of Public Health Stacey Goodall Scientific Technologies Corporation.

Medicare-Health Plan Reimbursement Plan Project Patrick O’Reilly Masspro Mary Ann Preskul-Ricca Massachusetts Association of Health Plans.

Data Exchange Between IISs: Benefits and Barriers Presented by: Amy Metroka, Director Rezaul Kabir, City Research Scientist Citywide Immunization Registry.

Telephone Broadcast Technology as a Cost-Saving Alternative for Reminder Recall Letty Cherry Kreger, MHA Regional Manager CAIR Inland Empire.

Common Threads: Immunization and Well Child Completion Rates Jeff Neccuzi, Director Division of Immunization Services Bureau for Public Health May 17,

Kent CHAP History Health Net of West Michigan. Kent CHAP History Health Net of West Michigan.

Trust Profiling for Adaptive Trust Negotiation

Collaboration with Care Managers and Managed Care

March 30, 2011 Presenter: Michael Flynn

Driving Quality Improvement in Medicaid Managed Care

BACKGROUND New Jersey Immunization Information

Establishing Goals During Feedback Sessions - AFIX Evaluation

Keys to Practice-Based Immunization Recall

Virginia’s Stay on Track Daycare Initiative

Arizona Immunization Billing Project

Integrating Registries and AFIX for Data Quality

Paying for Serious Illness Care Under a Global Budget: Opportunities and Challenges Anna Gosline, Senior Director of Health Policy and Strategic Initiatives,

Paul Melinkovich, MD Toni Lyles, RN

Childhood Immunization Rates

Administrative Activities Program Update

Increasing Capacity to Provide Immunization Services

Registry Impact on Program Operations

Letty Cherry Kreger, MHA California Immunization Registry (CAIR)

Health Partnerships SO Healthy Communities

Molly Sander, MPH Immunization Program Manager

Saving Vaccine and Costs With Immunization Registries

HEDIS® Compliance Audit™ and Supplemental data

ADRC IM Work Group Overview

VFC and Counties: Working Together

WTIA FSA/HSA Plan Implementations Webinar

Chelcie Oseni, MBA, BSN, RN Clinical Nursing Supervisor – Delta Grant

Strategies for Private Provider Participation in Registries

Molina Healthcare Provider Training

Healthy people living, working, and playing in Baltimore County

Presented by Anne Cordon, SDIR Manager

Dose by Dose Accountability and CAIR

Using the Registry to Conduct WinCASA Assessments: Lessons Learned

Using Ohio’s Impact SIIS Data in Assessing Immunization Rates

Brief In-Office Demonstrations Yield High Enrollment Rates

Using the Provider Management Database and Proactive Customer Service to Facilitate Provider Retention Introduction Letty Cherry Kreger, MHA VaxTrack.

______________________________________________________

Registry Evolution: Lessons Learned

“THIS WILL TAKE JUST A MINUTE OF YOUR TIME”

Evaluation of the San Diego County Baby Track Program

Kimberly Ralston, MPH, Jennifer Sterling, Kathryn McAuliffe, MPH,

Kalamazoo County Adult Immunization Task Force

Auditing Techniques for Ensuring Quality Data in a Registry

Laura Heermann Langford, RN, PhD

Presentation transcript:

The Benefits of Data Exchange Between Registries and MCOs Presented By: Letty Cherry and Abigail Ryan VaxTrack Immunization Registry Riverside & San Bernardino County Departments of Public Health

Overview VaxTrack Background and Facts Why Partner? Establishing a Successful Partnership Ensuring Data Quality Benefits of Data Exchange for MCOs

Overview - Continued Benefits of Data Exchange for Medical Care Providers Benefits of Data Exchange for Registries Conclusions

VaxTrack Background Region covers > 27,000 square miles Consists of rural, remote, suburban and urban areas Population > 3.3 million people

VaxTrack Background History 1994 - San Bernardino County 1996 - First private providers enrolled 1999 – First MCO (IEHP) 2000 – Riverside County added 2001 – Second MCO (Molina) 2002 – View Only

VaxTrack Facts More than 738,000 children in the registry 55.4% have immunizations 38.5% of children under 2 years have IZ history

Why Partner? Children were going outside of the health plan to get shots Parents can change providers and/or health plans every 30 days.

Establishing a Successful Partnership – The Beginning Memorandum of Understanding (MOU) with both Riverside and San Bernardino Counties detailing services – including collaboration on IZ registry. IEHP’s Medical Director former Health Officer Childhood immunizations a priority

Establishing a Successful Partnership, continued Both sides agreed on data exchange using billing data. Designed file format Negotiated minimum data set for record Accepted additional data (e.g., plan ID #) Electronic files sent weekly Received historical and current data MCO disclosed to parents

Establishing a Successful Partnership, continued Ongoing QA of data sent Regular error reports automatically generated Timely feedback to the MCO

Establishing a Successful Partnership, continued IEHP pays incentives for each IZ given correctly Encourages proper recording and reporting of IZ

Establishing a Successful Partnership, continued Second MCO began sending billing data in 2001 Results of data exchange with MCOs: > 113,380 children’s records added from 1999-2002. > 856,000 IZ Immunization Data Exchange with IEHP 1996 – 146 immunizations (submitted in 1999) 1997 – 11,564 immunizations (late 1999) 1998 – 66,498 immunizations (late 1999) 1999 – 110,578 immunizations (late 1999) 2000 – 145,508 immunizations 2001 – 246,128 immunizations (Riverside County added) 2002 – 276,190 immunizations

Benefits of Data Exchange for Managed Care Organizations  in quantity and timeliness of IZ Reminder/Recall notices sent to members Better data for HEDIS Decreased medical record reviews

IEHP HEDIS Data 2001

IEHP HEDIS Data 2002

Benefits of Data Exchange for Providers Improved immunization rate for clients Instant verification of vaccine history Potential cost savings Reduced registry data entry burden since data extracted from billing forms

Benefits of Data Exchange for Registries Facilitates registry growth  provider participation May encourage other MCO participation.

Sources of VaxTrack Data

The Benefits of Data Exchange -Conclusions IEHP’s IZ rate rose from 75th to 90th percentile (12/99 to 12/02) Molina’s UTD rate for 2002-2003 went from 49% to 72%  Provider participation by 116% # Children with IZ  94%

Contact Information Letty Cherry, MHA – Riverside County lcherry@co.riverside.ca.us 909-354-1400 Abigail Ryan, MPH – San Bernardino County aryan@dph.sbcounty.gov 909-383-3070