CoIIN to Advance Care for Children with Medical Complexity Introduction to the QI measure set October 4, 2018 Meg Comeau, MHA Greg Randolph, MD, MPH

Webinar Agenda Review project goals and objectives CMC CoIIN Intro to QI Measures 10.4.18 Webinar Agenda Review project goals and objectives Introduce new objective replacing reducing hospitalizations Describe difference between measurement and evaluation activities, including the role of Medicaid data Overview of process for creating the measures QI measure set introduction Answer questions

CMC CoIIN Intro to QI Measures 10.4.18 Project Goals Improve the quality of life for children with medical complexity Improve the well-being of their families Increase the cost-effectiveness of their care

CMC CoIIN Intro to QI Measures 10.4.18 Project Objectives Increase by 50% from baseline the # of families of CMC in each state team’s cohort reporting: A single point of care in a medical home A shared plan of care Family engagement (new) Increase by 25% from baseline # of families of CMC reporting previously unmet needs being met 25% of state teams (3) will have piloted an innovative payment model

Measurement and Evaluation: What’s the difference? CMC CoIIN Intro to QI Measures 10.4.18 Measurement and Evaluation: What’s the difference? Measurement QI-focused on state projects Collected on the state level Collected data goes into QIDA Directly related to network goals and objectives Primarily quantitative Evaluation Focused on overall CoIIN project Collected on the state, network and project levels Collected data may go into QIDA or be housed at BU Process outcomes Our CoIIN All CoIINs Includes Medicaid/cost data Much will be qualitative

Developing the QI measures CMC CoIIN Intro to QI Measures 10.4.18 Developing the QI measures Measurement workgroup met virtually 4 times over the summer – led by Greg Randolph Members: Chris Stille (CO), Ryan Coller (WI), Alison Martin (OR), Rhonda Cady (MN), Mari-Ann Alexsander (Texas), Rylin Rodgers (NAC), Cara Coleman (Family Voices), Sally, Meg, Bethlyn, Randy Ellis, Chris Louis (BU), Steve Fitton (HMA), Christina Boothby (AAP), Greg Randolph and Sherry Leonard (PHIP) Guiding principles: Meaningful to children and families, as well as providers “Parsimonious” set of measures Directly related to CMC CoIIN goals and objectives Directly relevant to state teams’ QI efforts

Orientation to QI measure set CMC CoIIN Intro to QI Measures 10.4.18 Orientation to QI measure set Sections are organized by HRSA-required objective first, followed by focus areas Introduction under each section includes type of measure; data source Table with survey questions, along with num/dem, frequency, modality, and respondent/sample size for each Switch here to detailed measures document – share screen

CMC CoIIN Intro to QI Measures 10.4.18 Questions?