HIT Policy Committee Population and Public Health Tiger Team Summary Jesse Singer The New York City Department of Health and Mental Hygiene October 28, 2010

–Jesse Singer (Chairperson) –Ahmed Calvo –H. Westley Clark –Theresa Cullen –Carol Diamond –Patrick Gordon –Cary Sennett –Steve Solomon 2 Population and Public Health Tiger Team Members

State of readiness: State of measure development and endorsement status Preventable burden: Evidence that measure could support potential improvements in population health and reduce burden of illness Supports health risk status and outcomes assessment: Supports assessment of patient health risks that can be used for risk adjusting other measures and assessing changes in outcomes, including cross- cutting measures of risk status, functional status, and condition-specific measures Enables longitudinal measurement: Enables assessment of longitudinal, condition-specific, patient-focused episodes of care to address previously unmet needs within population/public health 3 Four Guiding Principals for our Team

1.Healthy Lifestyle Behaviors—Longitudinal outcome measures of improvement (or lack of improvement) resulting from patient health-related behaviors 2.Effective Preventive Services—Longitudinal outcome measures of improvement (or lack of improvement) resulting from the use of preventive health care 3.Health Equity—Longitudinal outcome measures that evaluate the quality of health care across priority populations to track and prevent inequities and health care disparities 4 We have Identified Three Population and Public Health Sub-Domains

1.Healthy Lifestyle Behaviors Smoking cessation focused specifically on the quit rate for patients within a reporting period Body mass index (BMI) focused specifically on tracking longitudinal change to determine patient outcome Screening for alcohol use using a validated tool 5 Measure Concept Recommendations

2. Effective Preventive Services Blood pressure focused specifically on tracking longitudinal change to determine patient outcome Glucose monitoring focused specifically on tracking longitudinal change to determine patient outcome Mental health screening using a validated instrument 6 Measure Concept Recommendations

3. Health Equity 7 Health equity, focused on measures with no discrepancy when comparing rates among priority populations (e.g. racial and ethnic minorities) Measure Concept Recommendations

8 Questions?

9 Smoking cessation focused specifically on the quit rate for patients within a reporting period Body mass index (BMI) focused specifically on tracking longitudinal change to determine patient outcome Screening for alcohol use using a validated tool Blood pressure focused specifically on tracking longitudinal change to determine patient outcome Glucose monitoring focused specifically on tracking longitudinal change to determine patient outcome Mental health screening using a validated instrument Health equity, focused on measures with no discrepancy when comparing rates among priority populations—for example, racial and ethnic minorities, recent immigrant and limited-English-proficient populations, low-income groups, women, children (< 18), older adults (≥ 65), residents of rural areas, persons with special healthcare needs, those with maximum education level of less than a high school education and high school graduates, and the uninsured APPENDIX: Summary of Population and Public Health Measure Concepts `