1. Michigan Data Collaborative Overview
Last Updated: March 26, 2012

2. MDC – the Michigan Data Collaborative
Data collection, enrichment, and provisioning group at the University of Michigan.
Collect claims and eligibility data from Medicare, Medicaid, BCBSM, and BCN
Collect other data such as registry, immunization, self-reported data
Build “multi-payer claims database”
Enrich data by defining and calculating meaningful metrics
Create and distribute reports that:
Helps to identify high risk and at-risk patients
Establishes baseline performance
Identifies opportunities for improvement
Support report interpretation and practice use

3. Multi-Payer Claims Database
Collect, standardize and aggregate data from multiple payers (insurance carriers)
Creates a more complete picture of a patient’s information when they:
Receive benefits from multiple insurance carriers over time
Visit physicians from different practices or Physician Organizations
Collects more complete information on a patient’s:
Procedures
Diagnoses
Visits
Tests
Test Results (if results are collected)
Prescriptions (if Rx data are collected)
Multi-Payer Claims Database
Medicare
Medicaid
BCN
BCBSM
MiPCT

4. Multi-Payer Claims Database
Reporting PO
Multi-Payer Claims Database
datasets
reports
Practice
Summary level and PO-specific
Available to POs via secure web portal
POs will distribute to practices
Retrospective Reports
Quality and Utilization performance metrics chosen for the project
Only claims-based metrics for Year 1
Requires 2-3 month run-out to ensure availability of complete data
Prospective Reports
Timely feedback about attributed population for use in care management
Providers are not being measured/scored
Incentive Payments Reports
Incentive scores and payments

5. Goals of Reporting Provide timely, actionable information
Provide reports to POs that can be easily distributed further to practices
Promote improvements in efficiency and cost savings (to ensure budget neutrality is achieved in the near term) and also improve/maintain quality of care
Easily understood and used by providers
Allow providers to identify high risk patients and access important information about utilization on those patients
Provide information on a provider’s patients across multiple payers (Medicare, BCBSM, Medicaid Managed Care, BCN)
Allow stakeholders to track progress toward MiPCT goals

6. Dashboards Membership/Population Quality & Efficiency Measures
Membership Information
Attributed members by Payer
Risk Information
# of members by Risk Level (H/M/L)
Population Information
# patients by Chronic Condition (Asthma, COPD, CHF, etc)
Quality & Efficiency Measures
Quality Measures
Diabetes Test Rates, Cancer Screenings, etc
ED & Inpatient Measures
Visit Rates, Admit Rates, Re-admit Rates, etc
Comparison to Benchmarks
Trend Charts
Risk Scores
Costs
Quality Metrics

7. Attributed/High Risk Patient List
Physician Level attribution list, by Practice
Includes information on Risk Scores, Visits, and Conditions
Member Information
Name
DOB
Age
Age Group
Gender
Payer
Attribution Information
Physician
Practice PO
Risk Score
Risk Group
Visit
Counts
# Inp. Visits
# Readmits
# PC visits
# Care Coord. Encounters
# Maint. Rx Scripts
Risk
Conditions
Asthma
COPD
CHF
CAD
Diabetes
HTN
ADHD
CKD
Obesity

8. Attribution Information Most Recent ED Visit Date
ED Summary Report
Patient-level report showing number of ED visits
Includes patient attribution information
Member Information
Name
DOB
Age
Gender
Payer
Attribution Information
Physician
Practice PO
ED Summary
Total ED Visits
Most Recent ED Visit Date

9. Attribution Information Discharge Disposition Diagnosis 2 Description
ED Detail Report
Patient-level report showing ED visit information
Includes patient attribution information
Member Information
Name
DOB
Age
Gender
Payer
Attribution Information
Physician
Practice PO
ED Detail
Facility Name
Date of Visit
Discharge Disposition
Discharge Diagnosis
Diagnosis 2 Description

10. Contact Information
MDC
Myron Hepner