1. Updates to the MDC Dashboards and All-Payer Patients Lists Summer 2013
MiPCT Dashboards
Updates to the MDC Dashboards and All-Payer Patients Lists Summer 2013
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Last Updated:
July 24, 2013

2. Topics Terminology All-Payer Patient List Changes
Dashboards and Reports – 4.0 Updates
Future Additions and Enhancement to the Dashboards and Reports

3. Questions?
Please feel free to ask questions during the presentation
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4. Terminology
Release - when the Dashboards and Reports are updated to include new data
Other enhancements are also included
Enhancement - when the format of Dashboards and Reports are changed
May include new tables/charts, column moves, label name changes, etc.

5. All-Payer Patient List
June 2013 Changes
July 2013 Changes
Practice Lists
Care Team Connect (CTC)

6. June 2013 Changes Added two new fields NEW_PATIENT_PO_FLAG
All-Payer Patient List Changes
Added two new fields
NEW_PATIENT_PO_FLAG
indicates if a patient is new on the current month’s patient list compared to the previous month’s list for the PO
NEW_PATIENT_PU_FLAG
Indicates if a patient is new on the current month’s patient list compared to the previous month’s list for the Practice
These fields are included at the end of the records (prior to the Payer pass-through fields)

7. June 2013 Changes Dropped Patients List
All-Payer Patient List Changes
Dropped Patients List
Includes a list of patients who appeared on the previous month’s list, but do not appear on the current month’s list.
This file includes patients for the entire PO. (There are no practice-specific dropped patient lists.)
The record layout of the dropped patient list is the same as the other patient list files.

8. July 2013 Changes Change in the field sort order
All-Payer Patient List Changes
Change in the field sort order
To more quickly identify potential patients for care management services
Sort Sequence
Sort Field
Sort Order
1.        
Payer
Alphabetical
2.        
High Deductible Flag
Members enrolled in the high deductible plans would be sorted to the bottom of the list
3.        
Concurrent Risk Group
Highest Risk to Lowest Risk. The order will be:
Very High
High
Medium
Low
Very Low
Not Available
4.        
Chronic Condition Fields
Sort by the 9 Chronic Condition flag fields, in the following order:
1.        Diabetes
4.        COPD
7.        ADHD
2.        Asthma
5.        HTN
8.        CAD
3.        CHF
6.        Obesity
9.        CKD

9. July 2013 Changes Layout Changes All-Payer Patient List Changes
The lists will include fields in the following groups/order:
Demographic fields: Payer Specific Member ID, Member First Name, Member Last Name, Member Date of Birth, Age, Gender
Attribution fields: Attributed Physician NPI, Attributed Physician First Name, Attributed Physician Last Name, Attributed Practice Unit ID, Attributed Practice Unit Name
Risk fields: Concurrent Risk Score, Concurrent Risk Group, Prospective Risk Score
Cost: Standard Cost
Utilization fields: # of Inpatient Visits,# of ED visits, # of Readmissions, # of visits to any PCP, Most recent PCP visit date, # of Chronic Conditions, # of maintenance drug prescriptions
Chronic Condition flags: Diabetes, Asthma, CHF, COPD, HTN, Obesity, ADHD, CAD, CKD
New to PO/PU fields
Payer-specific pass-through fields

10. Demographic Information
July 2013 Changes
All-Payer Patient List Changes
Layout Changes – Updated Field Order
Field Heading
Field Type
Field Length
Notes
Payer Specific Member ID
CHAR 20
Member First Name
100
Member Last Name
Member Date of Birth
DATE
Age
NUMBER 10
Gender 1
Attributed Physician NPI
Attributed Physician First Name
Attributed Physician Last Name
Attributed Practice Unit ID 15
Attributed Practice Unit Name
Part 1 of 3
Demographic Information

11. July 2013 Changes Layout Changes – Updated Field Order
All-Payer Patient List Changes
Layout Changes – Updated Field Order
Field Heading
Field Type
Field Length
Notes
Concurrent Risk Score
NUMBER 10
MiPCT DCG-based risk score
Concurrent Risk Group
CHAR 20
Prospective Risk Score
Standard Cost 15
# of Inpatient visits in newest 6 mo of data
# of ED visits in newest 6 mo of data
# of readmissions in newest 6 mo of data
# of visits to any PCP in newest 6 mo of data
Most recent PCP visit date
# of Chronic Conditions
# of maintenance drug prescriptions in newest 6 mo of data
Part 2 of 3

12. All other BCN & BCBSM pass-thru fields
July 2013 Changes
All-Payer Patient List Changes
Layout Changes – Updated Field Order
Field Heading
Field Type
Field Length
Notes
DIABETES
NUMBER 10
ASTHMA
CHF
COPD
HTN
OBESITY
ADHD
CAD
CKD
Payer
CHAR 20
Will contain one of the following values:
Medicare
Medicaid
BCBSM
BCN
Physician Organization ID
Physician Organization Name
100
NEW_PATIENT_PO_FLAG 1
Y = Yes, N=No
NEW_PATIENT_PU_FLAG :
All other BCN & BCBSM pass-thru fields
Part 3 of 3
See the APPL Information document on the MDC Support page for more information.
Note: There are two APPL Info docs
one for Dec 2012-Jun 2013
one for July 2013 and after

13. .zip Details
All-Payer Patient List
The All Payer Patient List .zip files contain the following files:
Entire PO list
Deleted patient list for the entire PO
BCBSM MA patient list
Practice-level lists
Access through the MDC Dashboards (Download PO Reports tab)
[[Need to anonymize data]]

14. .zip Details All-Payer Patient List
Practice Level Lists – Format in Excel Spreadsheet

15. Care Team Connect (CTC)
All-Payer Patient List
If using CTC, be assured that this info is consistent with our information. MDC sends CTC the full patient list, and CTC updates their list with the same list that MDC distributes.
BCBSM MA is included

16. Dashboards and Reports
Release 4.0

17. BCN Data Dashboards & Reports - Release 4.0 Summary
Incorporated BCN data into all aspects of the Dashboards and Reports

18. Dashboards & Reports - Release 4.0 Summary
Updated Claims Data

19. Inpatient Admissions - Dashboards
Dashboards & Reports - Release 4.0
Inpatient Admissions - Dashboards
Added inpatient admission measures to the MiPCT and PO Utilization Dashboards

20. Inpatient Admissions - Reports
Dashboards & Reports - Release 4.0 Summary
Inpatient Admissions - Reports
Added Inpatient Detail and Inpatient Summary Reports
View PO Report tab
Download PO Report tab

21. View PO / Download PO Reports
Dashboards & Reports - Release 4.0 Summary
View PO / Download PO Reports
View PO Report tab – Sort and view data in your browser
Download PO Report tab – Excel versions of the reports

22. Summary and Detail Reports - Differences
Dashboards & Reports - Release 4.0 Summary
Summary and Detail Reports - Differences
Summary – One record per patient summarizing visits over the time period
General information about the patient and the number of ED visits are included in this report
Detail – Information about each visit by a patient over the time period
The details for each visit are included in this report

23. Risk Score by Payer Dashboards & Reports - Release 4.0 Summary
Added a new dashboard section with Risk Score by Payer on the Population Summary Dashboards
Shows the average risk scores by payer

24. Populate Inpatient Column on Drill-down Lists
Dashboards & Reports - Release 4.0 Summary
Populate Inpatient Column on Drill-down Lists
The “# of Inpatient Visits in Newest 6 months of data” column is now populated on all patient-level drill-down lists

25. Updated Standard Cost Calculations
Dashboards & Reports - Release 4.0 Summary
Updated Standard Cost Calculations
The standard cost calculations are updated on all dashboards. The result is an increased percentage of participants with standard cost assigned

26. PO Comparison – ED Measures
Dashboards & Reports - Release 4.0 Summary
PO Comparison – ED Measures
Adding a new PO Comparison – ED Utilization dashboard and report to compare ED measures across all POs in the MiPCT project.
DRAFT

27. PO Comparison – ED Measures
Dashboards & Reports - Release 4.0 Summary
PO Comparison – ED Measures
Adding a new PO Comparison – ED Utilization dashboard and report to compare ED measures across all POs in the MiPCT project.
DRAFT

28. Future Enhancements – Fall 2013
Future Deliverables
Trend data
PO Comparison – Inpatient Measures
Registry data incorporated into Dashboards and Reports
Specialist Visits Reports

29. Contact Us For MDC user account questions: MDC-Accounts@med.umich.edu
For all other questions:

30. Questions?
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