1. Summary of NHDP Performance Improvement Projects Validation Findings
Thursday, March 24, 2011
3:00 p.m. – 4:00 p.m.
Presenter:
Donald Grostic, MS
Associate Director, State & Corporate Services

2. Presentation Overview
2010–2011 PIP Validation Process
Validation Findings
Study Indicator Results
Collaborative Validation Findings
Next Steps

3. 2009–2010 PIP Process (cont.) HSAG selected two PIPs per MCO type.
One ongoing and one collaborative PIP were chosen.
PIPs selected were chosen based on HSAG’s selection criteria.
If a NHDP did not have a nonclinical study in process and only had clinical studies, then two clinical PIPs were selected for this year’s validation cycle.

4. Overall PIP Validation Performance
2009–2010
2010–2011

5. Trending of PIP Validation Scores
% Score of Evaluation Elements Met
2006–2007
2007–2008
2008–2009
2009–2010
2010–2011
90% to 100% 14 3 7
80% to 89% 5 12 9
70% to 79% 1 6 4
60% to 69% 2 8
Less than 60% 16
Total 20 26 29 30

6. Study Indicator(s) Improvement

7. Statistically Significant Study Indicator(s) Improvement

8. Study Indicator(s) Sustained Improvement

9. Overall Collaborative PIP Validation Performance
2009–2010
2010–2011

10. Trending of Collaborative PIP Validation Scores
% Score of Evaluation Elements Met
2008–2009
2009–2010
90% to 100% 2 5
80% to 89% 6 1
70% to 79%
60% to 69%
Less than 60% 3
Total 15

11. Next Steps for NHDPs
NHDPs need to address all Points of Clarification and all Partially Met and Not Met evaluation elements.
HSAG has provided the NHDPs with the Word version of the study submitted.
NHDPs should use the same study document to continue working on the PIPs. NHDPs should date, bold, and strike-through any sections in which revisions are made to the study document.

12. Questions and Answers on PIP validation?

13. Upcoming EQR Activities
Thursday, March 24, 2011
Presenter:
Yolanda Strozier, MBA
Associate Director,
State and Corporate Services

14. Upcoming EQR activities
The next EQR Quarterly Meetings:
Wednesday, June 8, 2011 (AHCA Offices)
One-on-one TA sessions Tuesday, June 7, 2011
Week of September 26, 2011 (Webinar)
Wednesday, January 11, 2012 (AHCA Offices)
One-on-one TA sessions Tuesday, January 10, 2012
Week of March 19, 2012 (Webinar)

15. Upcoming EQR activities
Finalization of PIP Validation Reports (April 2011).
Annual PIP Summary Report and Strategic Summary Report (April–June 2011).

16. Upcoming EQR activities
Next Steps
PIPs are submitted to AHCA/DOEA— June
MCOs will receive HSAG’s “Statement of Intent” (SOI) survey on Wednesday, August 10, 2011.
Completed SOI’s due to HSAG on Monday, August 29th.

17. External Quality Review Quarterly Meeting
THANK YOU FOR YOUR PARTICIPATION!