1. 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

2. Webinar Agenda Review project goals and objectives
CMC CoIIN Intro to QI Measures
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

3. 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

4. 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

5. Measurement and Evaluation: What’s the difference?
CMC CoIIN Intro to QI Measures
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

6. Developing the QI measures
CMC CoIIN Intro to QI Measures
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

7. Orientation to QI measure set
CMC CoIIN Intro to QI Measures
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

8. CMC CoIIN Intro to QI Measures 10.4.18
Questions?