1. Presented by: Peggy Ketterer, RN, BSN, CHCA Executive Director, State and Corporate Services Best Practices/Improvement Strategies for HEDIS Measures Break Out Session #2 Florida EQR Quarterly Meeting January 16, 2008

2. Presentation Outline Components of successful improvement strategies Presentation and discussion of case studies Available resource Questions and Answers

3. Components of Successful Improvement Strategies Identify goal Establish a method to measure progress Implement change Evaluate change

4. Identify the Goal Written statement Be specific Use numeric values Be realistic but still make it a stretch

5. Identify the Goal Examples of Goal Statements*: Identify 80% of all diabetics who have not had their HbA1c tested Successfully complete 90 percent of all attempts to contact members who are due for a postpartum visit Source: Center for Health Care Strategies, Inc. (CHCS)

6. Establish a Method to Measure Progress Should directly measure the written goal Can be rapid-cycle with small samples Should be measured over time across a wide range of variables/conditions Should differ from the HEDIS measure you are trying to improve

7. Establish a Method to Measure Progress Example of Measurement of Improvement: Numerator: Number of successful outreach attempts to members who are due for a postpartum visit Denominator: Total number of members who are due for a postpartum visit

8. Implement Change Identify who, what, where, and when Sufficient training and communication are essential Pilot test the change using a smaller group to readjust plans as needed. Consider multiple pilot tests to evaluate adjustments made.

9. Discussion of Case Studies Recognize that not every intervention will fit your population, but consider the methods/approaches Pay attention to “lessons learned” Use the resources that are already available – do not reinvent the wheel

10. Available Resources http://www.chcs.org provides toolkits, case studies, sample materials, and other resourceshttp://www.chcs.org http://www.qualityprofiles.org provides a variety of case studies and tools for most HEDIS measureshttp://www.qualityprofiles.org http://www.ihi.org/ihi provides improvement strategies, resources, and educational opportunitieshttp://www.ihi.org/ihi

11. Questions?