1. 11 Physician Web Portal Project Quality Measures Initiative January 2010

2. 2 NYSDOH Grant In 2006 the NYS Legislature announced it was looking at providing grant funding to improve quality of health care, and set forth five parameters: 1.Use of workgroup measures and metrics to reward physician, clinic and hospital performance. 2.Involvement of multiple payers…agreeing to use workgroup measures and metrics to reward physician, clinic and hospital performance. 3.Use of IT to share patient information to improve coordination of care. 4.Improvement of care through the participation of multiple payers and stakeholders. 5.Collection, analysis and public reporting on measures, incentives, processes and outcomes.

3. 3 As result, the Western New York Quality Measures Collaborative (WNYQMC) was born….

4. 4 WNYQMC Grant Funding Supports a two-year project focused on improving care for patients enrolled in health plans. P 2 Collaborative serves as grant administrator. The area’s three health plans -- Independent Health, HealthNow and Univera -- partnered together to obtain the WNYQMC funding. Program designed to make available to each primary care physician in the region’s eight counties his or her own aggregated quality measures report. –Internists –Family Practitioners –Pediatricians

5. 5 Quality Measures Report The data was comprised of pharmacy and medical claims data provided by the area’s three health plans and aggregated by a third-party technology vendor who prepared the quality metric results. Physicians were able to review their aggregated quality metric results via password-protected web portal.

6. 6 Quality Measures Report Supporting patient-level data was made available on the portal to individual physicians who signed and faxed a Business Associate Agreement to CSS. For the first time, primary care physicians received one quality report detailing the results of 19 quality metrics, rather than three different statistical reports from each of the plans. Honorarium was made available for physician participation.

7. 7 Report Distribution

8. 8 NYSDOH Grant Nineteen health quality measures will be reported in the document: -Breast cancer screening- Cervical cancer screening -Colorectal cancer screening- Chlamydia screening -Childhood immunization status- Lead screening in children -Cholesterol management for patients- Persistence of beta-block with cardiovascular conditions treatment after a heart attack -ACE/ARB treatment (post-heart failure) - Prenatal/postpartum care -Comprehensive diabetes care- Antidepressant medication (hemoglobin A1C testing, retinal exam, management – acute phase nephropathy screening, LDL testing) treatment & continuation phase -Use of appropriate medications for - Appropriate treatment for people with asthma children with upper respiratory -Appropriate testing for children with infection pharyngitis

9. 9 WNYQMC Goals Align with NYS legislature objectives. Create a sustainable program infrastructure. Provide year-one participation honorarium for physicians. Ensure continued innovation in measurement (capacity and flexibility to add new measures when identified). Provide a transferable, regional response to increasing market demand for dissemination of physician quality measures and report data for physicians.

10. 10 Timeline 2005-2007 Data – Evaluated by WNYQMC Clinical Advisory Committee – June 2009 2008 Data – Available to PCPs throughout eight WNY counties in November 2009. February 28, 2010 - Public reporting first two quarters 2010. A requirement of the RWJF grant.

11. 11 www.p2wny.org www.p2quality.com

12. 12 My Quality Counts! Survey Report January 2010

13. 13 True Measure (measures for whom you have more than 30 patients)? Measures Number of Response Percent Response 153.0% 263.6% 3116.5% 495.4% 5116.5% 631.8% 722 13.1% 848 28.6% 931 18.5% 1015 8.9% 1163.6% 1210.6% 1300.0% 1400.0% 1500.0% 1600.0% 1700.0% 1800.0% 1900.0% Total Response168 69%

14. 14 What was your overall impression regarding website functionality: Answer Options ExcellentGoodAverageFairPoorResponse Count Rating 38783697168 Question Totals answered question168 skipped question0 69%

15. 15 Appearance- Layout, design, colors and imagery Answer Options ExcellentGoodAverageFairPoorResponse Count Rating 52803060168 Question Totals answered question168 skipped question0 79%

16. 16 Navigation – The information was located quickly and easily. Answer Options ExcellentGoodAverageFairPoorResponse Count Rating 487333104168 Question Totals answered question168 skipped question0 72%

17. 17 Easy of Use- Website was easy to use? Answer Options ExcellentGoodAverageFairPoorResponse Count Rating 447828106166 Question Totals answered question166 skipped question2 73%

18. 18 Knowing that there are limitations to using claims data for performance reporting, do you think the quality data reasonably reflect the clinical status of your practice? Answer OptionsYesNoResponse Count Yes/No 8879167 Question Totals answered question167 skipped question1 53%

19. 19 Did you request and receive patient-level information for one or more metrics using the Business Associate Agreement (BAA) mechanism? Answer Options Response Percent Response Count Yes29%48 No 71% 120 answered question168 skipped question0

20. 20 If you requested patient-level data access, how helpful did you find this information to be? Answer Options ExcellentGoodFairPoorResponse Count Rating 104828793 Question Totals answered question93 skipped question75 52%

21. 21 Are you planning to share this My Quality Counts! report with your staff? Answer OptionsYesNoResponse Count Yes/No 11156167 Question Totals answered question167 skipped question1 66%

22. 22 Is the data presented in a manner to support quality initiatives in your office? Answer OptionsYesNoResponse Count Yes/No13332165 Question Totals answered question165 skipped question3 81%

23. Public Reporting of Diabetes Measures – Primary Care January 2010 Reaching for Excellence