Provider Peer Grouping
Monthly Updates
December 10, 2012
Stefan Gildemeister
Director, Health Economics Program
This morning’s discussion
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Advisory Committee
― Update from November 19th meeting
― (Next meeting: tentatively planned for January)
Hospital report data validation efforts
– Provider feedback on data table templates
Rapid Response Team (RRT)
– risk adjustment discussion and decision memo
Public reporting on quality
– Quality prototype and consumer testing
Hospital and clinic analysis progress report
PPG preliminary timeline
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PPG Advisory Committee:
November 19 meeting
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PPG Advisory Committee
Draft Recommendation on Issue 3 (partial):
Unite of analysis – Hospital provider definitions
For this round of reporting – unit of analysis should be
practice location or facility level
(Note: There was a consensus preferring procedure-level comparisons, which are not available for this round of reporting,
but may become available in the future.)
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PPG Advisory Committee
Issue 4: Quality Compositing
• Final decision on compositing for hospital version 2 and clinic
version 1 was delayed pending further discussion by the
Advisory Committee
– Requests to MDH for add’l information
– Responses available on PPG webpages: PPG Advisory Committee
PPG Advisory Committee
Issue 4: Absolute v. Relative Scoring
• Final decision tradeoffs between absolute & relative scoring
was delayed pending further discussion by the Advisory
Committee
– Request to MDH for additional information and examples
PPG Advisory Committee
Next meeting:
The next PPG Advisory Committee is tentatively
scheduled for January, 2013
All meetings of the Advisory Committee will be open to the public.
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Hospital report data validation
efforts
Provider feedback on data templates
and definitions
Hospital report data validation
• Cost summary table
– APR-DRG level cost
information for all APRDRGs
– MDC summary
information
Hospital report data validation
• Enhanced summary file
– Demographic, clinical
and cost data
– APR-DRG level
information for all APRDRGs
– MDC summary
information
Hospital report data validation
Updated files
• Final total counts will not change prior to reports released
• New information:
– Readmissions tab
• Explains where readmissions are attributed
• Impact to hospital’s count
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Hospital report data validation
Provider feedback
• Identifiable data files would be best
• Updated discharge files:
– ‘Submitting payer’ tab is helpful
• Summary files:
– Enhance efforts to understand data used in PPG
• Readmission definitions:
– Discharges against medical advice
– Discharges to locations against medical advice (home rather than SNF)
– Readmissions of patients originally admitted with substance abuse
conditions
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Rapid Response Team (RRT)
Risk Adjustment
Public Reporting on Quality
Quality prototype and consumer testing
Quality Prototype and Consumer Testing
• Public reporting of quality through SQRMS (and PPG
results) a state requirement
– Hardcopy report released in 2011
– MDH has been working with the MnHIX and contractors on
designs for consumer-friendly display for SQRMS
• Consumer testing of range of display options will
take place December 11 through 13
– 1-on-1 tests with consumers from various demographics
– Webinar to present information to stakeholders
– Surveys for collecting stakeholder input
Progress Update
Hospital / Clinic Analysis
Hospital & Clinic Analysis
Progress Update
• Hospital
– Finalizing analysis and preparation of data/report
– Updating technical information for users
– Finalizing data template design
• Clinics
– Finalizing data load and QI work
– Beginning programming of attribution
Next call
Monday, January 7, 2013
7:30 a.m.
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Resources
Additional information on PPG is available online:
www.health.state.mn.us/healthreform/peer/
Information on Minnesota’s health care market can
also be found online:
www.health.state.mn.us/healtheconomics
Questions may be sent to:
Stefan Gildemeister at
Stefan.Gildemeister@state.mn.us or 651-201-3554
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