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Data Collection Support Webinar

Data Collection Support Webinar. MetaStar, Inc. April 18, 2007 Carol Ferguson Pam Clemens. Announcements Invalid Record Selection Update. Good news! Discussed on last month’s call in detail Thanks to Candi bringing the increased volume of these errors to CMS attention

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Data Collection Support Webinar

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  1. Data Collection Support Webinar MetaStar, Inc. April 18, 2007 Carol Ferguson Pam Clemens

  2. AnnouncementsInvalid Record Selection Update • Good news! • Discussed on last month’s call in detail • Thanks to Candi bringing the increased volume of these errors to CMS attention • CMS is looking at it “very seriously” • Keep your fingers crossed

  3. AnnouncementsQIO Clinical Warehouse Known Issues • Go to www.qualitynet.org home page • Click hospitals, then data submission, then notifications

  4. AnnouncementsPublic Reporting Preview Period • For Qtr 4 2005 – Qtr 3 2006 • Preview period April 17 – May 16 • Download your report from QNet inbox • Review carefully! • Contact Pam if you have concerns • PPS hospitals – may not withhold any measures without penalty • CAH – new withhold form on QNet, submit to Pam

  5. Announcements Mortality Measures Reporting • Contrary to previous information, there will NOT be a new pledge form required • Reporting to begin October 2007 • Contact mortalitymeasures@coqio.sdps.org with questions

  6. AnnouncementsSubmitting Questions to Quest • Search Quest (on QNet web site, home page, lower right) thoroughly before asking a question • Contact QNet Help Desk to check on status of a question you asked • They received 2,964 questions in February!

  7. Clarifications/UpdatesWho Does MetaStar Send Information To? • Following categories: • Data Collection Support webinar – sign-up • HQA contact – per pledge form • RHQDAPU contact – per pledge form • Hospital data contact • Quality director • CEO/Administrator – usually only if directed by CMS

  8. Clarifications/UpdatesWho Does MetaStar Send Information To? • If you want changes: • Coordinate request internally, we suggest you work it out through the Quality Director • One person from a hospital send e-mail to jparisi@metastar.com • Title on e-mail: Contact changes • List any additions or deletions in a category • Person’s name, title, hospital name, e-mail address, category

  9. Clarifications/UpdatesSCIP Sampling Changes for Qtr 4 2006 • SCIP cases selected by primary OR secondary diagnosis

  10. Clarifications/UpdatesNext Data Due Date • Next data due to QIO Clinical Warehouse on May 15 • Checklist provided by MetaStar with today’s materials will help you organize • Don’t wait until last minute!

  11. Most Common Abstraction ErrorsPneumonia (n = 378) • Initial Blood Culture Time – 17.2% • Not following abstraction instructions – 24 • Parent element mismatch - 6 • Abstractor answer not found in record – 4 • Abstractor missed information – 4 • Arrival Time – 11.1% • Not following abstraction instructions – 16 • Abstractor missed information – 12 • Abstractor answer not found in record – 8 • Parent element mismatch – 6

  12. Most Common Abstraction ErrorsPneumonia (n = 378) • Working Diagnosis of Pneumonia – 4.2% • Not following abstraction instructions – 10 • Abstractor answer not found in record – 7 • Abstractor missed information – 3 • Healthcare Associated Pneumonia – 11.4% • Not following abstraction instructions – 18 • Abstractor answer not found in record – 13 • Abstractor missed information – 6 • Parent element mismatch – 6

  13. Most Common Abstraction ErrorsPneumonia (n = 378) • Flu and Pneumococcal – 11.5% • Abstractor answer not found in record – 21 • Abstractor missed information – 17 • Not following abstraction instructions – 12 • Parent element mismatch – 9

  14. Most Common Abstraction ErrorsAMI (n = 97) • Contraindications to beta blockers • Arrival – 25.2% • Not following abstraction instructions – 13 • Abstractor missed information – 8 • Discharge – 17.2% • Abstractor missed information – 8 • Not following abstraction instructions – 6

  15. Most Common Abstraction ErrorsAMI (n = 97) • Contraindications to aspirin • Arrival – 13.2% • Not following abstraction instructions – 4 • Abstractor missed information – 5 • Discharge – 14.0% • Not following abstraction instructions – 8

  16. Most Common Abstraction ErrorsAMI (n = 97) • Time to EKG • Not following abstraction instructions – 14%

  17. CMS’s Value-Based PurchasingWhat is it? • New acronym – VBP • New name for “pay for performance” • Will replace current annual payment update criteria • Program will replace RHQDAPU • Proposed to start Oct 2008

  18. CMS’s Value-Based PurchasingWhich hospitals are affected? • IPPS (inpatient hospitals paid by the prospective payment system) • Not CAH at this time

  19. CMS’s Value-Based PurchasingImportant Features • Financial incentives for high performance or good improvement • System based on benchmarks calculated from national hospital performance • System will not expect 100% performance because CMS does not want to create unintended consequences

  20. CMS’s Value-Based PurchasingInitial Proposal • 20 of the core measures, not: • HF – LVEF assessment • AMI – beta blocker on arrival • PN – oxygenation assessment • PN – initial antibiotic within 4 hours • SCIP – antibiotic selection • HCAHPS • Mortality measures - heart failure and AMI

  21. CMS’s Value-Based PurchasingProposal for Future • Add measures for coordination of care among settings • Compress data submission limit to 60 days • Change to monthly submission

  22. CMS’s Value-Based PurchasingProposal for Future • Increase sample sizes • Monitor for applying exclusion criteria too broadly • Strengthen validation • Some targeting • At measure level, not item level

  23. CMS’s Value-Based PurchasingNot Yet Decided • CMS is considering different options for • Structuring incentive payments • Phasing the program in • Dealing with small numbers

  24. CMS’s Value-Based PurchasingLearn More • http://www.cms.hhs.gov/center/hospital.asp • Slides for April 12 call are very informative • Options paper looks daunting but is good

  25. Questions/Feedback

  26. Contact Information: MetaStar, Inc. 2909 Landmark Place Madison, WI 53713 (608) 274-1940 or (800) 362-2320 www.metastar.com This material was prepared by MetaStar under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 8SOW-WI-INP-07-64

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