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Alabama’s Experience Using AHRQ’s Quality Diagnostic Tools and Technical Assistance

Alabama’s Experience Using AHRQ’s Quality Diagnostic Tools and Technical Assistance September 14, 2010. Overview TFQ Q4U. Together for Quality. Goals Develop a data-driven quality improvement model for Medicaid recipients with chronic disease

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Alabama’s Experience Using AHRQ’s Quality Diagnostic Tools and Technical Assistance

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  1. Alabama’s Experience Using AHRQ’s Quality Diagnostic Tools and Technical Assistance September 14, 2010

  2. Overview TFQ Q4U

  3. Together for Quality Goals Develop a data-driven quality improvement model for Medicaid recipients with chronic disease Provide for a comprehensive electronic health record with clinical decision support Connect health and human service agency data *Patient 1st is the foundation

  4. Together for Quality Initiatives • Q4U – Care management for individuals with chronic illnesses; asthma and diabetes • Qx – Information exchange between State health and human service agencies • QTool– Electronic health record and clinical support tool

  5. Pilot Project Counties

  6. Asthma Enrollment Update

  7. Technical Assistance • List of questions and issues • TFQ information in the tool • Pilot counties of TFQ used for population • Definition of variables • Excel version not compatible with Excel 2007 • Unable to save output to Excel (only saves text)

  8. Technical Assistance (cont’d) • Emails • Numerous emails between Alabama Medicaid, AHRQ, and Thomson Reuters • Calls • Webinar to discuss how to input the information into the tool • Webinar to discuss how to save the data into the tool

  9. Together for Quality Timeline January 2008: AHRQ meeting in Phoenix, Arizona August 2008: Asthma ROI data elements provided to Alabama Medicaid Data elements for Asthma ROI compared with data elements used for TFQ September 2008: Webinar with AHRQ and Thomson Reuters to discuss Alabama information January 2009: Alabama provided with Excel version of ROI tool

  10. Together for Quality Timeline (cont’d) February 2009: Alabama discovered data not saving after being input into the ROI calculator March 2009: Webinar with AHRQ and Thomson Reuters to discuss saving data in the ROI calculator ROI tool determined to not be compatible with Excel 2007 Alabama tapped as beta tester of the HTML version of the tool April 2009: Alabama given further instruction on what to include in participant numbers

  11. Together for Quality Timeline (cont’d) May 2009: Input information added to the output file of the tool and ability to download output file to Excel Review of Alabama results; determined number of outpatient visits and costs were high Recalculation by Alabama of number and costs of outpatient visits March 31, 2010: End of pilot program Alabama provided 3-month tail for all claims to be submitted for payment July 2010: Began calculating the ROI for the case management portion of TFQ

  12. TFQ Highlights 213,825 Medicaid eligibles in pilot counties 21,780 asthma recipients in pilot counties 1,296 recipients who participated in TFQ care coordination Decreased number of recipients with ER and hospital visits and ancillary charges Increased number of recipients on asthma medication Increased outpatient visits

  13. Alabama ROI Results

  14. Contact Information • Mary G. McIntyre, MD, MPH Alabama Medicaid Agency Medical Director and Deputy Commissioner Office of Clinical Standards and Quality 334-242-5574 mary.mcintyre@medicaid.alabama.gov • Stephanie Lindsay Medicaid Administrator 334-353-3304 stephanie.lindsay@medicaid.alabama.gov

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