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Statewide Quality Advisory Committee (SQAC) Meeting

Statewide Quality Advisory Committee (SQAC) Meeting. April 14, 2014. Agenda. Welcome and approve minutes 11:30 Update from HPC on PCMH certification 11:35 Discuss provider tiering using SQMS measures 11:50 Update from staff on pediatric measures 1 :00 Next steps 1:15.

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Statewide Quality Advisory Committee (SQAC) Meeting

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  1. Statewide Quality Advisory Committee (SQAC) Meeting April 14, 2014

  2. Agenda • Welcome and approve minutes 11:30 • Update from HPC on PCMH certification 11:35 • Discuss provider tiering using SQMS measures 11:50 • Update from staff on pediatric measures 1:00 • Next steps 1:15

  3. HPC Update on PCMH Certification The Health Policy Commission is directed by M.G.L. c.6D, s.14 to develop standards for the certification of patient centered medical homes, with reference to the Standard Quality Measure Set.

  4. Provider Tiering Using SQMS Measures CHIA’s role • Advise DOI on regulation related to the use of SQMS measures in plans’ tiering of hospitals and physician groups CHIA’s approach • Make a formal statement of the measures in the SQMS • Reach out to stakeholders and receive SQAC input • Provide advise to DOI on regulation

  5. Measures by population: Pediatrics • Massachusetts Child Health Quality Coalition recommended principles: • Consider major domains of care • Consider whole child • Capture care, regardless of provider type • Exercise restraint in measure selection • Pediatric BH care • Six new pediatric behavioral health measures proposed for 2015 HEDIS • May become mandated for SQMS

  6. SQAC 2014 Agenda Annual Recommendation due Nov 1 TODAY #7 December 15 #1 February 10 #2 April 14 #3 June 16 #4 September 8 #6 October 20 Review priorities for 2015 • HPC update on PCMH certification • Provider tiering using SQMS • SQMS for pediatric care Review and approve final report and recommendation • Hospital measures for public reporting • Straw model for SQMS by population Determine which of the proposed measures to assess Review preliminary assessments of proposed measures Solicitation of Nominations for Proposed SQMS Measures

  7. Next meeting • Monday, June 16 3:00-5:00 p.m. 2 Boylston Street, 5th Floor Boston, MA 02116 For more information • www.mass.gov/chia/sqac • sqac@state.ma.us

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