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SIM Measure Development

SIM Measure Development. Presentation to SIM Steering Committee October 23, 2013. What Will Be Measured?. Structure Process of Care Outcomes Care Experiences Cost and Resource Use. Measure Selection. Focus on Measures:

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SIM Measure Development

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  1. SIM Measure Development Presentation to SIM Steering Committee October 23, 2013

  2. What Will Be Measured? • Structure • Process of Care • Outcomes • Care Experiences • Cost and Resource Use

  3. Measure Selection Focus on Measures: • that address important health conditions/topics and have a strong scientific evidence base; • where data is readily available to support use of measure. • that are meaningful and actionable: promote integrated care, improved health and mental health outcomes, efficient use of resources; • that maximize alignment with currently reported metrics and SIM goals (i.e., CMMI Priority Measures, Behavioral Health Homes, Health Homes, Accountable Communities, Pathways To Excellence, etc.); • that closely align with SIM drivers and success of Triple Aim: better health, improved patient experience of care and lower cost • reflect a mix of process and outcomes, short and long term impacts • Minimize reporting burden to providers, to extent feasible and keep number of metrics to a “reasonable” number

  4. Next Steps • Focus work in November/December on review and selection of SIM Core Measures. • Core – Smaller set of 10 – 15 measures that are meaningful and closely aligned with key SIM drivers. • Where possible, select from existing measure sets (i.e., health homes, Behavioral Health Homes, CMMI Priority Measures, Accountable Communities, etc.). • Review and technical consultation from CMS/CMMI Evaluation Team. • Review and approval by Steering Committee.

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