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Current and Upcoming EQR Activities for Contract Year Five SFY 2010 – 2011

Current and Upcoming EQR Activities for Contract Year Five SFY 2010 – 2011. Yolanda Strozier, MBA Project Manager, State & Corporate Services. Performance Improvement Projects (PIPs). Annual PIP validation process is targeted for completion in March 2011

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Current and Upcoming EQR Activities for Contract Year Five SFY 2010 – 2011

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  1. Current and Upcoming EQR Activitiesfor Contract Year FiveSFY 2010 – 2011 Yolanda Strozier, MBA Project Manager, State & Corporate Services

  2. Performance Improvement Projects (PIPs) • Annual PIP validation process is targeted for completion in March 2011 • MCOs will be given the opportunity to review HSAG’s completed PIP validation results and provide feedback and comments

  3. Performance Improvement Projects (PIPs) Next Steps • Updated PIPs are submitted to AHCA/DOEA— August 2011 • MCOs complete HSAG’s “Letter of Intent” survey listing all active PIPs—October 2011

  4. Performance Measures Reform and Non-Reform HMOs/PSNs • The validation of performance measures report is targeted to be finalized in January 2011 • The HEDIS 2010 strategic analysis report will be provided to AHCA as a draft in January 2011. The report is targeted to be finalized in March 2011.

  5. Performance Measures PMHPs • PMHPs will be collecting and reporting performance measure data for CY 2010. Data are due to AHCA in July 2011. • HSAG will conduct on-site performance measure validation (PMV) activities concurrently during the data collection and reporting cycle (June 2011)

  6. Performance Measures NHDPs • NHDPs began collecting quarterly 2010 performance measure data • HSAG conducted PMV activities during the fall of 2010 • Final 2010 PMV data are due to AHCA/ DOEA in February 2011 • Final reports are targeted for April 2011

  7. Upcoming EQR Activities • Quarterly EQR meetings (via Webinar and on-site at AHCA offices in Tallahassee) • Other meetings (including collaborative PIP meetings and technical assistance sessions) will be scheduled in conjunction with the quarterly meetings

  8. Upcoming EQR Activities MARK YOUR CALENDARS! The next EQR quarterly meetings are: Week of March 21st, 2011 (Webinar) Wednesday, June 8th, 2011 (AHCA offices) Week of September 19th, 2011 (Webinar)

  9. QUESTIONS???

  10. THANK YOU FOR YOUR PARTICIPATION!

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