1 / 8

Change Starts Here .

Change Starts Here . The One with the Trend Graphs: Introduction to the IC-4 Measure ICPC National Coordinating Center.

olesia
Download Presentation

Change Starts Here .

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Change Starts Here. The One with the Trend Graphs: Introduction to the IC-4 Measure ICPC National Coordinating Center This material was prepared by CFMC (PM-4010-080 CO 2011), the Medicare Quality Improvement Organization for Colorado 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.

  2. IC-4: measure definition (J-10) “Percentage of communities that can demonstrate four time series graphs showing positive trending data by intervention over four quarters.” • Numerator: Number of communities demonstrating improvement over a 4-quarter period • Denominator: Number of communities participating in the statewide Learning and Action Network • Polarity: Higher is better.

  3. Evaluation and data source • Evaluation Targets • No baseline target • 18-month target: 25% of Track 2 communities • 27-month target: 75% of Track 2 communities Demonstrate 4-quarters of improvement on ≥4 outcomes across all Track 2 communities. • Data Source • Collected and reported by QIOs • Deliverable #51 (Community Intervention Plans) • Template to be provided by NCC

  4. What to measure • Intervention implementation • Process • Reach/dosage of an intervention Counts; percentage of eligible population • Outcomes over time • Effect on root cause • Success of the intervention Rates; scores; rating scales Longitudinal data Best-fit line or other signal indicating improvement

  5. Early considerations (10th SOW) • Root cause analysis • Map out the logic model • What is expected to change at the point of intervention? • Develop an operational definition of improvement and select the corresponding indicator. Existing outcomes already reported Expectations from root cause analysis How is the problem observed on site? • Develop a procedure for tracking implementation and outcome. • Logistics, standardization and enforcement • Plan to measure frequently to better demonstrate change. • Monthly interval yields 12 data points over given 4-quarter period (i.e., 1 year)

  6. Selecting an outcome to measure Consider the following ideals: • Measureable – Can it be operationalized and clearly measured? • Plausible – Is it reasonably tied to the root cause? • Moveable – Is it likely to change in a clinically meaningful way? • Compelling – Will an observed change tell the story of improvement? • Practical – Are time series data readily collected or available?

  7. Resources • Future presentations/discussion • Details and strategies for IC-4 • Toolkit • Outcome measurement (9th SOW Care Transitions) http://www.cfmc.org/caretransitions/toolkit_measure.htm • ICPC NCC contact: Tom Ventura tventura@coqio.sdps.org 303-784-5766

  8. Questions? CO-ICPCTechnical@coqio.sdps.org The ICPC National Coordinating Center – www.cfmc.org/integratingcare Change Starts Here.

More Related