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Workgroups

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Performance Measurement Workgroup

Performance Measurement Workgroup Information

In general, this workgroup will develop recommendations for the HSCRC on measures that are reliable, informative, and practical for assessing a number of important issues. The Payment Models workgroup will design the overall structure through which the results of these measures are applied to payment updates and rate orders. The Workgroup will address the following topics, which are listed in priority order that reflect a combination of program impact and how fast work can be completed, given the state of the art.

1. Reducing potentially avoidable utilization to achieve the Three-Part Aim a. Development of Statewide Targets and Hospital Performance Measurement
b. Measuring potentially avoidable utilization
2. Value-based payment (integration of cost, quality, population health and outcomes)
3. Patient Experience and Patient-Centered Outcomes
HSCRC Workgroups Descriptions

Performance Measurement Workgroup Membership

The Health Services Cost Review Commission (HSCRC) has appointed the a diverse group of individuals to serve on the Payment Models Workgroup. The list of workgroup members is available at the following link:
Performance Measurement Work Group Roster​ - updated November 3, 2017

Meeting Schedule, Goals, and Documents

The Performance Measurement Workgroup schedule is provided in the table below. Additional meetings will be added to the schedule. Please check back for the location and schedule of future meetings. Questions related to the schedule and location of meetings should be directed to: hscrc.performance@maryland.gov.

Workgroup and Sub-workgroup Master Schedule - Updated 03-29-16​

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2017

 
Dates and Location Meeting Goals Meeting Documents
January 18, 2017 
9:30 - 12:00 p.m. 

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
 

  1. Agenda
  2. Workgroup Slides
  3. MACRA Overview Slides
  4. RY 2019 MHAC-QBR Scaling Modeling Results
  5. Benchmark Comparison
Webinar Recording
February 15, 2017 
9:30 - 12:00 p.m. 

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
 

  1. Agenda
  2. Excel Workbook
  3. Slides
  4. RRIP Preliminary Targets
Webinar Recording
March 15, 2017 
9:30 - 12:00 p.m. 

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
 

  1. Agenda
  2. PMWG Slides
  3. CareFirst Accounting for SES in the RRIP
  4. RRIP RY19 Hospital Targets
Webinar Recording
April 19, 2017 
CANCELLED 

​May 17, 2017 
9:30 - 12:00 p.m. 

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
 ​
       1. Agenda​
       2. PMWG Slides



Webinar Recording

2016

 
Dates and Location Meeting Goals Meeting Documents
January 20, 2016 
9:30 - 12:00 p.m. 

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
 

  1. Transformation Activities Update
  2. Draft Consumer Dashboard Discussion
  3. MHAC Program FY 18
  4. Readmission Reduction Incentive Program FY 2018
  5. Aggregate At Risk Amounts FY 2018
  1. Agenda
  2. Presentation Slides


Webinar Recording
February 17, 2016 
Cancelled 



March 16, 2016 
9:30 - 12:00 p.m. 

HSCRC
  1. Agenda
  2. HSCRC Presentation
    MHA Presentation
    1. CMS Core Measures
    2. HEDIS
    3. Additonal Canidate Measures
  3. RRIP PAU Hospital Data
  4. RRIP FY 2018 Draft
  5. Aggregate Revenue at Risk FY 2018 Draft
Webinar Recording
April 20, 2016 
9:30 - 12:00 p.m. 

HSCRC
  1. Agenda
  2. Work Group Presentation
  3. Alternative Readmissions - CareFirst
    1. Proposed Modifications - CareFirst
    2. Readmissions Attainment - MHA
  4. PAU Trends
Webinar Recording
May 18, 2016 
9:30 - 12:00 p.m. 

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
 

  1. Agenda
  2. SAABR Presentation - Megan Rutkai
  3. PWG Slides
  4. Readmission Rate Slides
Complete Packet

Webinar Recording
September 16, 2016 
9:30 - 12:00 p.m. 

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
 

  1. Agenda
  2. Workgroup Plan
  3. Program Update Slides
  4. Whitepaper Submission
  5. PPC Changes
  6. RY 2018 MHAC Clinical Changes

Webinar Recording
October 21, 2016 
9:30 - 12:00 p.m. 

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
 

  1. Agenda
  2. Excel Handouts
  3. QBR Mortality Scores
  4. CPHIT Slides
  5. Program Update Slides v2
Webinar Recording
November 16, 2016

Cancelled
December 21, 2016

Cancelled

2015

 
Dates and Location Meeting Goals Meeting Documents
January 6 

9:00 - 11:30 a.m.

Cancelled
  1. Potentially Avoidable Utilization Measurement

  2. Topics TBD based on future work group plans
Joint Workgroup Meeting and Webinar on the Cost of Defensive Medicine 
Friday, January 9, 2015, 8:30 a.m. 
University of Maryland Carey School of Law 

Webinar Recording

Commission Meeting Date: Jan 14, 2015
February 2 

2:00 - 4:30 p.m.

HSCRC 
4160 Patterson Ave. 
Baltimore, MD 21215 
410-764-2605 


  1. FY 2017 Readmissions Draft Recommendation -
    Review and Discussion
    1. Review most recent readmission measurement and data
    2. Improvement target (All-Payer vs.Medicare)
    3. Scaling Approach

  2. QBR Scaling Approach (relative ranking scaling vs. preset scores)

  3. Aggregate Amount-at-Risk for Quality Policy Draft Recommendation – Review and Discussion

  4. Update on Performance Measurement Workgroup and Sub-groups Work plans for 2015
    1. QBR measures
    2. Sociodemographic adjustment to readmissions
    3. 3M PPC clinical vetting
    4. Efficiency measurement
  1. Agenda

  2. FY 17 Readmission Reduction Incentive Program

  3. Scaling For Quality Programs - version 2, updated Feb. 2nd

Webinar Recording
March 2 
9:30 – 1:30 

HSCRC

Joint Workgroup: Payment & Performance

  1. Introductions and Meeting Overview

  2. FY 2016 Update Factor

  3. Market Shift Update

  4. Preliminary Capital Policy Principles

  5. Readmission Scaling and Aggregate Revenue at Risk for Quality Programs

  6. Readmission Statewide Target and Performance Measurement

  7. QBR Measures and Scaling

  1. Agenda

  2. Upadate Factor FY 16

    1. Market Share Upadate
    2. Market Shift Analysis Excel File

  3. CON Review Process and Capital Adjustments

  4. Quality Programs Scaling and Aggregate Revenue at Risk Excel File

  5. & 7. Readmission and QBR Slides
Complete Packet - minus Excel Sheets displayed above

Webinar Recording
June 22 
9:30 – 12:00 

HSCRC
  1. Update on Current Performance Measurement Work Plan Progress

  2. Future Performance Measurement Strategic Planning Session

  1. Agenda

  2. MD System Transformation and Roadmap

    1. Workgroup and Partnership Summary

  3. Removed per Author

  4. Measurement Strategy

    1. Workgroup and Partnership Summary Excel File
    Complete Packet - minus Excel above 
    Webinar Recording
Complete Packet - minus Excel above 
Webinar Recording
October 28 
9:30 – 12:00 

HSCRC 
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
  1. Program Updates

  2. Efficiency Measurement

  3. Future Strategic Direction for Performance Measurement

  4. ICD 10 Transition Issues

  1. Agenda & Roster

  2. Work Plan

  3. Program Updates

  4. Efficiency

  5. Strategic Direction

  6. ICD 10 PPC Transition Issues
Complete Packet 
Webinar Recording
November 20 
9:30 – 12:00 

HSCRC
  1. MHAC Program Updates

  2. Readmission Reduction Incentive Program Updates for FY 2018

  3. Aggregate at Risk

  1. Agenda

  2. Program Updates

  3. Mathematica Task 1 Results

  4. Readmission Reduction Incentive Program
Webinar Recording
December 16 
9:30 – 12:00 

HSCRC 
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
      1. Agenda 

      2a. MHAC_Proposed PPC List 

      2b. MHAC Modeling Workbook 

      3. Consumer Dashboard Draft 

      4a.Readmission Slides 

      4b. Readmission Tables
    Webinar Recording​

    2014

     
    Dates and Location Meeting Goals Meeting Documents
    February 6 
    1:00 - 3:00 p.m.

    Maryland Hospital Association
    1. Review workgroup charge and draft schedule

    2. Discuss State Model Quality Targets and general approach for quality improvement
    Agenda - Performance Measurement Kick-off Meeting 
    Performance Measurement Presentation 
    Performance Measurement Work Plan 
    State Quality of Care Targets Presentation 
    Audio Recording -starts at 2:30 mark
    February 20 
    1:00 - 3:30 p.m.

    Maryland Hospital Association
    6820 Deerpath Road
    Elkridge, MD 21075
    1. Discuss State Quality Targets for CY 2014 and future policy change options- includes introduction of:

      • New PPC model option(s)
      • Potentially avoidable utilization (synthesis of white papers), and
      • Readmission measurement option constructs
    Agenda 
    Readmission Targets 
    MHA MHAC Recommendations 
    PAU Measures White Paper Synthesis 

    Webinar Recording
    February 28 

    1:00 - 3:30 p.m.

    HSCRC
    4160 Patterson Ave.
    Baltimore, MD 21215
    410-764-2605
    1. Finalize measures of potentially avoidable utilization (PQI, PPC, Readmissions) and any related policy recommendations for FY 2016

    2. Finalize hospital performance measurement policy and recommendations for reaching PPC targets for FY 2016

    3. Finalize measurement of readmissions and possible modifications to the CMS measure used in the model for hospital performance for FY 2016

    Meeting Agenda 

    MHAC Proposal Presentation 

    PPC Exclusion Criteria Comparison 

    Readmission Proposal 

    Table 3.1 State Readmission Target Modeling 

    Performance Based Revenue At Risk 

    Webinar Recording - Part 1 

    Webinar Recording - Part 2  
    February Deliverables
    • Readmission Measurement Policy
    • Potentially Avoidable Utilization Measures and Policy
    • Potentially Preventable Complication Measures and Policy
    March 17

    CANCELLED 
    due to weather
    1. Review of performance monitoring measures under new Model

    2. Discuss efficiency and cost measures, including timing and process for development of such measures
    Documents added to the following meeting.
    April 2 

    1:00 - 4:00 p.m.

    HSCRC
    4160 Patterson Ave.
    Baltimore, MD 21215
    410-764-2605
    1. Review performance monitoring measures under new Model

    2. Discuss efficiency and cost measures, including framework and issues (Discern)

    3. HSCRC cost measures
    Agenda 

    Workplan - updated April 1, 2014 

    Workgroup Model Monitoring Measures - Draft 

    Monitoring Commitments and Gap Analysis 

    Discern Performance Measurement WG Efficiency 

    HSCRC Efficiency-Related Measures Initial Scan 

    HSCRC Efficiency Measures and Issues 

    Webinar Recording - Part 1 

    Webinar Recording - Part 2
    April 24 

    9:00 a.m. - 12:00 p.m.

    HSCRC
    1. Discuss strategy for patient-centered, population-based measurement, including:
      • Vision
      • Measure domains/measures—available measures and gaps (Johns Hopkins and Discern)
      • Phasing

    2. Discuss balanced scorecard constructs to measure system/hospital performance
    Agenda 

    Person Centered Care 

    Person Centered Care Scan 

    Population Health 

    Population Health Measures Scan 

    Balanced Scorecard 

    Webinar Recording
    April Deliverable Report on Efficiency/Cost Measures
    May 9 

    1:00 - 4:00 p.m.

    HSCRC
    1. Discuss plan to develop balanced scorecard to measure system/hospital performance with 10 indicators

    2. Review measures for ambulatory care settings (Discern)
    Agenda 

    MHCC Outpatient Measures 

    Balanced Scorecard 

    Appendix A-B - Data Requirements 

    HIT Measures & Population Health 

    Complete Packet of above docs 

    Webinar Recording - Part 1 

    Webinar Recording - Part 2
    May 28 

    1:00 - 4:00 p.m.

    HSCRC 
    4160 Patterson Ave. 
    Baltimore, MD 21215 
    410-764-2605
    1. Finalize strategy for population-based, patient centered measurement, including phased implementation plan and balanced scorecard
    2. Discuss options for combining measures of cost, quality, and health; potential NQF presentation on their related work
    1- Agenda 

    2- Hospital Regional Scorecard Mockup DRAFT 

    3- SES Adjustment and Linking Cost and Quality 

    4- Strategy Measure Population Based Patient Centered Care DRAFT 

    Complete Packet 

    Webinar Recording
    May Deliverable Draft report on population-based patient centered performance measurement and value payment vision and strategy
    June 20 

    1:00 - 4:00 p.m.

    HSCRC 
    4160 Patterson Ave. 
    Baltimore, MD 21215 
    410-764-2605
    1. Review draft report and discuss remaining issues

    2. Discuss plan for filling gaps in available measures

    3. Revisit measures of potentially avoidable utilization

    1- Agenda 

    2- Draft Measuring Efficiency Report 

    3- Draft Hospital Dashboard Mockup 

    4- E-Measures - Infrastructure 

    5- Draft Strategy- Population-Based-Patient-Centered Report 

    6- Performance Measurement Future Work 

    Complete Packet 

    Webinar Recording
    Late June Finalize Report
    July Deliverable Final Report on Patient-Centered, Population-Based Performance Measurement and Value-Based Payment Vision and Strategy, including Balanced Scorecard
    September 19 

    9:00 - 11:30 a.m.

    HSCRC
    1. Overview of Meeting Schedule/Agendas

    2. Draft QBR Policy -(Draft policy shared w/workgroup for comment in August)

    3. MHAC: General discussion of FY2017 Updates

    4. Readmission : General discussion of FY2017 Updates


    Presentation Slides minus Excel Files 

    Excel Files: 
    1. MHAC Scores and Improvement Results CY2014 YTD

    2. Readmissions Workbook


    Webinar Recording
    Commission Meeting Date: October 15, 2014
    (Final QBR FY2017 Policy)
    October 17 

    9:00 - 11:30 a.m.

    HSCRC 
    4160 Patterson Ave. 
    Baltimore, MD 21215 
    410-764-2605 


    1. MHAC: Progress report

    2. POA Audits/Possible presentation

    3. Readmission: Socio Economic Adjustments
    1. Agenda

    2. MHAC Presentation

    3. MHAC Tables

    4. Risk Adjustment for Socioeconomic-demographic - NQF

    5. POA Auditing Reference - Pine et al.

    6. Performance Measures: Finding the Right Adjustment - Ann Greiner

    Webinar Recording
    November 5 

    Meeting Cancelled
    1. MHAC: Draft MHAC policy
      (including benchmarks and targets)

    2. Readmissions: MD vs. National trend modeling
    Meeting Cancelled
    Commission Meeting Date: November 12, 2014
    (Draft MHAC FY2017 Policy)
    November 21 

    9:00 - 11:30 a.m.

    HSCRC


    1. Readmission: Draft FY 2017 policy review

    2. MHAC: Final FY 2017 policy review
    1. Agenda

    2. MHAC Tables

    3. Readmission Reduction Incentive Policy Updated for FY2017

    4. Readmission Tables

    Commission Meeting Date: December 10, 2014
    (Final MHAC FY2017 Policy; Draft Readmission FY2017 Policy)
    December 19 

    9:00 - 11:30 a.m.

    HSCRC 
    4160 Patterson Ave. 
    Baltimore, MD 21215 
    410-764-2605 


    1. Readmission: Final FY 2017 readmission policy review

    2. Potentially Avoidable Utilization Measurement

    3. Patient Centered Performance Measurement Strategy

    4. Other Topics – TBD
    Presentation Packet - minus Excel Sheets listed below 

    2- MHAC Tables 

    4b- Payment Scales 

    MHA handout on Norms ​
    ​​

    Reports

    The Workgroup will provide interim and final reports to the HSCRC. Links to the reports issued to date can be found in the table below.

    Public Comments Submitted to the Workgroups

    The Workgroup will reserve time at the end of each meeting for brief comments and questions from the public. The public is also encouraged to submit written comments related to Workgroups at any time. Comments may be sent via email to hscrc.performance@maryland.gov. Below are the comments received by the Workgroup to date.​​