2018 Learning Collaborative Series. Access To Primary Care: Adult and Child April 3, :00-12:00PM

Transcription

1 2018 Learning Collaborative Series Access To Primary Care: Adult and Child April 3, :00-12:00PM

2 Welcome/Introductions Review of Performance Outcomes Related To: Adult Access to Primary Care Child Access to Primary Care Summary of Measure Value MY 3 MY 4 Access Targets Health Disparity Race/Ethnicity Sample Data Summaries Best Practices: Panel Group Discussion Wrap Up Next Meeting May 1st, :00AM-12:00PM

3 Access To Care: Adult and Child Measurement Year 3 (July 2016-May 2017)

4 Adult Access to Preventive or Ambulatory Care years Measurement Year 3 (July 2016-May 2017) Definition- Rate per 100 patients Numerator: Number of adults who had an ambulatory or preventive care visit during the measurement year Denominator: Number of adults ages as of June 30 of the measurement year

5 Adult Access to Preventative or Ambulatory Care 20 to 44 (Rate Per 100) Gap to Goal (1.11) Jan 15 Feb 15 Mar 15 Apr 15 May 15 Jun 15 Jul 15 Aug 15 Sep 15 Oct 15 Nov 15 Dec 15 Jan 16 Feb 16 Mar 16 Apr 16 May 16 Jun 16 Jul 16 Aug 16 Sep 16 Oct 16 Nov 16 Dec 16 Jan 17 Feb 17 Mar 17 Apr 17 May 17 Monthly Result MY3 Target Measure Worth $376, $ $50, $100, $150, $200, $250, $300, $350, $400,

6 Adult Access Preventive (20 44) LEWIS ONONDAGA ONEIDA MADISON OSWEGO CAYUGA Monthly Member Measure Result Target Gap To Goal

7 Adult Access Ages GOAL Crouse PPMH Community Memorial Dr. Mandanas RPCN Family Care Medical Physician care PC Upstate Cerebral Palsey Oswego Hospital East Hill Family Oneida Health Upstate Compassionate Family Rome Memorial NOCHSI SCHC MVHS St. Joe's Auburn Hospital 85.75% 90.15% 71.98% 86.89% 77.57% 78.43% 94.20% 83.52% 90.73% 82.46% 85.66% 85.10% 84.54% 86.70% 85.94% 90.00% 81.88% 88.69% 86.77% 88.10% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% %

8 Adult Access to Preventive or Ambulatory Care years Measurement Year 3 (July 2016-May 2017) Definition-Rate per 100 patients Numerator: Number of adults who had an ambulatory or preventive care visit during the measurement year Denominator: Number of adults ages as of June 30 of the measurement year

9 91.00 Adult Access to Preventative or Ambulatory Care 45 to 64 (Rate Per 100) Gap to Goal (.24) Jan 15 Feb 15 Mar 15 Apr 15 May 15 Jun 15 Jul 15 Aug 15 Sep 15 Oct 15 Nov 15 Dec 15 Jan 16 Feb 16 Mar 16 Apr 16 May 16 Jun 16 Jul 16 Aug 16 Sep 16 Oct 16 Nov 16 Dec 16 Jan 17 Feb 17 Mar 17 Apr 17 May 17 Monthly Result MY3 Target Measure Worth $376, $ $50, $100, $150, $200, $250, $300, $350, $400,

10 Adult Access Preventive (45 64) ONONDAGA ONEIDA MADISON LEWIS CAYUGA OSWEGO Monthly Member Measure Result Target Gap To Goal

11 GOAL Crouse PPMH Community Memorial RPCN Family Care Medical Physician care PC Oswego Hospital East Hill Family Oneida Health Upstate Compassionate Family Rome Memorial NOCHSI SCHC St. Elizabeth's Medical Faxton St. Luke's Auburn Hospital St. Joe's Adult Access Ages

12 Adult Access to Preventive or Ambulatory Care- 65 and Older Measurement Year 3 (July 2016-May 2017) Definition-Rate per 100 patients Numerator: Number of adults who had an ambulatory or preventive care visit during the measurement year Denominator: Number of adults ages 65 and Older as of June 30 of the measurement year

13 9 Adult Access to Preventative or Ambulatory Care 65 and Older (Rate Per 100) Gap to Goal (.68) Jan 15 Feb 15 Mar 15 Apr 15 May 15 Jun 15 Jul 15 Aug 15 Sep 15 Oct 15 Nov 15 Dec 15 Jan 16 Feb 16 Mar 16 Apr 16 May 16 Jun 16 Jul 16 Aug 16 Sep 16 Oct 16 Nov 16 Dec 16 Jan 17 Feb 17 Mar 17 Apr 17 May 17 Monthly Result MY3 Target Measure Worth $376, $ $50, $100, $150, $200, $250, $300, $350, $400,000.00

14 Adult Access Preventive (65 and Older) MADISON OSWEGO ONEIDA CAYUGA ONONDAGA LEWIS Monthly Member Measure Result Target Gap To Goal

15 Adult Access Ages 65 and Older GOAL PPMH Crouse Auburn Community Hospital RPCN Family Care Medical Physician care PC East Hill Family Oneida Health Upstate Compassionate Family Rome Memorial NOCHSI SCHC St. Elizabeth's Medical Faxton St. Luke's St. Joe's

16 Children s Access to Primary Care 12 Months to 24 Months Measurement Year 3 (July 2016-May 2017) Definition: Rate per 100 patients Numerator: Number of children who had a visit with a primary care provider during the measurement year Denominator: Number of children ages months as of June 30 of the measurement year

17 Children s Access to Primary Care 12 to 24 Months (Rate Per 100) On Target Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Monthly Result MY3 Target Measure Worth $282, $ $50, $100, $150, $200, $250, $300,

18 Child Access Ages 12 to 24 Months GOAL Oswego Hospital PPMH Crouse Auburn Community Hospital RPCN Family Care Medical Physician care PC East Hill Family Oneida Health Upstate Compassionate Family Rome Memorial NOCHSI SCHC St. Elizabeth's Medical Faxton St. Luke's Community Memorial Hospital St. Joe's

19 Children s Access to Primary Care 25 Months to 6 Years Measurement Year 3 (July 2016-May 2017) Definition: Rate per 100 patients Numerator: Number of children who had a visit with a primary care provider during the measurement year Denominator: Number of children ages 25 months to 6 years as of June 30 of the measurement year

20 Children s Access to Primary Care 25 Months to 6 Years (Rate Per 100) Gap to Goal (1.35) Jan 15 Feb 15 Mar 15 Apr 15 May 15 Jun 15 Jul 15 Aug 15 Sep 15 Oct 15 Nov 15 Dec 15 Jan 16 Feb 16 Mar 16 Apr 16 May 16 Jun 16 Jul 16 Aug 16 Sep 16 Oct 16 Nov 16 Dec 16 Jan 17 Feb 17 Mar 17 Apr 17 May 17 Monthly Result MY3 Target Measure Worth $282, $ $50, $100, $150, $200, $250, $300,

21 Child Access Primary Care (25 Months to 6) ONONDAGA MADISON OSWEGO ONEIDA CAYUGA LEWIS Monthly Member Measure Result Target Gap To Goal

22 Child Access Ages 25 Months to 6 Years GOAL Oswego Hospital PPMH Crouse Auburn Community Hospital RPCN Family Care Medical Physician care PC East Hill Family Oneida Health Upstate Compassionate Family Rome Memorial NOCHSI SCHC St. Elizabeth's Medical Faxton St. Luke's Community Memorial Hospital St. Joe's

23 Children s Access to Primary Care 7 to 11 Years Measurement Year 3 (July 2016-May 2017) Definition: Rate per 100 patients Numerator: Number of children who had a visit with a primary care provider during the measurement year or year prior Denominator: Number of children ages 7-11 years as of June 30 of the measurement year

24 Measure Worth Children s Access to Primary Care 7 to 11 Years (Rate Per 100) On Target $282, $ $50, $100, $150, $200, $250, $300, Jan Feb Mar 15 Apr 15 May 15 Jun 15 Jul 15 Aug 15 Sep 15 Oct 15 Nov 15 Dec 15 Jan 16 Feb 16 Mar 16 Apr 16 May 16 Jun 16 Jul 16 Aug 16 Sep 16 Oct 16 Nov 16 Dec 16 Jan 17 Feb 17 Mar 17 Apr 17 May 17 Monthly Result MY3 Target 12

25 Child Access Primary Care (7 to 11) LEWIS MADISON ONONDAGA ONEIDA CAYUGA OSWEGO Monthly Member Measure Result Target Gap To Goal

26 Child Access Ages 7 Years 11 Years GOAL Oswego Hospital PPMH Crouse Auburn Community Hospital RPCN Family Care Medical Physician care PC East Hill Family Oneida Health Upstate Compassionate Family Rome Memorial NOCHSI SCHC St. Elizabeth's Medical Faxton St. Luke's St. Joe's

27 Children s Access to Primary Care 12 to 19 Years Measurement Year 3 (July 2016-May 2017) Definition: Rate per 100 patients Numerator: Number of children who had a visit with a primary care provider during the measurement year Denominator: Number of children ages years as of June 30 of the measurement year

28 Measure Worth Children s Access to Primary Care 12 to 19 Years (Rate Per 100) 95.6 On Target $282, $ $50, $100, $150, $200, $250, $300, Jan Feb Mar 15 Apr 15 May 15 Jun 15 Jul 15 Aug 15 Sep 15 Oct 15 Nov 15 Dec 15 Jan 16 Feb 16 Mar 16 Apr 16 May 16 Jun 16 Jul 16 Aug 16 Sep 16 Oct 16 Nov 16 Dec 16 Jan 17 Feb 17 Mar 17 Apr 17 May 17 Monthly Result MY3 Target 13

29 Child Access Primary Care (12 to 19) MADISON LEWIS ONONDAGA ONEIDA OSWEGO CAYUGA Monthly Member Measure Result Target Gap To Goal

30 Child Access Ages 12 Years 19 Years GOAL Oswego Hospital PPMH Crouse Auburn Community Hospital RPCN Family Care Medical Physician Care PC East Hill Family Oneida Health Upstate Compassionate Family Rome Memorial NOCHSI SCHC St. Elizabeth's Medical Faxton St. Luke's St. Joe's

31 Total Value of Measures $2,257, Projected to Receive Payment Projected NOT To Receive Children's Access to Primary Care 12 to 19 years $282, Children's Access to Primary Care 7 to 11 years $282, Children's Access to Primary Care 25 months to 6 years $282, Children's Access to Primary Care 12 to 24 Months $282, Adult Access to Preventive or Ambulatory Care 65 and older $376, Adult Access to Preventive or Ambulatory Care 45 to 64 years $376, Adult Access to Preventive or Ambulatory Care 20 to 44 years $376, $0.00 $50, $100, $150, $200, $250, $300, $350, $400,000.00

32 Access To Primary Care: MY4 Performance Goals Measure Adult Access to Preventive or Ambulatory Care years 91.1% MY 4 Performance Goal Adult Access to Preventive or Ambulatory Care years 94.4% Adult Access to Preventive or Ambulatory Care- 65 and Older 94.4% Children s Access to Primary Care 12 to 24 Months 100% Children s Access to Primary Care 25 Months to 6 Years 98.4% Children s Access to Primary Care 7 to 11 Years 100% Children s Access to Primary Care Years 98.8%

33 Health Disparity in Care Sample Summary of Data Available

34 Adult Access Preventive (20 44) LEWIS ONONDAGA ONEIDA MADISON OSWEGO CAYUGA Monthly Member Measure Result Target Gap To Goal

35 Adult Access -Assessing Disparity in Hispanic Population Hispanic Adult Access Preventive (20 44) By County LEWIS ONONDAGA ONEIDA MADISON OSWEGO CAYUGA Monthly Member Measure Result Target

36 Adult Access years Assessing Disparity by Race Lewis Adult Access Preventive (20 44) Black & White Black White Asian Monthly Member Measure Result Target Gap To Goal

37 Disparity Summary- Cayuga County Cayuga Access Disparity Summary 25 6yrs yrs 45 64yrs 65+yrs Target/Gaps Result all patients Hispanic White Asian Black NA Black and White NA American Indian Notes: Cayuga County is meeting targets except for age 65+. Highest disparities shown in Blacks years old, Asians years old and whites age 65+ years old.

38 Best Practice: Panel Discussion

39 Access to Care Best Practices: Presentations and Discussion NOCHSI MVHS

40 Group Discussion What quality initiatives do you have to address these measures? Do you run reports on patients not recently seen that align with access to care measures? Do you receive and review reports from MCOs related to patient access? Do you currently do any patient outreach to schedule routine visits? Reducing No-Show Rates What are the current practices implemented to reduce no-show rates? How effective have these practices been? How can Primary Care Providers utilize Health Homes and CBOs to reduce no-show rates? CBO and Health Home perspective Has your organization considered strategies based on identification of health disparities? Has your organization considered alternative visit types to address access? i.e. family appointments/group visits, home visits

41 Learning Collaborative 2018 Series 1: Access To Care Access Access To Care: Action Planning (May 1, 2018) Series 2: CBOs: Positioning For VBP (June, July) Series 3: Cardiovascular: Monitoring & Treatment (August, September, October) Series 4: Behavioral Health (November, December)