Skip Navigation U.S. Department of Health and Human Services www.hhs.gov/
Agency for Healthcare Research Quality www.ahrq.gov
AHRQ Home | Questions? | Contact Us | Site Map | What's New | Browse | Información en español | E-mail Updates
www.ahrq.gov/

Making Quality Count

Slide Presentation by Joseph Anarella, M.P.H.

On February 18, 2004, Joseph Anarella, M.P.H., made a presentation in a Web Conference at Event 1, which was entitled "Using Measurement Data to Improve Quality."

This is the text version of Mr. Anarella's slide presentation. Select to access the PowerPoint® slides (148 KB).

Using Measurement Data to Improve Quality

Joseph Anarella, M.P.H.
Assistant Director
Bureau of Quality Management and Outcome Research
Office of Managed Care
New York Department of Health
Albany, NY

Slide 1

New York Medicaid Managed Care

  • Completed six year phase of 1115 waiver
    • 31 plans serving 2.1 million enrollees
    • Enrollment ranges 200 - 180,000
  • Primary Care Case Management (PCCM) program in upstate rural counties

Slide 2

Enrollment History—Medicaid Managed Care

January 2001 - December 2003

Bar graph: Pink portion for adults, blue portion for children

Adult: Mar-01 - 226,505; Jun-01 - 224,762; Sep-01 - 227,471; Dec-01 - 241,318; Mar-02 - 281,983; Jun-02 - 356,575; Sep-02 - 454,455; Dec-02 - 573,319; Mar-03 - 675,504; Jun-03 - 791,964; Sep-03 - 871,161 ;Dec-03 - 952,992

Child : Mar-01 - 457,183; Jun-01 - 487,997; Sep-01 - 525,823; Dec-01 - 565,272; Mar-02 - 627,719; Jun-02 - 719,634; Sep-02 - 818,571; Dec-02 - 915,521; Mar-03 - 1,000,397; Jun-03 - 1,079,832; Sep-03 - 1,122,564 ;Dec-03 - 1,151,966

Slide 3

Tools We Use to Measure Quality

Flow chart - Center Is Quality in Pink box. 8 other factors circle and link only to Quality

Encounter Extra
HEDIS®
Clinical Studies
Provider Network Data
CAHPS®
Annual Onsite Review
Complaints
Satisfaction Surveys

Slide 4

How We Use CAHPS® Data

  • Feedback to plans for quality improvement (QI) purposes
  • Quality Incentive—plans can earn up to 1% in additional premium
  • Public Reporting (www.health.state.ny.us)
  • Quality Matrix
  • Autoassignment Algorithm (future use)

Slide 5

Quality Improvement Matrix

The Matrix is 9 boxes in a 3 by 3 square. The left side is Trend, with 0 as the center box. The top is Statewide Signifigance with 0 as the center column, + as the right side, and - as the left side.

From left to right each row of boxes is labeled:

D;B;A
D;C;B
F;D;C

Along the bottom:

A - performance is notable, no Action plan required
B, C - No Action Plan Required
D, F - Root Cause Analysis and action plan required

Slide 6

Effects of Using CAHPS®

  • Upward Movement across key measures
  • Increased interest to improve satisfaction scores
  • Health plan staff identifies programs where we use CAHPS® to improve performance

Slide 7

To Learn More

Current as of June 2004

Internet Citation:

Using Measurement Data to Improve Quality. Text Version of a Slide Presentation at a Web Conference. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/qcount/anarellatxt.htm

Return to Audioconference

 
AHRQAdvancing Excellence in Health Care