| Quality of Care Project
The purpose of this
project is to improve the quality of care being delivered in the NY Metro area.
The current effort is to provide physicians with more comprehensive performance
reports based on aggregated data from all NY Metro area health plans.
Current Objective:
Per the Deming philosophy of "You can't manage what you can't measure",
performance on HEDIS measures in the areas of asthma prevention, cardiovascular
disease, diabetes and depression, will be reported for primary care physicians.
The data is based on patient-level claims data from all NY Metro area health
plans. In 2007, this aggregated data will be released to the physicians and to
the participating health plans. We expect that physicians will find the reports
to be more representative of their practice and thus able to be more readily
used for practice improvement than the current approach of receiving different
reports from each plan.
Long-term goals: Publicly report data to employers and health care consumers, quality
improvement, collaboration among stakeholders and for pay-for-performance.
Ultimately, the long term measure of success is improved health care within the
region.
Key Stakeholders:
This
project is under the auspices of the New York Business Group on Health as
directed by its employer members that health plans should work cooperatively on
non-competitive issues and performance measurement. A task force was convened
in 2004 consisting of employers, health plan representatives and IPRO (the
Quality Improvement Organization for New York). A Physician’s Advisory Council
is being formed.
Geographic Coverage:
New York City (five boroughs), Nassau, Suffolk, Westchester, Rockland and Orange
County and northern and central New Jersey.
Progress to Date:
A pilot project completed in 2006
focused on Manhattan. Over 800 primary care physicians received individual
reports comparing their performance with that of others in the pilot area and
local and national benchmarks. An evaluation sent with the reports provided
feedback from the physicians to the NYBGH on this initial report.
2007 activities:
Patient-level results will be provided to physicians in order to make the
reports actionable. A data verification pilot project will corroborate the
aggregated data provided to the physicians against information contained in the
medical charts. Emphasis is also being placed on achieving physician
understanding and acceptance of the project. Meetings are being conducted with
key stakeholders and various physician groups and academic faculty practices.
Description of Measures Included in the New York Multi-Payer Data Report
For more information:
contact Ivan Khan at NYBGH at
ikhan@nybgh.org or 212-252-7440 x 222.
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