maryland.gov
   

  Home  |  Advisory  |  Care Redesign  |  Payment  |  Performance  |  Progression  |  TCOC  |  Transformation

Maryland's All-Payer Hospital System Modernization

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 Workgroup Appointments - updated Oct. 22, 2015

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

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


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.

Date Report



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.