ISSN: 2375-379X
Health Sciences Research  
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Implementation for Best Practice Tools to Improve Healthcare Effectiveness Data and Information Set (HEDIS) Scores Across a Large Diverse Outpatient Network
Health Sciences Research
Vol.4 , No. 6, Publication Date: Nov. 13, 2017, Page: 64-67
882 Views Since November 13, 2017, 403 Downloads Since Nov. 13, 2017
 
 
Authors
 
[1]    

Judella Haddad-Lacle, Department of Community Health and Family Medicine, University of Florida, Jacksonville, U.S.A.

[2]    

Lori Billelo, Department of Internal Medicine, University of Florida, Jacksonville, U.S.A.

[3]    

Charles Haddad, Department of Community Health and Family Medicine, University of Florida, Jacksonville, U.S.A.

[4]    

Christopher Scuderi, Department of Community Health and Family Medicine, University of Florida, Jacksonville, U.S.A.

 
Abstract
 

The project is a retrospective study analyzing HEDIS quality measure scores documentation before and after group educational interventions over a period of one year. The study was conducted in a large network of outpatient family medicine clinics. Each clinic worked to develop a team-based approach to address the selected measures as a partnership between providers, medical assistants and supporting staff. The Department of Billing Collections collected the data for the study. The project leader analyzed the reports and communicated the results to the providers. Focused education on how to improve HEDIS scores was performed. Peer comparisons lead to competitive pressure among providers and resulted in significant improvement in scores for many of the HEDIS measures. At the end of the project, the change in score was calculated for each physician. Wilcoxon Signed rank test was used to see if there was a significant change. There was a significant increase in HEDIS score for seven of the nine measures from January to December.


Keywords
 

HEDIS Quality Measures, Value-Based Performance, Team Based Care, MACRA


Reference
 
[01]    

Center for Medicare and Medicaid Services. Healthcare Effectiveness Data and Information Set. August 23, 2016.

[02]    

Bobbi Brown, Jared Crapo. The Key to Transitioning from Fee-for-Service to Value-Based Reimbursement. Health Catalyst. 2017; 1-4.

[03]    

Agency For Health Care Administration. Florida Health Finder. Florida Health plan Consumer Information. October 9, 2016.

[04]    

Cuenca A, Preparing for Value-Based Payment: Five Essential Skills for Succes. Fam Pract Manag. 2017 May-June; 24 (3): 25-30.

[05]    

Chernew M, Gibson TB Cost sharing and HEDIS performance. Med Care Res Rev. 2008 DEC; 65 (6): 713-28.

[06]    

Neumann PJ, Levine BS. Do HEDIS measures reflect cost-effective practices? Am J Prev Med. 2002 Nov; 23 (4): 276-89.

[07]    

Barkauskas VH, Pohl JM, Benkert R, Wells MA. Measuring quality in nurse-managed centers using HEDIS measures. J Healthc Quality. 2005 Jan-Feb; 27 (1): 4-14.

[08]    

Advanced Primary Care: A foundational Alternative Payment Model (APM) for delivering Patient-Centered, longitudinal, and Coordinated Care. American Academy of Family Physicians. 2017 January; 2-7.

[09]    

Finding a Faster Path to Value-Base Care. Bowie, MD: Quest Diagnostics and Inovalon; 2016.

[10]    

P. Keckley, S Coughlin, E. Stanley, Deloitte 2013 Survey of U.S. Physicians: Physician perspectives about health care reform and the future of the medical profession.

[11]    

T Bodenheimer, M Smith. Primary care: proposed solutions to the physician shortage without training more physicians, Health Affairs, 32 no. 11 (2013): 1881-1886.





 
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