Transcript HEDIS Presentation

2011-2012
Upcoming Performance Measure
Validation Activity
Monday, September 26, 2011
Presenter:
David Mabb, MS, CHCA
Associate Director, HEDIS/PMV Audits
Slide 1
Upcoming Activities
• Performance Measure Validation Activities
– Performance Measure Validation Report

Summary of HEDIS audit findings
– HEDIS Aggregate Report

Summary of performance on HEDIS and AgencyDefined measures
– 20 HEDIS measures
– 10 Agency-Defined measures
Slide 2
Submission Requirements
• HSAG requested the following information:
– 2011 HEDIS Roadmap
– 2011 Final Audit Report
– 2011 Final locked IDSS file (.csv and .xls format)

For those MCOs who do not report to NCQA,
submission of the 2011 AHCA Reporting Template
– Supplemental Questionnaire: HMOs/PSNs
If you have both a reform and non-reform contract and the process to collect
and calculate the performance measures are the same, you may submit one
document and indicate that the submissions addresses both contracts.
Slide 3
Timeline of Events
Task
Submit request for documentation to MCOs
Timeline
Responsible
Party
9/9/11
HSAG
HMOs/PSNs will submit the following to HSAG:
• Completed 2011 HEDIS Roadmap
• 2011 Final Audit Report
• 2011 Final locked IDSS –or- AHCA Reporting
Template
• Supplemental Questionnaire
By
10/14/11
HMO/PSN
Review submitted information and prepare draft
Performance Measure Validation Report
By
12/16/11
HSAG
Submit draft Performance Measure Validation Report
to AHCA
12/19/11
HSAG
By 1/18/12
HSAG
Finalize Performance Measure Validation Report
Slide 4
Uploading to the FTP Site
• Intended to be secure, browser-based medium to
exchange electronic files
• If over 20MB file size, please compress and zip files.
• How to Access
– HSAG.com website
– Partners login in upper right hand corner
– Requires User Name and Password

User Name is full email address

Password is set by user at registration

Contact Denise Driscoll (602) 801-6882 or [email protected] for
assistance
Slide 5
Prior Lessons Learned
• Submission of all requested documentation
– Need Final Audit Report (FAR), not just Final
Audit Statement (FAS)
Slide 6
Questions & Answers
Slide 7