Transcript Document

PPMR
Provider Performance Management Review
How to Navigate and Read PPMR Reports
Press the F5 key on your keyboard to begin
Click to advance to the next slide
This tutorial will help you gain a better
understanding of how to read and
navigate the PPMR. The presentation
utilizes animated slides. Please click to
advance to the next slide when prompted
to do so. You may exit the slideshow at
any point by pressing the Esc key on your
keyboard. Provider names and consumer
identifying information have been blurred
for privacy.
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Special Note for Medicaid Only Providers:
PPMR reports are frequently grouped by
funding source and you will see reference to
this grouping several times in the tutorial.
Medicaid only providers will only have one
funding source, ‘Medicaid’, and will not see a
funding source group for ‘All Contract Sources’.
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You can select PPMR data from a 3 month quarter or a year. The first step is
to pick the ending date for the period of time you would like . For instance,
if you would like to view data for the entire year of 2012 you would select
the time period ending on 12/31/2012.
Select a date to
continue
The next step is to select whether you would like to view 3 months or 1 year
of data. Since we are going to use data from the entire year of 2012, you
would select ‘For the Last Year’ to continue.
Select a time
frame to continue
Each report in the PPMR is separated by age group. For instance, if you were
to select the ‘0-17, 18+’ grouping you would see data for individuals aged
0-17 on one page of the report, and data for individuals 18+ on another.
Select an age
group to continue
There are 34 different report measures available in the PPMR. You have
the option to view reports for each individual measure, or you may
choose to see all the measures in one summary report.
Select all
measures to
continue
There are three summary reports available. ‘Summary (PPMR)’ displays data for each
measure together for comparison between measures and time periods. ‘Summary by
Provider Type’ displays each measure on a separate page to compare your performance
on each measure with other provider types. ‘PPMR Summary by Provider’ allows
interested parties to quickly see how providers score across all their indicators.
Select the report
to continue
This is the PPMR Summary report. As you can see
by the headers on the left, this report is grouped
by funding source and age group. For example,
there will be a separate report page for each age
group within each funding source.
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For each measure, you will see how your scores
compare to the state average.
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Looking at Outpatient Change in CAR:
Domain 1, this provider’s score was above
the state average score.
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Provider Denominator is the total number of
consumers included in this measure. Provider
Numerator is the number of consumers with a
positive indicator for this measure. Next
Please note that since CAR
scores under 20 are not
counted, the denominator for
each CAR score group may
vary even though all nine
domains are reported for
every consumer. Next
Since the provider score for
this measure was higher than
the state score, there is an up
arrow in the Provider vs State
column.
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For any measure where the
Provider Score is below the
State Score, there will be a
down arrow in the Provider vs
State column
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Scanning the Provider vs State
column for down arrows is a quick
way to identify areas you may need
to focus on.
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Rank is your rating on a measure compared to
other like provider types. This provider ranked #2
out of the 14 total providers in its provider type
group on the Outpatient Change in CAR: Domain
1 measure.
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The Quartiles column shows whether your rank
for a measure was in the bottom 25% (frown
symbol), middle 50% (neutral symbol), or top
25% (smile symbol).
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The Previous Time Period section shows your
score for each measure during the previous
time period. For example, the report time
period is for the entire year of 2012 so the
previous time period would be the entire year
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of 2011.
In 2011, 221 out of 776 total consumers had a
positive indicator for the Outpatient Change in
CAR: Domain 1 measure. The provider score
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was 28.5.
Since the current time period score of 37.6 is
greater than the previous time period score of 28.5,
there is a thumbs up symbol in the Current vs
Previous column. A thumbs down symbol in this
column indicates the current score is lower than the
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previous score.
The last row of the PPMR is a summary of all the indicator
columns. Looking at this row is an easy way to gauge overall
performance for the report group.
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There are three summary reports available. ‘Summary (PPMR)’ displays data for each
measure together for comparison between measures and time periods. ‘Summary by
Provider Type’ displays each measure on a separate page to compare your performance
on each measure with other provider types. ‘PPMR Summary by Provider’ allows
interested parties to quickly see how providers score across all their indicators.
Select the report
to continue
The Summary by Provider Type report is grouped by age
group, measure, and level of care. You will see a separate
report page for each level of care and age group within
each of the 28 PPMR measures.
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This report page is comprised of data for Outpatient
consumers aged 0-17 and focuses on the Change in CAR
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Scores: Any Domain measure.
Each agency or provider is classified under
a Provider Type Group.
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Looking at the ODMHSAS CMHC group, you
can see that there are a total of 14 providers in
this group.
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This provider group served a total of 9,469
consumers, 7,383 of which had a positive
indicator for this measure.
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The positive percent for this Provider Type group is
78%. This percentage is also represented in the
bar graph to the right.
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You will also see your individual provider or agency
data highlighted in yellow. The provider name is
listed (blurred) along with the provider type group
to which it belongs.
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There are three summary reports available. ‘Summary (PPMR)’ displays data for each
measure together for comparison between measures and time periods. ‘Summary by
Provider Type’ displays each measure on a separate page to compare your performance
on each measure with other provider types. ‘PPMR Summary by Provider’ allows
interested parties to quickly see how providers score across all their indicators.
Select the report
to continue
The PPMR Summary by Provider report is grouped by Provider Type, Funding
Source, and age group. You will see a separate report page for each Provider
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Type and Funding Source within each age group.
This report page is comprised of data for ODMHSAS CMHCs from all
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contract sources for clients 18 and older.
For each provider, total counts of all indicators from the PPMR
Summary report are listed. The counts show how many times the
provider is above/below the state average, the number of
indicators they are in the bottom/middle/top ranking in the state,
and the number of times the provider’s yearly score is better than
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the last year.
Percents for each category are
also displayed.
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There are 34 different report measures available in the PPMR. You have
the option to view reports for each individual measure, or you may
choose to see all the measures in one summary report.
Select
measure to
continue
There are 7 different reports available for each of
the 34 individual PPMR measures.
Select report
to continue
The Trend Line report is grouped by age group, funding
source, and level of care. There will be a separate report
page for each level of care and funding source within each
age group for this measure only.
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This report compares your positive percent for the measure
with the statewide percent over an extended period of time.
The number of quarters included may vary depending on
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available data.
Looking at the FY11-4th Quarter, you
can see that this provider had a
total of 697 consumers included in
the count for this measure and 585
of those had a positive indicator.
The positive percent was 83.9%.
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The same data is displayed with
system wide counts for comparison.
Whenever system wide counts are
available, only like provider types
are included. Since this provider is
an ODMHSAS CMHC, only other
CMHCs are included in the system
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wide counts.
The positive percent for each quarter is also displayed
in a chart. You can see above that this provider
maintains a positive percent above the statewide
percent across the time period.
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There are 7 different reports available for each of
the 34 individual PPMR measures.
Select report
to continue
The Drill Down report is grouped by provider location, age group,
funding source, and level of care. There will be a separate report
page for each level of care, funding source, and age group within
each location for this measure only.
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Each consumer count in this report is broken out by positive change,
no change, and negative change for the measure.
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Consumer counts are also broken down by episode type. Change can
be measured from Admission to the last CDC 42, or from Admission
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to Discharge (Planned or Unplanned).
Percentages are displayed to the right
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Sometimes certain consumers are excluded from counts. Please
refer to the report description for exclusion criteria.
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You can drill down to view information for
the consumers that make up each count.
Click the plus symbol next to the count to
expand the positive count for unplanned
discharges.
Individual data for each consumer is
displayed.
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There are 7 different reports available for each of
the 34 individual PPMR measures.
Select report
to continue
The Ranking report is grouped by age group, funding source, and level of
care. There will be a separate report page for each level of care and
funding source within each age group for this measure only.
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This report ranks each provider within the provider type group by
their positive score on the report measure.
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Your individual provider or agency data is highlighted in yellow and
your provider type group is bolded.
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As you can see, the provider in this example is ranked below the
average for their provider type group. Their positive percent for
this measure is 10.1%.
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There are 7 different reports available for each of
the 34 individual PPMR measures.
Select report
to continue
The Clinician Report is grouped by provider location, age group,
funding source, and level of care. There will be a separate report
page for each level of care, funding source, and age group within
each provider location for this measure only.
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Results for the report measure are broken down by
individual clinician.
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You can see that this clinician served a total of 8 consumers in this
report group. 4 had a positive change on this measure and 4 had no
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change. This clinician’s positive score is 50%
By clicking the plus symbol to the left of the clinician, you can drill
down to see individual data for each consumer.
Consumers are broken out by episode type. Change can be measured
from Admission to the last CDC 42, or from Admission to Discharge
(Planned or Unplanned).
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Individual consumer information is displayed along with a checkmark
to indicate whether they had a positive or negative change, no
change, or were excluded.
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There are 7 different reports available for each of
the 34 individual PPMR measures.
Select report
to continue
The Demographic Report is grouped by age group, funding source, and level
of care. There will be a separate report page for each level of care and
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funding source within each age group for this measure only.
In this report, consumer counts are broken out
by each field on the CDC.
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For each CDC field category, consumer counts
are broken out by positive change, no change,
negative change, and excluded.
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This report can be useful in identifying
demographics which perform better or worse
on a particular measure.
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There are 7 different reports available for each of
the 34 individual PPMR measures.
Select report
to continue
The Pie Chart Report is grouped by age group, funding source, and level of
care. There will be a separate report page for each level of care and funding
source within each age group for this measure only.
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This report compares your performance on the measure with performance
system wide. Whenever system wide counts are available, only like provider
types are included. Since this provider is an ODMHSAS CMHC, only other
CMHCs are included in the system wide counts.
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Consumer counts are broken out by episode type. Change can be measured
from Admission to the last CDC 42, or from Admission to Discharge (Planned
or Unplanned).
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Counts for positive change, no change, negative change , and
excluded are displayed for each episode type.
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Percentages are displayed to the right.
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Data is also displayed in pie charts. You can see by the
blue shaded area that this provider has a greater positive
percent than the system wide percent.
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Report Navigation & Toolbars
PICIS Report Toolbar
Page Navigation
The blue arrows can be used to go
forward and backward between
report pages. To go to a specific
page, type the page number in the
text box and press enter on your
keyboard.
PPMR Quick Links
Report Navigation & Toolbars
PICIS Report Toolbar
Zoom
By adjusting the zoom, you can
make reports bigger or smaller.
This can be useful when sizing a
report to fit the viewing window.
PPMR Quick Links
Report Navigation & Toolbars
PICIS Report Toolbar
Find Text
To search a report for a specific
text, type it in the box and click
Find. Click Next to locate
subsequent occurrences.
PPMR Quick Links
Report Navigation & Toolbars
PICIS Report Toolbar
Export Data
To export report data, select
the desired format from the
dropdown and click Export.
PPMR Quick Links
Report Navigation & Toolbars
PICIS Report Toolbar
PPMR Quick Links
Main Menu
Clicking the green arrow will
take you back to the main
menu, beginning with time
period selection.
Report Navigation & Toolbars
PICIS Report Toolbar
PPMR Quick Links
Report Selection
Clicking the page icon will bring you
back to the report selection screen
for the current measure.
Report Navigation & Toolbars
PICIS Report Toolbar
PPMR Quick Links
Measure Selection
Clicking the ruler icon will bring
you back to the measure
selection screen.
For additional assistance with PPMR
reports, please contact the PICIS Helpdesk
• Local Phone: 405-521-6444
• Toll Free Phone: 1-855-521-6444
• Email: [email protected]