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The Role of HIT in Pay for Performance

The Medical Quality Improvement Consortium (MQIC)

Stroke Patients on Aspirin

85% 75% 65% 55% 45%

MQIC Pooled Data Norumbega

12/24/2003 3/22/2004 7/9/2004 Michael Lieberman, MD, MS Informatics Director GE Healthcare, Practice Solutions

Medical Quality Improvement Consortium Data Warehouse Centricity EMR Users • • Use data to improve patient care Strengthen clinical reporting – – Disease management Quality of care Clinical research Free service 2 Lieberman / HIT Summit 4/28/2020

MQIC Components

Centricity ® Physician Office EMR Database Data Extract System

1 3

Post-MI Patients on Beta Blocker

85% 80% 75% 70% 65% MQIC Benchmark Clinic

MQIC Web Portal Reports & Outcomes Data Warehouse Services Data Import Staging Area 1 1 1 1 1 2 2 2 3 3 3 3

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Report Data

3 Lieberman / HIT Summit 4/28/2020

Data Security HIPAA-compliant • • • • Remove patient-identifying information Name, SSN, Phone, Address Zip code to 3 digits only DOB --> Age PID --> transformed to EPID Only EMR customers can re-identify individuals 4 Lieberman / HIT Summit 4/28/2020

Data Captured 5 Lieberman / HIT Summit 4/28/2020

NCQA Software Certification First EMR in the Industry Diabetes Physician Recognition Program Automated Submission Enabling Pay for Performance 6 Lieberman / HIT Summit 4/28/2020

Diabetes Decision Support Example 7 Lieberman / HIT Summit 4/28/2020

Diabetes Decision Support Example 8 Lieberman / HIT Summit 4/28/2020

Diabetes Decision Support Example 9 Lieberman / HIT Summit 4/28/2020

Diabetes Decision Support Example 10 Lieberman / HIT Summit 4/28/2020

Diabetes Decision Support Example 11 Lieberman / HIT Summit 4/28/2020

NCQA DPRP Report 12 Lieberman / HIT Summit 4/28/2020

Clinician Level Detail 13 Lieberman / HIT Summit 4/28/2020

Comparison by Specialty 14 Lieberman / HIT Summit 4/28/2020

Display One Provider 15 Lieberman / HIT Summit 4/28/2020

Save File for Upload 16 Lieberman / HIT Summit 4/28/2020

Access NCQA Submission Site ( https://iss.ncqa.org/PhysicianPortal/ ) 17 Lieberman / HIT Summit 4/28/2020

Enter Practice Information 18 Lieberman / HIT Summit 4/28/2020

Enter Information for Provider 19 Lieberman / HIT Summit 4/28/2020

Confirmation 20 Lieberman / HIT Summit 4/28/2020

Additional Actions 21 Lieberman / HIT Summit 4/28/2020

Benefits • Greatly simplify submission process 15 minutes via automated method Enable monthly feedback on current status Snapshot of entire practice vs. sample Tool for management of population health 22 Lieberman / HIT Summit 4/28/2020

The Role of HIT in Pay for Performance

The Medical Quality Improvement Consortium (MQIC)

Stroke Patients on Aspirin

85% 75% 65% 55% 45%

MQIC Pooled Data Norumbega

12/24/2003 3/22/2004 7/9/2004 Michael Lieberman, MD, MS [email protected]