Vol. 2, Issue 3 – HIT

Changes to SHIP Data Analytics

The SHIP data analytics project is undergoing a ‘pivot’ – a change that will substitute previously agreed upon clinical quality measures (CQM) reporting with new CQM reporting.

This change came about because we found that the data completeness and quality issues were far more complex than we anticipated. It thus became evident that we would not be able to provide the actionable CQM reports for providers and regional collaboratives as intended through the SHIP analytics solution within the SHIP timeframe.

Before making this change, the SHIP operations team conducted an analysis to determine the value and feasibility of possible options for data analytics. Several key constraints and findings identified through this analysis included:

  • The SHIP data analytics solution is not funded beyond the grant period, which ends January 31, 2019.
  • Major health systems and payers have their own analytic solutions and do not have a need for a statewide reporting solution.
  • One of the possible options was to build additional data feeds to clinics. However, the Idaho Health Data Exchange (IHDE) does not have the capacity to build new data feeds beyond what has already been planned. The enhancements required to address the data issues and provide valuable SHIP CQM reporting could not be completed in the remaining grant timeframe.
  • Medicaid has developed a quality measurement/analytics solution for its Shared Savings program and is launching a provider portal in September 2018.
  • The SHIP grant requires a CQM reporting effort and the CQMs list must include tobacco and obesity related measures.

After much discussion of decision factors, constraints, and options available to us, we arrived at a new data analytic solution that will enable us to continue to meet the grant criteria. The Idaho Healthcare Coalition agreed to these changes during its August meeting. The following outlines the new solution for SHIP CQM reporting:

  • Leverage Medicaid’s quality reporting capabilities on the 11 measures Medicaid selected for its Shared Savings program. All but one of the SHIP clinics treat Medicaid patients and these measures will be based on the claims data from those Medicaid patients. Clinics will have access to the Medicaid provider portal in September 2018.
  • Leverage statewide Cigarette Smoking; Smokeless Tobacco Use and Obesity measures reported in the Idaho Behavioral Risk Factor Surveillance System (BRFSS) survey results.
  • Continue to report the Childhood Immunization Status measure through data from Idaho’s Immunization Reminder Information System (IRIS) and the Access to Care measure through the patient interviews conducted by the SHIP State Evaluation Team.

A crosswalk between the old measures and new measures can be found HERE.

It is important to note that the IHDE will continue to establish clinic EHR connections with its database. These CQM reporting changes do not impact the connection building efforts.

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