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Workgroups

Performance Measurement Workgroup

Performance Measurement Workgroup Information

In general, this Work Group will develop recommendations for the Commission on measures that are reliable, informative, and practical for assessing hospital quality. The Performance Measurement Work Group will address a number of quality topics including but not limited to :

Value-based payment (integration of cost, quality, population health and outcomes)
Patient Experience and Patient-centered Outcome measures
Potentially Avoidable Utilization (PAU)
Development of Statewide Targets and Hospital Performance Measurement

Performance Measurement Workgroup Membership

The Health Services Cost Review Commission (HSCRC) has appointed the a diverse group of individuals to serve on the Payment Models Workgroup. The list of workgroup members is available at the following link:
Performance Measurement Work Group Roster - updated November 3, 2017

Meeting Schedule, Goals, and Documents

The Performance Measurement Workgroup schedule is provided in the table below. Additional meetings will be added to the schedule. Please check back for the location and schedule of future meetings. Questions related to the schedule and location of meetings should be directed to: hscrc.performance@maryland.gov.

NEW: September - December 2018 Meeting Schedule

2018

Dates and Location	Meeting Documents
January 17, 2018 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605	Agenda January 2018 PMWG Slides RY 2020 DRAFT MHAC Policy RY 2020 DRAFT MHAC Policy Slides Staff Decisions on PPC Measure Updates - RY 2020 Webinar Recording
February 21, 2018 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605 CANCELLED	Agenda February 2018 PMWG Slides Implementation Plan Handout
**CANCELLED* March 21, 2018** 9:30 - 12:00 HSCRC Offices	Agenda March 2018 PMWG Slides Implementation Plan Handout
March 28, 2018 2 PM - 3:30 PM WEBINAR ONLY	Potentially Avoidable Utilization (PAU) Future Directions 1. PAU Future Directions 3/28/18 Slides Please Register at: https://attendee.gotowebinar.com/register/5853953127916352515 1 866 901 6455 Audio PIN: Shown after joining the webinar
April 18, 2018 9:30 - 12:00 HSCRC Offices	1. Agenda 2. Slides
May 16, 2018 9:30 - 12:00 HSCRC Offices	1. Agenda 2. Slides 3. IPPS Proposed Rule 2019 Fact Sheet 4. RY19 PAU Savings Scaling Comparison Workbook 5. ED Improvement Formula - Adjustment Example
June 20, 2018 9:30 - 12:00 HSCRC Offices	* CANCELLED *
September 18, 2018 (TUESDAY) 9:30 - 12:00 HSCRC Offices
October 17, 2018 9:30 - 12:00 HSCRC Offices
November 21, 2018 9:30 - 12:00 HSCRC Offices
December 19. 2018 9:30 - 12:00 HSCRC Offices

2017

Dates and Location	Meeting Goals	Meeting Documents
January 18, 2017 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		Agenda Workgroup Slides MACRA Overview Slides RY 2019 MHAC-QBR Scaling Modeling Results Benchmark Comparison Webinar Recording
February 15, 2017 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		Agenda Excel Workbook Slides RRIP Preliminary Targets Webinar Recording
March 15, 2017 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		Agenda PMWG Slides CareFirst Accounting for SES in the RRIP RRIP RY19 Hospital Targets Webinar Recording
April 19, 2017 CANCELLED
May 17, 2017 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		1. Agenda 2. PMWG Slides Webinar Recording
September 20, 2017 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		1. Agenda 2. Slide Presentation 3. Work Plan 4. RY 2019 - RY 2020 Timelines 5. RY 2018 Preliminary QBR Scores Webinar Recording
October 18, 2017 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		1. Agenda 2. Slide Presentation 3. RY 2020 QBR Modeling Spreadsheet 4. RY 2020 QBR - ED Wait Times by Hospital Webinar Recording
December 20, 2017 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		1. Agenda 2. December HSCRC Slides 3. Medicare FFS Readmission Rate Predictive Models 4. Commissioner White Paper on HSCRC Rate Setting 5. 2018 Performance Measurement Work Group Roster Webinar Recording

2016

Dates and Location	Meeting Goals	Meeting Documents
January 20, 2016 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605	Transformation Activities Update Draft Consumer Dashboard Discussion MHAC Program FY 18 Readmission Reduction Incentive Program FY 2018 Aggregate At Risk Amounts FY 2018	Agenda Presentation Slides Webinar Recording
February 17, 2016 Cancelled
March 16, 2016 9:30 - 12:00 p.m. HSCRC		Agenda HSCRC Presentation MHA Presentation CMS Core Measures HEDIS Additonal Canidate Measures RRIP PAU Hospital Data RRIP FY 2018 Draft Aggregate Revenue at Risk FY 2018 Draft Webinar Recording
April 20, 2016 9:30 - 12:00 p.m. HSCRC		Agenda Work Group Presentation Alternative Readmissions - CareFirst Proposed Modifications - CareFirst Readmissions Attainment - MHA PAU Trends Webinar Recording
May 18, 2016 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		Agenda SAABR Presentation - Megan Rutkai PWG Slides Readmission Rate Slides Complete Packet Webinar Recording
September 16, 2016 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		Agenda Workgroup Plan Program Update Slides Whitepaper Submission PPC Changes RY 2018 MHAC Clinical Changes Webinar Recording
October 21, 2016 9:30 - 12:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		Agenda Excel Handouts QBR Mortality Scores CPHIT Slides Program Update Slides v2 Webinar Recording
November 16, 2016 Cancelled
December 21, 2016 Cancelled

2015

Dates and Location	Meeting Goals	Meeting Documents
January 6 9:00 - 11:30 a.m. Cancelled	Potentially Avoidable Utilization Measurement Topics TBD based on future work group plans
Joint Workgroup Meeting and Webinar on the Cost of Defensive Medicine Friday, January 9, 2015, 8:30 a.m. University of Maryland Carey School of Law Webinar Recording
Commission Meeting Date: Jan 14, 2015
February 2 2:00 - 4:30 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605	FY 2017 Readmissions Draft Recommendation - Review and Discussion Review most recent readmission measurement and data Improvement target (All-Payer vs.Medicare) Scaling Approach QBR Scaling Approach (relative ranking scaling vs. preset scores) Aggregate Amount-at-Risk for Quality Policy Draft Recommendation – Review and Discussion Update on Performance Measurement Workgroup and Sub-groups Work plans for 2015 QBR measures Sociodemographic adjustment to readmissions 3M PPC clinical vetting Efficiency measurement	Agenda FY 17 Readmission Reduction Incentive Program Scaling For Quality Programs - version 2, updated Feb. 2^nd Webinar Recording
March 2 9:30 – 1:30 HSCRC	Joint Workgroup: Payment & Performance Introductions and Meeting Overview FY 2016 Update Factor Market Shift Update Preliminary Capital Policy Principles Readmission Scaling and Aggregate Revenue at Risk for Quality Programs Readmission Statewide Target and Performance Measurement QBR Measures and Scaling	Agenda Upadate Factor FY 16 Market Share Upadate Market Shift Analysis CON Review Process and Capital Adjustments Quality Programs Scaling and Aggregate Revenue at Risk & 7. Readmission and QBR Slides Complete Packet - minus Excel Sheets displayed above Webinar Recording
June 22 9:30 – 12:00 HSCRC	Update on Current Performance Measurement Work Plan Progress Future Performance Measurement Strategic Planning Session	Agenda MD System Transformation and Roadmap Workgroup and Partnership Summary Removed per Author Measurement Strategy Workgroup and Partnership Summary Complete Packet - minus Excel above Webinar Recording Complete Packet - minus Excel above Webinar Recording
October 28 9:30 – 12:00 HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605	Program Updates Efficiency Measurement Future Strategic Direction for Performance Measurement ICD 10 Transition Issues	Agenda & Roster Work Plan Program Updates Efficiency Strategic Direction ICD 10 PPC Transition Issues Complete Packet Webinar Recording
November 20 9:30 – 12:00 HSCRC	MHAC Program Updates Readmission Reduction Incentive Program Updates for FY 2018 Aggregate at Risk	Agenda Program Updates Mathematica Task 1 Results Readmission Reduction Incentive Program Webinar Recording
December 16 9:30 – 12:00 HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605		1. Agenda 2a. MHAC_Proposed PPC List 2b. MHAC Modeling Workbook 3. Consumer Dashboard Draft 4a.Readmission Slides 4b. Readmission Tables Webinar Recording

2014

Dates and Location	Meeting Goals	Meeting Documents
February 6 1:00 - 3:00 p.m. Maryland Hospital Association	Review workgroup charge and draft schedule Discuss State Model Quality Targets and general approach for quality improvement	Agenda - Performance Measurement Kick-off Meeting Performance Measurement Presentation Performance Measurement Work Plan State Quality of Care Targets Presentation Audio Recording -starts at 2:30 mark
February 20 1:00 - 3:30 p.m. Maryland Hospital Association 6820 Deerpath Road Elkridge, MD 21075	Discuss State Quality Targets for CY 2014 and future policy change options- includes introduction of: New PPC model option(s) Potentially avoidable utilization (synthesis of white papers), and Readmission measurement option constructs	Agenda Readmission Targets MHA MHAC Recommendations PAU Measures White Paper Synthesis Webinar Recording
February 28 1:00 - 3:30 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605	Finalize measures of potentially avoidable utilization (PQI, PPC, Readmissions) and any related policy recommendations for FY 2016 Finalize hospital performance measurement policy and recommendations for reaching PPC targets for FY 2016 Finalize measurement of readmissions and possible modifications to the CMS measure used in the model for hospital performance for FY 2016	Meeting Agenda MHAC Proposal Presentation PPC Exclusion Criteria Comparison Readmission Proposal Table 3.1 State Readmission Target Modeling Performance Based Revenue At Risk Webinar Recording - Part 1 Webinar Recording - Part 2

February Deliverables

Readmission Measurement Policy
Potentially Avoidable Utilization Measures and Policy
Potentially Preventable Complication Measures and Policy

March 17 CANCELLED due to weather	Review of performance monitoring measures under new Model Discuss efficiency and cost measures, including timing and process for development of such measures	Documents added to the following meeting.
April 2 1:00 - 4:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605	Review performance monitoring measures under new Model Discuss efficiency and cost measures, including framework and issues (Discern) HSCRC cost measures	Agenda Workplan - updated April 1, 2014 Workgroup Model Monitoring Measures - Draft Monitoring Commitments and Gap Analysis Discern Performance Measurement WG Efficiency HSCRC Efficiency-Related Measures Initial Scan HSCRC Efficiency Measures and Issues Webinar Recording - Part 1 Webinar Recording - Part 2
April 24 9:00 a.m. - 12:00 p.m. HSCRC	Discuss strategy for patient-centered, population-based measurement, including: Vision Measure domains/measures—available measures and gaps (Johns Hopkins and Discern) Phasing Discuss balanced scorecard constructs to measure system/hospital performance	Agenda Person Centered Care Person Centered Care Scan Population Health Population Health Measures Scan Balanced Scorecard Webinar Recording

April Deliverable

Report on Efficiency/Cost Measures

May 9 1:00 - 4:00 p.m. HSCRC	Discuss plan to develop balanced scorecard to measure system/hospital performance with 10 indicators Review measures for ambulatory care settings (Discern)	Agenda MHCC Outpatient Measures Balanced Scorecard Appendix A-B - Data Requirements HIT Measures & Population Health Complete Packet of above docs Webinar Recording - Part 1 Webinar Recording - Part 2
May 28 1:00 - 4:00 p.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605	Finalize strategy for population-based, patient centered measurement, including phased implementation plan and balanced scorecard Discuss options for combining measures of cost, quality, and health; potential NQF presentation on their related work	1- Agenda 2- Hospital Regional Scorecard Mockup DRAFT 3- SES Adjustment and Linking Cost and Quality 4- Strategy Measure Population Based Patient Centered Care DRAFT Complete Packet Webinar Recording

May Deliverable

Draft report on population-based patient centered performance measurement and value payment vision and strategy

June 20

1:00 - 4:00 p.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605

Review draft report and discuss remaining issues

Discuss plan for filling gaps in available measures

Revisit measures of potentially avoidable utilization

1- Agenda

2- Draft Measuring Efficiency Report

3- Draft Hospital Dashboard Mockup

4- E-Measures - Infrastructure

5- Draft Strategy- Population-Based-Patient-Centered Report

6- Performance Measurement Future Work

Complete Packet

Webinar Recording

Late June

Finalize Report

July Deliverable

Final Report on Patient-Centered, Population-Based Performance Measurement and Value-Based Payment Vision and Strategy, including Balanced Scorecard

September 19 9:00 - 11:30 a.m. HSCRC	Overview of Meeting Schedule/Agendas Draft QBR Policy -(Draft policy shared w/workgroup for comment in August) MHAC: General discussion of FY2017 Updates Readmission : General discussion of FY2017 Updates	Presentation Slides minus Excel Files Excel Files: MHAC Scores and Improvement Results CY2014 YTD Readmissions Workbook Webinar Recording
Commission Meeting Date: October 15, 2014 (Final QBR FY2017 Policy)
October 17 9:00 - 11:30 a.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605	MHAC: Progress report POA Audits/Possible presentation Readmission: Socio Economic Adjustments	Agenda MHAC Presentation MHAC Tables Risk Adjustment for Socioeconomic-demographic - NQF POA Auditing Reference - Pine et al. Performance Measures: Finding the Right Adjustment - Ann Greiner Webinar Recording
November 5 Meeting Cancelled	MHAC: Draft MHAC policy (including benchmarks and targets) Readmissions: MD vs. National trend modeling	Meeting Cancelled
Commission Meeting Date: November 12, 2014 (Draft MHAC FY2017 Policy)
November 21 9:00 - 11:30 a.m. HSCRC	Readmission: Draft FY 2017 policy review MHAC: Final FY 2017 policy review	Agenda MHAC Tables Readmission Reduction Incentive Policy Updated for FY2017 Readmission Tables
Commission Meeting Date: December 10, 2014 (Final MHAC FY2017 Policy; Draft Readmission FY2017 Policy)
December 19 9:00 - 11:30 a.m. HSCRC 4160 Patterson Ave. Baltimore, MD 21215 410-764-2605	Readmission: Final FY 2017 readmission policy review Potentially Avoidable Utilization Measurement Patient Centered Performance Measurement Strategy Other Topics – TBD	Presentation Packet - minus Excel Sheets listed below 2- MHAC Tables 4b- Payment Scales MHA handout on Norms

Reports

The Workgroup will provide interim and final reports to the HSCRC. Links to the reports issued to date can be found in the table below.

Public Comments Submitted to the Workgroups

The Workgroup will reserve time at the end of each meeting for brief comments and questions from the public. The public is also encouraged to submit written comments related to Workgroups at any time. Comments may be sent via email to hscrc.performance@maryland.gov. Below are the comments received by the Workgroup to date.

4160 Patterson Avenue | Baltimore, Maryland 21215 Toll Free: 888-287-3229

Phone: 410.764.2605 | Fax: 410.358.6217

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