Massachusetts Health Quality Partners

1
Massachusetts Health Quality Partners

• Presentation to the
• MA Health Care Quality Cost Councils
  Transparency Committee
• Barbra Rabson, Executive Director
• January 15, 2009

2
MHQP Team Structure

• Lead Contractor MHQP Subcontractor Milliman
• MHQP responsible for overall project management
  strong experience managing large, complex
  projects
• MHQP team responsible for all quality measures
  gt30 yrs experience
• MHQP Core Team
• MHQP key staff
• Barbra Rabson, Janice Singer, Polly Marvin and
  Phakdey Yous
• MHQP consultants
• Kathy Coltin, John Freedman, M.D., Robert
  Rosofsky, Bill Rogers
• MHQP core team has worked together on numerous
  projects in varying roles

2
3
Advantages of MHQP Team

• Track record in measuring and reporting on
  physician and hospital performance
• Established and validated methodologies for
• Attributing patients to physicians
• Linking individual physician data across payers
• Aggregating individual MD performance to practice
  group levels
• Experience working with claims data to measure
  quality across payer types, e.g. Commercial and
  Medicare
• Comprehensive knowledge of data, measurement and
  reporting issues for other providers/settings
• Experience with measuring/reporting on
  racial/ethnic disparities in care
• Strong track record in achieving consensus among
  multiple stakeholders - considered a trusted
  source by all key constituencies

3
4
Milliman Team

• MHQP will subcontract development reporting of
  cost/price measures to Milliman
• New working relationship experience with RFP
  response excellent
• Operating guidelines and roles and
  responsibilities are clear
• Proposed Milliman staff currently work together
  as part of same Milliman practice group
• John Phelan, John Kasey, Andrew Naugle
• Culture fosters close team work on projects
• Extensive experience both as a subcontractor and
  as the prime contractor using subcontractors
• Expertise in project management
• Team leader has 25 years experience in healthcare
  and data analysis

4
5
Milliman Advantages

• Depth of consulting resources to support timely
  project completion
• Recognition for industry expertise, experience
  and leading-edge thinking in health care payment
• Responsible for industry standard tools for
  analyzing cost data
• Background in developing consumer-focused
  displays of cost and utilization measures
• Reputation for working collaboratively to develop
  solutions tailored to client needs, priorities,
  and constraints

5
6
Key Factors for Success

• Clearly established priorities
• Willingness of stakeholders to strive for
  consensus
• Experience and track record of key staff
• Knowledge of publicly available measures to
  address goals
• Understanding of claims data aggregation
  challenges and solutions
• Project management expertise leading to
  predictable, realistic task deliverable
  schedule
• Single point of contact for each vendor
• Clear accountabilities for meeting agreed upon
  deliverables and deadlines among all vendors,
  consultants and staff

6
7
Deliverables for FY09

• Task I Identification of Existing Quality and
  Cost Measures
• Task II Develop a Reporting Plan for Quality
  and Cost Measures
• Task III Advise the Council Regarding Validity
  and Presentation of the Data
• Task IVA Activity Reporting

7
8
For more information about MHQPBarbra Rabson,
Executive Director rabson_at_mhqp.org61 7-
402-5015Website www.mhqp.org