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Massachusetts Health Quality Partners


MHQP responsible for overall project management; strong experience managing ... Attributing patients to physicians. Linking individual physician data across payers ... – PowerPoint PPT presentation

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Title: Massachusetts Health Quality Partners

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

MHQP Team Structure
  • Lead Contractor MHQP Subcontractor Milliman
  • MHQP responsible for overall project management
    strong experience managing large, complex
  • 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

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
  • 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

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

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

Key Factors for Success
  • Clearly established priorities
  • Willingness of stakeholders to strive for
  • 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
  • Single point of contact for each vendor
  • Clear accountabilities for meeting agreed upon
    deliverables and deadlines among all vendors,
    consultants and staff

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

For more information about MHQP… Barbra Rabson,
Executive Director 61 7-
402-5015 Website