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PPMR Provider Performance Management Review

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PPMR Provider Performance Management Review

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  1. PPMR Provider Performance Management Review How to Navigate and Read PPMR Reports Press the F5 key on your keyboard to begin Click to advance to the next slide

  2. Next Description This tutorial will help you gain a better understanding of how to read and navigate the PPMR. The presentation utilizes animated slides. Please click to advance to the next slide when prompted to do so. You may exit the slideshow at any point by pressing the Esc key on your keyboard. Provider names and consumer identifying information have been blurred for privacy.

  3. Next Description Special Note for Medicaid Only Providers: PPMR reports are frequently grouped by funding source and you will see reference to this grouping several times in the tutorial. Medicaid only providers will only have one funding source, ‘Medicaid’, and will not see a funding source group for ‘All Contract Sources’.

  4. You can select PPMR data from a 3 month quarter or a year. The first step is to pick the ending date for the period of time you would like . For instance, if you would like to view data for the entire year of 2012 you would select the time period ending on 12/31/2012. Select Date Screen Select a date to continue

  5. Select Time Frame Screen The next step is to select whether you would like to view 3 months or 1 year of data. Since we are going to use data from the entire year of 2012, you would select ‘For the Last Year’ to continue. Select a time frame to continue

  6. Select Age Group Screen Each report in the PPMR is separated by age group. For instance, if you were to select the ‘0-17, 18+’ grouping you would see data for individuals aged 0-17 on one page of the report, and data for individuals 18+ on another. Select an age group to continue

  7. Select Measure Screen There are 34 different report measures available in the PPMR. You have the option to view reports for each individual measure, or you may choose to see all the measures in one summary report. Select all measures to continue

  8. Select a Report Screen There are three summary reports available. ‘Summary (PPMR)’ displays data for each measure together for comparison between measures and time periods. ‘Summary by Provider Type’ displays each measure on a separate page to compare your performance on each measure with other provider types. ‘PPMR Summary by Provider’ allows interested parties to quickly see how providers score across all their indicators. Select the report to continue

  9. PPMR Summary 1 This is the PPMR Summary report. As you can see by the headers on the left, this report is grouped by funding source and age group. For example, there will be a separate report page for each age group within each funding source. Next

  10. PPMR Summary 2 For each measure, you will see how your scores compare to the state average. Next

  11. PPMR Summary 3 Next Looking at Outpatient Change in CAR: Domain 1, this provider’s score was above the state average score.

  12. PPMR Summary 4 Next Provider Denominator is the total number of consumers included in this measure. Provider Numerator is the number of consumers with a positive indicator for this measure.

  13. PPMR Summary 6 Next Please note that since CAR scores under 20 are not counted, the denominator for each CAR score group may vary even though all nine domains are reported for every consumer.

  14. PPMR Summary 5 Next Since the provider score for this measure was higher than the state score, there is an up arrow in the Provider vs State column.

  15. PPMR Summary 6 Next For any measure where the Provider Score is below the State Score, there will be a down arrow in the Provider vs State column

  16. PPMR Summary 7 Next Scanning the Provider vs State column for down arrows is a quick way to identify areas you may need to focus on.

  17. PPMR Summary 8 Next Rank is your rating on a measure compared to other like provider types. This provider ranked #2 out of the 14 total providers in its provider type group on the Outpatient Change in CAR: Domain 1 measure.

  18. PPMR Summary 9 Next The Quartiles column shows whether your rank for a measure was in the bottom 25% (frown symbol), middle 50% (neutral symbol), or top 25% (smile symbol).

  19. PPMR Summary 10 Next The Previous Time Period section shows your score for each measure during the previous time period. For example, the report time period is for the entire year of 2012 so the previous time period would be the entire year of 2011.

  20. PPMR Summary 11 Next In 2011, 221 out of 776 total consumers had a positive indicator for the Outpatient Change in CAR: Domain 1 measure. The provider score was 28.5.

  21. PPMR Summary 12 Next Since the current time period score of 37.6 is greater than the previous time period score of 28.5, there is a thumbs up symbol in the Current vs Previous column. A thumbs down symbol in this column indicates the current score is lower than the previous score.

  22. PPMR Summary 13 Next The last row of the PPMR is a summary of all the indicator columns. Looking at this row is an easy way to gauge overall performance for the report group.

  23. Select a Report Screen There are three summary reports available. ‘Summary (PPMR)’ displays data for each measure together for comparison between measures and time periods. ‘Summary by Provider Type’ displays each measure on a separate page to compare your performance on each measure with other provider types. ‘PPMR Summary by Provider’ allows interested parties to quickly see how providers score across all their indicators. Select the report to continue

  24. Summary by Provider Type 1 The Summary by Provider Type report is grouped by age group, measure, and level of care. You will see a separate report page for each level of care and age group within each of the 28 PPMR measures. Next

  25. Summary by Provider Type 2 This report page is comprised of data for Outpatient consumers aged 0-17 and focuses on the Change in CAR Scores: Any Domain measure. Next

  26. Summary by Provider Type 3 Next Each agency or provider is classified under a Provider Type Group.

  27. Summary by Provider Type 4 Next Looking at the ODMHSAS CMHC group, you can see that there are a total of 14 providers in this group.

  28. Summary by Provider Type 5 Next This provider group served a total of 9,469 consumers, 7,383 of which had a positive indicator for this measure.

  29. Summary by Provider Type 6 Next The positive percent for this Provider Type group is 78%. This percentage is also represented in the bar graph to the right.

  30. Summary by Provider Type 7 Next You will also see your individual provider or agency data highlighted in yellow. The provider name is listed (blurred) along with the provider type group to which it belongs.

  31. Select a Report Screen There are three summary reports available. ‘Summary (PPMR)’ displays data for each measure together for comparison between measures and time periods. ‘Summary by Provider Type’ displays each measure on a separate page to compare your performance on each measure with other provider types. ‘PPMR Summary by Provider’ allows interested parties to quickly see how providers score across all their indicators. Select the report to continue

  32. The PPMR Summary by Provider report is grouped by Provider Type, Funding Source, and age group. You will see a separate report page for each Provider Type and Funding Source within each age group. Next

  33. This report page is comprised of data for ODMHSAS CMHCs from all contract sources for clients 18 and older. Next

  34. For each provider, total counts of all indicators from the PPMR Summary report are listed. The counts show how many times the provider is above/below the state average, the number of indicators they are in the bottom/middle/top ranking in the state, and the number of times the provider’s yearly score is better than the last year. Next

  35. Next Percents for each category are also displayed.

  36. Select a Measure Screen There are 34 different report measures available in the PPMR. You have the option to view reports for each individual measure, or you may choose to see all the measures in one summary report. Select measure to continue

  37. Select a Report Screen There are 7 different reports available for each of the 34 individual PPMR measures. Select report to continue

  38. Trend Line Report 1 The Trend Line report is grouped by age group, funding source, and level of care. There will be a separate report page for each level of care and funding source within each age group for this measure only. Next

  39. Trend Line Report 2 This report compares your positive percent for the measure with the statewide percent over an extended period of time. The number of quarters included may vary depending on available data. Next

  40. Trend Line Report 3 Next Looking at the FY11-4th Quarter, you can see that this provider had a total of 697 consumers included in the count for this measure and 585 of those had a positive indicator. The positive percent was 83.9%.

  41. Trend Line Report 4 Next The same data is displayed with system wide counts for comparison. Whenever system wide counts are available, only like provider types are included. Since this provider is an ODMHSAS CMHC, only other CMHCs are included in the system wide counts.

  42. Trend Line Report 5 Next The positive percent for each quarter is also displayed in a chart. You can see above that this provider maintains a positive percent above the statewide percent across the time period.

  43. Select a Report Screen There are 7 different reports available for each of the 34 individual PPMR measures. Select report to continue

  44. Drill Down Report 1 The Drill Down report is grouped by provider location, age group, funding source, and level of care. There will be a separate report page for each level of care, funding source, and age group within each location for this measure only. Next

  45. Drill Down Report 2 Next Each consumer count in this report is broken out by positive change, no change, and negative change for the measure.

  46. Drill Down Report 3 Next Consumer counts are also broken down by episode type. Change can be measured from Admission to the last CDC 42, or from Admission to Discharge (Planned or Unplanned).

  47. Drill Down Report 4 Next Percentages are displayed to the right

  48. Drill Down Report 5 Next Sometimes certain consumers are excluded from counts. Please refer to the report description for exclusion criteria.

  49. Drill Down Report 6 You can drill down to view information for the consumers that make up each count. Click the plus symbol next to the count to expand the positive count for unplanned discharges.

  50. Drill Down Report 7 Next Individual data for each consumer is displayed.