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Maine SIM Evaluation Subcommittee April meeting 2016

Maine SIM Evaluation Subcommittee April meeting 2016. March 30, 2016. Today’s Agenda. Today’s Agenda. Meeting Minutes. Please see meeting minute handouts for March 2. Suggested edits from Committee members? Additional questions or clarifications? Motion to approve as written or amended.

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Maine SIM Evaluation Subcommittee April meeting 2016

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  1. Maine SIM Evaluation Subcommittee April meeting 2016 March 30, 2016

  2. Today’s Agenda

  3. Today’s Agenda

  4. Meeting Minutes Please see meeting minute handouts for March 2. • Suggested edits from Committee members? • Additional questions or clarifications? • Motion to approve as written or amended

  5. Today’s Agenda

  6. Consumer Survey 2016 – Summary of Proposed Changes • The 2016 survey adds questions to guide quality improvement • New questions follow-up 2015 questions to provide more detail on the reasons for responses • Follow–up questions are open-ended, expressed in the consumer’s own words. Responses will be the “voice of the consumer” • New questions address topics identified in SIM Annual Meeting • Sample revisions for 2016- 1500 total targeted completed interviews: • 500 MaineCare AC patients • 500 Stage A Health Home patients • 500 Behavioral Health Home patients • See updated tools for final discussion

  7. Today’s Agenda

  8. Provider Research 2016 - Changes from 2015 Effort (review & updates) • Rather than one instrument, tailored questions for • Behavioral Health Homes • MaineCare Stage A Health Homes • MaineCare Accountable Communities • SIMStakeholders • Use of quantitative questions to replace open-ended questions where possible • Use of interviewers & possible online surveys to reach appropriate & knowledgeable respondents in MaineCare Stage A Health Homes, Behavioral Health Homes, & MaineCare Accountable Communities • Use of focus groups instead of interviews to collect data from SIM stakeholders

  9. 2016 Provider and Stakeholder Interviews- Next steps • Keeping the 2016 SIM focus in mind, a preliminary list of questions has been developed for groups to be interviewed. • Discussion today aims to • Review first draft of interview/survey tools for MaineCare Accountable Communities & Health Homes/Behavioral Health Homes; • Identify any gaps or refinements for the questions based on subcommittee member experience and knowledge of SIM; • Inform the refinement of the final tools that will be brought back to the committee at the May 2016 meeting. • Note that the Stakeholder focus group moderator guide is still in development & will be presented for final review at the May 2016 meeting

  10. Today’s Agenda

  11. SIM Dashboard & Target setting updates • Maine Care Dashboard- review of updated data • Medicare data & next steps for target setting process • Status update on Commercial Target setting process

  12. Today’s Agenda

  13. Rapid Cycle Improvement (RCI) Principles • “The facts are friendly”. The process should emphasize how the evaluation findings can be used, not to find fault, but to strengthen overall efforts. • The evaluation should prompt as many questions as it answers. • Recognize that the “answer is in the room”. Effectively engaging people closest to implementation has two benefits: a) they are the ones on the “front line” who are knowledgeable about the intervention; and b) engaging them in solving the problem will lead to greater ownership of the solution.

  14. Rapid Cycle Improvement Process • There are hundreds of discrete findings, it is important to narrow the field to enable a productive, focused discussion. • Share the focused list with the Evaluation Subcommittee and the Steering Committee for input and modifications. • Identify key parties who have a deep understanding of each key topic area and convene a meeting to discuss the finding, deepen our understanding of what is going on “under the hood”, and move to constructive next steps. • Bring the recommendations from these discussions back to Maine Leadership for further discussion and, where appropriate, action

  15. How do we strengthen patient engagement by providers?

  16. How can data sources be streamlined and simplified to better support this function?

  17. The Role of Care Coordination….do we need more or too much of a good thing?

  18. Today’s Agenda

  19. Next Steps • Next Meeting • May 4, 2016, 2-4 pm Pine Tree Room 2 Anthony Avenue, Augusta • Future Discussion Topics • Review/revision final Provider, Stakeholder research tools • Update on Special Studies for the 2016 SIM Evaluation • Rapid Cycle Improvement Discussions • Update on NDPP & CHW research • Follow up on clinical data risk and other identified risks as necessary

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