ACO Measures Pilot Project

Overview

NCQA is conducting a pilot project to assess the performance reporting capability of Accountable Care Organizations, to examine the usability of ACO measure specifications and to evaluate the ability to develop benchmarks. We are seeking ACOs that are interested in collecting and reporting a set of standardized performance measures during 2014. 

Purpose

The purpose of this pilot project is to:

  • Promote and support the use of standardized performance measures by ACOs
  • Collaborate with ACOs to collect data, develop benchmarks or benchmarking capabilities and share information.  
  • Identify ACO-specific performance measurement issues 

NCQA will release the results of the project via a Webinar and report in the fall of 2014.

Benefits

Participating ACOs will receive the following:   

  • Technical assistance with measure implementation 
  • A  data submission tool
  • A chance to participate in an in-depth interview to provide feedback on measurement challenges and strategies to resolve them
  • A snapshot of their performance against others’
  • Attendance at a Webinar presenting the analysis and findings from the project 

Project Description

Activity Time Period
 Description
Periodic technical assistance check-ins
Ongoing Periodic ongoing voluntary call-in meetings to address identified technical issues.
Measure data collection
Spring-Summer 2014
Participating ACOs will collect and report identified set of measures.
Structured interviews
Summer 2014
NCQA will conduct in-depth interviews with 10 organizations to identify measure challenges and opportunities.
Data Analysis
Summer/Fall 2014
NCQA will collect and analyze the measure results to assess the feasibility of benchmarks.
Webinar Fall 2014
NCQA will present the findings in a final project Webinar

Performance Measures

NCQA and the participating ACOs will work collaboratively to identify a set of standardized measures for reporting. Measures will be drawn from existing standardized measure sources including:

  • CMS ACO measures -- measures required by CMS Shared Savings and Pioneer programs.
  • ACO HEDIS measures -- measures adapted from Health Plan HEDIS for ACO implementation (See table below for a complete list of measures)
NCQA and the participating ACOs will determine the final set of measures. NCQA is interested in analyzing a minimum of 10 measures but the measurement priorities of ACO participants will shape the pilot measure list.

ACO HEDIS Performance Measures

Topic Measures
Prevention and Screening
  • Weight Assessment for Children/Adolescents - BMI 2-18 Years of Age
  • Adult BMI Assessment
  • Colorectal Cancer Screening
  • Cervical Cancer Screening
  • Breast Cancer Screening
  • Chlamydia Screening in Women
  • Childhood Immunization Status
  • Immunizations for Adolescents
  • Care for Older Adults
Diabetes
  • Diabetes Measure Suite (7 rates)
Cardiovascular
  • Controlling High Blood Pressure
  • Cholesterol Management for Patients with Cardiovascular Conditions
Respiratory
  • Appropriate Medications for People With Asthma
  • Appropriate Testing for Children With Upper Respiratory Infection
  • Appropriate Testing for Children With Pharyngitis
  • Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis
  • Use of Spirometry Testing in Assessment and Diagnosis of COPD
Musculoskeletal
  • Disease Modifying Anti-Rheumatic Drug (DMARD) Use of Rheumatoid Arthritis
  • Osteoporosis Management in Women Who Had a Fracture
  • Use of Imaging Studies for Low Back Pain
Behavioral Health
  • Follow-Up Care for Children Prescribed ADHD Medication
  • Follow-Up After Hospitalization for Mental Illness
  • Antidepressant Medication Management
  • Initiation and Engagement for Alcohol and Other Drug Dependence Treatment
Medication Management
  • Annual Monitoring for Patients on Persistent Medications
  • Potentially Harmful Drug-Disease Interactions in the Elderly
  • Use of High-Risk Medications in the Elderly
  • Medication Reconciliation Post Discharge
Utilization
  • All-Cause Readmissions

To Participate in the ACO Measures Pilot

ACOs who are interested in participating should by February 28, 2014:

Please contact ACOpilot@ncqa.org with further questions about the project. We look forward to launching this important project.

How to Participate

Interested ACOs should email ACOpilot@ncqa.org. NCQA will contact ACOs to discuss participation details.

View Project Plan

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