Track 4: Public Policies Driving Performance Measure Innovation
Public Policies Driving Performance Measure Innovation: The Intersection of State and Federal Policy and Digital Quality Reporting Goals
About This Track
State and Federal policymakers are driving the move toward digital measurement through Medicare and Medicaid. Performance results tied to payment is increasing the focus on valid data and how it gets collected and calculated. This track will tie theory to practice by sharing the progress states have made toward implementing data validation strategies and increasing expectation for more efficient reporting through ECDS measures as well as exploring integration of new types of data such as SDOH. States will share challenges and solutions implemented on their journeys and describe the road ahead. What policies did states have to consider paving the way forward? What other considerations were identified? Participants will share their experiences on their state digital measure paths with their colleagues.
Kate Lonborg, MA, JD
Kate Lonborg is the program manager for the Oregon Health Authority’s Clinical Quality Metrics Registry (CQMR). Her work focuses on measure alignment and efficient collection and use of electronic clinical quality measures for Oregon’s Medicaid and other programs. Previously, Kate has worked in health IT consulting, meaningful use program management for a health system, and for the state in health policy. Kate has an MA from Northwestern and a JD from Lewis & Clark.
Kristine Toppe, MPH
Kristine Toppe is the Assistant Vice President of State Affairs at NCQA. Since 2005, she’s led NCQA’s state policymaker outreach and relationship development, focusing on promoting NCQA’s expertise and thought leadership as well as increasing public sector adoption of NCQA’s programs and services. In previous roles at NCQA, Ms. Toppe led NCQA’s work with private and public stakeholders to develop and implement collaborative solutions for plan-provider accountability, including supporting development of the early phases of California’s P4P efforts, now called the Align, Measure, Perform (AMP) program. Ms. Toppe holds a Master of Public Health from UCLA’s Fielding School of Public Health and a Bachelor of Science from the University of Oregon.
Paul Cotton is the National Committee for Quality Assurance Director of Federal Affairs. He works with Congress, the Administration and other stakeholders to improve health care quality. Previously he was a lobbyist for AARP on Medicare, Medicaid, CHIP, health reform, health IT and quality improvement issues. He has also worked at the Center for Medicare & Medicaid Services as Hearings & Policy Presentation Director in the Office of Legislation, and as a journalist for publications including the Journal of the American Medical Association.
Kelly Crosbie, MSW, LLCW
Kelly Crosbie is the Director for Quality and Population Health at the Division of Health Benefits (NC Medicaid). She is responsible for overseeing all Medicaid Quality Management and Improvement and Population Health Programs including Advanced Medicaid Homes (AMH) and Pregnancy Medical Homes. From 2008-2013, Kelly worked at the Division of Medical Assistance (DMA) as Chief Operating Office (2013) and as an Assistant Director (2008-2012) overseeing the Behavioral Health (BH), Substance Use Disorder (SUD), and Intellectual/Developmental Disability (IDD) benefit. From 2014-2016, Kelly served as the Chief Operating Office for CCNC, the state’s primary care case management/medical home system. Prior to moving to NC in 2008, Kelly worked as a Social Work instructor at universities in Texas and in New Jersey and provided direct care as a Licensed Clinical Social Worker both in a community mental health agency and in a primary care office. Kelly has also worked on research projects for the Philadelphia Department of Recreation and on the Philadelphia Mayors Report Card for the City. Kelly has over 20 years of experience in government Medicaid and Human Service programs. She received her Master’s Degree from Temple University and her Bachelor’s Degree from the University of Pittsburgh. Kelly is an appointed member of the NC Institute of Medicine, the HCP-LAN 2.0 Clinical Forum, and the NCQA Public Sector Advisory Committee.
David Kelley, MD, MPA
Dr. David Kelley is the Chief Medical Officer for the Pennsylvania Department of Human Services Office of Medical Assistance Programs and Office of Long-Term Living. He helps manage the clinical and quality aspects of the Medical Assistance Programs for over 2.9 million beneficiaries. He provides clinical oversight of the HealthChoices program that contracts with eight physical health managed care organizations (MCOs) as well as the Community HealthChoices program that contracts with three Long Term Services and Supports MCOs.
As CMO for Pennsylvania’s Medical Assistance Programs, he helped develop quality measures for lead screening, adult dental access to care, tobacco reduction in pregnant women, perinatal screening and treatment of women for depression, and an opioid measurement dashboard. He participated on the CHIPRA pediatric and Medicaid adult quality core measure set work groups from the inception of both programs. He served four years on the National Quality Forum’s Consensus Standards Approval Committee and is a member of NCQA’s Committee on Performance Measurement.
Dr. Kelley received his BS degree at Elizabethtown College, completed medical school at the University of Pittsburgh, completed his residency training at Baylor College of Medicine in Houston, obtained his MPA at Penn State University, and is board certified in Internal Medicine and Geriatrics.
Eric Musser, MPH
Eric Musser is Deputy Director of State Affairs at the National Committee for Quality Assurance. He works with state regulators, the Centers for Medicare & Medicaid Services and other stakeholders to improve health care quality. Prior to joining NCQA, he was a health care administrator in Northeastern Pennsylvania. Eric holds a master’s degree in public health from Emory University and a bachelor’s degree in sociology and health policy administration from Penn State University.
Mark Savage, JD
Mark Savage is Director of Health Policy at University of California, San Francisco’s Center for Digital Health Innovation. He leads health policy strategy and development for the Center and its programs to advance interoperability, access, and delivery reform for patients, providers and consumers nationwide. His portfolio also includes shared care planning, patient-generated health data and social determinants of health, health equity, and privacy and data stewardship. Mark serves on multi-stakeholder policy committees under the Office of the National Coordinator for Health IT; serves as Policy Director for the Gravity Project on social determinants of health data; serves on the board of directors of Manifest MedEx, one of the nation’s largest nonprofit health information exchanges; co-chaired the National Quality Forum’s Interoperability Committee; and has provided Congressional testimony and numerous presentations on diverse health IT issues.
Arun Natarajan serves as a Sr. Policy Analyst at the Office of the National Coordinator for Health IT (ONC) where he principally focusses on advancing interoperability, health IT adoption, and health information exchange with state health care and human services programs and their related oversight Federal agencies (SAMHSA, ACL, ACF, HRSA, and CMS). Before joining ONC Arun was most recently a Technical Director at CMS where he focused on Medicaid, Health IT, BI Data Analytics and T-MSIS. Before joining HHS, Arun worked in State government (Washington, D.C.) and for one of the largest non-profits in the Washington region (National Children’s Center) as their Controller of Grants and Contracts serving children and adults with intellectual and developmental disabilities. He has successfully managed Washington DC’s $125M Medicaid Home and Community Based Waiver serving the I/DD populations and is a subject matter expert in quality for Medicaid funded HCBS programs. Arun has managed multiple large scale Federal, state, private sector IT implementations: CMS-T-MSIS, DC-Medicaid Plan of Care and Prior Authorization Systems, CoStar-Accounting System Conversion, Supermation, Inc.’s e-commerce point-of-sale solution. Arun has managed over $150M in contracts and grants for IFES (formerly International Foundation for Election Systems) principally in support of “Operation Iraqi Freedom”. Arun is a University of Delaware Institute Leadership graduate and holds a Master’s degree in Economics.