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Track 4: Electronic Quality Reporting for States

What’s the big idea?

The evolving quality measurement ecosystem offers great opportunities for state agencies to advance quality improvement initiatives. This track will work on helping states move to automated digital reporting of quality measures to support value-based purchasing.

Why should I care?

There is currently no meaningful coordination for states’ work toward electronic reporting, which could lead to duplicated efforts and misaligned processes that increase burden and confusion. Different states may develop processes and approaches that don’t align with efforts by the federal government, measure developers and standards organizations such as HL7.

What will I do?

Track faculty and participants will work together to develop a roadmap for aligning electronic reporting initiatives across all levels of government to support state value-based payment models. Participants, including federal and state leaders, along with measure stewards, will share insights on how to advance and harmonize electronic reporting efforts. They will also gain understanding of how this work can help them address social determinants of health.

Who should attend?

State and federal staff leading quality measure and value-based payment initiatives, and measure developers/stewards and other stakeholders interested in state quality reporting. No technical expertise is required. 

Track Lead:


Paul Cotton is the Director of Federal Affairs. He works on health reform and other initiatives to improve health care quality. Previously he was an AARP Senior Legislative Representative lobbying Congress and the Administration on Medicare, Medicaid, CHIP, health reform 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.

Track Faculty:

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 a BA in English from the University of Puget Sound, an MA in English from Northwestern, and a JD from Lewis & Clark.

 

Jim Kirkwood is the Director of the Division of Healthcare Innovation in the New York State Department of Health’s Office of Quality and Patient Safety where he oversees the State Health Information Network for New York and New York’s CMS-funded State Innovation Model grant. He was previously the Senior Director for eHealth at the Association of State and Territorial Health Officials(ASTHO) which included a detail to the Office of the National Coordinator for Health IT and the Centers for Disease Control. Jim has an MPH from the University at Albany School of Public Health and graduate certificate in Public Health Informatics from Johns Hopkins University.

Linda Shaughnessy is the Director of the MassHealth Quality Office, the Massachusetts Medicaid program. In this role, she is a member of the leadership team for MassHealth and the Office of Clinical Affairs within Commonwealth Medicine, a division of UMass Medical School. Ms. Shaughnessy collaborates across organizations and multi-stakeholders on the development and strategic direction for quality programs and initiatives. She also oversees the staff and daily operation of quality measurement, improvement and evaluation functions within the MassHealth Quality Office.


Kelly Crosbie is the Deputy Director for Quality and Population Health at the Division of Health Benefits (NC Medicaid). She oversees all Quality Management and Improvement, Value Based Purchasing, Population Health, and innovative programs to address Social Determinants of Health (SDOH). From 2014-2016, Kelly served as the Chief Operating Office for CCNC, the state’s population health/ medical home system. From 2008-2013 she served at NC Medicaid, first as Assistant Director of Behavioral Health Managed Care then as Chief Operating Office. 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.

TRACK RESOURCES

Overview of CQMR

Comparison of quality reporting specs/parameters

Oregon CCO incentive measures

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