
Statewide Quality Advisory Committee Meeting Recap October 2017
Stay informed on the updates from the Statewide Quality Advisory Committee (SQAC) meeting held in October 2017. Discussions included follow-up measures, review of final reports, and updates to the 2018 SQMS. Learn about the new measures adopted, excluded, and those requiring further information, as well as changes to CMS process measures.
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Presentation Transcript
Statewide Quality Advisory Committee (SQAC) Meeting October 16, 2017
Agenda Welcome September 18 minutes 3:00 Follow up on select measure nominations 3:10 Review Final Report 3:30 Wrap Up/Next Steps 4:00 2 2
Follow-Up on Select Measure Nomination HBIPS 1: Admission screening for violence risk, substance use, psychological trauma history and patient strengths completed Staff confirmed that this measure has never been included in the CMS Inpatient Psychiatric Facility Quality Reporting program, and there is no data available through CMS. SUB 1: Alcohol use screening Thank you to Wei Ying for sending staff the link to the TJC data. Staff confirmed that data for this measure is available for 50 hospitals in Massachusetts and CHIA would be able to report on it. 3 3
Review and Discuss SQAC 2017 Final Report 4 4
Updates to 2018 SQMS The SQAC reviewed 16 new measure nominations The SQAC voted to include 10 new measures: 1. Influenza vaccination coverage among healthcare personnel 2. Hours of physical constraint (HBIPS 2) 3. Hours of seclusion (HBIPS 3) 4. Median time to transfer to another facility for acute coronary intervention (OP 3) 5. Aspirin at arrival (OP 4) 6. Acute stroke mortality rate (IQI 17) 7. Thorax CT Use of contrast material (OP 11) 8. Cardiac imaging for preoperative risk assessment for non- cardiac, low risk surgery (OP 13) 9. Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) 10. Pediatric all-condition readmission measure 5 5
Updates to 2018 SQMS The SQAC reviewed 16 new measure nominations The SQAC voted not to include 4 nominated measures: 1. Median time to ECG 2. Prescriber prescription drug monitoring compliance 3. Substance use disorder evaluation in the ED following naloxone administration and suspected substance use disorder 4. SCARED: Screen for Child Anxiety Related Disorder The SQAC requested additional information on 2 nominated measures: 1. Admission screening for violence risk, substance use, psychological trauma history and patient strengths completed (HBIPS 1) 2. Alcohol use screening (SUB 1) 6 6
Updates to 2018 SQMS Changes to CMS process measures Eight measures retired 1. VTE Prophylaxis (STK-1) 2. Discharged on Statin Medication (STK-6) 3. Stroke Education (STK-8) 4. VTE Prophylaxis (VTE-1) 5. ICU VTE Prophylaxis (VTE-2) 6. VTE Patients w/Anticoagulation (VTE-3) 7. Thrombolytic Therapy (STK-4) 8. Fibrinolytic Therapy Received within 30 Minutes of Hospital Arrival (AMI-7a) 7 7
Updates to 2018 SQMS Changes to HEDIS set Last year, the SQAC voted in favor of referencing the HEDIS Physician Measure set as the HEDIS sub-set of the SQMS. NCQA will not release measure specifications for the HEDIS Physician Measure set until December, 2017. Therefore, staff will review the updated set when it is available, and recommend changes to the HEDIS sub-set in the SQMS at the first convening of the 2018 meeting cycle. 8 8
For more information http://chiamass.gov/sqac/ sqac@state.ma.us 9 9