Clinical Practice report cards for Skagit County became available online for public viewing on March 23, 2015. The Washington Health Alliance has reviewed evaluation and management (E and M) claims data from 20 payers, self insured businesses and union trusts and will be regularly reporting outcome metrics for Skagit County practices of four or more providers. Also required for reporting was the availability of at least 160 claims for a specific measure during the reporting period. The claims were submitted between July 2012 and June 2013. Twenty-four measures will be reported. Data is reported as being attributed to a provider (PCP) or a Team (PCP and specialist) or a Prescribing Provider (RxP).
This initiative started in King and the surrounding counties; this year the initiative includes Skagit, Whatcom and Spokane Counties. In Skagit County, the reporting practices include Skagit Regional Clinics, Skagit Pediatrics, Mount Vernon Women’s Clinic, Island Family Physicians, Island Hospital, Island Internal Medicine, Northwest Asthma and Allergy Center, Seamar Community Health Centers, Family Care Network (North Cascade Family Physicians), Mount Baker Planned Parenthood and Physicians Care Family Medicine.
The measures reported in the Community Check-up are based upon HEDIS quality measures. HEDIS stands for Healthcare Effectiveness Data and Information Set and was developed and is maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to benchmarks and now is increasingly used to track year to year performance. It is the foundation of the submissions that health plans and care providers must submit to the Centers for Medicare and Medicaid Services and increasingly to others to receive payment for services or specifically incentive payments.
View Clinical Practice ‘Report Cards.