Which Data Source? Slide 1 This is a brief guide to help work groups make recommendations on the preferred data sources for the metrics they have identified in the guidelines. There are other sources than those listed here, however they may
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Presentation Transcript
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Which Data Source? Slide 1 This is a brief guide to help work groups make recommendations on the preferred data sources for the metrics they have identified in the guidelines. There are other sources than those listed here, however they may be specialized, or more difficult to obtain by the Bree Collaborative.
Data sources for metrics should be most representative of:
The organizations that the Bree Guidelines are aimed at (i.e. those contracting with the HCA, those participating in the Bree)
The level at which change occurs (i.e. in clinics, in a specific population like Medicaid, or for the entire state)
The population for which change is most important (i.e. data can be stratified by SOGI or other data elements)<br>
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Medicaid Population level goals Slide 2 Commercial payers PEBB/SEBB All-payer Claims Database – Claims data only, stratification available Is a population total
No clinical data – relies on claims codes
Missing uninsured
Difficult to obtain<br>
03
Medicaid Administrative Goals or Objectives Slide 3 Commercial payers PEBB/SEBB HCA – clinical and administrative data Does not included commercial payers
Is biased toward self-selected measures
Is biased towards health plans and MCO data collection and reporting
Somewhat difficult to obtain<br>
04
Sample data for both goals and objectives Slide 4 Commercial payers PEBB/SEBB OB COAP – Clinical Data, stratification available Medicaid OB COAP – Clinical Data, stratification available Bree Score Cards Is a subset of data
Is biased towards participation
Biased towards hospitals and large health systems
Can be stratified
Is easy to obtain<br>
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Medicaid Sample data for metrics Slide 5 Commercial payers PEBB/SEBB WA Health Alliance
Metrics only, some stratification Is a subset of metrics
For a subset of health care organizations that may or may not participate in other evaluation activities
Is biased towards participation
Is somewhat difficult to get<br>
