Provider Performance and Oversight Inter-Agency Work Group February 18, 2014
Agenda Introductions Questionnaire Results Findings and Recommendations OPWDD Developments Next Steps
Questionnaire Results - Overview All seven (7) agencies responded All but one state agency (the Justice Center) reported maintaining performance data about agencies or programs they monitor. Four of the seven state agencies report about the performance of provider agencies on their internet site. (OPWDD, OMIG, OMH and DOH) Three of the seven state agencies publicly report an agency’s or programs compliance with regulatory requirements (OPWDD, OMIG, DOH)
Questionnaire Results - Domains Two state agencies report publicly about the quality of the services being provided by agencies/programs − OPWDD for MSC and Physical Plant/Safety, and DOH for Nursing Homes and Home Health agencies OMH publicly reports basic data about the programs it monitors, such as fiscal viability, certificate duration, incident rate, complaints rate, # of exemplary findings. The NYS office for Aging maintains internal reports about the quality of its local offices and ombudsman programs. OASAS previously reported about the services provided by agencies/programs − Agency has temporarily suspended reporting while it reassesses treatment program performance measures to better align them with NY Performs and federal requirements
Questionnaire Results - Domains Agency Description OPWDD MSC/Physical Plant and Safety OMIG Compliance with Medicaid Regulations OMH Fiscal Viability, Certificate Duration, Sanctions, Governance, Program Openings/Expansions/Closure OASAS Scorecards for Access, Quality, Patient Outcomes, Efficiency and Regulatory Compliance for Treatment Programs NYSOFAOmbudsman Program Administration, Volunteer Management, Advocacy Data Collection, Program Enhancements NYSOFA Local Monitoring, Direct Care, Personal Care, Nutrition DOH-Adult Care Admission, Resident Protections, Services, Inspections DOH-HH ADLs, Pain, Wound Care, Bed Sores, Medication DOH-SNF/ICF Pain, Pressure Ulcers, Flu Vaccine, Weight, Bowel Movement DOH-Hospice/HH Regulatory Inspection Reports DOH-Hospitals Penalties for Non-Compliance with Regulations
Questionnaire Results - IT Only DOH reported having a web-based application for data reporting OPWDD uses an ACCESS database with limited capabilities OMIG and OMH publish reports on their websites (ADOBE/public website documents)
Questionnaire Results – Findings and Recommendations There is little commonality among the NYS agencies regarding what or how data is reported. Agencies with well developed reporting systems may share its reporting application with IT staff of the other State agencies who are interested in developing a web-based application The NYS agencies should meet to discuss the content of each report and how the data is obtained. ◦ Some of the areas or content may be of value to other State agencies and may save development time.
Developments Influencing OPWDDs Provider Performance Reporting Focus on maintaining/updating current reporting Open Data Initiative/NY Performs Agency Quality Ratings Workgroup CMS HCBS Settings Final Rule
Discussion and Next Steps
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