Below are the criteria for selecting measures to be selected as part of the common measurement set.
- The measure set is of manageable size.
- Measures are based on readily available data in KY (we must identify the data source), such as HEDIS measures.
- Preference is given to nationally-vetted measures (e.g., NQF-endorsed) and aligned to Medicaid and MIPS measurement sets.
- Each measure should be valid and reliable and produce sufficient numerator and denominator size to support credible public reporting.
- Measures target issues where we believe there is significant potential to improve health system performance in a way that will positively impact health outcomes and reduce costs without unintended harm.
- If the unit of analysis includes health care providers, the measure should be amenable to influence by providers.
- The measure set is useable by multiple parties (e.g., payers, provider organizations, public health, communities, and/or policy-makers).
*Each subcommittee will also have the opportunity to identify and recommend “future” measures for those indicators that should be measured when data is available
A measurement crosswalk has been created that combines three measurement sets that will be used as a starting point to focus discussion:
- Core Quality Measures Collaborative sets – developed by CMS (Centers for Medicare and Medicaid Services), AHIP (America’s Health Insurance Plans), and National Quality Forum (NQF) for Primary Care/ACO/PCMH and Pediatrics
- Kentuckiana Health Collaborative 2020 Measurement Set
- Medicare STARS Measures
There is a rubric that committee members will use to determine whether each measure meets this criteria. Additionally, you can download a summary of Kentucky’s performance on selected KCHMS Measures, for the selection criteria of having significant potential to improve.