DOH MLTC Quality Work Group Meets
The Department of Health (DOH) presented its plans for managed long term care (MLTC) plan quality measures and distributions of quality incentive pool funding for 2016 and 2017 at its annual meeting on Dec. 7th. The slides from the meeting are available here.
The 2016 MLTC quality incentive pool contains $150 million for PACE, MAP, and partial capitation plans. The 2016 methodology is very similar to the 2015 methodology, with the following changes:
- The compliance measure comparing MEDS and MMCOR ratios was eliminated, and two base points were deducted for all plans.
- A new compliance measure was introduced related to statements of deficiency (SODs) for the percentage of incomplete assessments exceeding a threshold for the period of January to June 2016. The threshold is still under discussion; SODs had not been issued as of the date of the meeting.
The 2017 methodology will be similar to the 2016 methodology. The measures will be the same, except that the wording describing the depression measure will be modified slightly. The methodology document will be distributed in January 2017. A feedback report will be distributed in November 2017. The overall summary will be distributed in early 2018, as will plan-specific documents.
Consumer satisfaction surveys are conducted every two years. A new satisfaction survey very similar to the prior survey will be circulated in early 2017. It will not be distributed to FIDA members.
The Department explored two new measures but decided not to pursue them:
- A compliance measure: Rate of missing responses on assessment.
- An efficiency measure: Potentially Preventable Readmissions.
The Department is considering the addition of a new measure: SODs for unsatisfactory completion of a performance improvement project. It has also hired a new staff member to support and oversee performance improvement projects.
Contact: Karen Lipson, klipson@leadingageny.org, 518-867-8383 ext. 124