PPMR Provider Performance Management Review

PPMR Provider Performance Management Review

How to Navigate and Read PPMR Reports

Press the F5 key on your keyboard to begin

Click to advance to the next slide

This tutorial will help you gain a better understanding of how to read and

navigate the PPMR. The presentation utilizes animated slides. Please click to

advance to the next slide when prompted to do so. You may exit the slideshow at

any point by pressing the Esc key on your keyboard. Provider names and consumer identifying information have been blurred

for privacy.

Next

Special Note for Medicaid Only Providers: PPMR reports are frequently grouped by

funding source and you will see reference to this grouping several times in the tutorial. Medicaid only providers will only have one

funding source, ‘Medicaid’, and will not see a funding source group for ‘All Contract

Sources’.

Next

You can select PPMR data from a 3 month quarter or a year. The first step is to pick the ending date for the period of time you would like . For instance, if you would like to view data for the entire year of 2012 you would select

the time period ending on 12/31/2012.

Select a date to continue

The next step is to select whether you would like to view 3 months or 1 year of data. Since we are going to use data from the entire year of 2012, you

would select ‘For the Last Year’ to continue.

Select a time frame to continue

Each report in the PPMR is separated by age group. For instance, if you were to select the ‘0-17, 18+’ grouping you would see data for individuals

aged 0-17 on one page of the report, and data for individuals 18+ on another.

Select an age group to continue

There are 34 different report measures available in the PPMR. You have the option to view reports for each individual measure, or you may

choose to see all the measures in one summary report.

Select all measures to continue

There are three summary reports available. ‘Summary (PPMR)’ displays data for each measure together for comparison between measures and time periods. ‘Summary by

Provider Type’ displays each measure on a separate page to compare your performance on each measure with other provider types. ‘PPMR Summary by Provider’ allows interested parties to quickly see how providers score across all their indicators.

Select the report to continue

This is the PPMR Summary report. As you can see by the headers on the left, this report is grouped by funding source and age group. For example,

there will be a separate report page for each age group within each funding source. Next

For each measure, you will see how your scores compare to the state average. Next

Looking at Outpatient Change in CAR: Domain 1, this provider’s score was above

the state average score. Next

Provider Denominator is the total number of consumers included in this measure. Provider Numerator is the number of consumers with a

positive indicator for this measure. Next

Please note that since CAR scores under 20 are not

counted, the denominator for each CAR score group may vary even though all nine domains are reported for

every consumer.Next

Since the provider score for this measure was higher than the state score, there is an up arrow in the Provider vs State

column. Next

For any measure where the Provider Score is below the State Score, there will be a

down arrow in the Provider vs State column Next

Scanning the Provider vs State column for down arrows is a quick

way to identify areas you may need to focus on. Next

Rank is your rating on a measure compared to other like provider types. This provider ranked #2

out of the 14 total providers in its provider type group on the Outpatient Change in CAR: Domain

1 measure. Next

The Quartiles column shows whether your rank for a measure was in the bottom 25% (frown symbol), middle 50% (neutral symbol), or top

25% (smile symbol). Next

The Previous Time Period section shows your score for each measure during the previous time period. For example, the report time period is for the entire year of 2012 so the

previous time period would be the entire year of 2011. Next

In 2011, 221 out of 776 total consumers had a positive indicator for the Outpatient Change in CAR: Domain 1 measure. The provider score

was 28.5. Next

Since the current time period score of 37.6 is greater than the previous time period score of 28.5,

there is a thumbs up symbol in the Current vs Previous column. A thumbs down symbol in this

column indicates the current score is lower than the previous score. Next

The last row of the PPMR is a summary of all the indicator columns. Looking at this row is an easy way to gauge

overall performance for the report group.Next




The Summary by Provider Type report is grouped by age group, measure, and level of care. You will see a separate

report page for each level of care and age group within each of the 28 PPMR measures. Next

This report page is comprised of data for Outpatient consumers aged 0-17 and focuses on the Change in CAR

Scores: Any Domain measure. Next

Each agency or provider is classified under a Provider Type Group. Next

Looking at the ODMHSAS CMHC group, you can see that there are a total of 14 providers in

this group. Next

This provider group served a total of 9,469 consumers, 7,383 of which had a positive

indicator for this measure. Next

The positive percent for this Provider Type group is 78%. This percentage is also represented in the

bar graph to the right. Next

You will also see your individual provider or agency data highlighted in yellow. The provider name is

listed (blurred) along with the provider type group to which it belongs. Next




The PPMR Summary by Provider report is grouped by Provider Type, Funding Source, and age group. You will see a separate report page for each Provider

Type and Funding Source within each age group. Next

This report page is comprised of data for ODMHSAS CMHCs from all contract sources for clients 18 and older. Next

For each provider, total counts of all indicators from the PPMR Summary report are listed. The counts show how many times the

provider is above/below the state average, the number of indicators they are in the bottom/middle/top ranking in the state, and the number of times the provider’s yearly score is better than

the last year. Next

Percents for each category are also displayed. Next

There are 34 different report measures available in the PPMR. You have the option to view reports for each individual measure, or you may

choose to see all the measures in one summary report.

Select measure to continue

There are 7 different reports available for each of the 34 individual PPMR measures.

Select report to continue

The Trend Line report is grouped by age group, funding source, and level of care. There will be a separate report

page for each level of care and funding source within each age group for this measure only. Next

This report compares your positive percent for the measure with the statewide percent over an extended period of time.

The number of quarters included may vary depending on available data. Next

Looking at the FY11-4th Quarter, you can see that this provider had a

total of 697 consumers included in the count for this measure and 585 of those had a positive indicator. The positive percent was 83.9%.

Next

The same data is displayed with system wide counts for comparison. Whenever system wide counts are available, only like provider types

are included. Since this provider is an ODMHSAS CMHC, only other

CMHCs are included in the system wide counts. Next

The positive percent for each quarter is also displayed in a chart. You can see above that this provider

maintains a positive percent above the statewide percent across the time period. Next



The Drill Down report is grouped by provider location, age group, funding source, and level of care. There will be a separate report page for each level of care, funding source, and age group within

each location for this measure only. Next

Each consumer count in this report is broken out by positive change, no change, and negative change for the measure. Next

Consumer counts are also broken down by episode type. Change can be measured from Admission to the last CDC 42, or from Admission

to Discharge (Planned or Unplanned). Next

Percentages are displayed to the right Next

Sometimes certain consumers are excluded from counts. Please refer to the report description for exclusion criteria. Next

You can drill down to view information for the consumers that make up each count. Click the plus symbol next to the count to expand the positive count for unplanned

discharges.

Individual data for each consumer is displayed. Next

There are 7 different reports available for each of the 34 individual PPMR measures. Select report

to continue

The Ranking report is grouped by age group, funding source, and level of care. There will be a separate report page for each level of care and

funding source within each age group for this measure only. Next

This report ranks each provider within the provider type group by their positive score on the report measure. Next

Your individual provider or agency data is highlighted in yellow and your provider type group is bolded. Next

As you can see, the provider in this example is ranked below the average for their provider type group. Their positive percent for

this measure is 10.1%. Next



The Clinician Report is grouped by provider location, age group, funding source, and level of care. There will be a separate report page for each level of care, funding source, and age group within

each provider location for this measure only. Next

Results for the report measure are broken down by individual clinician. Next

You can see that this clinician served a total of 8 consumers in this report group. 4 had a positive change on this measure and 4 had no

change. This clinician’s positive score is 50% Next

By clicking the plus symbol to the left of the clinician, you can drill down to see individual data for each consumer.

Consumers are broken out by episode type. Change can be measured from Admission to the last CDC 42, or from Admission to Discharge

(Planned or Unplanned). Next

Individual consumer information is displayed along with a checkmark to indicate whether they had a positive or negative change, no

change, or were excluded. Next



The Demographic Report is grouped by age group, funding source, and level of care. There will be a separate report page for each level of care and

funding source within each age group for this measure only. Next

In this report, consumer counts are broken out by each field on the CDC. Next

For each CDC field category, consumer counts are broken out by positive change, no change,

negative change, and excluded. Next

This report can be useful in identifying demographics which perform better or worse on

a particular measure. Next



The Pie Chart Report is grouped by age group, funding source, and level of care. There will be a separate report page for each level of care and funding

source within each age group for this measure only. Next

This report compares your performance on the measure with performance system wide. Whenever system wide counts are available, only like provider

types are included. Since this provider is an ODMHSAS CMHC, only other CMHCs are included in the system wide counts.

Next

Consumer counts are broken out by episode type. Change can be measured from Admission to the last CDC 42, or from Admission to Discharge (Planned

or Unplanned).

Next

Counts for positive change, no change, negative change , and excluded are displayed for each episode type.

Next

Percentages are displayed to the right.

Next

Data is also displayed in pie charts. You can see by the blue shaded area that this provider has a greater positive

percent than the system wide percent.

Next

Report Navigation & Toolbars

PICIS Report Toolbar

PPMR Quick Links

Page NavigationThe blue arrows can be used to go forward and backward between report pages. To go to a specific page, type the page number in the text box and press enter on your keyboard.



PPMR Quick Links

ZoomBy adjusting the zoom, you can make reports bigger or smaller. This can be useful when sizing a report to fit the viewing window.



PPMR Quick Links

Find TextTo search a report for a specific text, type it in the box and click Find. Click Next to locate subsequent occurrences.



PPMR Quick Links

Export DataTo export report data, select the desired format from the dropdown and click Export.



PPMR Quick Links

Main MenuClicking the green arrow will

take you back to the main menu, beginning with time

period selection.



PPMR Quick Links

Report SelectionClicking the page icon will bring you back to the report selection screen

for the current measure.



PPMR Quick Links

Measure SelectionClicking the ruler icon will bring you back to the measure selection screen.

For additional assistance with PPMR reports, please contact the PICIS Helpdesk

• Local Phone: 405-521-6444• Toll Free Phone: 1-855-521-6444• Email: [email protected]

Documents

PPMR Provider Performance Management Review