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Technical Specifications and Guidance Documents for Hospital Transformation Performance Program

Questions?


Email:
metrics.questions@state.or.us

 

Media contact:

Courtney Crowell
971-712-6503

 

For more information

  
Hospital Metrics Technical Advisory Group
Hospital Performance Metrics Advisory Committee
Metrics Performance Reports
Oregon's Medicaid Demonstration

Overview

As directed by Oregon House Bill 2216 of 2013, the Oregon Health Authority is using quality health metrics to show how well hospitals are advancing health system transformation, reducing costs, and improving patient safety.

Outcome and quality measures have been developed by the H​ospital Metrics Advisory Committee for the Hospital Transformation Performance Program. Funds from a quality pool will be awarded to hospitals based on their performance on these measures.

 

Program Structure

  
Hospital Improvement Target Brief (updated 30 July 2015)
Year 2 SBIRT Submission Guidance (updated Oct 2015)
Year 3 Data Submission Process and Schedule (updated Feb 2017)
Year 3 EDIE Measure Data Validation Process
Year 3 HTPP Payment Protocol Reference Instructions
Year 3 Measures and Benchmarks
Year 4 Data Submission Process and Schedule
Year 4 EDIE Measure Data Validation Timeline
Year 4 HTPP Payment Protocol Reference Instructions
Year 4 Measures and Benchmarks

 

Additional Technical Assistance and Guidance

  
CAUTI-CLABSI - Year 4 instructions for pulling SIRs from NHSN
CAUTI-CLABSI Year 3 Reporting Template
CLABSI-CAUTI Year 4 Optional Tracking Template
EDIE webinar - 5 March, 2015
HTPP Kick-off Webinar Recording - 7 October 2014
HTPP Kick-off Webinar Slides - 7 October 2014
Measure Specifications webinar - 28 October 2014
Measure Specifications webinar recording - 28 October 2014
Medication Safety Measures - Counting Guidance Memo
PCP Notification in EDIE
SBIRT Guidance Document - Hospitals Submitting Data for Full Screen
SBIRT webinar recording - 21 October 2014
SBIRT webinar slides - 21 October 2014
Year 3 Performance Calculations Document
Year 4 - Accessing EDIE-sourced Reports

 

The Oregon Association of Hospitals and Health Systems (OAHHS) also provides technical assistance webinars on its website​.

 

Incentive Measure Specifications (Eligibile for Incentive Payment)

Final specifications used to produce incentive (pay for performance) measures for HTPP Years 3 and 4 are available below. Measures were produced using national and standardized specifications. Variations are noted in the documents.

Years 1 and 2 specification sheets and methodology documents are available upon request. These documents have been removed from the webpage to minimize confusion between the measurement years.​

  
Year 3 - Adverse drug events due to opioids
Year 3 - Catheter-associated urinary tract infections (CAUTI) in all tracked units (revised July 29 2016)
Year 3 - Central line-associated bloodstream infections (CLABSI) in all tracked units (revised July 29 2016)
Year 3 - Emergency Department Information Exchange (revised July 29 2016)
Year 3 - Excessive anticoagulation with warfarin
Year 3 - Follow-up after hospitalization for mental illness (revised August 31 2016)
Year 3 - HCAHPS, Staff always explained medicines
Year 3 - HCAHPS, Staff gave discharge information
Year 3 - Hospital-wide all-cause readmissions
Year 3 - Hypoglycemia in inpatients receiving insulin
Year 3 - Screening, brief intervention, and referral to treatment (SBIRT) in the ED (revised July 29 2016)
Year 4 - Adverse drug events due to opioids
Year 4 - Catheter-associated urinary tract infections (CAUTI) in all tracked units
Year 4 - Central line-associated bloodstream infections (CLABSI) in all tracked units
Year 4 – Emergency Department Information Exchange (updated 6 March 2017)
Year 4 - Excessive anticoagulation with warfarin
Year 4 - Follow-up after hospitalization for mental illness
Year 4 - HCAHPS, Staff always explained medicines
Year 4 - HCAHPS, Staff gave discharge information
Year 4 - Hospital-wide all-cause readmissions
Year 4 - Hypoglycemia in inpatients receiving insulin
Year 4 - Screening, brief intervention, and referral to treatment (SBIRT) in the ED
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Year 4 Voluntary Measure Specifications (Not Eligible for Incentive Payments)

The measures below are not eligible for incentive payment in HTPP Year 4 (calendar year 2017). However, hospitals are encouraged to track and voluntarily report data to OHA. Voluntary reported data may be used as a baseline for potential future quality incentive payment. 

  
Year 4 - C-difficile infections
Year 4 - Reducing cesarean sections and Unexpected newborn complications - newborn comp algorithm codes_20160606_cmqcc
Year 4 - Reducing medically unnecessary cesarean sections and Unexpected newborn complications
Year 4 - Safe opioid prescribing - Draft HTPP opioid master list
Year 4 - Safe opioid prescribing - DRAFT
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