Targeted Investments Program Participant Performance Measures Calculation and Quality Improvement Collaborative

Targeted Investments Program Participant Performance Measures Calculation and Quality Improvement Collaborative Targeted Investments Program Participant Performance Measures Calculation and Quality Improvement Collaborative providers participating in Years Two through Five of the Targeted Investments 2.0 Program (TIP 2.0) will achieve milestone incentive payments based on their performance on specified performance measures for each Area of Concentration in which they participate. The calculation of these performance measures requires analysis of the TIP 2.0 participants encounter data, as specified by the measure steward (e.g. NCQA), during each program year. AHCCCS shares encounter data with Arizona State University (ASU) as part of quality improvement initiatives. ASU has programs and systems for calculating measure performance data, and for utilizing encounter data to determine TIP 2.0 participants milestone achievement. AHCCCS is collaborating with ASU to form and conduct a TIP 2.0 Quality Improvement Collaborative (QIC) and related Technical Assistance (TA). Through in-person and multiple virtual meetings, TIP 2.0 providers participating in the QIC will be provided with timely and actionable performance metric information calculated by ASU, utilizing a performance management system to share best practices and disseminate the practical content needed to enhance participants TIP 2.0 milestone achievement. Led by an expert ASU team, this project consists of eleven main activities: 1) Project Oversight; 2) Identifying Participant Needs and Designing a Respective Curriculum to Implement QIC Sessions and TA; 3) QIC and TA Operations; 4) Data Collection, Analysis, and Reporting; 5) Develop Methodologies and Distribute Measures Technical Guidance, Including Attribution, Performance Measurement, Provider Identification, and Stratification of These Measures; 6) Develop and Distribute Year End Performance Measure Calculation for Determination of TIP 2.0 Participants Incentive Payments to AHCCCS and Each Participant; 7) Develop Related Quarterly and/or Annually Qualitative and Quantitative Reports To Submit To the Centers for Medicare and Medicaid Services (CMS); 8) Calculate AHCCCS Aggregate Performance and Conduct Statistical Analyses To Support Final Calculations and TA; 9) Project Management; 10) Develop and Maintain Performance Measure Dashboards for AHCCCS Aggregate and each TIP 2.0 Participant; and 11) Develop and Calculate Performance Measures with Electronic Clinical Quality Data and Survey Data If Required.