101 Panel: Innovations in Capturing Quality and Performance Data to Move to the Next Generation of Measurement

As the percentage of payments made to clinicians via alternative payment models (APMs) continues to grow, so too does the conversation around the need for meaningful measures for performance accountability.  Incremental progress toward the development of these more meaningful measures is being made via several payer- and provider-level strategies, including the development of innovative infrastructure systems that enable more efficient movement of data between providers, payers, and patients; and the push by multiple payers working within a single market to align their quality and performance measures. These efforts are focused on addressing the data collection and work flow issues that so often create roadblocks to measurement innovation, particularly related to development and implementation of patient-reported outcome measures (PROMs). In addition, there are the nation-wide efforts, such as the Clinical Quality Measures Collaborative (CQMC), and CMS’ Meaningful Measures initiative, which are seeking to align quality measures across payers at the national level, and to close measure gaps and re-envision the next generation of measure development, respectively. Together, these efforts can provide significant learning to the field on the question of how do we fundamentally create a system of measurement that allows clinicians to gather data that is useful for improving health across the entire patient population, including the ability to report standardized measures regardless of payer.

The objective of this session is to provide insight into breakthrough strategies to overcome existing barriers to data collection that both enable improvements in data collection and can be the path forward toward filling the gaps identified by the meaningful measures and other initiatives related to population-based outcomes and patient-reported outcomes.  This session will feature clinicians, payers, and other stakeholders sharing their knowledge and experience as it relates to both the high-level questions regarding filling measurement gaps using clinical, claims, and patient-reported data; as well as specific strategies and promising practices for aligning quality measures, and developing innovative data infrastructure that allows payers and providers to overcome data collection challenges that stymie measurement innovation.   Speakers will address the following questions:

• What innovations in infrastructure – for the goal of supporting the evolution toward seamless capture of the data that is necessary for meaningful measurement – are being achieved today?
• What are promising practices among providers using these innovative infrastructure systems to collect data across payers to gather greater insight into the needs of their patient population, regardless of payer mix?  And how are payers supporting the alignment of data collection for the purpose of quality measurement, across the care continuum?
• How can these innovations be scaled across markets and how can policy, market support, or other factors enable scalability.

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