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Provider Scorecard FAQs

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Why do we need a scorecard?
First
, it is desirable to have a single place to gather and report the data that is determined to be most important in reference to provider performance and to be able to do so in a clear and concise manner.

Second, it is useful for providers to receive feedback that will help them identify their performance strengths and challenges, as well as how their performance compares to their peers, so that they can have the opportunity to improve their service delivery.

Third, it is important to be able to aggregate and report targeted data in a way that can help to inform the Department about the quality of care children are receiving from contract providers, which can then help guide the Department in making contractual decisions.

The scorecard data will be organized in three different categories: Safety, Permanency, and Well-Being.

These three categories coincide with the three key areas of work of our Department, and it made sense to think about our providers’ performance in this fashion.

What does a provider scorecard look like?
The scorecard contains approximately 20 indicators within the domains of safety, permanency, and well-being. The scorecard uses quantitative and qualitative data in each domain. The first page of the scorecard provides a score and group rank for Safety, Permanency, and Well-Being. The following pages provide a detailed score for each indicator in Safety, Permanency, and Well-Being. Please review the Scorecard Scoring Protocol for a description of how each measure was calculated.

Is the scorecard all qualitative or quantitative measures?
The scorecard is a mixture of both. Some information gathered will be quantitative for example, face to face visits, medication errors, Chapin Hall measures, etc. Some information will be gathered through case file reviews to examine quality for example, Initial and Ongoing Assessment that link to Treatment Plans, Education, and Interdependent Living.

Are all providers being compared to each other regardless of level?
No, we completed a more thorough analysis of the percentage of care days devoted to the various levels of care by provider by using Chapin Hall data.

The four groups identified are:

  1. Group III- primarily level III, sub category Level II
  2. Group FC- primarily FC, sub category level II
  3. Group II- primarily level II, sub category Level III
  4. Group PTC- primarily PTC/FC, sub category level II

How will you account for agency size when compared to other agencies?
Some of the data will use bed days as well as a rate per 10,000 to address size issues for example, Medication Errors, Physical Restraints, Assaults, and Runaways. Some data will not be affected by size for example, face to face visits, monthly summaries, and EPSD&T & Follow-up. These may be scored by percentage of completion.

How were the indicators chosen?
Indicators were identified by the DCS Monitoring Grid. The DCS Monitoring Grid was shared with the Provider Scorecard Group and key DCS Leadership staff. Both groups identified their top 25 indicators and the lists were compared for similar indicators. The indicators were ranked in order of importance. Both provider and DCS choices were very similar.

What is the Provider Scorecard Group?
The provider scorecard group was formed earlier this year and is comprised of several private providers (Phoenix, Middle Tennessee Collaborative, Omni, Centerstone, Youth Villages) and DCS staff. The group was formed to identify potential indicators as well as address scoring issues and obtain provider feedback. Provider members are encouraged to share progress with providers who are unable to participate in the workgroup.

How is the Provider Scorecard different from Performance Based Contracting?
PBC compares agencies to their historical data. An agency can earn reinvestment dollars by improving their target goal. The Scorecard uses the data to compare agencies’ current performance to each other. It is possible for an agency to reach their target and earn reinvestment dollars but not score as well on the scorecard, when compared to other agencies.

When and who will receive the Scorecard?
The scorecard will initially be produced for Group III (primarily level III, sub category Level II) providers. The scorecard will be delivered by October 2010 for FY2009 to FY2010.

Will all PBC providers receive a scorecard?
Yes, a scorecard will be produced for all of the PBC providers in October 2011 for FY2010 to FY2011.

EPSDT Measure
EPSDT Reporting Information for DCS Contract Agencies
Meeting Minutes
        September 25, 2009
        October 16, 2009
        June 28, 2010
        July 29, 2010
2011 Scorecard Documents
        Accreditation FY 2011 Contract Rule and 10% of Business
        Scorecard FY 2011: Cycle and Monitoring Approach
        Scorecard Indicators FY 2011