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APHA Scientific Session and Event Listing

Recorded presentation

Leslie A. Watts, MS¹, Michael Policar, MD, MPH², Heike Thiel de Bocanegra, PhD, MPH², John Mikanda, MD, MPH³, and Phillip Darney, MD, MPH⁴. (1) University of California, San Francisco, Bixby Center for Reproductive Health, Research & Policy, California Department of Health Services, Office of Family Planning, P.O. Box 997413, MS 8400, Sacramento, CA 95899-7413, 916 650-0425, lwatts1@dhs.ca.gov, (2) Bixby Center for Reproductive Health Research & Policy, University of California, San Francisco, CDHS Office of Family Planning, P.O. Box 997413, MS 8400, Sacramento, CA 95899-7413, (3) Maternal, Child, Adolescent Health/Office of Family Planning, California Department of Health Services, PO Box 997413, MS 8400, Sacramento, CA 95899-7413, (4) Center for Reproductive Health Research and Policy, University of California, San Francisco, 1001 Portero Ave, Ward 6D, San Francisco, CA 94110

California's Department of Health Services' Office of Family Planning (OFP), which administers the State's publicly-funded family planning and reproductive health program, Family PACT (Planning, Access, Care and Treatment), initiated an innovative quality improvement activity in fall 2005: Family PACT Provider Profiles. Based on claims and client enrollment data, OFP sent individualized profiles on six key quality improvement and utilization management indicators and average peer-group performance to its nearly 2,000 providers. These indicators are clinically relevant, objectively measurable, influenced by the behavior of individual providers and linked to improved outcome.

Data in the profiles show as bar graphs reflecting an individual provider's performance over three six-month increments of time. The profiles are released every six months with additional indicators added periodically. The second release took place in February 2006 with two additional indicators included.

In this presentation, we will test the assumption that regular personalized feedback and peer-group comparison on performance indicators will induce behavior change and thus, improve clinical outcome. We will also discuss how this information guides technical assistance and provider support activities to improve quality of care and appropriate utilization of services.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

• Describe an innovative use of administrative and claims data for offering feedback to providers.
• Identify family planning quality improvement and utilization management indicators used by a statewide program.
• Describe the impact of provider feedback on performance measures.

Keywords: Quality Improvement, Indicators

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation