March 23, 2018

GCACH Information Technology Requirements

Wes Luckey

Many areas critical to the success of the GCACH Medicaid Transformation Project (MTP) will be dependent upon information technology.   One of these areas will be the tracking and monitoring of Participating Provider progress in achieving Pay-For-Reporting (P4R) and Pay-For-Performance (P4P) measures.  The achievement of DSRIP Incentive funds in Demonstration Year 3 (2019) through Demonstration Year 5 (2021) will be based exclusively on how well our Participating Providers perform across the required P4R and P4P metrics; better performance will mean increased funding.  So, it is essential that the GCACH create a mechanism for capturing, aggregating and reporting these metrics.  This will allow the GCACH, as well as its partners and stakeholders, to track provider progress in transformation efforts, highlight and share best-practices, and inform where there are opportunities for improvement.

The GCACH is currently reviewing different software products for this important reporting function.  Two such products are Life QI and CSI.  We had an initial demonstration of the Life QI product on March 13 and were impressed by its features relating to project management, data reporting, PDCA cycles, and more.

Its clean interface, relatively easy-to-use features and low cost appealed to us. However, it may not be reasonable to expect that one software product will fulfill all of the needs of the GCACH and its Participating Providers.  We may choose more than one product to meet the needs of different types of provider organizations; e.g., small versus large, healthcare versus community-based organizations, etc.  The review process continues, and we will keep you up to date on our progress.