About the Puget Sound Health Alliance
The Puget Sound Health Alliance is a regional partnership of physicians, hospitals, patients, employers, health plans and others working together to improve quality and efficiency in health care across the Puget Sound region (for a list of participants
please visit: http://www.pugetsoundhealthalliance.org/join/participants.html). Alliance participants are committed to supporting the
use of evidence and data to promote quality health care, and help the Alliance produce the Community Checkup report for use in decision-making (to view the most recent report
please visit: http://www.wacommunitycheckup.org).
What is the Community Checkup Report?
The Community Checkup report presents performance results by medical group and clinic location to help everyone make more informed decisions and to motivate improvement in health care quality and value. The report addresses care provided to people with chronic
conditions, the use of generic drugs and preventive services. The report relies on claims and encounter data supplied by 18 health plans, self-insured purchasers and union trusts. Data submitted for the report is de-identified (no individual patient identifiers) and aggregated and reported by medical group and clinic location. The following data suppliers shared their data to help create the reports:
- The Boeing Company (via Regence)
- Carpenters' Trust
- CIGNA
- City of Seattle (via Aetna)
- Community Health Plan of Washington
- Department of Social and Health Services
- First Choice
- Group Health
- Washington State Health Care Authority Uniform Medical Plan (via FIServ)
- King County (via Aetna)
- Molina Healthcare of Washington
- Premera Blue Cross
- Recreational Equipment Inc (via Aetna)
- Regence Blue Shield
- Retail Clerks (via Zenith Administrators)
- Snohomish County (via Regence)
- Washington Mutual (via United/MedStat)
- Washington Teamsters Welfare Trust
How is the Community Checkup Created?
Assembling the results is a multi-step process that includes the following:
Data suppliers submit claims data to Milliman, the Alliance vendor for the project
Medical groups update their clinician roster information in the OneHealthPort (OHP) Northwest NPI Directory Service
Milliman works with data suppliers to validate the data content and initial results
The Alliance uses the medical group-supplied information from OHP to develop a comprehensive list of clinicians by clinic location (the provider crosswalk)
Milliman removes patient identifying information to ensure privacy, aggregates the data and calculates measure results
The Alliance attributes results to the clinics based on the provider crosswalk and posts draft results to a secure online portal
Medical groups review their draft results on the secure portal and identify any potential data issues
The Alliance, Milliman and the medical groups resolve any data issues
The Alliance and Milliman finalize the dataset and run final results
Medical groups receive a detailed final report and a more general report is released to the public
For more information about the Community Checkup including technical specifications, reasonableness review process, attribution methods or to view the results,
please visit http://www.wacommunitycheckup.org.
For more information about the Alliance, please visit http://www.pugetsoundhealthalliance.org.
How to Access the Reports
QA Managers for each medical group can access the Community Checkup results by following these steps:
1. Use the login button at the top of this page to securely access the report site.
2. Enter your OneHealthPort QA Manager username and password (if you have not yet assigned a QA Manager for your medical group, see Assigning Roles in OneHealthPort).
3. Select the report you would like to view.
4. Select your preferred format (e.g. PDF, Excel) and click "export" for ease of review and distribution within your medical group.
How Can I Update My Clinic Roster and/or Medical Practice Locations?
To help ensure the Community Checkup appropriately reflects your medical group's information:
Update your clinic information in the Northwest NPI Directory. When updating your information, make sure each provider is associated with the correct location where he or she practices.
If you have any questions about this project or require assistance please contact:
Sean McCliment
Performance Report Analyst
Puget Sound Health Alliance
2003 Western Avenue, Suite 600
Seattle, WA 98121
sean@pugetsoundhealthalliance.org
(206) 448.2570 ext. 113
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