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
Washington state. Alliance participants support the use of evidence and data to identify and measure quality health care.
What is the Community Checkup?
The Community Checkup is a report that presents performance results for medical groups, clinics and hospitals in the Puget Sound region. The report on ambulatory care includes measures of care provided
to people with chronic conditions, the use of generic drugs and preventive services. The report is intended to help everyone make more informed decisions and to motivate improvement in health care quality
and value. The report relies on claims and encounter data supplied by health plans, self-insured purchasers, union trusts and the Washington State Department of Social and Health Services (Medicaid).
Data submitted for the report is de-identified and aggregated and reported by medical group and clinic location. The following data suppliers shared their data to help create the report:
- 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
- King County (via Aetna and Group Health)
- Molina Healthcare of Washington
- Premera Blue Cross
- Recreational Equipment Inc (via Aetna and Group Health)
- Regence Blue Shield
- Sound Health and Wellness Trust (via Zenith Administrators and Group Health)
- Snohomish County (via Regence)
- Washington State Health Care Authority Uniform Medical Plan (via FIServ, Aetna and ODS)
- United Healthcare
- Washington Teamsters Welfare Trust
How is the Community Checkup Created?
Assembling the measure results is a multi-step process that includes the following:
- Data Submission and Validation - Data suppliers submit claims and encounter data to Milliman, the data vendor for the project. Milliman works directly with data suppliers to validate the data submitted and the initial performance measure results.
- Medical Group Roster Updates - Medical groups update their clinician rosters and practice locations.
- Clinician Assignment to Clinic Location - The Alliance uses the medical group-supplied information from the OHP NPI Directory to develop a comprehensive list of clinicians by clinic location (the provider crosswalk).
- Measure Calculation - Milliman removes patient identifying information to ensure privacy, aggregates the data and calculates measure results.
- Attribution of Results to Clinic Location - Milliman attributes results to the clinics based on the providers' practice locations.
- Medical Group Review of Draft Results - The Alliance runs medical group and clinic results and posts them to a secure online portal. Medical groups access and review their draft results via the secure portal and notify the Alliance of any potential data issues.
- Measure Results Finalized - The Alliance, Milliman and the medical groups resolve data issues in order to finalize the dataset and run final results.
- Measure Results Made Public - Medical groups receive a detailed final report and a more general report is released to the public. Additionally, the results are incorporated into a searchable online tool on the Alliance web site at www.wacommunitycheckup.org.
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