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Blueprint for Health

Blueprint (SISC)

Statewide average % for Developmental Screening in the First Three Years of Life

66.4%2018

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Notes on Methodology
  • The statewide average percentage of the Developmental Screening in the First Three Years of Life performance measure was generated by Onpoint Health Data, the statewide administrator of the All-Payer Claims Dataset. Onpoint updated this measure every six months, accounting for the next 6-month time period. The statewide average percentage of the Developmental Screening in the First Three Years of Life performance measure was listed in every Health Service Area Pediatric profile, which can be found here (https://blueprintforhealth.vermont.gov/community-health-profiles).
  • The statewide average percentage of the Developmental Screening in the First Three Years of Life performance measure is a claim-based measure pertaining only to a subset of the Vermont population - insured patients who received the majority of their primary care from a Blueprint practice.  This measure is not a Vermont population-level estimate. 
  • Since HEDIS does not produce national benchmarks on this measure, the goal has been identified as the Blueprint’s metric of improvement in the Blueprint performance payment methodology, which is an increase of 5% each study period. The Blueprint performance payment methodology can be found here (https://blueprintforhealth.vermont.gov/implementation-materials
Partners
  • The local Blueprint Transformation Network, which includes: QI Facilitators, Community Health Team leaders, and Project Managers
  • Staff at Blueprint Patient-Centered Medical Homes (PCMHs)
  • Onpoint Health Data (until 12/31/2019)
  • Vermont Department of Health 
  • Vermont Child Health Improvement Program  
Story Behind the Curve

The Developmental Screening in the First Three Years of life (DEV) measure is the second of the four key indicators of quality health care.  This measure assesses the percentage of children screened for risk of developmental, behavioral, and social delays using a standardized screening tool in the 12 months preceding their first, second, or third birthday.

The Blueprint includes performance-based payments to encourage providers to participate in population and community health improvement initiatives with the goal of greater collaboration. These are key indicators that are in alignment with the All Payer Model core quality measures. Improvements in these areas are indicative of an evolving and improving system of care.

The trend line above shows that there has been significant improvement on this measure due to the coordinated efforts of internal and external partners. The Blueprint implemented the pay for performance model on this measure in July 2015. This measure was chosen for payment because it reflected a priority of the  provider network (ACO) in Vermont, it could be generated at the Health Service Area level using Vermont’s centralized data source without any need for additional data collection or reporting by providers, it was tied to prevalent underlying health concerns involving complex medical and social determinants, and it could be improved through better coordination, outreach, and transitions between medical and non-medical providers.


Last updated:  03/2/2020

Author:  Blueprint for Health

Strategy
  • Continue use as a performance payment measure
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy