Introduction

The Kentuckiana Health Collaborative goals are to improve patient outcomes and promote best practices by collaboratively developing and implementing quality measures, promoting provider and patient education, and utilizing data to promote benchmarks and improved patient care.   

Clinicians in Greater Louisville, including Southern Indiana, receive annual Consolidated Measurement Reports with feedback on the quality of care their patients received in select clinical areas of focus.  Through a partnership with the Kentucky Health Quality Agenda (KHQA), now a subcommittee of Kentuckiana Health Collaborative, the reports have been made available throughout the entire state of Kentucky.  Anthem Blue Cross Blue Shield, Humana Health Plan of Kentucky, Passport Health Plan, and Kentucky Medicaid provide data derived from their annual Health Plan Employer Data and Information Set (HEDIS^®) submissions to create and distribute private consolidated measurement reports to providers.  These reports allow for individual comparison of provider data to average and benchmark data.  The consolidated data, which do not include patient identifiers, are in compliance with the Health Insurance Portability and Accountability Act (HIPAA).  Other identifiers, including provider identifications, are used to match information across the payers’ data sets.  Provider reports have been confidential and only aggregate community data has been made available to the public.

Group practice consolidated measurement reports using de-identified aggregated data are also made available to groups for a nominal fee that met eligibility requirements (i.e., provider and patient minimum).   The KHC reviews their quality improvement efforts annually.  Each year, the NCQA Effectiveness of Care measures are carefully reviewed for inclusion in provider reports.