SNI plays three critical roles in support of California's public health care systems:
Providing Performance Measurement and Reporting Expertise
All successful performance improvement efforts are built on strong data collection and analytics capacities. These capacities are necessary to track and improve upon patient outcomes, as well as to succeed in an environment where payment is increasingly tied to quantifiable performance.
Through its Data for Improvement program and through its program-specific member support, SNI has been helping guide California’s public health care systems in creating infrastructures that will allow them to support and sustain robust data collection and analytics work, both for the Medi-Cal 2020 waiver programs and beyond.
One of the Medi-Cal 2020 waiver’s flagship programs is PRIME (Public Hospital Redesign and Incentives in Medi-Cal ), which is a pay-for-performance quality improvement program with eighteen possible projects, focusing on improvements in ambulatory care, high-risk populations, and efforts to improve patient care and efficiency.
To help California’s public health care systems meet PRIME’s extensive reporting requirements, SNI partners with national quality experts like the National Committee for Quality Assurance (NCQA) to streamline reporting, field questions from members, and work with the State to develop, refine, and regularly publish a 700-page metric specification manual and reporting guide. Similar member support for reporting is provided to members for the Global Payment Program and Whole Person Care.
A key role of SNI is to analyze system-level data collected through the Medi-Cal 2020 waiver’s programs to identify trends and bright spots, to enable members to see their performance compared to their peers, and to create opportunities to share successes and best practices.