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What Is The Mecklenburg Provider Performance Report?
The Mecklenburg Provider Performance Report (MPPR) is a local four star measurement of the performance of child and adult mental health, developmental disability and substance abuse service providers based on specific quality indicators. It brings together pieces of information about each provider that have not previously been available in one place.
Why Was It Developed?
The Mecklenburg Consumer and Family Advisory Committee or Mecklenburg CFAC, is an advisory committee to MeckLINK Behavioral Healthcare which is the local managed care agency for publicly funded services to people in need of these services. In this role, it seeks ways to assist individuals and their families to be informed about their services and to make informed choices about providers of mental health, developmental disability and substance abuse services. Historically there have been no easy ways to compare service providers aside from "word of mouth" recommendations and individual research.
As part of its mission, CFAC also seeks to be a constructive partner with service providers and MeckLINK Behavioral Healthcare in developing and maintaining high quality, person centered and responsive services.
CFAC recognized a need for a method to compare providers of similar services across several measures of quality in order to:
- Educate individuals and their families about the factors that contribute to quality services.
- Enable individuals and their families to make more informed choices among agencies that provide the services essential to their health, well being and independence.
- Encourage providers to go beyond basic standards of quality in the services they provide.
- Encourage providers to work as a community to raise the quality standard for services in Mecklenburg County.
- Increase the number of people receiving care from high-quality providers.
How Was It Developed?
The MPPR began as a project of the Mecklenburg CFAC in partnership with staff from Mecklenburg MHDDSAS. The Mecklenburg Provider Council Executive Board soon joined as a partner and a work group was formed of CFAC members, Mecklenburg Provider Council Executive Board members and MeckLINK staff. The work group jointly developed the content of each star level over a period of time with continual feedback from the Mecklenburg CFAC and the Provider Council Executive Board.
The work group agreed on 3 primary objectives in choosing the measures in the report:
- The measure would be relevant and useful to people making choices among providers.
- There would be concrete and objective ways to determine success for each measure.
- The process would impose minimal new administrative burdens on providers.
- The process would impose minimal new administrative burdens on providers.
What Do the Stars Mean?
The stars awarded in the MPPR reflect a service provider's success in 4 key quality indicators:
- Compliance with local and State regulations and standards
- Demonstrated commitment to improve quality
- Demonstrated focus on the individual's expressed goals, strengths and needs
- Demonstrated focus on the individual's and family's involvement
Scores for the star ratings are compiled from information which providers have already supplied to the State or to Mecklenburg AMHDDSAS as part of normal provider monitoring with the exception of the focus on the individual's and family's involvement. For this quality indicator, points are awarded based on self reporting supported by proof in documentation. The MPPR brings together pieces of information about each provider that were previously not available in one place.
There are 4 Stars in the MPPR.
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To be rated at 1 Star a provider must successfully meet all the minimum State and local regulations and standards required for the service they provide. These are basic compliance measures. |
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To be rated at 2 Stars, a provider must achieve the first steps toward continuously improving quality. It is possible to achieve 2 ½ Stars.
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To be rated at 3 Stars, a provider must make significant steps to meet key indicators of quality (above). It is possible to achieve 3 ½ Stars.
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To be rated at 4 Stars, a provider must have achieved the key indicators of quality and have ensured individual and/or family inclusion in educational and support activities and decision-making for the agency's vision, mission and policies.
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Who Participates?
All providers in Mecklenburg County who deliver Medicaid and/or State funded (publicly funded) mental health, developmental disability and substance abuse services to adults and children.
How Often Are Agencies Rated?
Publication of provider ratings began in March 2010. In March of 2012 a star rating review team composed of CFAC members, provider representatives and LME staff completed revisions of the Star Rating consumer tool to better meet the primary objectives for the tool. Revisions consisted of feedback from providers, the Provider Council Executive Board, CFAC and LME staff.
As of April 2012, all previous Star Ratings have been removed from the website. As providers are re-evaluated using the revised tool, their scores will be posted. The initial round of provider ratings using the revised tool will be completed for all state funded providers by late June 2012. For consistency, one person will perform all the reviews for these ratings. Provider ratings for Medicaid funded providers will be completed as more information is received from the State regarding monitoring tools that will be used after the implementation the Medicaid Waiver in January 2013. Agencies will be rated annually, or when new information or when significant changes occur that may affect the overall rating.
When are PPRs Completed?
As of January 2013, provider’s performance will be routinely measured through monitoring and through the Continuous Quality Improvement Process. _The state provider rating (report card) system will be utilized to determine the frequency and extent of routine monitoring of providers.
What are the Benefits of the MPPR?
The benefits of the MPPR for people receiving services are that children and adults and their families or caretakers can make more informed decisions about the providers they choose to deliver essential services and supports.
The benefit to providers is they have an opportunity to demonstrate to the people they serve and to the community that they are committed to providing quality care and to working towards continual improvement in that quality - to go above and beyond the requirements of the local and State service system.
Available Documents