Dr. Judy Zerzan
speaks about the creation of a new database and how it will impacts payers, providers and consumers.
Last month, it was announced that seven health plans in Colorado have come together to form a multi-payer data-sharing online tool that will help improve the quality of care for all state residents.
This idea was born out of the Comprehensive Primary Care (CPC) initiative - collaboration among public and private health plans - and the aims to make it easier for primary care practice to transition to a more integrated approach.
In an interview with RevCycleIntelligence.com, Dr. Judy Zerzan, chief medical officer and deputy director, Colorado Department of Health Care Policy and Financing (Colorado Medicaid), spoke about the new online tool, how it came about and what it means for payers, providers and consumers.
According to Zerzan
, they were chosen after a nearly nine month search where the payers came together to figure out what they needed and what was out their.
The top two data companies then presented and Rise Health
Colorado is the first state to create a system of this kind, on this scale.
The new database is going to link data together from all payers that are participating and put it together in a tool that providers can log into and see all the claims of patients in their practice.
"Right now, I would get, it use to be paper but now more often its email, notifications from different plans saying 'here are the patients you took care of that had diabetes and how they scored on their quality metrics' and depending on how many different payers I have seen patients of, I would get eight, nine, or 10 different reports," Zerzan
added that it can be very difficult for providers to pull all of this information together and truly answer questions like "am I doing a good job on diabetes or not?"
"The real innovation with this tool is that you will be able to see all of your metrics and all of the quality measures on them," Zerzan
"You will be able to better tell the quality of care you are providing and where the areas you need to improve upon for a quality improvement project."
added that part of the power of this aggregated database is that a practice can really look at where it is proving excellent care and where they need to improve care.
I think it is really going to make a big difference because providers don't have a lot of ways to see the data and this is going to allow people to think creatively and improve their practice," Zerzan
While the database is still waiting to be launched, Zerzan
said there are already plans for keeping the program running after the project is over and expanding it.
Last month, the state was one that received part of $665 million (Colorado received $65 million) in federal funding from the Department of Health and Human Services
as part of the State Innovation Model.
The money will be used to further develop a plan to integrate physical and behavioral health services and Zerzan
said that this will also be used to help improve the database and incorporate more information.
For now, Zerzan
said it is time to get the database up and running, which providers and payers are anxiously awaiting.
"We have heard from a lot of them saying 'come on already, this is going to be such a helpful tool for us, get it going.' They are clearly looking forward to the tool and using it," Zerzan