Quality and Utilization Measures
Program Evaluation Overview
MHCC is interested in learning whether the MMPP can improve health care quality and, thereby, health outcomes, while reducing costs of care. It also wishes to assess the practice transformation process and the benefits received by practices from shared savings. Thus, the external evaluators -- IMPAQ International and its partners, Johns Hopkins, Healthcare Resolution Services, and University of Maryland -- are analyzing whether the MMPP improves health care quality and health outcomes while reducing the cost of care and assess the process of transforming practices into primary care medical homes.
To examine the overarching questions, the evaluators are using a pre/post, mixed methods evaluation design that consists of three parts. They will assess (1) access, quality, utilization, disparities and cost outcomes, using administrative data; (2) implementation and practice transformation, using interviews, site visits, and administrative data; and (3) satisfaction among patients and providers, using existing survey instruments. The evaluators hypothesize that participating practices will (1) improve access to and increase the quality of care; (2) increase patient, provider, and staff satisfaction; (3) reduce health disparities; (4) decrease the utilization of costly services; and (5) lower payer costs of care.