Committee Members

-
Mr. Martin Cohen (Chair)
- Dr. Carole Allen
- Dr. Wendy Everett
- Ms. Veronica Turner
- Secretary Marylou Sudders, Executive Office of Health and Human Services

What is the Focus of QIPP?

-
Examining the impact of health system changes on the quality of health care
- Overseeing operations of the Office of Patient Protection (OPP)
- Tracking the progress of behavioral health integration
- Developing regulations and guidance relative to nurse staffing in hospital intensive care units (ICUs)
- Coordinating with the Department of Public Health, MassHealth, the e-Health Institute, and other agencies

QIPP in Action

- Office of Patient Protection (OPP):
OPP safeguards the rights of health insurance consumers by regulating the internal grievance process and administering external reviews for consumers with fully-insured Massachusetts health plans. OPP also administers health insurance enrollment waivers for Massachusetts residents who are seeking health insurance outside of an enrollment period. OPP provides information and education about health insurance to consumers. The QIPP Committee receives regular updates on OPP activities.
- Nurse staffing regulations: In 2014, the Legislature passed a law limiting patient assignments for registered nurses in hospital ICUs. The HPC was charged  with promulgating a regulation to govern the implementation and operation of this law, including the formulation of an acuity tool to assess ICU patient stability, the method of reporting to the public on staffing compliance in hospitals ICUs, and the identification, measurement, and public reporting by hospitals of patient safety quality measures. The QIPP Committee oversaw the HPC’s regulatory development process. The final regulation was approved by the Board on June 10, 2015.
- Opioid Abuse Report: As mandated by the Legislature, the HPC is developing a report that will make recommendations to improve access to opiate abuse treatments. The HPC’s report will examine how the Commonwealth is addressing long term incidence and prevalence of opioid addiction. The QIPP Committee is engaged in guiding the development of the report.
- Substance Exposed Newborns: In the Commonwealth’s FY16 budget, the HPC was awarded $500,000 to implement a pilot approach to integrated care for opioid-exposed newborns. The pilot emphasizes the inclusion, both in-hospital and post-natal, of behavioral health, medical, and social services providers. The QIPP Committee will provide guidance in the development of this pilot program.

May 18, 2016

9:30AM
50 Milk Street, 8th Floor
Boston, MA

Agenda  pdf format of Agenda

April 6, 2016

Joint meeting of the Quality Improvement & Patient Protection and Cost Trends & Market Performance Committees

10:00AM
50 Milk Street, 8th Floor
Boston, MA

Agenda  pdf format of Agenda
Meeting Minutes - March 23, 2016  pdf format of Meeting Minutes - March 23, 2016
Presentation  pdf format of Presentation
file size 1MB
Presentation - Preliminary Findings from Oral Health Brief  pdf format of Presentation - Preliminary Findings Oral Health Brief
file size 1MB
2015 Cost Trends Report: Out-of-Network Billing  pdf format of 2015 Cost Trends Report: Out-of-Network Billing
Audio  mp3 format of Audio
file size 117MB

As recently outlined in the HPC’s 2015 Cost Trends Report, the HPC has identified out-of-network billing as an area of policy interest.  In connection with the 2015 Cost Trends Report series, the HPC is releasing this Policy Brief, which provides more detailed information on out-of-network billing, related concerns, and policy approaches to address such concerns.  The Policy Brief provides background for an upcoming joint meeting of the Cost Trends and Market Performance and Quality Improvement and Patient Protection Committees on April 6, 2016 at 10 a.m. at the HPC’s offices at 50 Milk Street, 8th Floor, Boston, MA 02109.  The joint committee meeting will provide an opportunity for stakeholders and members of the public to provide comments to the HPC regarding out-of-network billing.

March 23, 2016

9:30AM
50 Milk Street, 8th Floor
Boston, MA

Agenda  pdf format of Agenda
Meeting Minutes February 10, 2016  pdf format of Meeting Minutes February 10, 2016
Presentation  pdf format of Presentation
file size 1MB
Opioid Report Presentation  pdf format of Opioid Report Presentation
file size 1MB
RBPO Appeals Bulletin  pdf format of RBPO Appeals Bulletin

February 10, 2016

December 9, 2015

11:00AM
50 Milk Street, 8th Floor
Boston, MA

Agenda  pdf format of Agenda
Meeting Minutes November 12, 2015  pdf format of Meeting Minutes November 12, 2015
Presentation  pdf format of Presentation
file size 1MB

November 12, 2015

11:00AM
50 Milk Street, 8th Floor
Boston, MA

Agenda  pdf format of Agenda
Meeting Minutes September 22, 2015  pdf format of Meeting Minutes September 22, 2015
Presentation  pdf format of Presentation
file size 1MB

September 22, 2015

1:00PM
50 Milk Street, 8th Floor
Boston, MA

Agenda  pdf format of Agenda
Meeting Minutes July 8, 2015  pdf format of Meeting Minutes July 8, 2015
Presentation  pdf format of Presentation
file size 1MB

July 8, 2015

Joint meeting of the Care Delivery & Payment System Transformation and Quality Improvement & Patient Protection Committees.

9:30AM
50 Milk Street, 8th Floor
Boston, MA

Agenda  pdf format of Agenda
Meeting Minutes May 20, 2015  pdf format of Meeting Minutes May 20, 2015
Notice of Hearing: OPP Regulations  pdf format of Notice of Hearing: OPP Regulations
Presentation  pdf format of Presentation
file size 2MB
Presentation: Office of the Attorney General  pdf format of Presentation: Office of the Attorney General
Presentation: Executive Office of Health and Human Services  pdf format of Presentation: EOHHS

May 20, 2015

11:00AM
50 Milk Street, 8th Floor
Boston, MA

Agenda  pdf format of Agenda
Meeting Minutes March 4, 2015  pdf format of Meeting Minutes March 4, 2015
Presentation  pdf format of Presentation

March 4, 2015

9:30AM
50 Milk Street, 8th Floor
Boston, MA

Agenda  pdf format of Agenda
Meeting Minutes January 6, 2015  pdf format of Meeting Minutes January 6, 2015
Presentation  pdf format of Presentation
file size 2MB

January 6, 2015

10:00AM
Charles F. Hurley Building
19 Staniford Street
Sixth Floor, Minihan Hall
Boston, MA 02114

Agenda  pdf format of Agenda
Presentation  pdf format of Presentation
file size 2MB
Meeting Minutes December 10, 2014  pdf format of Meeting Minutes December 10, 2014
Final ICU Nurse Staffing Regulation  pdf format of Final ICU Nurse Staffing Regulation

December 10, 2014

10:00AM
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda  pdf format of Agenda
Presentation  pdf format of Presentation
file size 1MB
Meeting Minutes October 29, 2014  pdf format of Meeting Minutes October 29, 2014

November 19, 2014

9:00AM
State House

Gardner Auditorium
Boston, MA 02133

Notice of Public Listening Session  pdf format of Notice of Public Listening Session
Sign up to testify 

October 29, 2014

10:30AM
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda  pdf format of Agenda
Meeting Minutes August 13, 2014  pdf format of Meeting Minutes August 13, 2014
Presentation  pdf format of Presentation
Presentation: DPH on Mandatory Nurse Overtime  pdf format of Presentation: DPH on Mandatory Nurse Overtime

11:30AM
Listen Session - Nurse Staffing in ICUs
Listening Session Guidelines  pdf format of Listening Session Guidelines

August 13, 2014

9:30AM
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda  pdf format of Agenda
Meeting Minutes June 11, 2014  pdf format of Meeting Minutes June 11, 2014
Presentation  pdf format of Presentation

June 11, 2014

9:30AM
Joint CDPSR/QIPP Meeting
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda  pdf format of Agenda
Meeting Minutes April 9, 2014  pdf format of Meeting Minutes April 9, 2014
Committee Presentation  pdf format of Committee Presentation
file size 2MB
Presentation: Dr. Madeleine Biondolillo, Health Planning Council  pdf format of Presentation: Dr. Madeleine Biondolillo, DPH
file size 2MB

April 9, 2014

9:30AM
Joint CDPSR/QIPP Meeting on Behavioral Health Integration
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda  pdf format of Agenda
Meeting Minutes February 12, 2014  pdf format of Meeting Minutes February 12, 2014
Committee Presentation  pdf format of Committee Presentation
Presentation: Dr. Judith Steinberg, Commonwealth Medicine, UMass Medical School  pdf format of Presentation: Dr. Judith Steinberg
Presentation: Ms. Nancy Paull, STARR Addiction Treatment  pdf format of Presentation: Ms. Nancy Paull, STARR

February 12, 2014

9:30AM
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda  pdf format of Agenda
Meeting Minutes December 16, 2013  pdf format of Meeting Minutes December 16, 2013
Committee Presentation  pdf format of Committee Presentation

December 16, 2013

9:00AM
Public Hearing on Proposed Office of Patient Protection Regulation 958 CMR 3.00
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda  pdf format of Agenda
Meeting Minutes November 13, 2013  pdf format of Meeting Minutes November 13, 2013
Committee Presentation  pdf format of Committee Presentation
Notice of Hearing: Office of Patient Protection Regulation 958 CMR 3.00  pdf format of Notice of Hearing: OPP Regs 958 CMR 3.00
Proposed Updates to Office of Patient Protection Regulation 958 CMR 3.00  pdf format of Proposed Updates to OPP Regs 958 CMR 3.00
Proposed Updates to Office of Patient Protection Regulation 958 CMR 3.00 - Redline  pdf format of Proposed Updates to OPP Regs 958 CMR 3.00 Redline

September 9, 2013

9:30AM
Charles F. Hurley Building
19 Staniford Street
Sixth Floor, Minihan Hall
Boston, MA 02114

Agenda  pdf format of Agenda
Meeting Minutes July 23, 2013  pdf format of Meeting Minutes July 23, 2013
Committee Presentation  pdf format of Committee Presentation
file size 1MB
Behavioral Health Integration Task Force Report  pdf format of Behavioral Health Integration Task Force Report
file size 1MB

July 23, 2013

12:00PM
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda  pdf format of Agenda
OPP July Listening Session  pdf format of QIPP OPP July Listening Session
Meeting Minutes April 26, 2013  pdf format of Meeting Minutes April 26, 2013
Meeting Minutes June 10, 2013  pdf format of Meeting Minutes June 10, 2013
Committee Presentation  pdf format of Committee Presentation

June 10, 2013

9:00AM
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda pdf format of Meeting Agenda June 10, 2013
Committee Presentation  pdf format of QIPP June 10 Presentation

April 26, 2013

April 3, 2013

9:00AM
Center for Health Information and Analysis
Two Boylston Street, 5th Floor, Daley Room
Boston, MA 02116

Agenda pdf format of Agenda April 3, 2013
Meeting Minutes February 22, 2013  pdf format of QIPP Minutes 2-22-13
QIPP Committee Presentation pdf format of Committee Presentation
MassHealth Behavioral Health Integration Presentation pdf format of MassHealth Approaches to Behavioral Health Integration

February 22, 2013

Special Session on Mandatory Nurse Overtime
9:00AM – 11:00AM
Worcester Recovery Center and Hospital - Conference Center
Three Hundred and Nine Belmont Street
Worcester, MA 01605

Agenda pdf format of Agenda February 22, 2013
Directions pdf format of directions to worcester recovery center

January 16, 2013

12:15PM
One Ashburton Place
Twenty-First Floor
Boston, MA 02108

Agenda pdf format of QIPP Subcommittee Meeting Agenda 1/16/13