Slide 1:
Early Indicators Project Update
By: Olivia Richard, Implementation Council
December 20, 2013

Slide 2: Overview	
•	Project goal 
•	To assess the perceptions and early experiences of MassHealth members regarding One Care
•	Mixed-method approach
•	Focus groups
•	Two surveys
•	Indicators of One Care experience
•	Timeframe
•	October 1st, 2013 – March 31st, 2015
•	Focus group and survey work beginning now; expect to issue some initial indicators next month with additional data included over time

Slide 3: Early Indicators Project Work Group	
•	4 members of the Implementation Council (IC), 3 MassHealth staff and 2 UMass Medical School staff meet bi-weekly
•	IC representation
•	Olivia Richard
•	Ted Chelmow
•	Jeff Keilson
•	Dennis Heaphy
•	Work group developing focus group and survey tools, determining methodologies, identifying indicators, developing reports

Slide 4: Project Scope
•	Focus on early data
•	Focus groups held between December 2013 and March 2014
•	Survey #1 conducted between December 2013 – February 2014
•	Survey #2 conducted between May 2014 – December 2014
•	Indicators reported regularly starting in January 2014

•	Data is available prior to and is distinct from One Care programmatic evaluation / reporting of quality measures
•	Characteristics of early indicators:
•	Measurable – data exists and is readily accessible
•	Truly early – information must be available in the short term
•	Actionable – provides information that can point to actions or steps we can take to achieve a course correction

Slide 5-6: Focus Groups
•	Five focus groups 
•	Population: Enrollees who chose to opt-in = December 16th – Boston
•	Population: Individuals who chose to opt-out = December 19th – Worcester
•	Population: Spanish-speaking enrollees = Late February/Early March – TBD
•	Population: Individuals with Intellectual Disabilities and caregivers (includes individuals who opted in, opted out and were auto-assigned) – TBD
•	Developed Phone Script, Facilitators Guide and Consent Form
•	Questions pertaining to: 
•	Basic knowledge of One Care,
•	Why participants chose or chose not to enroll,
•	How individuals made their decision,
•	Hopes for and concerns about One Care, and
•	Information received about One Care.
•	Includes questions about LTSS Coordinator and interactions with Care Team
•	Collecting Demographic Information
•	Includes race, ethnicity, gender, disability, use of LTSS, orientation, and more

Slide 7-8: Surveys
•	Launching Survey #1 in December
•	Participants: 300-375 total individuals who have
•	Self-selected into One Care
•	Opted-out of One Care
•	Neither opted-in nor opted-out (waiting to decide)
•	Participant selection: randomly selected from MassHealth data
•	Focus: experiences during early, initial enrollment period
•	Mode: telephone
•	Length:15-20 minutes 
•	Question types: multiple choice, yes/no and some open-ended
•	Domains: information and enrollment process, decision-making process, learning about and getting questions answered about One Care, and early experiences with One Care
•	Survey #2 will begin in 2014
•	 Participants: 3,000 enrollees who were auto-assigned 
•	1,000 enrollees per auto-assignment wave (January, April, July)
•	Mailing to 6,000, expect 50% response rate
•	Timing: 120 days after each auto-assignment enrollment date
•	Participant selection: randomly selected from MassHealth data
•	Focus: experiences accessing and receiving services
•	Mode: mail and telephone
•	Length:15-20 minutes 
•	Domains: Under development.  May include enrollment process, care team, assessment and care planning process, care plans, experience with transition, service delivery, overall satisfaction

Slide 9: Indicators
•	Data will be collected from a variety of entities
•	MassHealth
•	One Care plans
•	Customer Service
•	SHINE
•	Ombudsman
•	Refined data elements based on ideas previously generated by the Implementation Council 
•	Brief monthly summary reports will be available starting in January
•	Dashboard will be developed

Slide 10: Results
•	First indicators report will be available January 2014 and updated regularly
•	Projected report completion dates 
•	Focus Groups
•	Brief interims reports after each focus group
•	Final report – July 2014
•	Survey #1
•	Final report – February 2014
•	Survey #2
•	Final report – March 2015