Physician Performance Review New Jersey and Connecticut 2020

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PHYSICIAN PERFORMANCE REVIEW

NEW JERSEY AND CONNECTICUT 2020

Presented by Dr. Beatriz Lora Hernandez


Medical Consultant
Sp.Epidemiologist

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GOALS

CASE SELECTION

CASE SELECTION

FOLLOW UP PHYSICIAN PERFORMANCE REVIEW


OBJECTIVES:

To analyze the total score per category in a comparative manner.


To compare the trends among the different categories.
To identify the main aspects that should be impacted to gain and achieve performance.

To Highlight: The second review of the PPR for 2020 period was performed to New
Jersey Area not yet to Connecticut.

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Categories Evaluated

Facilities reviewed in New Jersey in 2020 period

Providers reviewed in New Jersey in 2020 period

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RESULTS PHYSICIAN PERFORMANCE REVIEW NEW JERSEY 2020

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2. PROVIDERS WITH THE BEST
PERFORAMANCE
PPR # 1
NEW JERSEY

PPR # 2

3. BENCHMARK DISTRIBUTION NEW JERSEY AND CONNECTICUT


2020 PERIOD.

Excellent 17.32%

Good 82.68%

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FOLLOW UP PPR IN NEW JERSEY 2020 PERIOD: RESULTS PER
CATEGORY

1. TECHNICAL KNOWLEDGE AND THERAPEUTIC GOALS

2. RISK ADJUSTMENT

3. DOCUMENTATION

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4. QUALITY INDICATORS

KEY FINDINGS PER OFFICE NEW JERSEY FOLLOW UP

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