PHC's Pay-For-Performance Program: QIP 2014-2015 Wrap-Up Details

Review the Year-End Wrap-Up of PHC's Pay-For-Performance Program for 2014-2015, including objectives, fixed pool measures, appropriate resource use, unit of service measures, and due dates across various clinical domains. Get insights on tracking patient outcomes, optimizing operations, and enhancing patient experience.

• Pay-For-Performance
• QIP
• Performance Measures
• Clinical Outcomes
• Healthcare

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1. PHCs Pay-For-Performance Program: QIP 2014-2015 Wrap Up Marya Choudhry- NR QIP Project Manager

2. Objectives Overview of Measures and Due Dates Year End Wrap Up Resources Questions

3. Fixed Pool Measures and Due Date Fixed Pool Measures and Due Dates Practice Type System Used I. Clinical Domain Measures Due Dates Childhood Immunization DTaP Peds Child BMI Family & Peds Well Child Visits Family & Peds Nutrition Counseling Peds Physical Activity Counseling Peds Can upload data on eReports until Aug 15 Tracked by QIP eReports Adolescent Immunizations Peds Cervical Cancer Screen Family & Adult Diabetes Management (4 out of 6): -LDL testing, HbA1c testing, Hba1c control, retinal eye exam, Nephropathy, Blood pressure control Family & Adult Monitoring Patients on Persistent Medications Adult Controlling High Blood Pressure Adult

4. Measures and Due Dates Appropriate Use of Resources System Used Practice Type Due Dates Family & Adult Acute Bed Days/ 1000 or Follow-Up Post Discharge Monthly Reports Family & Adult N/A Readmission Rate or Follow- Up Post Discharge Pharmacy Utilization All System Used Access & Operations Practice Type Due Dates Avoidable ED Visits All All Practice open to PHC members PCP Office Visits Monthly Reports N/A All All Submit quarterly data on 3NA and one of the three operations measures Submission Template Q4 data due July 31, 2015 System Used Patient Experience Practice Type Due Dues All Survey or Training Option or PCMH criteria Submission Template Part II due July 31, 2015

5. Unit of Service Measures and Due Dates - ALL Measures System Used Due Dates Advance Care Planning Submission Template July 31, 2015 Access/Extended Office Hours Provider Relations N/A Achieving PCMH recognition Submission Template July 31, 2015 Starting or continuing peer- led self management support groups Submission Template July 31, 2015 CAIR Utilization Submission Template N/A

6. Year End Wrap Up: Clinical Domain Date Event June 30 End of Measurement Year July 1 July 7 eReports under maintenance July 8 eReports can be accessed by the providers July 8 August 15 Grace Period to upload data on services delivered between July 1, 2014 and June 30, 2015 on eReports Check if there are measures with <10 members in denominator; may submit outreach evidence to earn points August 15 Last day to upload data for the 2014-2015 QIP Last day to submit evidence for outreach August 7th (tentative) Preliminary Year-End Reports with performance scores

7. Year End Wrap Up: Appropriate Use of Resources Domain Date Event June 30 End of Measurement Year August 25 Monthly Reports for data through May October 30 Monthly Reports for data through June with final payment Site-specific Follow-Up Post Discharge template sent if target for Bed Days/1000 or Readmission Rate is not met Template Due September 4 (tentative) September 18 (tentative)

8. Year End Wrap Up: Access & Operations Domain Date Event June 30 End of Measurement Year August 25 Monthly Reports for data through May July 31 Due date for Q4 3NA & Operations submission October 30 Monthly Reports for data through June with final payment

9. Year End Wrap Up: Patient Experience Domain Date Event June 30 End of Measurement Year August 25 Monthly Reports for data through May July 31 Due date for PE Part II submission October 30 Monthly Reports for data through June with final payment

10. Resources http://www.partnershiphp.org/Providers/Quality/P ages/PCPQIPLandingPage.aspx qip@partnershiphp.org

11. Questions?