PHC’s Pay-For-Performance Program: QIP 2014-2015 Wrap Up Marya Choudhry- NR QIP Project Manager.
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PHC’s Pay-For-Performance Program: QIP 2014-2015 Wrap Up Marya Choudhry- NR QIP Project Manager
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Transcript of PHC’s Pay-For-Performance Program: QIP 2014-2015 Wrap Up Marya Choudhry- NR QIP Project Manager.
PHC’s Pay-For-Performance Program: QIP 2014-2015 Wrap Up
Marya Choudhry- NR QIP Project Manager
Objectives
Overview of Measures and Due Dates Year End Wrap Up Resources Questions
Fixed Pool Measures and Due DateFixed Pool Measures and Due Dates
I. Clinical Domain Measures Practice Type
System Used Due Dates
Childhood Immunization – DTaP Peds
Tracked by QIP
eReports
Can upload data on eReports until
Aug 15
Child BMI Family & Peds
Well Child Visits Family & Peds
Nutrition Counseling Peds
Physical Activity Counseling Peds
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
Measures and Due DatesAppropriate Use of
Resources Practice Type System Used Due Dates
Acute Bed Days/ 1000 or Follow-Up Post Discharge
Family & Adult
Monthly Reports N/AReadmission Rate or Follow-
Up Post Discharge Family & Adult
Pharmacy Utilization All
Access & Operations Practice Type System Used Due Dates
Avoidable ED Visits All
Monthly Reports N/A
Practice “open” to PHC members
All
PCP Office Visits All
Submit quarterly data on 3NA and one of the three operations measures
All Submission Template
Q4 data due July 31, 2015
Patient Experience Practice Type System Used Due Dues
Survey or Training Option or PCMH criteria
All Submission Template
Part II due July 31, 2015
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
Year End Wrap Up: Clinical Domain
Date EventJune 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 QIPLast day to submit evidence for outreach
August 7th (tentative) Preliminary Year-End Reports with performance scores
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
September 4 (tentative)
September 18 (tentative)
Site-specific Follow-Up Post Discharge template sent if target for Bed Days/1000 or Readmission Rate is not metTemplate Due
Year End Wrap Up: Access & Operations Domain
Date EventJune 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
Year End Wrap Up: Patient Experience Domain
Date EventJune 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
Resources
http://www.partnershiphp.org/Providers/Quality/Pages/PCPQIPLandingPage.aspx
Questions?
