Quality Measures Incentives Program

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Presentation transcript:

Quality Measures Incentives Program March 2016

About Quality Measures View Point Health's Quality Measures Incentives Program is designed to incentivize staff to maximize their clinical and professional potential, by meeting and exceeding a comprehensive set of metrics. Incentives are provided for staff who consistently perform at a level above what is expected. Through this measurement system, we can identify the areas in which staff and centers excel, as well as the areas in which we can improve.

Quality Measures Language Metrics: The standards upon which staff are measured Tiers: The levels of metric achievement (Tier 1, Tier 2, Tier 3, Tier 4 [floor]) Targets: The values that correspond with the tiers Ex. Billed hours Tier 4 target = 65% Scores: The points associated with the tiers Totaled to result in “Total Score” Incentives: The dollar amounts determined by the total score Scorecard: The report outlining staff performance Detail Reports: The detailed data supporting the results Score Incentive 0-24 Not Met 25-49 Met Target 50-74 $250 75-99 $350 100+ $450 Metric Tier Target Score Billed Hours 4 65% 20 (points)

Automated vs. Manual Metrics Automated: pulled from CareLogic through query Manual: calculated & entered in manually Billed Hours Billed Ratio Clients served by center Clients served by caseload Documents signed within 24 hours Staff average documentation 24 hours % staff meeting BH target Productivity ADA quarter target Minimum monthly contacts Center margin Quality Audit Score Peer review STAR Rating Contract dollars invoiced Contract requirements Clients served per month % clients d/c level 3

Scorecards, Staff Types, Metrics Metric 1a Metric 1b Staff Type 2 Metric 2a Metric 2b

Additional Reminders New staff go through a 90-day grace period before being eligible for the program Billed Hours exceptions may be provided when time is taken away from a staff’s billable services to complete mandatory work-related activities Documentation within 24 hours exceptions may be provided when there is a long-term, unavoidable interruption to CareLogic (not just a temporary inconvenience)

Upcoming Changes Billed Hours Floor Addition of KPI Metrics New OP Access Scorecard Changes to Physician Scorecard

Questions?