RIPCPC NCM Portal January 2016

Inputs and Outputs Inputs Outputs Each month, RIPCPC receives panel information on ~80,000 patients Each day, daily discharge files sent centrally to RIPCPC by BCBSRI, United, CNE, and Current Care feeds Gap in care information updating continuously on BCBSRI and United portals Documentation sent directly to practices Productivity reporting is required for CTC and other payor based agreements Non Epic EHRs have varied reporting capability, especially pertaining to NCM productivity

Care Team Composition and EHR Functionality All RIPCPC sites are assigned an NCM or Social worker as well as a PharmD 16 employed centrally at RIPCPC CTC nurses primarily employed directly by the site NCM/Social Workers/PharmDs assigned to multiple sites Approximately 50% of practices have migrated to Epic Remaining practices on 16 different EHRs with limited ability to report on NCM productivity Care Team Composition and EHR Functionality

Next Steps Maximize use of Epic Use of RIQI tools, such as dashboards and alerts Continued integration of panel and gaps in care information Next Steps