Resources to Support VBP Readiness Ken Gingras, IT Director & Cath Burns, Quality Director, Dillon Burns Mental Health Services Director

Tools and Approaches Vermont Care Partners Center of Excellence Certification Process Measure Definition VCP Data Repository Peer Resources PR Readiness Assessment

Vermont Care Partners Centers of Excellence VCP COE measures were used to inform PR incentive measures If your agency has been reviewed or is in the process, you will already be on your way toward being prepared

Measure Clarification/Definition VCP staff, the outcomes group, and the directors group work together to develop recommended clarifications to value based payments These efforts are an extension of the original COE measure definitions Currently, sub groups are working on clarifying: Access to care definitions (year 2 measures) Types of screens for trauma and substance use disorder (year 2 measures) A measure that would assess the social determinants of health

Guidance for Measuring and Calculating Access to Care MH, CYFS, ES, ADAP – Revised 9/26/18   Definition Potentially Collected via: Numerator Denominator Notes and Recommended Service Codes (See attached list) What is the “client” Any inactive person calling requesting help - Inactive = 1 year without service or being open Start Time - Intake appointment requested or emergency service requested Date an inactive person called requesting an intake appointment. This does not include calls requesting general information about services. This could be a referring agency (e.g., hospital referring a potential CRT client for an evaluation for eligibility, DCF starting a referral for IFBS, an official referral for school based services) A service code that indicates that an inactive person has called requested help. This would automatically be date stamped. Measured by date only (Date they called or walked in) Need to work with vendor to ensure that this can be collected – there are some unknowns here because we aren’t sure of vendor. This is the expectation that this information be collected regardless of the vendor – this is a point of negotiation Nonbillable Service Code - 18 First Offered Appointment Date of first appointment offered (taken or not) A service code that indicates the first appointment offered that is automatically date stamped Nonbillable Service Code – 19 First Face to Face Completed Date of first billed service A service code with date stamp Use billed service code Next Clinical Service Date of clinical service following 1st clinical service completed Do not include people who did not have a first taken appointment Acceptable codes – face to face contact codes (anything that is not phone) across programs #/% with offered appointment within 5 days # and % # received an offer within 5 days # of inactive clients calling saying they need help (Access Measurement) Difference between A and B Difference between A to C #/% seen within 14 days after “first taken” # of people in “D” within 14 days (Engagement Measurement) Difference between C to D This is an example of a recommendation that will be presented to the PR Metrics Group for consideration to measure access to care.

VCP Data Repository What is the repository? A place where agency data is stored for review and analysis Data is NOT shared but aggregate information is available 2. What data is used in the repository? Phase 1 – Monthly Service Report (MSR) data Phase 2 – Service and treatment information What would I use the repository for? Quality improvement Program management Monitoring for payment reform activities

Main Dashboard has lots of data available: Basic Counts, plus trends, and filters.

Demographic Info Reflects MSR Data Lots of other metrics as well.

MSR Quality Review dashboard: Uses same calculations as DMH for MSR Scoring Shows which services are hurting your score

MSR Answer Analysis You can pick multiple MSR files to review

Peer Resources IFS Lessons Learned Seek peers for possible formal agency trainings (Mark Hamilton on payment reform, for example) Program Director Groups – use your colleagues for brainstorming, ideas, and lessons learned, workflows

VCP Operational Readiness Tool This is a worksheet that agencies can choose to use to organize around payment reform Will be used as a basis for agency-specific discussions later today Covers: Developing a Vision Performance Measures Assessing Baseline Managing Programs and Services Billing Practices Compliance

If you want to learn more…. Ken and Cath are happy to meet with your team to talk you through your data and how you can use it!