PHC’s Pay-For-Performance Program: QIP 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 Date Fixed Pool Measures and Due Dates I. Clinical Domain MeasuresPractice 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 Dates Appropriate Use of ResourcesPractice TypeSystem UsedDue Dates Acute Bed Days/ 1000 or Follow- Up Post Discharge Family & Adult Monthly ReportsN/A Readmission Rate or Follow-Up Post Discharge Family & Adult Pharmacy UtilizationAll Access & OperationsPractice TypeSystem UsedDue Dates Avoidable ED VisitsAll Monthly Reports N/A Practice “open” to PHC membersAll PCP Office VisitsAll Submit quarterly data on 3NA and one of the three operations measures AllSubmission Template Q4 data due July 31, 2015 Patient ExperiencePractice TypeSystem UsedDue Dues Survey or Training Option or PCMH criteria AllSubmission Template Part II due July 31, 2015

Unit of Service Measures and Due Dates - ALL MeasuresSystem UsedDue Dates Advance Care PlanningSubmission TemplateJuly 31, 2015 Access/Extended Office Hours Provider RelationsN/A Achieving PCMH recognition Submission TemplateJuly 31, 2015 Starting or continuing peer- led self management support groups Submission TemplateJuly 31, 2015 CAIR UtilizationSubmission TemplateN/A

Year End Wrap Up: Clinical Domain DateEvent June 30End of Measurement Year July 1 – July 7eReports under maintenance July 8eReports can be accessed by the providers July 8 – August 15Grace 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 15Last day to upload data for the QIP Last day to submit evidence for outreach August 7 th (tentative)Preliminary Year-End Reports with performance scores

Year End Wrap Up: Appropriate Use of Resources Domain DateEvent June 30End of Measurement Year August 25Monthly Reports for data through May October 30Monthly 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 met Template Due

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

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

Resources ages/PCPQIPLandingPage.aspx

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