Grantee Briefing for the FY 2012 Supplemental Funding for Quality Improvement in Health Centers Interim Report U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care

Agenda FY 12 PCMH Supplemental Supplemental Funding and Reporting Requirements QI Interim Report Electronic Submission Process Review of QI Interim Report Form Questions and Answers 2

FY 12 QI Supplemental 1.Purpose of FY 12 QI Supplemental 2.Outcomes Awards ($55,000 each) 4.Project Period – September 2012 – September

Supplemental Terms & Project Requirements PCMH recognition/accreditation by September 30, 2013 o June 1, 2013 – Submission of final PCMH survey or scheduling of final site visit o June 3, 2013 – Interim report due o September 30, 2013 – Project completed and PCMH recognition obtained o November 1, 2013 – Final report due o Submission of all necessary documentation to meet HRSA/BPHC’s deadlines 4

PCMH 2013 QI Interim Report System will create PCMH 2013 QI Interim Report submission for all 2012 PCMH grantees in their H80 grant handbook. The QI Interim Report submission will be made available on April 29, Submission will be due by the June 3,

PCMH 2013 QI Interim Report Submission Process 6

PCMH 2013 QI Interim Report Submission Process – Part 2 Additional Instructions for EDM Submission Page You must upload a document onto this section of the form for the Interim Report to be marked complete. You may use this section to upload documents related to your health center’s PCMH and Cervical Cancer Screening activities. Only upload information pertinent to the FY 12 QI PCMH funding opportunity. You may upload a blank sheet of paper marked “This page has been intentionally left blank”. 7

PCMH 2013 QI Interim Report Program Specific Forms 8

PCMH 2013 QI Interim Report PCMH Survey Status This is a required field that must be completed. Respond to the question: My health center has submitted a survey or scheduled a site visit for PCMH recognition or accreditation by checking the Yes or No box provided in the form. If you respond Yes to this question, you have the option to provide comments in the space provided. If your response is No, you are required to provide a narrative explaining why your survey was not submitted or site visit scheduled. Your narrative must state a date by when you intend to submit your survey or scheduled the site visit. Your narrative cannot exceed 5,000 characters. 9

PCMH 2013 QI Interim Report PCMH Recognition Information 10

PCMH 2013 QI Interim Report Recognition Information Check box on question # 4 if your health center has not submitted a survey or scheduled a site visit for PCMH recognition or accreditation. Check box on question # 5 and upload proof of survey submission if your health center is seeking PCMH recognition through NCQA. Check box on question # 6 and upload proof of scheduled site visit, if your health center is seeking PCMH accreditation through The Joint Commission. 11

PCMH 2013 QI Interim Report Recognition Information (Cont.) Check box on question # 7 and upload proof of scheduled site visit if your health center is seeking PCMH accreditation through AAAHC. Check box on question # 8 and upload proof of survey submission or scheduled site visit if your health center is seeking PCMH recognition through another recognition/accrediting organization. The system will only allow you to upload one attachment for the above listed questions. Please consolidate the documents into one attachment for PCMH recognition. The system will not allow you to select more than one answer for questions 4 through 8. Please check only one answer. 12

PCMH 2013 QI Interim Report PCMH Domains

PCMH 2013 QI Interim Report PCMH Domains 3, 4 and 5 14

PCMH 2013 QI Interim Report Domain 6 15

PCMH 2013 QI Interim Report Domains 1 and 2 PCMH Domain 1: Enhance Access and Continuity 1a. Access During Office Hours 1b. After-Hours Access 1c. Electronic Access 1d. Continuity 1e. Medical Home Responsibilities 1f. Culturally and Linguistically Appropriate Services PCMH Domain 2: Identify and Manage Patient Populations 2a. Patient Information 2b. Clinical Data 2c. Comprehensive Health Assessment 2d. Use of Data for Population Management 16

PCMH 2013 QI Interim Report Domains 3 and 4 PCMH Domain 4: Provide Self-Care Support and Community Resources 4a. Support and Self-Care Process 4b. Provide Referrals to Community Resources PCMH Domain 3: Plan and Manage Care 3a. Implement Evidence-Based Guidelines 3b. Identify High Risk Patients 3c. Care Management 3d. Medication Management 3e. Use Electronic Prescribing 17

PCMH 2013 QI Interim Report Domains 5 and 6 PCMH Domain 5: Track and Coordinate Care 5a. Test Tracking and Follow-up 5b. Referral Tracking and Follow-up 5c. Coordinate with Facilities and Care Transitions PCMH Domain 6: Measure and Improve Performance 6a. Measure Performance 6b. Measure Patient/Family Experience 6c. Implement Continuous Quality Improvement 6d. Demonstrate Continuous Quality Improvement 6e. Report Performance 6f. Report Data Externally 6g. Use Certified EHR Technology 18

PCMH 2013 QI Interim Report Cervical Cancer Screening Goal 19

PCMH 2013 QI Interim Report Cervical Cancer Screening Goal This is a required section for which Current Performance and Progress Narrative are required. If you selected NCQA, Oregon Health Authority or Minnesota State recognition, you will only need to report on participating sites. If you selected AAAHC or The Joint Commission accreditation, you will need to report data across the entire Health Center. 20

PCMH 2013 QI Interim Report Cervical Cancer Screening Goal (Cont.) The Timeframe for the QI Interim Report is October 1, 2012 through June 1, In this section you will describe the progress and challenges related to improving cervical cancer screening rate. Current performance should be calculated based on 2012 UDS cervical cancer screening measure definition. The narrative should not exceed more than 1,000 characters. 21

PCMH 2013 QI Interim Report Submission Process notifications that the PCMH 2013 QI Interim Report is available for submission have been sent to Health Center Project Directors. The QI Interim Report will be completed in HRSA’s Electronic Handbook (EHB) only. Grantees submit the QI Interim Report through the Other Submissions Module within the H80 Grants Handbook. Interim Report is due by June 3,

Contacts Electronic submission issues:Problems accessing EHB account: BPHC Helpline Monday through Friday, 8:30 a.m. to 5:30 p.m. ET (excluding Federal holidays) at: HRSA Contact Center Monday through Friday, 9:00 a.m. to 5:30 p.m. ET (excluding Federal holidays) at: Program related questions or concerns:Budget or other fiscal issues: Health Resources and Services Administration Bureau of Primary Health Care Office of Quality and Data Health Resources and Services Administration Bureau of Primary Health Care Office of Quality and Data Questions about the HRSA NCQA PCMHH Initiative: Questions about the HRSA Accreditation Initiative with The Joint Commission or AAAHC: Health Resources and Services Administration Bureau of Primary Health Care Office of Quality and Data Health Resources and Services Administration Bureau of Primary Health Care Office of Quality and Data 23

Thank You! Questions and Answers 24