Grantee Briefing for the FY 2012 Supplemental Funding for Quality Improvement in Health Centers Final Report U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care 1

Agenda FY 12 PCMH Supplemental Supplemental Funding and Reporting Requirements QI Final Report Electronic Submission Process Questions and Answers 2

Learning Objectives By the end of this session you will be able to: 1.Understand the process for Final Reporting for the PCMH Supplemental Grant; 2.Identify and understand the key activities and deliverables, to report. 3

FY 12 QI Supplemental 1.Purpose of FY 12 QI Supplemental: To improve access to services, quality of care, and clinical outcomes through the patient centered medical home (PCMH) model of care. The supplemental funding focused on improving outcomes related to cervical cancer screening for health center patients by supporting PCMH transformation projects. 2.One time supplement of up to $55, Project period: 1 year – September 2012-September

Goals of the Supplemental Funding Opportunity Health Centers will: Assess their operations through the lens of the patient-centered medical home model of care. Demonstrate improvement on cervical cancer screening consistent with the application type that can be accomplished within the one-year project period. Submit a final survey or schedule a site visit with the appropriate PCMH recognizing body to gain third- party PCMH recognition, e.g. NCQA, Joint Commission, AAAHC, State Based Initiative. Enhance and/or maintain their current PCMH practice. 5

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 6

PCMH Recognition and Certification PCMH Recognition Recognition is conferred by: i. National Committee for Quality Assurance (NCQA) ii.Oregon Health Authority Electronic survey submission PCMH Certification Certification is conferred by: i.The Joint Commission ii.Accreditation Association for Ambulatory Health Care (AAAHC) iii. Minnesota State Site visit-On-site survey 7

PCMH 2013 QI Final Report System will create PCMH 2013 QI Final Report submission for all 2012 PCMH grantees in their H80 grant handbook. The QI Final Report submission was made available on September 29, Submission is due by November 1,

PCMH 2013 QI Final Report EDM Submission 9

PCMH 2013 QI Final Report Submission Process – Part 2 Additional Instructions for EDM Submission Page Grantee must upload a document onto this section of the form for the Final Report to be marked complete. Grantee may use this section to upload documents related to their health center’s PCMH and Cervical Cancer Screening activities. Only upload information pertinent to the FY 12 QI PCMH funding opportunity. Grantee may upload a blank sheet of paper marked “This page has been intentionally left blank”. 10

PCMH 2013 QI Final Report Program Specific Forms 11

PCMH 2013 QI Final Report PCMH Survey Status This is a required field that must be completed by grantee. Grantee responded 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 grantee responded Yes to this question, they have the option to provide comments in the space provided. If grantee responded No, they are required to provide a narrative explaining why their survey was not submitted or site visit scheduled. Their narrative must state a date by when they intend to submit their survey or schedule the site visit. 12

PCMH 2013 QI Final Report PCMH Survey Status (Cont.) Health centers that were already recognized/accredited as PCMH at the time of supplemental application should: 1.Check the yes box on the question. 2.Upload a copy of their PCMH recognition/accreditation certificate in the box labeled Proof of PCMH recognition/certification, survey submission or scheduled site visit. 3.Describe their progress in improving cervical cancer screening and achieving PCMH recognition for additional sites in the narrative box. Note: The narrative cannot exceed 5,000 characters. In addition, grantees must check the applicable response from among questions 4-8 of this form. 13

PCMH 2013 QI Final Report PCMH Recognition Information 14

PCMH 2013 QI Final Report Recognition Information Instructions 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 or has attained PCMH recognition through NCQA. Check box on question # 6 and upload proof of scheduled site visit or recognition, if your health center is seeking or has attained PCMH accreditation through The Joint Commission. 15

PCMH 2013 QI Final Report Recognition Information (Cont.) Instructions (Cont.) Check box on question # 7 and upload proof of scheduled site visit or recognition if your health center is seeking or has attained PCMH recognition through AAAHC. Check box on question # 8 and upload proof of survey submission, scheduled site visit or recognition if your health center is seeking or has attained PCMH recognition through another recognition/accrediting organization. The system will only allow the grantee to upload one attachment for the above listed questions. Grantees are instructed to consolidate documents into one attachment for proof of survey submission, scheduled site visit, or PCMH recognition/certification. The system will not allow the grantee to select more than one answer for questions 4 through 8. Grantee is to select only one answer. 16

PCMH 2013 QI Final Report PCMH Domains – 1 and 2 17

PCMH 2013 QI Final Report PCMH Domains – 3, 4 and 5 18

PCMH 2013 QI Final Report PCMH Domains – 6 19

PCMH 2013 QI Final Report Domains 1 and 2 PCMH Domain 1: Enhance Access and Continuity a.Access During Office Hours b.After-Hours Access c.Electronic Access d.Continuity e.Medical Home Responsibilities f.Culturally and Linguistically Appropriate Services PCMH Domain 2: Identify and Manage Patient Populations a. Patient Information b. Clinical Data c. Comprehensive Health Assessment d. Use of Data for Population Management 20

PCMH 2013 QI Final Report Domains 3 and 4 PCMH Domain 4: Provide Self-Care Support and Community Resources a. Support and Self-Care Process b. Provide Referrals to Community Resources PCMH Domain 3: Plan and Manage Care a.Implement Evidence-Based Guidelines b.Identify High Risk Patients c.Care Management d.Medication Management e.Use Electronic Prescribing 21

PCMH 2013 QI Final Report Domains 5 and 6 PCMH Domain 5: Track and Coordinate Care a.Test Tracking and Follow-up b.Referral Tracking and Follow-up c.Coordinate with Facilities and Care Transitions PCMH Domain 6: Measure and Improve Performance a. Measure Performance b. Measure Patient/Family Experience c. Implement Continuous Quality Improvement d. Demonstrate Continuous Quality Improvement e. Report Performance f. Report Data Externally g. Use Certified EHR Technology 22

PCMH 2013 QI Final Report PCMH Cervical Cancer Screening Goal 23

PCMH 2013 QI Final Report Cervical Cancer Screening Goal This is a required section for which Current performance and Progress Narrative are required. If the grantee selected NCQA or Oregon Health Authority they should report on participating sites. If the grantee selected AAAHC, The Joint Commission or Minnesota State accreditation, they should report data across the entire Health Center. 24

PCMH 2013 QI Final Report Cervical Cancer Screening Goal (Cont.) The Timeframe for the QI Final Report is October 1, 2012 through September 30, In this section, grantee will describe the progress and challenges related to improving cervical cancer screening rate. Current performance should be calculated based on the cervical cancer screening measure definition as detailed in the 2012 UDS manual. The narrative should not exceed more than 1,000 characters. 25

PCMH 2013 QI Final Report Submission Process notifications that the PCMH 2013 QI Final Report is available for submission have been sent to Health Center Project Directors. The QI Final Report will be completed in HRSA’s Electronic Handbook (EHB) only. Grantees submit the QI Final Report through the Other Submissions Module within the H80 Grants Handbook. 26

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: Questions about the HRSA NCQA PCMHH Initiative: 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 Accreditation Initiative with The Joint Commission or AAAHC: Budget or other fiscal issues Health Resources and Services Administration Bureau of Primary Health Care Office of Quality and Data Contact your Grants Management Specialist identified on your most recent Notice of Award (NoA). 27

Thank You! Questions and Answers 28