The Michigan Primary Care Transformation (MiPCT) Project MiPCT Update PO Webinar May 20 th, 2015

New Practice Nomination Submissions 30 Month Incentive Payout Update Helpful Hints for Optimizing Your Registry Submissions MiPCT Success Stories 2015 Summit Update Open Q and A 2

New Practice Selection Process 3

New Practice Nominations Ten open spots 70 nominations from 17 POs Considerations ▫Key PCMH Capabilities ▫PO at or above the minimum 80% CM staffing level ▫Accepting New Medicaid Patients ▫% Medicaid and Medically Underserved Status Selection Process will be completed by 6/6/15 4

Incentive Update 5

30 Month Incentives Scores generated and provided to POs for comment period Higher portion of points earned from registry metrics in this incentive set Registry data improvement tips will be a topic of the 5/20 Quarterly PO webinar Payment will be made in late May or early June 6

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2015 Incentive Metrics Very similar to 2014 Incentive Metrics, with a few tweaks: ▫PCS ED visit rate will be replaced with risk- adjusted Overall ED Visit Rate per 1000 attributed patients (due to move to ICD-10) ▫Childhood Immunization/Combo 3 metric on MDC dashboard to be added ▫Three process metrics to be deleted ▫Points to shift slightly 8

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Helpful Hints for Optimizing Your Registry Submissions When sending registry data to MDC for Electronic Clinical Quality Measures, any version of the BCN Layout going back to the start of 2014 may be used. ▫Valid versions include: 14, 15b, 20, 21, 23, MDC asks for two types of records that BCN does not: Tobacco Use Assessment and Depression Screening, therefore there are no codes in the Layout for them. Please use “MTB” and “MDP” respectively. Service codes as defined in the specifications are preferable to other coding methods (e.g. LOINC). Their use allows MDC to track records in a consistent manner throughout processes and deliverables, which in turn streamlines issues and appeal resolution. Immunization records are not required as we receive this data independently from MCIR. However, POs are free to send us any and all data for their MiPCT patients. It is not necessary to subset only the record types listed in the specifications. Our process aggregates all data submissions and then extracts what is needed. Please do not send MDC data for any non-MiPCT patients; we are not authorized to accept that information and it may jeopardize timely processing of MiPCT data. 10

MiPCT Success Stories 11

2015 MiPCT Success Stories – Adding Team Based Practice, Physician Organization New for 2015: ▫Team Based Practice Success Stories ▫Physician Organization Success Stories Purpose: ▫Highlight MiPCT Success Stories ▫Share and learn from each other ▫Spread “what works” Potential for MiPCT Practice Learning Credits

MiPCT Team Based Practice and Physician Organization Success Stories Suggestion - to align topic of Success Stories with the proposed 2015 MiPCT Clinical focus areas ▫Addressing social determinants of health and overcoming barriers ▫Patient registry and data support for population health ▫Integrating behavioral health ▫Integrating palliative and end-of-life care ▫Addressing appropriateness of care (e.g., Choosing Wisely program, etc.) However, not limited to MiPCT 2015 proposed Clinical focus areas Submission of stories may be completed by MiPCT Practice team members, MiPCT PO Leaders 13

MiPCT Practice Success Story Elements of the MiPCT Practice Success story include: Identify the practice staff involved in the team based practice success What problem is the team trying to address? What changes were made to address the challenge or problem? What barriers did your team recognize and address during this practice change? What improvements have been recognized as a result of the team- based change?

MiPCT Physician Organization Success story Elements of the MiPCT Physician Organization Success story include What are you trying to accomplish? Why are you doing this project? Key leadership involved Describe the metrics collected What changes have you made that resulted in the improvement? How did you know your change was an improvement? (please submit data)

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New MiPCT PO and Practice Level Success Story Program – Opportunity to Earn 2015 Practice Learning Activity Credits “ 1 e. Practice Learning activity: Submission of formal best practice consisting of documentation that includes the underlying policy, process, workflow, data illustrating the implementation and improvement resulted from standardized tool, protocol and a contact person willing to take questions from other POs and practices (2 points for submission). In addition to the above at the request of MiPCT Leadership, presenting at a CM best Practice, PGIP Summit, MiPCT Best Practice Webinars and other venues (4 points submission invitation to present from MiPCT leadership and completion of presentation” The Learning Activity credits requirements for 2015 may be accessed: learning-activity-requirements/ learning-activity-requirements/

Additional detail regarding Earning Practice Learning activity credits: Submission of Team based Practice Success Story - 2 points ▫Publication of Team based Success Story in MiPCT Practice FLASH and/or MiPCT Implementation Guide – 4 points

Additional detail regarding Earning Practice Learning activity credits: Submission of Physician Organization Success Story ▫MiPCT recognizes Physician Organization Success stories involve many stakeholders such as the PO Leaders, practice team members, champions and practice leader(s). ▫Additionally, there is variation in how the PO level improvement is identified, planned and implemented. ▫ To request Practice Learning Activity credits for a PO Level success story, please complete the “MiPCT PO Success Story –Practice Learning Activity Credit Request Form”

Save the Dates! 2015 MiPCT Summits Western: September 16, 2015 ▫ Frederik Meijer Gardens & Sculpture Park – Grand Rapids ▫ 8am to noon general session open to all; Afternoon care management training Northern: October 20, 2015 ▫ Crystal Mountain Resort – Thompsonville (new location) ▫ 11 to noon Project Leadership briefing followed by afternoon care management training Southeastern: October 29, 2015 ▫ U of M NCRC, Building 18 Dining Hall – Ann Arbor ▫ 8am to noon general session open to all; Afternoon care management training 21

Open Q and A 22