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

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

3. 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

4. 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

5. 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.

6. 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

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

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

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

10. MSR Answer Analysis
You can pick multiple MSR files to review

11. 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

12. 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

13. 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!