HIT/Primary Care Transformation 4/8/16 Kim Atkins, Anne Bosco, - - PDF document

HIT/Primary Care Transformation – 4/8/16

Attendees Kim Atkins, Anne Bosco, Sherry Buglione, Christine Close , Shawna Craigmile, Joan Dadey, Nancy Deavers, Ann Marie Derecola, Kim Dynka, Amy Ferguson Victor, Thomas Filiak, D. Anthony Gray, Cynthia Hill, Matt Hill, Scott Kelso, Karen Killips, Patricia King, Stephen Magovney, Enedina Marquez, Shannon Mathewson, Mary McGuirl, Peter Nolan, Jay Peacock, Robert Pompo, Derek Rooney, Anne Root, Barry Ryle, Dawn Sampson, Melissa Stotts, Nicole Suissa, Michael Svendsen, Martin Toombs , Lynn Vaccaro, Maud White, Sara Williams, Cassie Winter, Amanda Beattie CNYCC: Pete Nolan, Karen Joncas, Michele Treinin, Shana Rowan Discussion Welcome and Introductions

• Karen Joncas – karen.joncas@cnycares.org, 315-703-2981
• Pete Nolan – peter.nolan@cnycares.org, 315-703-2976
• Michele Treinin – michele.treinin@cnycares.org, 315-703-2970

Learning Objectives

• Recap
• Overview of 2014 NCQA PCMH Standards
• Overview of 2014 NCQA PCMH Scoring
• Understanding documents
• HIT involvement in PCMH

NCQA/PCMH 2014 Standards Slideshow Slide: Roles and responsibilities in the PIC- Partners should be willing participants, offer success stories and share where there are opportunities for improvement, please.

• Exploration, vetting and development of technical solutions
• Clinical & operational requirements development

Slide: Current state PCMH recognition

• Pete noted that nearly half of the 76% of organizations indicated as having no

current recognition have undergone previous transformation and been recognized under the 2008 standards.

• By October 2017, all organizations must be NCQA PCMH 2014 Level 3 Recognized.
• HIT partner readiness assessments will assist partners in ensuring they implement

PCMH the right way Slide: Current state EMR distribution graph

• Our staff has experience (operational and technical) with at least 85% of these EMR

platforms.

• 2 EMRs in this list have been pre-validated with NCQA, meaning there will be

Discussion (continued) reduced documentation required. Slide: Transformation process graph (2014 NCQA PCMH Requirements). Karen reviewed the correlation between the transformation, and the NCQA Recognition Roadmap. Practices should begin the transformation process with planning, assessment and implementation and the recognition process will validate the practice’s transformation and alignment with the patient-centered medical home standards. Slide: Start to finish-Patient-Centered Medical Home recognition-NCQA roadmap Slides: Recognition process roadmap- Before/During/After

• Assess eligibility and opportunities
• Obtain standards
• Incorporate standards into project planning
• Educate
• Links on slide (monthly Q & A webinars)
• Possibility of multi-site application
• Practice Can work offline with Karen if need additional help needed to identify

qualification for multi-site application

• NCQA Review for each site survey tool can take up to 60 days
• Multi-site application will take at least 90 days (30 days for corporate tool and up to

60 days for each practice site). Organizations need to take these dates into account when developing your submission plans.

• After-Keep it- Sustain PCMH model of care and prepare for advanced primary care

certificate – value based payments model Standards- Each of the Standard slides illustrated the Elements within each standard and Karen and Pete reviewed the standard intents and highlights as well as general HIT implications. Slide: NCQA PCMH Standard 1 - Patient centered access Slide: NCQA PCMH Standard 2 – Team-based care Slide: NCQA PCMH Standard 3 – Population health management (demographics) Slide: NCQA PCMH Standard 4 – Care management and support Slide: NCQA PCMH Standard 5 – Care coordination and care transitions Slide: NCQA PCMH Standard 6 – Performance measurement and quality improvement Slide: Must-Pass Standards (points per element) Slide: 2014 Scoring Standards Sources

• Standards for each element

Discussion (continued)

• Standards, appendix 1
• ISS survey tool
• Baseline assessment tool

Slide: Level 3: 85-100 points, 6 of 6 elements

• Scoring example – must pass with a critical factor

Slide: Supporting documentation matrix Slide: Example PCMH 2014 standards Slide: 2014 standards – column definitions – meaningful use and project matrix Slide: System recommendations for PCMH/types of health information technology Slide: Documentation types Slide: Helpful hints- Please note this now contains 12 Helpful Hints. Slide: Communication between operational/clinical and technical/reporting HIT Slide: Opportunities for Support, Partnership, Collaboration (HIT/PCMH) Slide: Example of project/reporting specific HIT requirements plans, template showing capabilities/involvement of partner in various projects Partner Collaboration CNYCC will facilitate joining like partners for collaboration purposes to assist in driving towards functional change through CNYCC or vendor engagement. CNYCC is actively working on data analysis of partner information based on projects, functional capabilities, partner type and workflows to help support our “like partner facilitation” CNYCC Vendor Selection Webinar/toolkit CNYCC will share all documents discussed in webinar with its partners Slide: Reporting requirements/PCMH data elements

• Demographic information
• Clinical data
• Other elements
• Reminder about data dictionaries being completed

Upcoming Meetings

• Primary Care Transitions PIC May 13- Plan templates will be available for review

ahead of this meeting.

• HIT PIC May 20
• NCQA/PCMH training Syracuse 4/18 (NCQA sponsored)-Karen asked if anyone was
• attending. Please let her know so she can see you at the Monday reception and
• ffer follow-up debrief.

Questions/Discussion We are currently compiling Phase 2 data. When we have completed aggregating all the data we receive, we will create a readiness assessment chart for each partner. Work plans will be finalized as assessments are completed. Pete able to forward screen shots of readiness assessment chart upon request, based on early results. A partner asked if NCQA collaborates with the organization once documentation has been submitted or if all documents need to be completely submitted the first time. Karen advised organizations to plan on having all submission documentation detailed and accurate, with all documentation clearly aligning with the submission and standard

• requirements. Reviewers have been known to come back and ask for additional information
• r clarification ONLY when recognition may be effected.

Central New York Care Collaborative Joint Primary Care Transformation and HIT Project Implementation Collaborative Meeting

Friday, April 8, 2016 10AM-12PM

Welcome and Introductions

CNYCC Team

Karen Joncas, PCMH CCE

• Primary Care Transformation Project Manager
• E-mail: Karen.Joncas@cnycares.org
• Telephone: 315-703-2981

 Peter Nolan

• Health Information Technology Project Manager
• E-mail: Peter.Nolan@cnycares.org
• Telephone: 315-703-2964

Michele Treinin

• Data and Performance Project Manager
• E-mail: Michele.Treinin@cnycares.org
• Telephone: 315-703-2970

Learning Objectives

Karen Joncas

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Q & A Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18, 2016

Learning Objectives

Roles and Responsibilities in the PIC

HIT PIC Project & Primary Care Transformation PICs

Clinical & Operational Requirements Development Exploration, Vetting and Development Of Technical Solutions

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Q & A Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18, 2016

Learning Objectives

Current State Recognition

2014 Level 3 3% 2011 Level 3 15% 2011 Level 2 6% Expired PPC-PCMH 30% No Recognition 46% 2014 Level 3 2011 Level 3 2011 Level 2 Expired PPC-PCMH No Recognition

Current State EMR Distribution

Medent 38% Epic 13% Greenway 9% eClinical Works 7% Centricity 7% NextGen 7% Vitera 6% Meditech 5% AllScripts 2% Athena 3% No EMR/ Other 3%

Medent Epic Greenway eClinical Works Centricity NextGen Vitera Meditech AllScripts Athena No EMR/ Other

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Q & A Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18, 2016

Learning Objectives

NCQA PCMH 2014 Requirements

Educate Assess Plan Implement Sustain

Transformation Process

HIT PIC

.

Before-Learn It

Assess PCMH eligibility and opportunities (baseline assessment) Obtain and review NCQA 2014 Standards, Guidelines and appendices

and FAQ’s

Incorporate PCMH standards into project planning for true transformation Educate – NCQA trainings http://www.ncqa.org/Portals/0/Programs/Recognition/RPtraining/Traini

ng_Calendar.pdf

http://www.ncqa.org/Portals/0/Programs/Recognition/GOB%20Part%2

01%20Before-Learn%20It.pdf

Recognition Process

During-Earn It-First Steps

Order free application Determine eligibility for multi-site application-Obtain NCQA approval if

eligible

Additional NCQA trainings on process and standards http://www.ncqa.org/Portals/0/Programs/Recognition/GOB_Part_2_

During-Earn%20It.pdf

Recognition Process

During-Earn It

Prepare documentation for submission Attend training on NCQA software and submission tools http://www.ncqa.org/Portals/0/Programs/Recognition/GOB_Part_2_Du

ring-Earn%20It.pdf

Submit application to NCQA. Review for single site will take up to 60

days.

Multi-site application review will take 90 days or more depending on

number of practice sites.

Recognition Process

After-Keep It

 Promote Recognition Status  Provide certificates to CNYCC for submission to the State  NCQA Training http://www.ncqa.org/Portals/0/Programs/Recognition/GOB%20Part%2

03%20After-Keep%20It.pdf

 Sustain transformation.  Prepare for Advanced Primary Care certification-Value Based Payment

model.

Recognition Process

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Q & A Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18, 2016

Learning Objectives

Patient-Centered Access

Patient-Centered Appointment Access (MUST PASS)  24/7 Clinical Advice Electronic Access https://www.youtube.com/watch?v=ccannZNF_yw&feature=youtu.be&nore

direct=1

NCQA PCMH 2014 Standard 1

Team Based Care

Continuity Medical Home Responsibilities Culturally and Linguistically Appropriate Services The Practice Team (MUST PASS) https://www.youtube.com/watch?v=vI9RrGh0xjk&feature=youtu.be

NCQA PCMH 2014 Standard 2

Population Health Mangement

Patient Information Clinical Data Comprehensive Health Assessment Use Data for Population Management (MUST PASS) Implement Evidence-Based Decision Support https://www.youtube.com/watch?v=9BhWz4cp5No&feature=youtu.be

NCQA PCMH 2014 Standard 3

Care Management and Support

Identify Patients for Care Management Care Planning and Self-Care Support (MUST PASS) Medication Management Use Electronic Prescribing Support Self-Care and Shared Decision Making https://www.youtube.com/watch?v=9Sd_eof7q8w&feature=youtu.be

NCQA PCMH 2014 Standard 4

Care Coordination and Care Transitions

Test Tracking and Follow-Up Referral Tracking and Follow-Up (MUST PASS) Coordinate Care Transitions https://www.youtube.com/watch?v=S9f8Rf4YneE&feature=youtu.be

NCQA PCMH 2014 Standard 5

Performance Measurement and Quality Improvement

Measure Clinical Quality Improvement Measure Resource Use and Care Coordination Measure Patient/Family Experience Implement Continuous Quality Improvement (MUST PASS) Demonstrate Continuous Quality Improvement Report Performance Use Certified EHR Technology https://www.youtube.com/watch?v=jBkqpYhCUXU&feature=youtu.be

NCQA PCMH 2014 Standard 6

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Q & A Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18, 2016

Learning Objectives

Care Management and Support

• PCMH 4B: Care

Planning and Self- Care Support

• 4 Points

Care Coordination and Transitions

• PCMH 5B: Referral

Tracking and Follow- Up

• 6 Points

Performance Measurement and QI

• PCMH 6D:

Implement Continuous Quality Improvement

• 4 Points

Patient-Centered Access

• PCMH 1A: Patient

Centered Appointment Access

• 4.5 Points

Team-Based Care

• PCMH 2D: The

Practice Team

• 4 Points

Population Health Management

• PCMH 3D: Use of

Data for Population Management

• 5 Points

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Q & A Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18, 2016

Learning Objectives

Scoring Sources

NCQA Standards list scoring after each element NCQA Standards-Scoring Summary-Appendix 1 ISS Survey Tool Baseline Assessment Tools

NCQA PCMH 2014 Scoring

Total Available Points Level 3 ≥ 85 points 100

PCMH Scoring

PCM CMH 6 H 6: Performan ance M Meas asurement & & Q Qualit ality Im Improvem emen ent PCM CMH 1 H 1: Patien ent-Cen Center ered ed A Acces ess PCM CMH 2 H 2: Tea eam-Ba Based ed Ca Care PCM CMH 3 H 3: Populat latio ion H Healt alth M Man anag agement PCM CMH 4 H 4: Care M Mana nagement nt a and S nd Suppo upport PCM CMH 5 H 5: Car are C Coordin inat atio ion & & C Car are T Tran ansit itio ions

Recognition Scoring Summary

NCQA PCMH 2014 Scoring

DSRIP Requires Level 3 Recognition. All Practices should submit for more than 90 points.

Recognition Levels Required Points Must Pass Elements

Level 3 85-100

6 of 6 Elements required for Recogntion at any level. Level 2 60-84 Score for each Must-Pass element must be 50%+ Level 1 35-59

100%

The practice meets 5-6 factors (including factor 1)

75%

The practice meets 3-4 factors (including factor 1)

50%

The practice meets 2 factors (including factor 1)

25%

The practice meets 1 factor (including factor 1)

0%

The practice meets 0 factors.

Scoring Example- Must Pass Standard with a Critical Factor

100%

The practice meets all 4 factors

75%

The practice meets 3 factors

50%

The practice meets 2 factors

25%

The practice meets 1 factor

0%

The practice meets 0 factors.

Scoring Example- Meeting 4/4 factors is required for all points

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Q & A Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18, 2016

Learning Objectives

Features and Benefits

 One Stop Shopping-See the standards, documentation and alignments in one tool  Sort based on any column(s) or row(s)

• Which factors require documented processes?
• Which factors require reports?
• Which factors align with Meaningful Use?
• Which factors align with DSRIP project?
• Possible HIT Use Cases?

 Can be used as an assessment or planning tool

Supporting Documentation Matrix

Supporting Documentation and Project Alignment Matrix

PCMH Standard/Factor/Element PCMH Recognition Submission Requirements PCMH Meaningful Use Alignment PCMH and DSRIP Project Alignment

NCQA PCMH 2014 Standards

Column Definitions–Supporting Documentation Matrix

Standard/Element/Factor-NCQA PCMH 2014 Standard/Element/Factor Description-NCQA PCMH 2014 Standards Must Pass Element-Elements requiring at least 50% of possible points Total Element Point Score-Total eligible points Critical Factor-Must meet to obtain maximum element point score

NCQA PCMH 2014 Standards

Example NCQA PCMH 2014 Standards

Column Definitions–Supporting Documentation Matrix

Documented Process-Written Protocols supporting policy Report-Can be system generated or manually compiled Report Explanation-Process the report is validating Minimum Reporting Period-minimum required for submission Example or Materials-can be system-generated screen shots or patient or

clinician materials

Report Numerator and Denominator-indicates the number and a

percentage rate is needed for submission.

NCQA PCMH 2014 Standards

Example NCQA PCMH 2014 Standards

Column Definitions–Meaningful Use and Project Matrix

Meaningful Use Alignment- indicates where PCMH reporting aligns with

MU reports (may be current or previous stages).

Project Alignments-indicates where project requirements and metrics align

with specific PCMH standards

• Integrated Delivery System (2ai)
• DSRIP Care Management (2aiii)
• ED Care Triage (2biii)
• Primary Care/Behavioral Health Integration (3ai)
• Cardiovascular Disease Management (3bi)
• Palliative Care PCMH Integration (3gi)

NCQA PCMH 2014 Standards

Example NCQA PCMH 2014 Standards

System Recommendations for PCMH Types of Health Information Technology

 Secure Internet Access  Document Scanning  Microsoft Office Word Documented Processes Print Screenshots from

EMR

Excel Import System-

generated reports

 Adobe Acrobat Reader  Electronic Medical Record

(EMR,EHR)

 ePrescribing  Often done through

Surescripts

 Practice Management System  Often Integrated in the

EMR

 RHIO/HIE Connection  Agreement in place with

“Regional Health Information Organization”

 Workflow alerts, Health

Maintenance

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Q & A Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18, 2016

Learning Objectives

Types and Explanations

Documented Processes are written protocols or workflows; the practice

name and date of implementation should be included.

Reports of aggregated data validating practice processes; the reporting

period should be included.

Records or files represent data from patient medical record or registry

entries documenting actions taken.

Materials are information sources for patients or clinicians; clinical

guidelines, self-management, educational resources, patient brochures.

Documentation Types

Types and Time Periods

Documented Processes should have the practice/organization name and

must be dated at least three months prior to submission.

Reports should be current within the last 12 months. The minimum

reporting period varies; please refer to standards or PCMH grid for specifics.

Meaningful Use Reports/dashboards should encompass at least a three

month (within the last twelve) period.

Materials, files, examples (screen shots) should be current within the last

12 months.

Documentation Types

Top 12 takeaways

Preparing for submission is not linear. Focus on transformation, beginning

with those that will affect practice culture first (see 2-25-16 PIC presentation). Generally, validating PCMH NCQA 2014 will follow. Must Pass Standards are foundational to transforming into a PCMH and are required to achieve any recognition.

Pay attention to synergy between standards and other quality initiatives

you are reporting on in order to streamline and sustain PCMH.

• 3D,3E, 4A, 6A, 6D (Link to affect quality, cost and health outcomes)

Make sure that your reports and materials support your documented

processes and that the processes align with the intent of the standard.

Helpful Hints

Top 12 takeaways

Review the Explanation, Document sections of the standards and FAQ’s

when compiling documentation.

NCQA reviewers will take the documentation requirements and standard

explanations literally in assessing alignment with the standard.

Pay attention to “AND” in preparing documentation. Multiple types of

documentation are required.

Pay attention to Critical Factors especially those in Must Pass standards. Use the my.ncqa.org question line if specific clarification is needed. Be

sure to check the FAQ’s before submitting questions.

Helpful Hints

Top 12 takeaways

Be sure that your documentation meets the reporting period requirements.

(e.g. No show report for 30 days)

All submitted documentation must show dates. Be sure that your

documentation is not more than 12 months old from the date of submission.

Use text boxes and/or cover sheets to explain documentation to be

• submitted. Tell your practice’s story so that the reviewer can understand

how your processes and other documentation validate alignment with the standard.

Consider building audits or reviews into processes to sustain

transformation.

Helpful Hints

Patient Centered Policy Development Documented Process and Procedure Patient Centered Engagement

Access Technical Implication Workflow Automation & EMR Build Develop Reports to Validate Process

Operational/Clinical Technical/Reporting

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Q & A Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18, 2016

Learning Objectives

Goals

 Readiness Assessment-Health Information Technology  Develop Project/Reporting Specific HIT Requirements Plans  Align Partners and Vendors Across PPS  Vendor Engagement to Implement/Optimize EMR Platforms  EMR Vendor Selection Toolkit,Webinar and PHM Platform

Opportunities for Support, Partnership and Collaboration

Goals

 Identify current state of health information technology availability and capability

including:



Access to RHIO



Sharing Data With RHIO



Direct Messaging



EMR certification for Stage 2 Meaningful Use



Provide Clinical Decision Support to facilitate evidence based care



Access to reporting required for PCMH and other quality performance measurements



Practice Management System  Project Specific Functional Areas



Documentation Requirement



Workflow Automation



Population Health Management

Readiness Assessment-Health Information Technology

Project Name Analytics Tool Direct Messaging EMR EMR Alerting EMR Reporting MU Certified PCMH Recognized RHIO Data Sharing RHIO SHIN- NY 2.a.iii-DSRIP Care Management 2.a.i-Integrated Delivery System 2.b.iii-ED Triage 2.b.iv-Care Transitions 3.a.i-Primary Care and Behavioral Health Integration 3.b.i-Evidence-Based CV Disease Management 3.g.i-Palliative Care Model

Develop Project/Reporting Specific HIT Requirements Plans

Partner Collaboration

Technical Needs Partner Readiness Vendor Distribution

Align Partners and Vendors Across PPS

Opportunities  Like Partner Collaboration  Readiness  Vendor  Strength In Numbers  Increased opportunity for vendor engagement  Increased efficiency

Patient Centered Primary/Behavioral Health Care Process Improvement Partner Collaboration Information Technology Vendor Engagement

PCMH

CNYCC Vendor Selection Webinar Vendor Selection toolkit

Copy of Presentation Request for Proposal Template (RFP) Request for Information Template (RFI) System Selection Overview Document

Regional population Health and Care Management Platform

EMR Vendor Selection Toolkit and Webinar

Reporting Requirements – PCMH Data Elements

Demographic Information

• Date of Birth
• Sex
• Race
• Ethnicity
• Preferred Language

Clinical Data

• Allergies
• Blood Pressure
• Weight
• Active Diagnoses
• Medications

Other Elements

• Medical Histories
• Depression

Screenings

• Goals
• Social Determinants
• f Health

Topics

Recap

• Roles and Responsibilities in the PIC
• Review of Current State-PCMH and EMR
• Transformation & Recognition Process Overview

Overview of NCQA PCMH 2014 Standards

• NCQA PCMH 2014 Must Pass Standards

Overview of NCQA PCMH 2014 Scoring Understand the NCQA PCMH 2014 Documentation requirements

• Supporting Documentation Matrix
• Review of Types of Documentation and Helpful Hints

HIT Involvement in Primary Care Transformation Upcoming Meetings and Next Steps

Primary Care Transformation PIC May 13, 2016 Health Information Technology PIC May 20, 2016 Upcoming NCQA PCMH Training – Syracuse April 18,2016

Q & A

Learning Objectives

Upcoming Meetings of Interest

Primary Care Transformation PIC May 13th at 10:00 AM

https://attendee.gotowebinar.com/register/8244238612981452033

Upcoming Meetings of Interest

HIT PIC May 20th at 10:00 AM

https://attendee.gotowebinar.com/register/3427491475975626497

Q&A

FIN