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

HIT/Primary Care Transformation – 4/8/16 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 Attendees 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 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 Discussion 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

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

- 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. Discussion Slide: Communication between operational/clinical and technical/reporting (continued) 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 offer 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 or 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

Learning Objectives 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

Roles and Responsibilities in the PIC Exploration, Vetting and Development Of Technical Solutions Project & Primary Care HIT PIC Transformation PICs Clinical & Operational Requirements Development

Learning Objectives 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

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

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