Transcript Wrap Up 2014-2015

PHC’s Pay-For-Performance
Program: QIP 2014-2015 Wrap Up
Marya Choudhry- NR QIP Project Manager
Objectives
Overview of Measures and Due Dates
 Year End Wrap Up
 Resources
 Questions

Fixed
FixedPool
PoolMeasures
Measures and
and Due
Due Dates
Date
I. Clinical Domain Measures
Practice
Type
Childhood Immunization – DTaP
Peds
Child BMI
Family & Peds
Well Child Visits
Family & Peds
Nutrition Counseling
Peds
Physical Activity Counseling
Peds
Adolescent Immunizations
Peds
Cervical Cancer Screen
Family & Adult
Diabetes Management (4 out of 6):
-LDL testing, HbA1c testing, Hba1c
control, retinal eye exam, Nephropathy,
Blood pressure control
Family & Adult
Monitoring Patients on Persistent
Medications
Adult
Controlling High Blood Pressure
Adult
System
Used
Due Dates
Tracked
by QIP
eReports
Can upload data on
eReports until
Aug 15
Measures and Due Dates
Appropriate Use of
Resources
Practice Type
Acute Bed Days/ 1000 or
Follow-Up Post Discharge
Family & Adult
Readmission Rate or FollowUp Post Discharge
Family & Adult
Pharmacy Utilization
All
Access & Operations
Practice Type
Avoidable ED Visits
All
Practice “open” to PHC
members
All
PCP Office Visits
All
Submit quarterly data on 3NA
and one of the three
operations measures
All
Patient Experience
Survey or Training Option or
PCMH criteria
Practice Type
All
System
Used
Monthly
Reports
System
Used
Monthly
Reports
Submission
Template
System
Used
Submission
Template
Due Dates
N/A
Due Dates
N/A
Q4 data due July
31, 2015
Due Dues
Part II due July
31, 2015
Unit of Service Measures and Due Dates - ALL
Measures
System Used
Due Dates
Advance Care Planning
Submission Template
July 31, 2015
Access/Extended Office
Hours
Provider Relations
N/A
Achieving PCMH
recognition
Submission Template
July 31, 2015
Starting or continuing peer- Submission Template
led self management
support groups
July 31, 2015
CAIR Utilization
N/A
Submission Template
Year End Wrap Up: Clinical Domain
Date
Event
June 30
End of Measurement Year
July 1 – July 7
eReports under maintenance
July 8
eReports can be accessed by the providers
July 8 – August 15
Grace Period to upload data on services delivered
between July 1, 2014 and June 30, 2015 on eReports
Check if there are measures with <10 members in
denominator; may submit outreach evidence to earn
points
August 15
Last day to upload data for the 2014-2015 QIP
Last day to submit evidence for outreach
August 7th (tentative)
Preliminary Year-End Reports with performance scores
Year End Wrap Up:
Appropriate Use of Resources Domain
Date
Event
June 30
End of Measurement Year
August 25
Monthly Reports for data through May
October 30
Monthly Reports for data through June with final
payment
September 4 (tentative) Site-specific Follow-Up Post Discharge template sent if
target for Bed Days/1000 or Readmission Rate is not
September 18
met
(tentative)
Template Due
Year End Wrap Up:
Access & Operations Domain
Date
Event
June 30
End of Measurement Year
August 25
Monthly Reports for data through May
July 31
Due date for Q4 3NA & Operations submission
October 30
Monthly Reports for data through June with final
payment
Year End Wrap Up:
Patient Experience Domain
Date
Event
June 30
End of Measurement Year
August 25
Monthly Reports for data through May
July 31
Due date for PE Part II submission
October 30
Monthly Reports for data through June with final
payment
Resources
http://www.partnershiphp.org/Providers/Quality/P
ages/PCPQIPLandingPage.aspx
[email protected]
Questions?