Transcript QI 7: Complex Case Management (HPA Only)

SNP Training – Topic 4:
Structure & Process Measures 4 through 7
March 17, 24, 31 and April 2, 7,15, 2009
Objective of S&P Measures Training
• Describe the SNP assessment project
NCQA is executing on behalf of CMS
• Explain the intent of the S&P Measures
• Determine what type of documentation to
provide
• Demonstrate how NCQA will survey the
measures.
SNP Training #4: SNP Structure & Process Measures 4 thru 7
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Objectives of SNP Assessment Program
• Develop a robust and comprehensive
assessment strategy
• Evaluate the quality of care SNPs provide
• Evaluate how SNPs address the special
needs of their beneficiaries
• Provide data to CMS to allow plan-plan
and year-year comparisons
SNP Training #4: SNP Structure & Process Measures 4 thru 7
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SNP Assessment: How did we get here?
• Existing contract with CMS to develop
measures focusing on vulnerable elderly
• Revised contract to address SNP
assessment
– 1st year—rapid turnaround, adapted existing
NCQA measures and processes from
voluntary Accreditation programs
– 2nd year—focus on SNP-specific measures
– 3rd year—Refine measures; identify new SNPspecific measures, where appropriate
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Three-Year Strategy
Phase 1 - FY 2008
SNPs Effective as of
January 2007
HEDIS 2008
(13 measures)
Structure & Process
Measures
• SNP 1: Complex Case
Management
• SNP 2: Improving
Member Satisfaction
• SNP 3: Clinical Quality
Improvements
Phase 2 - FY 2009
SNPs Effective as of
January 2008
HEDIS 2009
(15 measures)
•Addition of two measures:
Care for Older Adults;
Medication Reconciliation
Post-Discharge
Structure & Process
Measures
• SNP1 – 3
• SNP 4: Care Transitions
• SNP 5: Institutional SNP
Relationship with Facility
• SNP6: Coordination of
Medicare & Medicaid
Phase 3 - FY 2010
SNPs Effective as of January
2008
HEDIS 2010
• Measure development:
–Potentially Avoidable
Hospitalizations
–Inpatient Readmissions
–MDS measures (I-SNPs)
–Disease-specific measures (CSNPs)
Structure & Process
Measures
•Refinement of existing S&P
measures, includes the
potential development of
new elements
•Potential development of new
measures
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Who Reports
• HEDIS measures
– All SNP plan benefit packages with 30+
members as of February 2008 Comprehensive
Report (CMS website)
• S&P measures
– All SNP plan benefit packages
– Plans with no enrollment exempt from certain
elements
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What to Report
• S&P measures
• Cohort I—All SNPs operational as of
January 1, 2007 and renewed in 2009.
– S&P measures 4-7 (SNP 2:C & 3:B)
• Cohort II—All SNPs operational as of
January 1, 2008 and renewed in 2009
– All S&P measures (SNP 1-6)
• Do not report SNP 7 (SNP 2:C & 3:B)
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Project Time Line – Phase II
• March 4- Release final S&P measures
• March 30 - Release ISS Data Collection
Tool
– S & P Measures
• April - Release IDSS Data Collection Tool
– HEDIS Measures
• June 30 - HEDIS submissions and S&P
measures submissions due to NCQA
• October 30 - NCQA delivers SNP
Assessment Report to CMS
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SNP Structure and Process Measures
Brett Kay, Director, SNP Assessment
Casandra Monroe, Assistant Director, SNP Assessment
Aisha Pittman, Senior Health Care Analyst, Performance Measurement
S&P measures:
What’s New for 2009
• SNP 1-3: Added 2 new elements (SNP 7 in ISS)
– SNP 2C (SNP 7A): Improving member satisfaction
• Focus on implementing interventions to address member
satisfaction issues
– SNP 3B (SNP 7B): Clinical measurement activities
• Focus on collecting, analyzing relevant clinical data
• Identifying opportunities for improvement based on data
analysis
– Existing elements: added more examples and
clarified explanations
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S&P Measure Development Process
• Identify highest ranking priorities in
coordination with GMAP (2/08)
• Conduct plan interviews (5/08)
• Draft measures with assistance from SNP
TEP (6/08)
• Conduct Pilot Test with plans (7/08)
• Release measures for public comment
(10/08)
• Finalize (1/09)
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Objectives of New S&P Measures:
SNP 4 Care Transitions
• Overall focus on SNP-specific functions
• All members: Monitoring members’
movement between care settings
– Ensuring transfer of information such as
medication and care plans
– Initially more emphasis on monitoring
transitions to and from acute care settings
– In subsequent years, measures will assess
monitoring all aspects of all care transitions
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Objectives of New S&P Measures: SNP 5
Institutional SNP Relationship with Facility
• Institutionalized members: Monitoring
members care
– Plans should monitor members health status
quarterly
– Plans should ensure that changes in members
health status are responded to quickly
– In subsequent years, measures will assess
quality of health status information collected
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Objectives of New S&P Measures: SNP 6
Coordination of Medicare &Medicaid
• Dual-eligible members: Members should feel as
if they are seamlessly enrolled in one plan
– Plans should identify members’ eligible Medicaid and
Medicare benefits and services and assist them in
obtaining them
– Plans should work with state Medicaid agencies to
contract to provide Medicaid benefits
– This element assesses plans progression towards
meeting MIPPA requirements
– In subsequent years, the measure will assess plans
ability to integrate Medicare and Medicaid
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Components of the S&P Measures
• Standard statement: a statement about
acceptable performance or results
• Intent statement: A sentence that describes the
importance of the S&P measure
• Element: The component of the measure that is
scored and provides details about performance
expectations. NCQA evaluates each element
within the measure to determine the degree to
which the SNP has met the requirements within
the S&P measure.
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Components of an S&P Measure
• Factor: An item within an element that is scored
(e.g., an element may require an organization
to demonstrate that a specific document
includes 4 items. Each item is a factor).
• Scoring: The level of performance the
organization must demonstrate to receive a
specific percentage on each element (100%,
80%, 50%, 20%, 0%)
• Data source: Types of documentation or
evidence that the organization uses to
demonstrate performance on an element.
NCQA defines 4 types of data sources:
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Data Source Types
• Documented Processes: Policies and procedures, process flow
charts, protocols and other mechanisms that describe an actual
process used by the organization
• Reports: Aggregated sources of evidence of action or compliance
with an element, including management reports; key indicator
reports; summary reports of analysis; system output giving
information; minutes; and other documentation of actions that the
organization has taken
• Materials: Prepared materials or content that the organization
provides to its members and practitioners, including written
communication, Web sites, scripts, brochures, review and clinical
guidelines
• Records or Files: Actual records or files, such as denial, appeal or
credentialing flies that show direct evidence of action or
compliance with an element---NCQA does not require file review
for phase two.
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Components of an S&P Measure
• Scope of Review: The extent of the
organization’s services evaluated during an
NCQA survey.
• Look-back period: The period of time for which
NCQA evaluates an organization’s
documentation to assess performance against
an element
• Explanation: Guidance for demonstrating
performance against the element
• Example: Descriptive information illustrating
performance against an element’s
requirements. Examples are for guidance and
are not intended to be all-inclusive
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SNP 4: Care Transitions
SNP 4: Element A
Managing Transitions
•
Managing & coordinating planned/unplanned
transitions from one care setting to another
–
–
–
•
Factors 1& 2 focus on transitions to and from a
hospital
Factors 3-6 focus on transitions to and from other care
settings
Factor 7 requires an analysis of plans’ management
of transitions
–
–
–
Focus is providing information and
communication from one setting to another:
Providers/practitioners
Caregivers
patients
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SNP 4: Element A
Managing Transitions
• Documentation
–
–
–
–
Documented processes AND Reports or
materials
Must specify a timeframe for completion of
required transition activities in factors 3-6
Transitions to/from hospital must address
activities in factors 1-6
Transitions to/from other care settings must
address activities in factors 3-6, at a minimum
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SNP 4: Element A FAQs
• Does NCQA want to see an analysis for
Factor 7, or just a plan to conduct the
analysis?
– SNPs may present a plan or process that
details how it will conduct an analysis. The
actual analysis is not required this year.
• Can SNPs provide job descriptions of staff
responsible for managing transitions?
– Yes. SNPs may provide job descriptions as an
example of materials detailing transition
coordination activities.
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SNP 4: Element A Examples
• Policies & procedures for supporting members’
moves b/w care settings, including items to be
completed by each setting
• Policies & procedures for communicating with
members or responsible parties
• Formats for reports used to identify planned
transitions, changes in member health status and
hospitalizations ordered by providers
• Information prepared for members experiencing
transitions.
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SNP 4: Element B
Identifying Unplanned Transitions
•
•
Review the following information for network
facilities:
–
hospital admissions w/in one business day of
admission
–
LTC facility admissions w/in one business day of
admission
Organization or member’s usual practitioner
must manage the transition
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SNP 4: Element B
• Documentation: organization must
provide both:
– Documented processes, AND
– Reports
• Examples to show plan implements its policies
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SNP 4: Element B FAQs
• Can the organization use reports from its staff
who regularly see members in hospitals and LTC
facilities?
– Yes. The reports may come from organization staff or
from the facilities directly. They may also come from
UM or other standard reporting processes.
• Should a SNP provide actual patient data in the
admissions reports?
– No. Plans should NOT send any personal health
information (PHI). All patient identifiable data should
be removed.
– Report formats or shells of daily admissions reports are
sufficient for this element.
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SNP 4: Element B Examples
Documentation may include:
• Procedures for reporting by contracted facilities
– Must include the organization’s time frame for receiving
reports
• Procedures for organization staff to report on
members’ transitions
• Format or shell of daily admissions reports from
hospitals
• Format or shell of organization staff notification of
member transitions, based on organization staff
visits to facilities or contact with facility staff
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SNP 4: Element C
Reducing Transitions
Focus is on minimizing unplanned transitions and
keeping patients in least restrictive setting
•
Analyze individual member data to identify those at risk
•
•
Coordinate services for at-risk members
•
•
•
Patient-specific data
High-risk members
Educate members/caregivers-prevent unplanned
transitions
Analyze member admissions—hospitals and ED visits
•
•
Annual analysis to identify areas for improvement
Population focus (aggregate data)
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SNP 4: Element C
Reducing Transitions
Documentation: SNPs must provide:
•
Documented processes AND
•
Reports
–
–
Formats or shells for factor 1
Actual analysis for factor 4
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SNP 4: Element C FAQs
• Can an organization use the data it collects
from its case management program (SNP 1:
Complex Case management, Elements A, B, &
D) to meet the requirements of factor 1?
– Yes, provided the organization analyzes information
on all members with the same frequency as it does
for case management, to predict possible transitions
for individual members
• Can an organization assign responsibility for
factors 1, 2, 3 to other providers?
– Yes. However, the organization is ultimately
responsible for meeting the requirements.
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SNP 4: Element C
Examples
• Documented Processes
– Procedures for case managers to contact at-risk
members to assess needs and arrange services
– Procedures for ordering needed services or working
with providers to order them
• Reports
– Format or shell of reports identifying high-risk patients
using claims or other data
– Format or shell showing predictive modeling to assign
members a risk score
– Reports on overall rates of admissions and ED visits,
analysis of root causes and opportunities for
improvement
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SNP 5: Institutional SNP Relationship
with Facility
SNP 5: Institutional SNP Relationship
with Facility
• Institutional SNPs only
– Focus is on communications with facilities to
monitor member needs and services
provided
• Dual Eligible and Chronic Care SNPs are
exempt
– Score all elements in this measure “NA”
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SNP 5: Element A
• Organization monitors information on member
health status at least quarterly
– Scoring is 100% or 0% (all or nothing element)
– Communication should include information that may
indicate a change in health status or no change
• Status reports may include:
–
–
–
–
Functional status assessments
Medication regimen
Self-reported health status
Reports on falls, socialization and depression
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SNP 5: Element A
• Documentation: SNPs must provide:
• Documented processes AND
• Reports or materials
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SNP 5: Element A FAQs
• If an organization collects the required
data as part of its case management
functions, will that meet the requirements
for this element?
– Yes, provided the data is collected at least
quarterly
• Can SNPs use data derived from MDS or
other systematic data collection?
– Yes. MDS or other reports specified by the SNP
from the institutional facility that report on
member health status are acceptable
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SNP 5: Element A Examples
• Documented Processes
– Procedures for network facilities to provide
ongoing updates on member health
– Contracts or agreements with facilities
covering their monitoring and reporting
responsibilities
• Reports?
– Format or shells of reports of staff visits to
facilities to collect member health status info
• Materials
– Facility briefing materials
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SNP 5: Element B
Monitoring Changes in Members’ Health
Status
•
Requires network institutions to notify SNP or
treating practitioner with 24-48 hours of change
in members’ health status
•
Organization sets parameters for:
–
Triggering events/changes to report
–
Who should be contacted (plan or practitioner)
–
Timeframe for reporting
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SNP 5: Element B
Monitoring Changes in Members’ Health
Status
Documentation Requires
•
Documented processes; AND
–
Procedures for network facility to provide notification
–
Contracts or agreements with facilities covering their
reporting responsibilities
•
Reports or materials
–
Format or shell of reports of member health change
reports from staff visits
–
Format or shell of member health change reports
from facilities
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SNP 5: Element B FAQs
• Can a SNP require different timeframes for
notification for different issues such as falls,
weight loss, etc?
– Yes. The SNP may set its own notification parameters,
however, they cannot exceed 48 hours to receive full
credit for this element
• When does the timeframe for notification start,
at the time of the health status change or the
identification of that change?
– The timeframe begins once someone (facility or SNP
staff) identifies that an eligible health status change
or triggering event has occurred. For example, a
member gets a fever at 3:00am, but it is not observed
or recorded until 6:00am. The timeframe for
notification to the SNP/practitioner starts at 6:00am.
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SNP 5: Element C
Maintaining Members’ Health Status
• Organizations use the information from
SNP 5: Elements A&B to identify at-risk
members and work with
facilities/practitioners to arrange for
necessary care and adjust care plans as
needed to prevent declines in member
health status
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SNP 5: Element C
Documentation must include:
• Documented Processes; AND
– Policies and procedures for how the organization
and facilities respond to triggering events and
changes in health status
– Contracts or agreements with facilities covering their
reporting responsibilities
• Materials
– Job descriptions of staff who visit members in facilities
– Facility briefing materials
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SNP 5 Element C Examples
Methods of providing care:
• Organizations may have differing models of
relationships with facilities to address these
monitoring functions
– Facility oversight: relies on facilities to
modify/carry out care plans
– Staff practitioners: SNP staff practitioners visit
facilities and order care plan modifications
– Other models of care: SNPs may use a
combination of above models or different
one
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SNP 6: Coordination of Medicare and
Medicaid Coverage
SNP 6: Element A Administrative
Coordination for Dual-Eligible Benefit
•
•
•
•
•
•
•
The organization coordinates Medicare & Medicaid
benefits/services by:
Providing members (current & prospective) with
information on both programs
Providing information about maintaining Medicaid
eligibility
Identifying changes in member Medicaid eligibility
Giving members access to staff knowledgeable about
both programs
Coordinating adjudication of Medicare/Medicaid
claims
Providing clear explanations of rights to pursue
grievances/appeals under both programs
Providing clear explanations of benefits and any
communications they receive re: claims, cost sharing
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SNP 6: Element A FAQs
• If we are an Institutional SNP, do we have to complete
this element?
– No. SNP 6: Element A is applicable only to Dual-eligible SNPs.
Institutional and Chronic care SNPs should select “NA” in the
survey tool for this element and document that they are either
an I-SNP or C-SNP
• We operate in a state that does not allow us to integrate
our marketing materials for Medicare & Medicaid. How
can we demonstrate compliance with this element?
– Plans that operate in states where integrated marketing or other
member information is not permitted may provide separate
benefit materials to members/prospective members, e.g., one
brochure on the Medicare benefits and one for the Medicaid
benefits.
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SNP 6: Element A Examples
• SNPs must provide documented processes and
may provide any one of the other two data
sources to meet element requirements:
– Documented processes:
• Job descriptions for staff who help members with
coordination of both sets of benefits
• Procedures used to determine changes in Medicaid
eligibility
– Materials:
• Sample marketing materials; brochures, benefit summaries
• Instructions on where to reapply for Medicaid
– Reports:
• Format or shell of reports on Medicaid eligibility used by
organization
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SNP 6: Element B
Relationship with State Medicaid Agency
The organization has a documented
relationship with the state Medicaid
agency to promote coordinated care
• For Dual-eligible SNPs only that:
– Have a contract/agreement with state
agency
– Are working toward a contract/ agreement
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SNP 6: Element B
Documentation
• SNPs may provide documentation from any one
of the data sources
– Documented Processes:
• Contracts or agreements with the state Medicaid agency
covering administration or benefits
• Procedures for administering Medicaid benefits, where the
procedures reflect an ongoing process
– Reports:
• Written notification of a scheduled meeting with state to
discuss contracting w/in past 12 months or notification
acknowledging receipt of, or action on, organization’s
proposal for contracting to administer Medicaid benefits
w/in past 12 months
– Materials:
• Instructional materials from state agency on how to
administer Medicaid benefits
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SNP 6: Element B FAQs
• Our SNP operates in a state that refuses to
contract with Medicare health plans to
coordinate or administer Medicaid
benefits. How can we comply?
– In situations where the state cannot or will not
enter into an agreement with the SNP, the
SNP may take an “NA” for this element. SNPs
must document this with a letter or
legislation/regulations from the state that
indicate such refusal/inability to act
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SNP 6: Element B FAQs
• Our SNP is in the process of developing a
relationship with the state agency, but it is
not finalized. How can we meet the
requirements?
– SNPs may provide a letter or proposal that
documents an ongoing effort to establish a
relationship with the state
• What are the valid types of agreements
SNPs can enter into with states?
– SNPs may have a contract, an MOU, or MOA
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SNP 6: Element C
Administrative Coordination for Chronic
and Institutional SNPs
• Organization coordinates Medicare/Medicaid
benefits for C-SNP& I-SNP members by:
– Using a process to identify changes in member
Medicaid eligibility
– Informing members about maintaining Medicaid
eligibility
– Giving eligible members information about
Medicare/Medicaid benefits
– Giving members access to staff knowledgeable
about both programs
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SNP 6: Element C
• Similar to SNP 6: Element A
• Applies only to C-SNPs and I-SNPs with
more than 5% of dual-eligible members
– Dual-eligible SNPs are exempt from this
element
• For overlapping factors (with SNP 6:A),
same requirements for documentation
and expectations
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SNP 6: Element D
Service Coordination
• Organization coordinates delivery of services
covered by Medicare/Medicaid through the
following:
– Helping members access network providers that
participate in both programs or accept Medicaid
patients
– Educating providers about coordinating benefits for
which members are eligible and about members’
special needs
– Educating members about both benefits
– Helping members obtain services funded by either
program when needed
– Assessing adequacy of provider network semi-annually
to ensure access to care
*Element is NA for C-SNPs & I-SNPs w/less than 5% dual
eligible members
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SNP 6: Element D
• SNPs must provide the following
documentation:
– Documented processes; AND
• P&Ps for arranging services for members
– Reports or Materials
• Reports on access indicators such as percentage
of in-network and out-of-network use; rate of ED
use compared to norms in area; or member
surveys of satisfaction with access
• Materials such as the provider directory; provider
manuals; sample benefit summaries
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SNP 6: Element D FAQs
• Can a SNP assign responsibility for
arranging services (Medicare/Medicaid)
to its network practitioners and other
affiliated providers (nursing facilities)?
– Yes. SNPs may assign the services required in
factors 3 & 4. SNPs are responsible for
maintaining an adequate network and for
educating network practitioners and
providers about their role in coordinating
services, but can coordinate the other
functions in different ways.
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SNP 6: Element D FAQs
• What are the physician requirements for
services that are reimbursed by Medicare
& Medicaid for dual-eligible members?
– The organization must require it’s network
physicians to do one of the following:
• Accept both Medicare & Medicaid payment and
cannot bill patients more than allowable state copays, or
• Do not balance-bill dual-eligible members for the
Medicaid co-pays (if only accepting Medicare)
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SNP 7
SNP 7: Element A (SNP 2:C)
• Member Satisfaction: Improving
Satisfaction—Builds on elements from
Phase I requirements (SNP 2:A & SNP 2:B)
– The organization works to improve member
satisfaction by:
• Implementing interventions
• Developing a plan for evaluation of the
intervention
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SNP 7: Element A
• SNPs must provide the following
documentation:
– Documented processes demonstrating the
evaluation plans; AND
– Reports demonstrating the implementation of
the intervention.
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SNP 7: Element A FAQs
• Can a SNP identify and implement opportunities
other than the ones it originally identified in SNP
2: Element B?
– Yes. A SNP may identify and implement other
opportunities but it must provide documentation
demonstrating that the opportunity resulted from the
analysis in accordance with SNP 2: Element A.
• What if a SNP received an NA last year for SNP
2:B because it didn’t have adequate member
satisfaction data to identify opportunities?
– A SNP must do a new analysis using its current data,
identify opportunities AND implement interventions
and a plan for evaluation of the interventions.
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SNP 7: Element A FAQs
• What if a SNP did not identify any opportunities
in SNP 2:B last year based on its data analysis
because it didn’t have any members?
– SNPs must provide new analysis this year if they have
more members and are able to identify opportunities
based on the new analysis. For SNPs with no
members as of the start of the look-back period, they
are exempt from completing this element.
• Can a SNP incorporate its intervention
evaluation plan as part of an annual
assessment of member satisfaction?
– Yes, but the organization may not use data
generated before the intervention was implemented.
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SNP 7:B Clinical Measurement Activities
(SNP 3:B)
• The organization works to improve clinical
issues by:
– Collecting data appropriate for the clinical
issues
– Analyzing the collected data
– Identifying opportunities for improvement and
deciding which ones to pursue
• Builds on clinical measures identification
from SNP 3: Element A
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SNP 7: Element B
• Data Analysis
– Quantitative analysis--must include a firstlevel, quantitative analysis of data, including
comparison of results with a goal or
benchmark and past performance (if
previous measure performed)
– Qualitative analysis—identify reasons for
results and potential barriers to improvement.
• Data collected must be no older than 12
months prior to the start of the look-back
period
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Questions?
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Additional Resources
Additional Resources
• NCQA SNP Web page www.ncqa.org/snp.aspx
– FAQs (HEDIS)
– Training descriptions & schedule
– S&P measures
• NCQA Policy Clarification Support (PCS)
http://app04.ncqa.org/pcs/web/asp/TIL_ClientLogin.asp
• HEDIS Audit information
http://www.ncqa.org/tabid/204/Default.aspx
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Policy Clarification Support (PCS)
• PCS Web address
http://app04.ncqa.org/pcs/web/asp/TIL_ClientLogin.asp
• Link for SNP Web page
www.ncqa.org/snp.aspx
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Policy Clarification Support (PCS)
• Under “Standard Categories/HEDIS
Domain,” select one of the following
options:
– SNP – General Reporting Guidance
– SNP – HEDIS
– SNP – Structure & Process Measures
• Menu options under “Standard/Measures”
– If “SNP – General Reporting Guidance” was
selected:
• Not Applicable
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Policy Clarification Support (PCS)
Menu options under “Standard/Measures”
• If “SNP – HEDIS” was selected:
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(COL) Colorectal Cancer Screening
(GSO) Glaucoma Screening in Older Adults
(COA) Care for Older Adults
(SPR) Use of Spirometry Testing in the Assessment & Diagnosis of COPD
(PCE) Pharmacotherapy Management of COPD Exacerbation
(CBP) Controlling High Blood Pressure
(PBH) Persistence of Beta Blocker Treatment After a Heart Attack
(OMW) Osteoporosis Management in Older Women
(AMM) Antidepressant Medication Management
(FUH) Follow-Up After Hospitalization for Mental Illness
(MPM) Annual Monitoring for Patients on Persistent Medications
(DDE) Potentially Harmful Drug-Disease Interactions
(DAE) Use of High Risk Medication in the Elderly
(MRP) Medication Reconciliation Post-Discharge
(BCR) Board Certification
(HOS) Medicare Health Outcomes Survey
Other
SNP Training #4: SNP Structure & Process Measures 4 thru 7
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Policy Clarification Support (PCS)
Menu options under “Standard/Measures”
• If “SNP – Structure & Process” was selected:
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SNP 1: Complex Case Management
SNP 2: Improving Member Satisfaction
SNP 3: Clinical Quality Improvements
SNP 4: Care Transitions
SNP 5: Institutional Relationship with Facilities
SNP 6: Coordination of Medicare and Medicaid
Services
– Other
SNP Training #4: SNP Structure & Process Measures 4 thru 7
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Additional SNP Trainings
• SNP Subset of HEDIS Measures
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March 3rd
March 11th
March 16th
March 26th
April 1st
11:30 – 1:00
11:30 – 1:00
1:00 - 2:30
1:00 - 2:30
12:30 - 2:00
• Structure and Process Measures (S&P 1-3)
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March 12th 1:00 – 2:30
March 19th 1:00 - 2:30,
March 25th 12:30 - 2:00
April 23rd 2:00 – 3:30
SNP Training #4: SNP Structure & Process Measures 4 thru 7
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Additional SNP Seminars
• Structure and Process Measures (S&P 4-6)
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March 17th 2:00 - 3:30
March 24th 2:00 - 3:30
March 31st 2:00 - 3:30
April 2nd 12:30 – 2:00
April 7th
2:00 - 3:30
April 15th 1:00 – 2:30
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April 8th 1:00 – 2:30
April 14th 1:00 - 2:30,
April 17th 1:00 – 2:30
April 21st 1:00 - 2:30
April 28th 1:00 – 2:30
May 7th 1:00 – 2:30
• Interactive Survey System (ISS)
SNP Training #4: SNP Structure & Process Measures 4 thru 7
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Contacts
Brett Kay
Director, SNP Assessment
202-955-1722
[email protected]
Casandra Monroe
Assistant Director, SNP Assessment
202-955-5136
[email protected]
SNP Training #3 – SNP Structure & Process Measures 1 thru 3
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