Fast-Track NCQA-PCMH Recognition. Using i2i Systems NCQA Pre-Validated PCMH Solution

Transcription

1 Fast-Track NCQA-PCMH Recognition Using i2i Systems NCQA Pre-Validated PCMH Solution

2 Goal of Today s Webinar Share Why NCQA-PCMH Pre-Validation Matters Learn How to Fast-Track to NCQA-PCMH Recognition Hear How Practices are Achieving and Accelerating PCMH Recognition

3 Poll Where are you in your PCMH Recognition process? a) Plan to apply, but have not started the process today b) Plan on applying for PCMH in 2013 c) Plan to accelerate PCMH to Levels 2 or 3 in 2013 d) Undecided

4 PCMH Continues to Skyrocket Source: The State of Health Care Quality 2012 Report, NCQA

5 Driving Forces Behind PCMH National Recognition Increased Market Competitiveness HRSA s Heath Care Transformation Strategy Health Plans are Using the NCQA Recognition Patient Protection and Affordable Care Act

6 NCQA 2011 Standards Strengthen Medical Home Program Innovative Program for Improving Primary Care Set of Clear Standards and Criteria Supporting: Population Health Management Coordination by Care Teams Tracking and Managing Care Over Time Continuous Quality Improvement 2011 PCMH Standards Strengthen and Add to NCQA s Original Program (2008)

7 To Many, PCMH Looks Like

8 i2i s NCQA Pre-Validation Matters

9 Patient-Centric vs. Population-Centric NCQA-PCMH Recognition PHM Population- Centric EHRs Patient- Centric

10 Technology Isn t Enough

11 Our Alignment Doesn t Stop There

12 NCQA-PCMH Alignment Looks Like This - Success! Partners for Health Care Transformation

13 i2itracks Demonstration Nancy Thompson Director of Product Implementation

14 i2i PCMH Toolkit

15 i2i PCMH Toolkit Solution Built-in Software Solution Step-by-Step Instructions Best Practices Professional Services Community

16 How Will You Achieve PCMH?

17 PCMH Standards For NCQA PCMH Recognition, sites are assessed and scored based on a point scale with three levels of certification: Level 1: points and all 6 must-pass elements Level 2: points and all 6 must-pass elements Level 3: points and all 6 must-pass elements

18 The Leader in Population Health Management Chronic Disease Management Preventive Health Management Analytics Outcome Reporting, Dashboards Easy Patient Searching Women s Health Referral Management Day of Visit Planning Recall Automation And More!

19 Poll Please rate your knowledge on the PCMH Requirements a) I am a PCMH expert b) I understand many of the requirements c) I have some knowledge, but not nearly enough d) I am new to PCMH

20 How i2i Gets You There Standard 2: Identify and Manage Patient Populations Element D. Use Data for Population Management* Standard 5: Track and Coordinate Care Element B. Referral Tracking and Follow up* Standard 6: Measure and Improve Performance Element C. Implement Continuous Quality Improvement* *MUST PASS

21 Standard 2: Identify and Manage Patient Populations Element D. Use Data for Population Management* Define Standards of Care Focused on Preventive and Chronic Care Services Develop Process and Procedures of Delivering that Care Ensure Standards are Followed Identify Patients in Need of Care *MUST PASS

22 Standard 5: Track and Coordinate Care Element B. Referral Tracking and Follow Up* Track All Referrals Provide Specialist with Pertinent Clinical Data Managing the Entire Referral Process From the Order to When the Report is Received Within the Required Timing *MUST PASS

23 Standard 6: Measure and Improve Performance Element C. Implement Continuous Quality Improvement* Develop an Ongoing QI Strategy Review Performance Data and Evaluate Performance Identify Opportunities for Improvement Analyze Potential Barriers *MUST PASS

24 i2i PCMH Toolkit

25 Case Study: Serving Alameda, Contra Costa and Marin Counties Since Primary Care Health Centers + Pediatrics, Perinatal, Podiatry, Dental, Mental Health, Supportive Services 43,500 Patients, 220K+ Visits CMS PCMH Demonstration Project, HRSA Supplemental Funding Awardee Goal: NCQA PCMH Level 3 Application Submitted by June 2013 Comprehensive Care Coordination of Care Quality Improvement 3B2. Identify High-Risk Patients: Search created to identify and easily follow up ipha Report for % 5B. Referral Management: Referrals to specialists automatically entered into i2itracks with Interface from EHR = Improved Efficiency 6A. Patient Health Dashboard with data from ipha Report; Posted in Staff Areas 6C. and D. ipha Reports demonstrate improvements 6E. ipha Reports Sharing data with all Staff, Board of Directors

26 Case Study: CAMcare Health Corporation FQHC, Camden, New Jersey 8 sites; 37,000 Patients / 145,000 Visits Annually Joint Commission Accreditation, Including PCMH In Process Goal: NCQA PCMH Level 3 Fall 2014 Comprehensive Care Coordination of Care Quality Improvement Used Tracks for Standard 2D: Identifying and Managing Populations of Patients Well Child Visits and Immunizations; Mammograms Diabetes; Hypertension Morning Huddle Report Plan to use it for United Healthcare Insurance to ensure receive required services 5 Minute Visit: MA s have 5 Minute Visit after vitals taken and before provider for coordination of care tasks. Recorded as structured data, with CDI can report in Tracks Trained on ipha Report and Dashboards 3/27: Plan to develop reports for Standard 6 Used Tracks for MU and UDS Reporting

27 i2i Systems 2013 User Conference Solutions for Your New Data Reality PCMH & Quality Data Toolkits Expert Advice Hands-On & Solutions Labs Visit to Register Today!

28 Next Steps Come to the User Conference to receive your PCMH Toolkit! 2013 User Conference May 9-10 at the San Jose Hilton, San Jose, CA Visit For a personal demonstration, contact i2i Systems at: info@i2isys.com Thank you for your participation!