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TRANSCRIPT
Fast-Track NCQA-PCMH Recognition
“Using i2i Systems’ NCQA Pre-Validated PCMH Solution“
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
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
PCMH Continues to Skyrocket
Source: The State of Health Care Quality 2012 Report, NCQA
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
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)
To Many, PCMH Looks Like…
i2i’s NCQA Pre-Validation Matters
Patient-Centric vs. Population-Centric
EHRs – Patient-Centric
PHM – Population-Centric
NCQA-PCMH Recognition
Technology Isn’t Enough
Our Alignment Doesn’t Stop There
NCQA-PCMH Alignment Looks Like This - Success!
Partners for Health Care Transformation
i2i PCMH Toolkit
i2i PCMH Toolkit Solution
• Built-in Software Solution
• Step-by-Step Instructions
• Best Practices
• Professional Services
• Community
How Will You Achieve PCMH?
PCMH Standards
• For NCQA PCMH Recognition, sites are assessed and scored based on a point scale with three levels of certification:
– Level 1: 35–59 points and all 6 must-pass elements
– Level 2: 60–84 points and all 6 must-pass elements
– Level 3: 85–100 points and all 6 must-pass elements
• 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!
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
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
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
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
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
i2i PCMH Toolkit
Case Study:
• Serving Alameda, Contra Costa and Marin Counties Since 1976 • 10 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
Case Study:
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
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
i2i Systems 2013 User Conference
‘Solutions for Your New Data Reality’
– PCMH & Quality Data Toolkits
– Expert Advice
– Hands-On & Solutions Labs
Visit www.i2isys.com to Register Today!
Next Steps…
2013 User Conference May 9-10 at the San Jose Hilton,
San Jose, CA
Visit www.i2isys.com
For a personal demonstration, contact i2i Systems at: [email protected]
866-820-2212
Thank you for your participation!
Come to the User Conference to receive your PCMH Toolkit!