Summary Results of Validation Number of Total Points Rating Ratings (for 3, 2, or 1 Values) Available Scored Averages Points Reassessing PIP Goals & 5 15 15 100% Barriers Reassessing Intervention 4 12 8 66% Parameters & Strategies Performance Indicator 1 3 3 100% Parameters Performance Indicator Data 4 12 12 100% Analysis Performance Indicator Results 83% 1.0 3.0 2.5 Member Population Analysis 2 6 5 83% Conclusions & Future PIP 3 9 8 83% Improvements Validation Rating Score 20 60 53.5 89% (for 3, 2, or 1 Values) Overall Validation Rating Score 27 67 58.8 88% Update on 2016 Recommendations is required by CMS to determine the status of recommendations made in the previous reporting year. An update on recommendations made in 2016 to CeltiCare follows: Calendar Year 2016 Recommendation 2017 Update CeltiCare is encouraged to identify case CeltiCare reported having trained telephone managers with the strongest track record in case managers in Motivational Interviewing. supporting members to make follow-up appointments or work through members’ resistance to medication adherence. These practice” case managers should share “best their methods in team meetings. Also, as resources allow, case managers could benefit from even an abbreviated training in Motivational Interviewing. This based patient coaching method would work well to assist members attain medication compliance. Calendar Year 2016 Recommendation 2017 Update
Summary Results of Validation Ratings (for 3, 2, or 1 Values) Number of Total Available Points Points Scored Rating Averages Reassessing PIP Goals & Barriers 5 15 15 100% Reassessing Intervention Parameters & Strategies 4 12 8 66% Performance Indicator Parameters 1 3 3 100% Performance Indicator Data Analysis 4 12 12 100% Performance Indicator Results 1.0 3.0 2.5 83% Member Population Analysis 2 6 5 83% Conclusions & Future PIP Improvements 3 9 8 83% Validation Rating Score (for 3, 2, or 1 Values) 20 60 53.5 89% Overall Validation Rating Score 27 67 58.8 88% Update on 2016 Recommendations is required by CMS to determine the status of recommendations made in the previous reporting year. An update on recommendations made in 2016 to CeltiCare follows: Calendar Year 2016 Recommendation 2017 Update CeltiCare is encouraged to identify case managers with the strongest track record in supporting members to make follow-up appointments or work through members’ resistance to medication adherence. These “best practice” case managers should share their methods in team meetings. Also, as resources allow, case managers could benefit from even an abbreviated training in Motivational Interviewing. This patient coaching method would work well to assist members attain medication compliance. CeltiCare reported having trained telephone case managers in Motivational Interviewing. Calendar Year 2016 Recommendation 2017 Update based