responsible resources at each stage of the workflow; Periodic self-audit reports and recommendations ------------------------------------------------------------------ PPS provides periodic training to staff on Metric 14.3: warm referral and follow-up process. List of training dates along with Minimum Documentation: number of staff trained; Written training m Milestone # Project Deliverable DY2 Q4 15: Generate lists of patients with hypertension Milestone #15: M. D’Urso/ S. who have not had a recent visit and schedule a follow up Choudhury visit. Pull roster of identified patient and redact the PHI PPS has implemented an automated Metric 15.1: and send a screenshot to scheduling system to facilitate scheduling of targeted the PMO. hypertension patients. Vendor System Minimum Documentation: Documentation; Other Sources demonstrating implementation of the system; Roster of identified patients Milestone # Submit Policy and Project Deliverable DY2 Q4 procedure for referrals 16 : to NYS Smoker’s M. D’Urso, RN/ Facilitate referrals to NYS Smoker's Milestone #16 Quit line and training S.Choudhury Quitline. sheets to PMO. Please review the PPS has developed referral and follow-up Metric 16.1: Policies and process and adheres to process. procedures and vote vie once the Policies and procedures of Minimum Documentation: PMO has sent out the referral process including warm transfer protocols policies. Milestone # Project Deliverable DY2 Q4 18: Milestone# 18: Adopt Strategies from the Million Hearts Campaign M. D’Urso, RN/ Submit Policy and S.Choudhury procedure for Million Provider can demonstrate Metric# 18.1, 18.2, 18.3: Hearts Campaign and implementation of policies and procedures which reflect training sheets to principles and initiatives of Million Hearts Campaign. PMO. (includes PCP, Specialists, BH) PMO will laminate Policies and Procedures; Minimum Documentation: policy and procedures Baseline home blood pressure monitoring and periodic for partners. updates exhibiting an increase of monitoring; Documentation of process and workflow including responsible resources at each stage of the workflow; Written training materials
responsible resources at each stage of the workflow; Periodic self-audit reports and recommendations ------------------------------------------------------------------ Metric 14.3: PPS provides periodic training to staff on warm referral and follow-up process. Minimum Documentation: List of training dates along with number of staff trained; Written training m Milestone # 15: M. D’Urso/ S. Choudhury Project Deliverable DY2 Q4 Milestone #15: Generate lists of patients with hypertension who have not had a recent visit and schedule a follow up visit. Metric 15.1: PPS has implemented an automated scheduling system to facilitate scheduling of targeted hypertension patients. Minimum Documentation: Vendor System Documentation; Other Sources demonstrating implementation of the system; Roster of identified patients Pull roster of identified patient and redact the PHI and send a screenshot to the PMO. Milestone # 16 : M. D’Urso, RN/ S.Choudhury Project Deliverable DY2 Q4 Milestone #16 Facilitate referrals to NYS Smoker's Quitline. Metric 16.1: PPS has developed referral and follow-up process and adheres to process. Minimum Documentation: Policies and procedures of referral process including warm transfer protocols Submit Policy and procedure for referrals to NYS Smoker’s Quit line and training sheets to PMO. Please review the Policies and procedures and vote vie once the PMO has sent out the policies. Milestone # 18: M. D’Urso, RN/ S.Choudhury Project Deliverable DY2 Q4 Milestone# 18: Adopt Strategies from the Million Hearts Campaign Metric# 18.1, 18.2, 18.3: Provider can demonstrate implementation of policies and procedures which reflect principles and initiatives of Million Hearts Campaign. (includes PCP, Specialists, BH) Minimum Documentation: Policies and Procedures; Baseline home blood pressure monitoring and periodic updates exhibiting an increase of monitoring; Documentation of process and workflow including responsible resources at each stage of the workflow; Written training materials Submit Policy and procedure for Million Hearts Campaign and training sheets to PMO. PMO will laminate policy and procedures for partners.
NYPQ%20PPS%20Cardiovascular%20Meeting%20Minutes%2003%2007%2017.docx