Future Future Deliverables: Partners can work Deliverables: with Cory to be Ensure that all PPS safety net providers are Milestone# 2: connected to the actively connected to EHR systems with local health RHIO, information exchange/RHIO/SHIN-NY and share health information among clinical partners, including direct exchange (secure messaging), alerts and patient record look up, by the end of DY 3. EHR meets connectivity to RHIO’s HIE and Metric# 2.1: SHIN-NY requirements. Committee will QE agreements Minimum Documentation: discuss how to incorporate no copayment into Provide opportunities for follow-up blood policy and Milestone# 8: pressure checks without a copayment or advanced procedure. appointment. All primary care practices in the PPS provide Metric 8.1: follow-up blood pressure checks without copayment or advanced appointments. Policies and procedures related Minimum Documentation: to blood pressure checks; Roster of patients, by PCP practice, who have received follow-up blood pressure checks. Identify patients who have repeated Milestone# 10: elevated blood pressure readings in the medical record but do not have a diagnosis of hypertension and schedule them for a hypertension visit. PPS uses a patient stratification system to Metric # 10.1: identify patients who have repeated elevated blood pressure but no diagnosis of hypertension. Risk assessment tool Minimum Documentation: documentation; risk assessment screenshots, Patient stratification output; Documented protocols for patient follow-up PMO will send out an email to vote on the policies PMO will send out and procedures to be standardized committee wide. further information The Webinar trainings will be held approximately via email. March 22nd ,
Future Deliverables: Future Deliverables: Milestone# 2: Ensure that all PPS safety net providers are actively connected to EHR systems with local health information exchange/RHIO/SHIN-NY and share health information among clinical partners, including direct exchange (secure messaging), alerts and patient record look up, by the end of DY 3. Metric# 2.1: EHR meets connectivity to RHIO’s HIE and SHIN-NY requirements. Minimum Documentation: QE agreements Milestone# 8: Provide opportunities for follow-up blood pressure checks without a copayment or advanced appointment. Metric 8.1: All primary care practices in the PPS provide follow-up blood pressure checks without copayment or advanced appointments. Minimum Documentation: Policies and procedures related to blood pressure checks; Roster of patients, by PCP practice, who have received follow-up blood pressure checks. Milestone# 10: Identify patients who have repeated elevated blood pressure readings in the medical record but do not have a diagnosis of hypertension and schedule them for a hypertension visit. Metric # 10.1: PPS uses a patient stratification system to identify patients who have repeated elevated blood pressure but no diagnosis of hypertension. Minimum Documentation: Risk assessment tool documentation; risk assessment screenshots, Patient stratification output; Documented protocols for patient follow-up Partners can work with Cory to be connected to the RHIO, Committee will discuss how to incorporate no copayment into policy and procedure. PMO will send out an email to vote on the policies and procedures to be standardized committee wide. The Webinar trainings will be held approximately March 22nd , PMO will send out further information via email.
NYPQ%20PPS%20Cardiovascular%20Meeting%20Minutes%2003%2007%2017.docx