127376505 1.1 1.13.1 1.13.1.a.b.c.d.e Extended Observation Unit Emergence Health Network 127376505 Related Category 3 IT-9.2 127376505 3.1 OD‐9 Right Care, Right Setting Outcome IT‐9.2 ED appropriate utilization Measure(s): Year 2 Year 3 Year 4 Year 5 (10/1/2012 – 9/30/2013) (10/1/2013 – 9/30/2014) (10/1/2014 – 9/30/2015) (10/1/2015 – 9/30/2016) Milestone 1 (P-1) Milestone 5 (P-6) Milestone 7 (I-12): Utilization Milestone 8 (I-12): Utilization Conduct stakeholder meetings Evaluate and continuously of appropriate crisis of appropriate crisis among consumers, family improve crisis services. alternatives alternatives members, law enforcement, medical staff and Metric 1 (P-6.1): Project Metric 1 (I-12.1):% increase in Metric 1 (I-12.1):% increase in social workers from EDs and planning and implementation utilization of appropriate crisis utilization of appropriate crisis psychiatric hospitals, EMS, documentation demonstrates alternatives. alternatives. and relevant community plan, do, study, act quality behavioral health services improvement cycles. Goal: TBD Goal: TBD providers. Metric 1 (P-1.1): Number of Goal: Evaluate and improve Data Source: Claims, Data Source: Claims, meetings and participants. crisis services. encounter, and clinical record encounter, and clinical record data. data. Baseline/Goal: Establish a Data Source: Project reports baseline of quarterly include examples of how Milestone 7 Estimated Milestone 8 Estimated admissions data is used for Incentive Payment: $5,001,708 Incentive Payment: $5,805,462 improvement to guide Data Source: Attendance lists continuous quality improvement Milestone 1 Estimated Incentive Payment (maximum Milestone 5: Estimated amount): $1,214,321 Incentive Payment (maximum amount): $2,068,181 Milestone 6 (I-12): Utilization
127376505 1.1 1.13.1 1.13.1.a.b.c.d.e Extended Observation Unit Emergence Health Network 127376505 Related Category 3 Outcome Measure(s): IT-9.2 127376505 3.1 OD‐9 Right Care, Right Setting IT‐9.2 ED appropriate utilization Year 2 (10/1/2012 – 9/30/2013) Year 3 (10/1/2013 – 9/30/2014) Year 4 (10/1/2014 – 9/30/2015) Year 5 (10/1/2015 – 9/30/2016) Milestone 1 (P-1) Conduct stakeholder meetings among consumers, family members, law enforcement, medical staff and social workers from EDs and psychiatric hospitals, EMS, and relevant community behavioral health services providers. Metric 1 (P-1.1): Number of meetings and participants. Baseline/Goal: Establish a baseline of quarterly admissions Data Source: Attendance lists Milestone 1 Estimated Incentive Payment (maximum amount): $1,214,321 Milestone 5 (P-6) Evaluate and continuously improve crisis services. Metric 1 (P-6.1): Project planning and implementation documentation demonstrates plan, do, study, act quality improvement cycles. Goal: Evaluate and improve crisis services. Data Source: Project reports include examples of how data is used for improvement to guide continuous quality improvement Milestone 5: Estimated Incentive Payment (maximum amount): $2,068,181 Milestone 6 (I-12): Utilization Milestone 7 (I-12): Utilization of appropriate crisis alternatives Metric 1 (I-12.1):% increase in utilization of appropriate crisis alternatives. Goal: TBD Data Source: Claims, encounter, and clinical record data. Milestone 7 Estimated Incentive Payment: $5,001,708 Milestone 8 (I-12): Utilization of appropriate crisis alternatives Metric 1 (I-12.1):% increase in utilization of appropriate crisis alternatives. Goal: TBD Data Source: Claims, encounter, and clinical record data. Milestone 8 Estimated Incentive Payment: $5,805,462
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