Appropriate Asthma medications; HbA1c Population Practices will develop and implement Care testing; Well Child CPC, CPC+, Level II stratification: care protocols for the specific risk 4A Management Care; Depression SIM, ACC 1.0 care protocols pools within their population. Screening; SUD Screening Appropriate Asthma Practices will develop and implement medications; HbA1c Care patient registries to manage the care testing; Well Child Level II Registries SIM, ACC 1.0 4A Management and outcomes of at least three specific Care; Depression patient populations. Screening; SUD Screening Appropriate Asthma Practices will develop and monitor care medications; HbA1c plans with each patient that address Care Shared care testing; Well Child CPC, CPC+, Level II relevant needs and that are shared 4B5 Management plan: patient Care; Depression SIM, ACC 1.0 across each patient's care team Screening; SUD members. Screening Appropriate Asthma Practices will develop and implement medications; HbA1c Care technologies and partnerships that testing; Well Child Level II E-prescribing CPC 4D Management allow for electronic transmission of Care; Depression patients' prescriptions. Screening; SUD Screening Appropriate Asthma medications; HbA1c Practices will develop and monitor Care testing; Well Child Level III goals with their SIM 4B Management Care; Depression goals respective patients. Screening; SUD Screening Practices will define the specific roles for care teams and integrate patient Team Based Level I Care team roles engagement, population health SIM 2D Care management, and quality improvement responsibilities in each role. These
Care Management Population stratification: care protocols Practices will develop and implement care protocols for the specific risk pools within their population. Level II Appropriate Asthma medications; HbA1c testing; Well Child Care; Depression Screening; SUD Screening CPC, CPC+, SIM, ACC 1.0 4A Care Management Registries Practices will develop and implement patient registries to manage the care and outcomes of at least three specific patient populations. Level II Appropriate Asthma medications; HbA1c testing; Well Child Care; Depression Screening; SUD Screening SIM, ACC 1.0 4A Care Management Shared care plan: patient Practices will develop and monitor care plans with each patient that address relevant needs and that are shared across each patient's care team members. Level II Appropriate Asthma medications; HbA1c testing; Well Child Care; Depression Screening; SUD Screening CPC, CPC+, SIM, ACC 1.0 4B5 Care Management E-prescribing Practices will develop and implement technologies and partnerships that allow for electronic transmission of patients' prescriptions. Level II Appropriate Asthma medications; HbA1c testing; Well Child Care; Depression Screening; SUD Screening CPC 4D Care Management goals Practices will develop and monitor goals with their respective patients. Level III Appropriate Asthma medications; HbA1c testing; Well Child Care; Depression Screening; SUD Screening SIM 4B Team Based Care Care team roles Practices will define the specific roles for care teams and integrate patient engagement, population health management, and quality improvement responsibilities in each role. These Level I SIM 2D
Primary%20Care%20Alternative%20Payment%20Memo%20v3%20for%2012.1%20meeting.docx