Current Care for Score Patient Involvement Score EHR Capacity Score Pediatric (max 2) (max 4) Applications (max 1) No to use 0 Active patient involvement 1 Meaningful Use achieved by 0 one provider Enrolling patients, 1 High-level of patient 2 Registries for CYSHCN 0 using Viewer, involvement Hospital alerts, or have Direct account Additional patient registries Add 1 point Geographic Score % Medicaid for Pediatric Standard reporting from EHR Add 1 Applications Distribution (max 2) capabilities point (max 3) New area Add 1 0-10 1 Standard plus custom Add 1 point reporting capability point Area with CHT Add 1 10-20 2 Designated staff/support Add 1 point NCM/CC Capacity Score 20-30 3 Behavioral Health Score (max 2) (max 3) None 0 NCQA Score Compacts 1 (max 1) Some experience 1 Recognition achieved 1 Co-located 2 with CC High of CC 2 Fully integrated 3 experience embedded in practice Prerequisites are highlighted in yellow and are required elements for acceptance, so are not assigned a point value APPENDIX A: PCMH Kids Service Delivery Requirements Practices agree to fulfill CTC’s Program care delivery requirements as described on line (). All reports and measures identified in the Care Delivery Requirements use methodology as defined and approved by the CTC Data and Evaluation Committee. Requirements may be subject to change based on updated guidelines from such parties as OHIC, NCQA Measurement Period PCMH-Kids Care Delivery Requirements Date Due (if applicable) last day of month Start Up (MP 1) 7/1/17 to 6/30/18 Care Management Hire 1.0 Care Manager (NCM)/Care Month 4 Coordinator for every 3,000 attributed patients ($2.50 pmpm) Develop High Risk Registry and reportable fields for care management. Confirm completion with Month 6 CTC-RI.
Current Care for Pediatric Applications (max 1) Score Patient Involvement (max 2) Score EHR Capacity (max 4) Score No to use 0 Active patient involvement 1 Meaningful Use achieved by one provider 0 Enrolling patients, using Viewer, Hospital alerts, or have Direct account 1 High-level of patient involvement 2 Registries for CYSHCN 0 Additional patient registries Add 1 point Geographic Distribution (max 2) Score % Medicaid for Pediatric Applications (max 3) Standard reporting from EHR capabilities Add 1 point New area Add 1 point 0-10 1 Standard plus custom reporting capability Add 1 point Area with CHT Add 1 point 10-20 2 Designated staff/support Add 1 NCM/CC Capacity (max 2) Score 20-30 3 Behavioral Health (max 3) Score None 0 NCQA (max 1) Score Compacts 1 Some experience with CC 1 Recognition achieved 1 Co-located 2 High of CC experience embedded in practice 2 Fully integrated 3 Prerequisites are highlighted in yellow and are required elements for acceptance, so are not assigned a point value APPENDIX A: PCMH Kids Service Delivery Requirements Practices agree to fulfill CTC’s Program care delivery requirements as described on line (). All reports and measures identified in the Care Delivery Requirements use methodology as defined and approved by the CTC Data and Evaluation Committee. Requirements may be subject to change based on updated guidelines from such parties as OHIC, NCQA Measurement Period PCMH-Kids Care Delivery Requirements Date Due (if applicable) last day of month Start Up (MP 1) 7/1/17 to 6/30/18 Care Management Hire 1.0 Care Manager (NCM)/Care Coordinator for every 3,000 attributed patients ($2.50 pmpm) Month 4 Develop High Risk Registry and reportable fields for care management. Confirm completion with CTC-RI. Month 6
CTC%20RI%202017%20Application%20PCMH%20Kids%204.21.17%20%20FINAL.docx