NCM/CC completes standardized learning program Month 7 as defined by CTC-RI. Report level(s) of engagement of high risk patients Month 9 as defined by CTC-RI. Submit to OHIC Cost Management Attestation October 15 Planned Care: Submit clinical quality data as defined in Population Health Month 6 Performance Incentives Exhibit 3 /Quality Reporting Submits to OHIC quality measure information October 15 Access and Continuity Reports to CTC Quarterly Provider Panel Report indicating open/closed panel status for new Month 6 patients and 3rd next available appointment for existing patients Submit before and after hours protocol, as defined Month 9 by CTC-RI. Patient/Family CAHPS survey: Submits patient panel to approved Engagement data vendor (or Your Health” option to be Timeframe determined by CTC “How’s determined Comprehensiveness Submits Transition of Care Policy and Procedure Month 6 and Coordination Identifies high volume specialists serving patient population and submits 2 compacts: a) high Month 9 volume specialist, and b) behavioral health. Practice Submits budget and staffing plan and use of funds Month 3 transformation to support care delivery model to CTC Submit NCQA PCMH work plan to CTC Month 9 with Practice Facilitator 1-2 x a month Month 1 and on-going Attends 50% of learning network meetings 1 Month 1 and on-going 1 Learning Network Meetings: Orientation, Best Practice Meetings, Breakfast for Champions, and Large Learning Collaborative Measurement Period Due Date (if applicable) last 2 (MP 2) PCMH-Kids Care Delivery Requirements day of 7/1/18 to 6/30/19 Care Management Submits reports on high risk patients, as defined by Quarterly CTC, to Health Plans and CTC and achieves 40% (July/October/January/April) engagement rate Submits to OHIC Cost Management Strategy October 15 Attestation Submits report that demonstrates 75% of high risk patients who were hospitalized receive a follow up Month 12 interaction including medication reconciliation within 2 business days Planned Care: Population Submits quarterly quality data January/April/July/October Health /Quality Reporting Submits to OHIC quality data information October 15 Reports to CTC Quarterly Provider Panel Report Access and Continuity indicating open/closed panel status for new Quarterly patients and 3rd next available appointment for existing patients Submit to CTC screenshots demonstrating patient access to a secure web portal, enabling secure Month 3 messaging, appointment requests, referrals, and prescription refills.
NCM/CC completes standardized learning program as defined by CTC-RI. Month 7 Report level(s) of engagement of high risk patients as defined by CTC-RI. Month 9 Submit to OHIC Cost Management Attestation October 15 Planned Care: Population Health /Quality Reporting Submit clinical quality data as defined in Performance Incentives Exhibit 3 Month 6 Submits to OHIC quality measure information October 15 Access and Continuity Reports to CTC Quarterly Provider Panel Report indicating open/closed panel status for new patients and 3rd next available appointment for existing patients Month 6 Submit before and after hours protocol, as defined by CTC-RI. Month 9 Patient/Family Engagement CAHPS survey: Submits patient panel to approved data vendor (or “How’s Your Health” option to be determined Timeframe determined by CTC Comprehensiveness and Coordination Submits Transition of Care Policy and Procedure Month 6 Identifies high volume specialists serving patient population and submits 2 compacts: a) high volume specialist, and b) behavioral health. Month 9 Practice transformation Submits budget and staffing plan and use of funds to support care delivery model to CTC Month 3 Submit NCQA PCMH work plan to CTC Month 9 with Practice Facilitator 1-2 x a month Month 1 and on-going Attends 50% of learning network meetings 1 Month 1 and on-going 1 Learning Network Meetings: Orientation, Best Practice Meetings, Breakfast for Champions, and Large Learning Collaborative Measurement Period 2 (MP 2) 7/1/18 to 6/30/19 PCMH-Kids Care Delivery Requirements Due Date (if applicable) last day of Care Management Submits reports on high risk patients, as defined by CTC, to Health Plans and CTC and achieves 40% engagement rate Quarterly (July/October/January/April) Submits to OHIC Cost Management Strategy Attestation October 15 Submits report that demonstrates 75% of high risk patients who were hospitalized receive a follow up interaction including medication reconciliation within 2 business days Month 12 Planned Care: Population Health /Quality Reporting Submits quarterly quality data January/April/July/October Submits to OHIC quality data information October 15 Access and Continuity Reports to CTC Quarterly Provider Panel Report indicating open/closed panel status for new patients and 3rd next available appointment for existing patients Quarterly Submit to CTC screenshots demonstrating patient access to a secure web portal, enabling secure messaging, appointment requests, referrals, and prescription refills. Month 3
CTC%20RI%202017%20Application%20PCMH%20Kids%205.16.17%20%20FINAL.docx