Appendix D ACO Initiatives to Address All-Payer ACO Model Quality Measures – Measure Current ACO Activities Underway Planned ACO Activities Underway Goal #1: Increase Access to Primary Care Percentage of adults with Ensuring that all VMNG beneficiaries attributed Finalize community workflows and document primary care provider to the program through specialists have a expectations for quality measurement and care primary care provider identified. For coordination through VMNG communities beneficiaries with a PCP outside the VMNG Plan for similar experiences as we expand to more network, we are working with local communities contracts with specialist attribution in 2018 on workflows to ensure there is a Planning for primary care payment reform (i.e. point of contact to facilitate connection to AIPBP) that could enhance recruitment of primary care primary care providers with more favorable/reliable reimbursement Medicare ACO composite of 5 Disseminate 2016 quality results (ACO and Identify positive outliers and cull for best practices; questions on Getting Timely once they become available in late disseminate to OCV network Care, Appointments and Summer 2017 Ongoing quality improvement (QI) work in HSAs Information Plan and conduct at OCV Grand Rounds in June and with specific practices to improve access and 2017 on the Medicare Wellness Visit, specifically timeliness of care new models such as use of RN Percentage of Medicaid Identified as a 2017 OCV clinical priority area Preparing to run data reports for 22 practices in VCHIP adolescents with well-care visits under the category of preventive care CHAMP QI project (July 2017); developing a Assessing best practices in communities through dissemination and wrap up plan with VCHIP partnership between OCV and BP in local Scheduled meeting with VDH MCH leadership and staff HSAs to discuss new innovations to improve on this measure Actively partnering with VCHIP CHAMP team on (i.e. What are we learning nationally? a QI project to improve this pediatric measure; strategies? Practice-based strategies?) 22 OCV pediatric-serving practices actively Consider the impact of future primary care payment participating in the monthly QI project including reform on improving well-child visit rates education/training and monthly measurement Regular discussion and report out at OCV Pediatrics Subcommittee on lessons learned from VCHIP’s national technical assistance work in this domain
Appendix D – ACO Initiatives to Address All-Payer ACO Model Quality Measures Measure Current ACO Activities Underway Planned ACO Activities Underway Goal #1: Increase Access to Primary Care Percentage of adults with primary care provider Ensuring that all VMNG beneficiaries attributed to the program through specialists have a primary care provider identified. For beneficiaries with a PCP outside the VMNG network, we are working with local communities on workflows to ensure there is a point of contact to facilitate connection to primary care Finalize community workflows and document expectations for quality measurement and care coordination through VMNG communities Plan for similar experiences as we expand to more contracts with specialist attribution in 2018 Planning for primary care payment reform (i.e. AIPBP) that could enhance recruitment of primary care providers with more favorable/reliable reimbursement Medicare ACO composite of 5 questions on Getting Timely Care, Appointments and Information Disseminate 2016 quality results (ACO and once they become available in late Summer 2017 Plan and conduct at OCV Grand Rounds in June 2017 on the Medicare Wellness Visit, specifically new models such as use of RN Identify positive outliers and cull for best practices; disseminate to OCV network Ongoing quality improvement (QI) work in HSAs and with specific practices to improve access and timeliness of care Percentage of Medicaid adolescents with well-care visits Identified as a 2017 OCV clinical priority area under the category of preventive care Assessing best practices in communities through partnership between OCV and BP in local HSAs Actively partnering with VCHIP CHAMP team on a QI project to improve this pediatric measure; 22 OCV pediatric-serving practices actively participating in the monthly QI project including education/training and monthly measurement Regular discussion and report out at OCV Pediatrics Subcommittee on lessons learned from VCHIP’s national technical assistance work in this domain Preparing to run data reports for 22 practices in VCHIP CHAMP QI project (July 2017); developing a dissemination and wrap up plan with VCHIP Scheduled meeting with VDH MCH leadership and staff to discuss new innovations to improve on this measure (i.e. What are we learning nationally? strategies? Practice-based strategies?) Consider the impact of future primary care payment reform on improving well-child visit rates
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