Patient-Centered Medical Home & Multi-Payer Demo

1. Patient-Centered Medical Home & Multi-Payer Demo Training Webinar # 7 David Halpern, MD, MPH August 17th, 2011

2. Acknowledgements

3. Let’s Review PPC 5A, 5B, 5C (Finished Standard 5) PPC 9A, 9B, 9C (Finished Standard 9) Electronic Documentation Meaningful Use

4. Today’s Agenda • PPC 6A, 6B (Finish Standard 6) • PPC 8A, 8B, 8C, 8D, 8E, 8F (Finish Standard 8)

5. PPC 6A: Test Tracking and Follow-Up

6. PPC 6A: Example

7. PPC 6A: Example

8. PPC 6A: Example

9. PPC 6B: Electronic System for Managing Tests

10. PPC 6B: Example Lab Test Order Screen

11. PPC 6B: Example Radiology Test Order Screen

12. PPC 8A: Measures of Performance

13. PPC 8A: Example – Factor 2 Clinical Performance Report

14. PPC 8A: Example – Factor 3

15. PPC 8A: Example – Factor 3

16. PPC 8A: Question From Last Time • How many examples need to be shown for each of the factors to check yes? • “A practice must show at least one example for each factor checked ‘yes’. Performance measures must be across the practice’s entire patient population, representing the majority of physicians.”

17. PPC 8B: Patient Experience Data

18. PPC 8B: Example

19. PPC 8B: Example – Factors 1, 2, & 4

20. PPC 8B: Example – Factors 1, 2, & 4

21. PPC 8C: Reporting to Physicians

22. PPC 8C: Example – Factor 1 & 2

23. PPC 8C: Example – Factor 2

24. PPC 8D: Setting Goals and Taking Action

25. PPC 8D: Example – NCQA QI Workbook

26. PPC 8D: Example – NCQA QI Workbook

27. PPC 8D: Where Do I Find the NCQA QI Workbook? • The Quality Measurement and Improvement Worksheet is located in the PPC-PCMH Survey Tool. • Once you have access to the Survey Tool: • log into it and go to Element 8D • click on the red supplemental worksheet button • click on the red link • savethe workbook in your own computer to enter data. Label it with a unique name but do not use a “%” sign in the name of the document • enter data in your Worksheet and then save and link the completed Worksheet to the Survey Tool when you are ready to submit

28. PPC 8E: Reporting Standardized Measures

29. PPC 8E: Example

30. PPC 8E: Where Can I FindNQF Measures? • The measures are listed on the following Web site: http://www.qualityforum.org/Measures_List.aspx

31. PPC 8F: Electronic Reporting – External Entities

32. PPC 8F: Example

33. Question about PPC 2C1 – Record Review Workbook

34. Coming Soon! • 2008 PCMH Workbook • 2011 PCMH Workbook

35. Next Steps (Homework) • Review Elements 6A,B and Elements 8A,B,C,D,E, & F and decide which ones you’d like to tackle • Begin work on those Elements • Send me any questions you want addressed for our next (and final) webinar on August 31st dhalpern@n3cn.org

36. Community Care PCMH Team • David Halpern, MD, MPH Community Care of North Carolina (CCNC) • R.W. “Chip” Watkins, MD, MPH, FAAFP Community Care of North Carolina (CCNC) • Brent Hazelett, MPA North Carolina Academy of Family Physicians (NCAFP) • Elizabeth Walker Kasper, MSPH North Carolina Healthcare Quality Alliance (NCHQA)

37. Partners

38. Questions? Feel free to contact me: David Halpern, MD, MPH (215) 498-4648 dhalpern@n3cn.org