care management pcmh committee person centered medical home december 11, 2013

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1 Care Management PCMH Committee Person Centered Medical Home December 11, 2013

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Care Management PCMH Committee Person Centered Medical Home December 11, 2013. Person Centered Medical Home Participation Status. 71 PCMH Program Participants 284 Individual Sites 28 PCMH Approved Practices 134 Sites 580 PCMH Approved Providers 34 Glide Path Practice Participants 50 Sites - PowerPoint PPT Presentation

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Page 1: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

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Care Management PCMH Committee Person Centered Medical Home

December 11, 2013

Page 2: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

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Person Centered Medical Home Participation Status

71 PCMH Program Participants 284 Individual Sites28 PCMH Approved Practices

• 134 Sites• 580 PCMH Approved Providers

34 Glide Path Practice Participants• 50 Sites• 161 Glide Path Providers

14 PCMH Accreditation-Eligible Participants• 100 Sites• 352 PCMH Providers

2This data reflects current information as of 12/5/2013

Page 3: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

PCMH Program Summary

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Page 4: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

PCMH Program Summary

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Page 5: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

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PCMH Glide Path Status 34 Current Glide Path Practice Participants

50 Total Practice Sites 11 Practices Currently in Phase 1 10 Practices Currently in Phase 2 13 Practices Currently in Phase 3 No Pending Practices

6This data reflects current information as of 12/5/2013

PCMH and Glide Path Activity: 4 New PCMH Program Participants 2 New PCMH Approved Practices 3 New Glide Path Practices 8 Practices Advanced from Phase 1 to Phase 2 3 Practices Advanced from Phase 2 to Phase 3 1 Practice Graduated from Phase 3 to PCMH Approved 6 Practices Have Requested an Extension of Phase 1 3 Practices Have Requested an Extension of Phase 2 3 Practices Have Requested an Extension of Phase 3

Page 7: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

PCMH Accreditation Assistance Program Status

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FQHC PCMH-Participant NCQA Status AC/PCMH TJC Status Charter Oak Health Center Pursuing NCQA Level 3 Recognition AC Accredited and PCMH Certified

Community Health and Wellness Center of Greater Torrington

Pursuing NCQA Level 1 Recognition Not pursuing at this time

Community Health Center, Inc. Level 3 Recognized under the 2008 Standards

AC Accredited and PCMH Certified

Community Health Center, Inc. WaterburyLevel 2 Recognized under the 2011 Standards

AC Accredited and PCMH Certified

Community Health Services, Inc. Not pursuing at this timeAC Accredited and has inquired about PCMH TJC Certification

Cornell Scott Hill Health Center Not pursuing at this time AC Accredited and PCMH Certified

Ct. Institute for Communities, Inc. CIFC DanburyLevel 3 Recognized under the 2008 Standards

Not pursuing at this time

First Choice (East Hartford Community Health Center, Inc.)

Pursuing NCQA Level 3 RecognitionPursuing AC Accreditation and PCMH Certification

Fair Haven Community Health CenterLevel 2 Recognized under the 2011 Standards

Not pursuing at this time

Generations Family Health Center, Inc.Pursuing NCQA Level 1 or 2 Recognition

AC Accredited and not pursuing PCMH Certification at this time

Norwalk Community Health Center, Inc. Level 2 Recognized under the 2011 Standards

Not pursuing at this time

Optimus HealthcareLevel 2 Recognized under the 2011 Standards

AC Accredited and PCMH Certified

SouthWest Community Health Center, Inc. Not pursuing at this time AC Accredited and PCMH Certified

StayWell Health CenterLevel 3 Recognized under the 2011 Standards

Not pursuing at this time

United Community Family Services Pursuing NCQA Level 3 Recognition Not pursuing at this time

Please Note: NCQA Recognition is site specific. The Joint Commission (TJC) Recognition is Organization-Wide.

Page 8: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

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Page 9: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

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Page 10: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

PCMH, Glide Path & FQHC Participants by Region as of 12/5/13

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5 4

3 1 2

1. Southwest Region

5 - PCMH Approved Practices w/5 Sites 7 - Glide Path Practices w/12 Sites 5 - FQHC Practices w/41 Sites

2. South Central Region

5 - PCMH Approved Practices w/14 Sites 7 - Glide Path Practices w/11 Sites 3 - FQHC Practices w/14 Sites

3. Eastern Region

11 - PCMH Approved Practices w/32 Sites 3 - Glide Path Practices w/3 Sites 3 - FQHC Practices w/16 Sites

4. North Central Region

8 - PCMH Approved Practices w/48 Sites 7 - Glide Path Practices w/7 Sites 4 - FQHC Practices w/20 Sites

5. Western Region

6 - PCMH Approved Practices w/35 Sites 12 - Glide Path Practices w/17 Sites 3 - FQHC Practices w/9 Sites

Please Note: 7 PCMH Practices 2 Glide Path Practices 4 FQHC’s Are Located in Multiple Regions

Page 11: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

PCMH Recruitment Status

251 Practices contacted since 1/1/12:• 71 practices enrolled • 83 prospective practices in open status• 42 practices on a Watch-List• 55 practices on a Closed-List

EHR Status of 83 practices in open status:• 60 practices (72%) have live EHRs, purchased or are

implementing an EHR• 2 practices (2%) are searching for an EHR• 1 practices (1%) have no EHR• 20 practices (25%) the EHR status is unknown at this time

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Page 12: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

PCMH Recruitment Status - continued

55 Practices on Closed List• Not interested in enrolling in the PCMH program

or joining/merging with already enrolled PCMH/GP practices

42 Practices on a Watch-List • Follow-up takes place periodically based on the

feedback received from the group

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Page 13: Care Management PCMH Committee  Person Centered Medical Home December 11, 2013

NCQA Database PCMH Level 2 and 3 Recognized Practices in Connecticut

41 Level 2 and 3 NCQA Recognized Practices in Connecticut:• 31 practices (76%) enrolled in the program• 3 practices (7%) not interested • 1 practice (2%) not eligible (walk-in center)• 6 practices (15%) on the open recruitment

practice list

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