SIM PTO TRAINING MARCH 27, 2019 9:00 AM Call Instructions: Please • Mute your phone, microphone, and speakers on your computer/device • Turn off the zoom video feature • Enter your name/organization in the chat box feature for attendance • Submit questions via the chat box feature • Questions will be answered following the presentation Time to ask questions via audio will be offered for those on the phone • 1
MARCH 27, 2019 COLORADO SIM PTO TRAINING Presenters: REVIEW AMA BH HIGHLIGHTS FOR BH Marjie Harbrecht, MD INTEGRATION Kelly Pearson, RN, MSN REVIEW MAC FOR BB8, BB9 & BB10 Kristen Owens
TRAINING OBJECTIVES ▪ Achievement Payments - Invoicing in SPLIT ▪ Due Dates for Assessments ▪ Review highlights from AMA Webinar on BH Integration ▪ MAC Review for BB8, BB9, BB10 – moving toward behavioral health integration. ▪ Upcoming Events 3
COMING DOWN TO THE WIRE…. YOU CAN…..
SIM FINAL REPORTING SUMMARY INSTRUCTIONS Posted on the Practice Innovation Program Resource Hub and can be found by searching SIM - Final Reporting Summary & Instructions (http://bit.ly/PracticeInnovationSupport) Reference this document for the following: • SIM Assessment & Reporting Due Dates • General Assessment Instructions for SPLIT • Clinician & Staff Survey Expectations • Practice Site Invoicing Dates & Process • PTO Completion Report & Invoicing 5
SIM ASSESSMENT & REPORTING DUE DATES Task/Assessment Name Assessment Timeframe Final Assessments – Part 1 March 1 st – March 31 st (IPAT, HIT, Clinician & Staff Survey) April 1 st – April 30 th SIM CQM Reporting for Q1 - 2019 Final Assessments – Part 2 April 1 st – May 15 th (Monitor, MAC, Practice Closeout Survey) PF & CHITA Monthly Field Notes Report Monthly thru May/June 2019 (Last Monthly Field Note due June 8, 2019) (Submitted within one week of the last day of the month ) Final Practice Site Progress Report April 1 st – May 15 th ( Previously known as ‘Final Field Note’) April 26 th – June 30 th SIM Practice Invoice Submission April 1 st – June 30 th PTO Invoice Submissions 6
SIM ASSESSMENTS & REPORTING ACTIVITIES SIM Assessment/Activity Approximate Time Completed By PDF Integrated Practice Assessment Tool 15 – 30 mins Practice Site Team & PF IPAT Medical Home Practice Monitor 45 – 60 mins Practice Site Team & PF Monitor Health Information Technology Assessment 45 – 60 mins Practice Site Team & CHITA HIT Milestone Attestation Checklist 60 – 90 mins Practice Site Team & PF MAC Clinician & Staff Experience Survey 5-10 mins Practice Site Clinician & Staff CSES Practices Closeout Questions 45-60 mins Practice Site Team Closeout Final Practice Site Progress Report 15-30 mins PF & CHITA Final Report ― CQM Reporting for Q1 -2019 15-30 mins Practice Site Team & CHITA 7
SIM CLINICIAN & STAFF EXPERIENCE SURVEY As a part of participation in the SIM Initiative providers and staff have the opportunity to provide valuable input about their practice site(s) by completing a Clinician & Staff Experience Survey. All individual responses remain confidential, and only aggregated summary reports will be shared with the practice and the SIM Initiative. The survey takes approximately 5 to 10 minutes to complete, and the anticipated due date can be found in SPLIT. Practice completion expectations for the SIM Clinician & Staff Experience Survey: • Practice sites have a unique survey link for that can be distributed to providers and staff. • Completion rates are calculated with the values provided on the practice site roster. • The goal is for each practice site to achieve a 70% or greater survey completion rate. • If >70% completion is achieved, the primary practice contact will receive an email notification. 8
SIM CLINICIAN & STAFF EXPERIENCE SURVEY Additional information regarding the SIM Clinician & Staff Experience Survey: • Practice site administrators and/or PTO partners are responsible for sharing the survey link with practice site’s clinician and staff – some potential ways to distribute the survey include: • Practice site manager or PTO partner can email the unique link to providers and staff. • Designate a computer in the practice site break room for staff to complete the survey. • At a practice site staff meeting have providers and staff present complete the survey. • The reusable unique survey link for a practice sites can be referenced within the ‘Reference Clinician & Staff Survey’ task on the ‘Assessments’ page in the ‘My Tasks’ section in SPLIT. • The task will remain available on the ‘Assessments’ page until the survey is officially closed. 9
SIM CLINICIAN & STAFF EXPERIENCE SURVEY 10
REMAINING BUILDING BLOCKS & MILESTONES PHASE 4: FEB 1 – JUNE 30, 2019 COHORTS 2 & 3 ▪ BB8 – Prompt access to care, including BH ▪ BB9 – Care coordination for primary care/BH ▪ BB10 – Fully integrated BH/whole person care 11
PHASED APPROACH TIMELINE: COHORT 2 - YEAR 2 12
PHASED APPROACH TIMELINE: COHORT 3 – YEAR 1 13
SIM COHORT 2 MILESTONE OPERATIONAL ALGORITHM (OVERVIEW) BUILD INFRASTRUCTURE BB1 - ENGAGED LEADERSHIP WHERE TO START? Year 1: Establish agreements with payers, set up budget, QI team, champion attends CLS, set vision for behavioral health (BH) integration and pathway PATIENT POPULATION BUILD INFRASTRUCTURE UNDERSTAND THE ("ACTIVE" PATIENT PANEL) BB2 - USE DATA TO DRIVE CHANGE MAKEUP OF YOUR Year 1: Data, care gaps, CQMs, cost drivers POPULATION ------------ BB4 - TEAM-BASED CARE IMPROVE CONTINUITY Year 2: Workflows for three CQMs (at least 1BH) THROUGH BB3 - EMPANEL AT LEAST 75% of EMPANELMENT BB5 - PARTNERSHIP WITH PATIENTS PATIENT POPULATION ------------ Year 1: Establish PFAC SCREEN FOR BH/SUD Year 2: Shared decision-making aids and self-management support ______________ ------------ tools USE DATA TO BB7 - SCREEN UP TO 90% FOR BH/SUD POSITIVE BH/SUD CLOSE GAPS & BB8, BB9 and BB10 - BEHAVIORAL HEALTH ISSUES Connect to BH/Community IMPROVE CARE Year 1: Start building infrastructure to address BH Year 2: Develop collaborative care agreements with BH providers BB6 - RISK STRATIFICATION EXPAND and MAINTAIN EFFORTS Year 2: Risk stratify at least 75% of population STRATEGICALLY MANAGE ALL PATIENTS YOUR POPULATION BY CONTINUE BB1, BB2, BB4, BB5 RISK STRATIFYING TO LOW RISK MEDIUM RISK HIGH RISK DETERMINE WHO NEEDS BB6 - HIGH RISK PATIENTS ADDITIONAL Year 2: Risk stratify, use data to manage ATTENTION/SERVICES care gaps/track outcomes, develop care Prevent Low and Medium Risk patients plans for 75% of high-risk patients from becoming High Risk COORDINATED -------------- PATIENTS WITH BH ISSUES and/or BB8 - ACCESS TO BH CARE BUILD COLLABORATIVE BB6 - CLOSELY MANAGE at INTEGRATED Year 2: Bi-directional data sharing AGREEMENTS WITH least 75% of HIGH RISK BEHAVIORAL HEALTH CARE PATIENTS BB9 - CARE COORDINATION TO REDUCE (EITHER ONSITE OR COSTS AND IMPROVE CARE OFFSITE) TO IMPROVE BB10 - BH REFERRAL PATHWAY WITH COORDINATION AND 24/7 EHR ACCESS; CARE PLANS, MANAGEMENT TRACK BH PATIENT OUTCOMES USE REGIONAL HEALTH CONNECTORS TO ASSIST YOU WHEN POSSIBLE Improve Quality of Care Reduce Costs Improve Experience for Patients & Healthcare Teams
PSYCHOLOGISTS IN INTEGRATED HEALTHCARE INTRODUCTION VIDEO HTTPS://WWW.YOUTUBE.COM/WATCH?V=HL4RPBOK MQO SPECIFIC SETTINGS VIDEO https://www.apa.org/health/psychologists-integrated-care
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UPCOMING DUE DATES – FINAL ASSESSMENTS PART 2 Reporting Activity Cohort 2 Cohort 3 SIM CQM Reporting Q4 Jan 31, 2019 Jan 31, 2019 (Cohort 1, 2 & 3 Practices). Required for those using extended CHITA services March 1, 2019 – March 1, 2019 – Final Assessments – Part 1 April 1, 2019 April 1, 2019 (IPAT , HIT , Clinician/Staff Survey) Final Assessments – Part 2 April 1, 2019 – April 1, 2019 – ((Monitor, MAC, Practice Closeout Survey & May 15, 2019 May 15, 2019 Practice Final Progress Report (Previously referred to as “Final Field Note”)) SIM CQM Reporting Q1 2019 April 30, 2019 April 30, 2019 (Cohort 1 2& 3 Practice Sites) Report Monthly Report Monthly PF Field Notes Report Monthly Report Monthly CHITA Field Notes 23
MILESTONE ATTESTATION CHECKLIST (MAC) REQUIRED MILESTONES
MOVING TOWARD FULL BH INTEGRATION BB8 - BB9 - BB10 COHORT 3 - YEAR 1 COHORT 2 - YEAR 2 25
BUILDING BLOCK 8 - PROVIDE PROMPT ACCESS TO CARE, INCLUDING BH CARE Goal: Practice (at minimum), has established collaborative care management agreements with BH providers in the community and members of the care team can articulate how to use those agreements. Practice has ability to share clinical data based on collaborative care management agreements with BH providers bi-directionally within 7 days.
COHORT 3 - MAC BB8.Y1 - PROVIDE PROMPT ACCESS TO CARE, INCLUDING BH 1) Practice representative with 24/7 EHR access 2) Assess referral pathways and after-hours BH support (work with RHCs) 3) Identify data sources and technology needed for bi-directional data sharing 27
COHORT 2 - MAC BB8.Y2 - PROVIDE PROMPT ACCESS TO CARE, INCLUDING BH 1) Establish a collaborative agreement with at least one BH health provider 2) Develop plan for bi-directional data sharing with BH health provider 28
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