1 care management pcmh committee person centered medical home november 12, 2014

13
1 Care Management PCMH Committee Person Centered Medical Home November 12, 2014

Upload: shana-austin

Post on 30-Dec-2015

213 views

Category:

Documents


1 download

TRANSCRIPT

1

Care Management PCMH Committee Person Centered Medical Home

November 12, 2014

2

Person Centered Medical Home Participation Status

92 PCMH Program Participants* 327 Individual Sites (Includes pending)

51 PCMH Approved Practices• 168 PCMH Approved Sites• 733 PCMH Approved Providers• 5 Pending PCMH Sites with 5 Providers

30 Glide Path Practices • 51 Sites• 192 Glide Path Providers

14 PCMH Accreditation Practices• 103 Sites• 370 PCMH Providers

* 3 Practices have sites in both PCMH and Glide Path Programs

2This data reflects current information as of 11/6/2014

3

Q12012

Q22012

Q32012

Q42012

Q12013

Q22013

Q32013

Q42013

Q12014

Q22014

Q32014

Q4-2014(11/6/14)

0

10

20

30

40

50

60

70

80

90

100

23

29

40

4953

6367

72

81 8490 92

PCMH Participating Practice Growth by QuarterJanuary 1, 2012 Through November 6, 2014

The PCMH Participating Practice Growth Level is a 300% Increase From Q1-2012 to Q4-2014 (11/6/14).

The Program Participation has grown four fold since it’s inception.

PCMH Program Summary

4

83,041

45,988

153,203

PCMH Program Attributed Members by Program Type as of 11/6/2014

PCMH Practices

Glide Path Practices

FQHC's 14 FQHC Practices103 Practice Sites370 Providers

* 51 PCMH Practices173 Practice Sites738 Providers

* 30 Glide Path Practices 51 Practice Sites 192 Providers

*Please Note: 3 Practices are included in both the PCMH Approved & Glide Path "Practice" Numbers as they have Sites in both Programs. Practices & Sites Pending PCMH Approval also included.

PCMH Program Summary

5

Practices Practice Sites Providers0

100

200

300

400

500

600

700

800

51

173

738

30 51

192

14

103

370

PCMH Program Summary as of 11/6/2014

PCMH Practices Glide Path Practices FQHC's

Number of Attributed Members: PCMH Practices = 83,041 Glide Path Practices = 45,988 FQHC's = 153,203

6

PCMH Glide Path Status

30 Current Glide Path Practice Participants 51 Total Practice Sites

10 Practices Currently in Phase 1 5 Practices Currently in Phase 2 15 Practices Currently in Phase 3

PCMH and Glide Path Activity: 4 New PCMH Program Participants 1 New PCMH Approved Practice 6 New PCMH Approved Sites (5 are pending Approval) 4 New Glide Path Practices 1 Practice Advanced from Phase 1 to Phase 2 3 Practices Advanced from Phase 2 to Phase 3 0 Practices Advanced from Glide Path to PCMH Approved 8 Practices to date have requested an Extension of Phase 1 7 Practices to date have requested an Extension of Phase 2 18 Practices to date have requested an Extension of Phase 3

7

PCMH Program Summary

Int Med Fam Med Pediatric Geriatric0

50

100

150

200

250

300272 282

180

4

48

23

120

1

85

210

70

5

PCMH Provider Specialty By Program as of 11/6/2014

PCMH Glide Path FQHC

PCMH, Glide Path & FQHC Participants by Region as of 11/6/14

8

PCMH Recruitment Status

284 Practices contacted since 1/1/12:• 92 practices enrolled • 71 prospective practices in open status• 48 practices on a Watch-List• 67 practices on a Closed-List • 4 practices merged since enrolling• 2 additional practice sites under the same TIN required distinct

recruitment efforts

EHR Status of 71 practices in open status:• 53 practices (75%) have live EHRs, purchased or are

implementing an EHR• 2 practices (3%) are searching for an EHR• 3 practices (4%) have no EHR• 13 practices (18%) the EHR status is unknown at this time

9

PCMH Recruitment Status - continued

67 Practices on Closed List• Not interested in enrolling in the PCMH

program

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

the feedback received from the group

10

PCMH Recruitment Status

PCMH and Glide Path PracticesAttribution by Practice Size

11

1-499 500-999 1,000+0

5

10

15

20

25

30

35

16

510

7

6

7

2

8

12

GPPCMH (GP)PCMH

Attribution

# of

Pra

ctice

s

Total: 25

Total: 19

Total: 29

PCMH Recruitment Status

Open Practices – Attribution & EHR Statusby Practice Size

12

1-499 500-999 1000+ Attribution Unknown

02468

1012141618

Live

Implementing

Searching

EHR Unknown

Attribution

# of

Pra

ctice

s

EHR Status

Total 1-499: 24

Total 500-999: 18

Total 1,000+: 21

PCMH Recruitment Status

PCMH Participating Practices – EHR Vendors

13

Allscripts 8Allscripts Enterprise 2Amazing Charts 4Athena 5Care 360 1Centricity 3Cerner 1DrChrono 1eClinical Works 13EPIC 3Glenwood Systems 3Greenway 5InteGreat 1Intergy 7LSS Data Systems (MPM) 1Lumeris 1McKesson Horizon 1McKesson Lytec MD 1

McKesson Practice Partner 1Meditech - LSS Data Systems 1MEDI-Touch 1MicroMD 1NextGen 5Office Practicum 6Origin Healthcare Solutions 2PaperPort 1Practice Fusion 2Practice Partner 2Quest Diagnostics 1SequelMed 1Sevocity 1Soapware 2SRS 1SuccessEHS 2Total MD & Spring Charts 1