84597603.1.5 1.9.2 PROJECT OPTIONS1.9.2 (A-C) TEXAS TECH HS CTR FAMILY MED 84597603.3.7 IT-6.1 Related Category 3 Outcome Measure(s): Year 2 (10/1/2012 – 9/30/2013) Milestone [I-22]: Increase the number of specialist providers, clinic hours and/or procedure hours available for the high impact/most impacted medical specialties Year 3 (10/1/2013 – 9/30/2014) Milestone 8 [I-22] Increase the number of specialist providers, clinic hours and/or procedure hours available for the high impact/most impacted medical specialties Metric 1 [I -22.1] Increase number of specialist providers, clinic hours and/or procedure hours in targeted specialty (surgery) Metric 1 [I -22.1] Increase number of specialist providers, clinic hours and/or procedure hours in targeted specialty (surgery) Goal: Hire one additional general surgeon in DY2 Goal: We will increase recruitment of surgical providers by 100% over DY2 (Hire one additional general surgeon) Data Source: HR records demonstrating employment in DY2 Milestone 1 Estimated Incentive Payment: $141,108 Milestone 2 [P-7]: Complete a planning process/submit a plan to implement electronic referral technology Data Source: HR records demonstrating employment in DY2 Milestone 8Estimated Incentive Payment: $180,779 Milestone 9 [P-7]: Complete a planning process/submit a plan to Expanding access to surgical services to a Hispanic population 84597603 Percent improvement over baseline of patient satisfaction scores Year 4 (10/1/2014 – 9/30/2015) Milestone 14 [I-22] Increase the number of specialist providers, clinic hours and/or procedure hours available for the high impact/most impacted medical specialties Metric 1 [I -22.1] Increase number of specialist providers, clinic hours and/or procedure hours in targeted specialties Year 5 (10/1/2015 – 9/30/2016) Milestone 18 I-22] Increase the number of specialist providers, clinic hours and/or procedure hours available for the high impact/most impacted medical specialties Metric 1 [I -22.1] Increase number of specialist providers, clinic hours and/or procedure hours in targeted specialties Goal: We will increase number of general surgery providers by 50% over levels in DY3 (hire one additional surgeon) Goal: We will increase number of general surgery providers by 33% over levels in DY4 (hire one additional surgeon) Data Source: HR records demonstrating employment in DY3 Data Source: HR records demonstrating employment in DY4 Milestone 14 Estimated Incentive Payment: $297,935.75 Milestone 18 Estimated Incentive Payment: $383,815 Milestone 15 [P-9]: Implement referral technology and processes that enable improved and more streamlined provider Milestone 19[I-23]: Increase specialty care clinic (surgery) volume of visits and evidence of improved access for patients 84597603.1.5 1.9.2 PROJECT OPTIONS1.9.2 (A-C) TEXAS TECH HS CTR FAMILY MED 84597603.3.7 IT-6.1 Related Category 3 Outcome Measure(s): Year 2 (10/1/2012 – 9/30/2013) Metric 1 [P-7.2]: Development of an implementation plan for ereferral Goal: Documentation of implementation plan including description of training required, hardware and software needs, and implementation timeframe to establish e-referral functionality from primary care providers to general surgery providers. Year 4 (10/1/2014 – 9/30/2015) communications Metric 1 [P-9.1]: Baseline/Goal: Implement ereferral technology between Primary care providers in Family Medicine and Internal Medicine, and General surgery Goal: Develop, design, implement, program. and disseminate new staffing plan Data Source: IT documentation with regard to e-referrals Milestone 15 Estimated Incentive Data Source: staffing plan Payment: $297,935.75 Milestone 9 Estimated Incentive Payment: $180,779 Milestone 3 [P-X-1]: Initiate a needs assessment and plan for the establishment of a 2nd outpatient surgery clinic site. Milestone 10 [P-2]: Train care Goal: Needs assessment and plan details to be finalized by the end 84597603 Percent improvement over baseline of patient satisfaction scores Year 3 (10/1/2013 – 9/30/2014) implement electronic referral technology Metric 1 [P-7.1] Complete a planning process/submit a plan to implement electronic-referral technology Milestone 2 Estimated Incentive Payment: $141,108 Metric: Perform needs assessment and create plan Expanding access to surgical services to a Hispanic population providers and staff on processes, guidelines and technology for referrals and consultations into selected medical specialties. Metric [P-2.1] Training of staff and providers on processes, guidelines and technology for referrals and consultations into Milestone 16 [I-23]: Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services Metric 1 [I-23.2] Increase total number of unique patients encountered in the surgery clinic for DY4 Baseline/Goal: we will increase the number of unique patients by 15% over number seen in DY3 Data Source: Electronic Year 5 (10/1/2015 – 9/30/2016) seeking services. Metric 1 [I-23.2] Documentation of increased number of unique patients. Demonstrate improvement over DY3 Baseline/Goal: we will increase the number of unique patients by 20% over number seen in DY3 Data Source: Electronic scheduling system reports Milestone 19 Estimated Incentive Payment: $383,815 Milestone 20 [P-X-1]: Increase the number of general surgery referrals that are received by ereferral system. Metric: Increase general surgery referrals Baseline/Goal: The number of ereferrals received to the general surgery clinic will increase by 15% over the annualized number in DY4 Data Source: Project Plan 84597603.1.5 1.9.2 PROJECT OPTIONS1.9.2 (A-C) TEXAS TECH HS CTR FAMILY MED 84597603.3.7 IT-6.1 Related Category 3 Outcome Measure(s): Year 2 (10/1/2012 – 9/30/2013) of DY2. Clinic will develop strategic plan for implementation of second surgical clinic site. Data Source: Project Plan Milestone 3 Estimated Incentive Payment: $141,108 Milestone 4 [P-X-2]: Complete redesign of surgery clinic appointment templates to facilitate tracking time to 3rd next general surgery appointment and number of unique general surgery patients. Metric: Redesign template with 3rd next general surgery appointment tracking system Goal: Clinic will resign templates, implement, and disseminate information regarding redesign of surgery clinic. Data source: Revised Year 3 (10/1/2013 – 9/30/2014) selected medical specialties. Expanding access to surgical services to a Hispanic population 84597603 Percent improvement over baseline of patient satisfaction scores Year 4 (10/1/2014 – 9/30/2015) scheduling system reports Milestone 16 Estimated Incentive Goal: 80% of staff in general surgery clinic will be trained in Payment: $297,935.75 referral processes, policies, and Milestone 17 [P-11]: technology. Milestone 10 Estimated Incentive Payment: $180,779 Launch/expand a specialty care clinic Metric 1 [P-11.1]: Establish/expand specialty care clinic Goal: Outpatient general surgery services will be available in one additional clinic besides the current Alberta site. Data Source: Appointment schedules for new clinic Milestone 11 [P-8]: Develop the technical capabilities to facilitate electronic referral Metric 1 [P-8.1]: Demonstrate technical mechanisms to be used to operate referral system are in place Goal: recruit / assign IT and / Milestone 17 Estimated Incentive or EMR team members to Payment: $297,935.75 support the roll-out of e-referral as described in the implementation plan developed in Milestone 6 Data Source: Project plan Milestone 11 Estimated Incentive Year 5 (10/1/2015 – 9/30/2016) Milestone 20 Estimated Incentive Payment $383,815 84597603.1.5 PROJECT OPTIONS1.9.2 (A-C) TEXAS TECH HS CTR FAMILY MED 84597603.3.7 IT-6.1 Related Category 3 Outcome Measure(s): Year 2 (10/1/2012 – 9/30/2013) appointment templates Milestone 4 Estimated Incentive Payment: $141,108 Milestone 5 [P-X-3]: Establish baseline numbers of unique patients seen for general surgery issues in DY2. Metric: Perform baseline assessment for unique patients seen Goal: Clinic will determine the number of new unique general surgery patients by annualizing data from the last 3 months of DY2 following implementation of the revised template. 1.9.2 Year 3 (10/1/2013 – 9/30/2014) Payment: $180,779 Milestone 12 [I-23]: Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services. Metric 1 [I-23.2] Documentation of increased number of visits. Improvement over DY1 performance over prior reporting period. Goal: we will increase the number of unique patients by 10% over number seen in DY2 Data Source: Electronic scheduling system reports Milestone 12 Estimated Incentive Payment: $180,779 Data Source: IDX scheduling Milestone 13 [P-21]: P-21]: Milestone 5 Estimated Incentive Payment: $141,108 Milestone 6 [P-7]: Complete a Participate in face-to-face learning (i.e. meetings or seminars) at least twice per year with other providers. Expanding access to surgical services to a Hispanic population 84597603 Percent improvement over baseline of patient satisfaction scores Year 4 (10/1/2014 – 9/30/2015) Year 5 (10/1/2015 – 9/30/2016) 84597603.1.5 1.9.2 PROJECT OPTIONS1.9.2 (A-C) TEXAS TECH HS CTR FAMILY MED 84597603.3.7 IT-6.1 Related Category 3 Outcome Measure(s): Year 2 (10/1/2012 – 9/30/2013) planning process/submit a plan to implement electronic referral technology Metric 1 [P-7.2]: Develop an implementation plan for ereferral Goal: Documentation of implementation plan including description of training required, hardware and software needs, and implementation timeframe to establish e-referral functionality from primary care providers to general surgery providers. Data Source: Implementation plan Milestone 6 Estimated Incentive Payment:$141,108 Milestone 7 [P-21]: Participate in face-to-face learning (i.e. meetings or seminars) at least twice per year with other providers. Year 3 (10/1/2013 – 9/30/2014) Metric 1 [P-21.1]: Participate in semi-annual face-to-face meetings or seminars organized by the RHP. Goal: Performing Provider will sponsor (or participate in RHP sponsored) semi-annual meetings open to other providers, referral sources, and the RHP to identify opportunity for improvement. Data Source: Meeting flyers, slides, notes from meetings Milestone 13 Estimated Incentive Payment: $180,779 Expanding access to surgical services to a Hispanic population 84597603 Percent improvement over baseline of patient satisfaction scores Year 4 (10/1/2014 – 9/30/2015) Year 5 (10/1/2015 – 9/30/2016) 84597603.1.5 1.9.2 PROJECT OPTIONS1.9.2 (A-C) TEXAS TECH HS CTR FAMILY MED 84597603.3.7 IT-6.1 Related Category 3 Outcome Measure(s): Year 2 (10/1/2012 – 9/30/2013) Year 3 (10/1/2013 – 9/30/2014) Expanding access to surgical services to a Hispanic population 84597603 Percent improvement over baseline of patient satisfaction scores Year 4 (10/1/2014 – 9/30/2015) Year 5 (10/1/2015 – 9/30/2016) Metric 1 [P-21.1]: Participate in semi-annual face-to-face meetings or seminars organized by the RHP. Goal: Performing Provider will sponsor (or participate in RHP sponsored) semi-annual meetings open to other providers, referral sources, and the RHP to identify opportunity for improvement. Data Source: Meeting flyers, slides, notes from meetings. Milestone 7 Estimated Incentive Payment: $141,108 Year 2 Estimated Milestone Year 3 Estimated Milestone Year 4 Estimated Milestone Bundle Amount: $987,755 Bundle Amount: 1,084,674 Bundle Amount: $1,191,743 TOTAL ESTIMATED INCENTIVE PAYMENTS FOR 4-YEAR PERIOD $4,415,618 Year 5 Estimated Milestone Bundle Amount: $1,151,445