Surgery Cat 1 Metrics Master - University Medical Center of El

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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
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