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

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Presentation transcript:

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

2 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 161 Glide Path Providers 14 PCMH Accreditation-Eligible Participants 100 Sites 352 PCMH Providers 2 This data reflects current information as of 12/5/2013

PCMH Program Summary 3

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6 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 6 This 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

PCMH Accreditation Assistance Program Status 7 FQHC PCMH-ParticipantNCQA StatusAC/PCMH TJC Status  Charter Oak Health CenterPursuing NCQA Level 3 RecognitionAC Accredited and PCMH Certified  Community Health and Wellness Center of Greater Torrington Pursuing NCQA Level 1 RecognitionNot pursuing at this time  Community Health Center, Inc. Level 3 Recognized under the 2008 Standards AC Accredited and PCMH Certified  Community Health Center, Inc. Waterbury Level 2 Recognized under the 2011 Standards AC Accredited and PCMH Certified  Community Health Services, Inc.Not pursuing at this time AC Accredited and has inquired about PCMH TJC Certification  Cornell Scott Hill Health CenterNot pursuing at this timeAC Accredited and PCMH Certified  Ct. Institute for Communities, Inc. CIFC Danbury Level 3 Recognized under the 2008 Standards Not pursuing at this time  First Choice (East Hartford Community Health Center, Inc.) Pursuing NCQA Level 3 Recognition Pursuing AC Accreditation and PCMH Certification  Fair Haven Community Health Center Level 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 Healthcare Level 2 Recognized under the 2011 Standards AC Accredited and PCMH Certified  SouthWest Community Health Center, Inc.Not pursuing at this timeAC Accredited and PCMH Certified  StayWell Health Center Level 3 Recognized under the 2011 Standards Not pursuing at this time  United Community Family ServicesPursuing NCQA Level 3 RecognitionNot pursuing at this time Please Note: NCQA Recognition is site specific. The Joint Commission (TJC) Recognition is Organization-Wide.

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PCMH, Glide Path & FQHC Participants by Region as of 12/5/13 10

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 11

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 12

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 13