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Quality Measures Incentives Program

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Presentation on theme: "Quality Measures Incentives Program"— Presentation transcript:

1 Quality Measures Incentives Program
March 2016

2 About Quality Measures
View Point Health's Quality Measures Incentives Program is designed to incentivize staff to maximize their clinical and professional potential, by meeting and exceeding a comprehensive set of metrics. Incentives are provided for staff who consistently perform at a level above what is expected. Through this measurement system, we can identify the areas in which staff and centers excel, as well as the areas in which we can improve.

3 Quality Measures Language
Metrics: The standards upon which staff are measured Tiers: The levels of metric achievement (Tier 1, Tier 2, Tier 3, Tier 4 [floor]) Targets: The values that correspond with the tiers Ex. Billed hours Tier 4 target = 65% Scores: The points associated with the tiers Totaled to result in “Total Score” Incentives: The dollar amounts determined by the total score Scorecard: The report outlining staff performance Detail Reports: The detailed data supporting the results Score Incentive 0-24 Not Met 25-49 Met Target 50-74 $250 75-99 $350 100+ $450 Metric Tier Target Score Billed Hours 4 65% 20 (points)

4 Automated vs. Manual Metrics
Automated: pulled from CareLogic through query Manual: calculated & entered in manually Billed Hours Billed Ratio Clients served by center Clients served by caseload Documents signed within 24 hours Staff average documentation 24 hours % staff meeting BH target Productivity ADA quarter target Minimum monthly contacts Center margin Quality Audit Score Peer review STAR Rating Contract dollars invoiced Contract requirements Clients served per month % clients d/c level 3

5 Scorecards, Staff Types, Metrics
Metric 1a Metric 1b Staff Type 2 Metric 2a Metric 2b

6 Additional Reminders New staff go through a 90-day grace period before being eligible for the program Billed Hours exceptions may be provided when time is taken away from a staff’s billable services to complete mandatory work-related activities Documentation within 24 hours exceptions may be provided when there is a long-term, unavoidable interruption to CareLogic (not just a temporary inconvenience)

7 Upcoming Changes Billed Hours Floor Addition of KPI Metrics
New OP Access Scorecard Changes to Physician Scorecard

8 Questions?


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