1 / 12

Patient-Centered Primary Care Home Program

Oregon Health Authority Patient-Centered Primary Care Home Program Quality & Health Outcomes Committee August 2013. Patient-Centered Primary Care Home Program. HB 2009 established the PCPCH Program:

channing-wells
Télécharger la présentation

Patient-Centered Primary Care Home Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Oregon Health Authority Patient-Centered Primary Care Home ProgramQuality & Health Outcomes Committee August 2013

  2. Patient-Centered Primary Care Home Program HB 2009 established the PCPCH Program: Create access to patient-centered, high quality care and reduce costs by supporting practice transformation Key PCPCH Program Functions: • PCPCH recognition and verification • Refinement and evaluation of the PCPCH Standards over time • Communication and provider outreach • Coordination across OHA divisions, CCO development and health reform initiatives • Restructure primary care payment to align with the PCPCH framework • Technical assistance development

  3. Core Attributes of a Primary Care Home Oregon’s PCPCH model is defined by six core attributes, each with specific standards and measures

  4. As of August 2013 >425 recognized

  5. Updates to the PCPCH Recognition Criteria • PCPCH Standards Advisory Committee met in fall 2012 • Final report provided recommendations to: • Clarify current criteria, and • Incorporate new standards to improve the current model • Evidence-based • Each PCPCH standard supported in literature; full evidence base and sources available in final standards advisory committee report • Modified proposed revisions based on public comment • Updated criteria now available online and will be effective January 2014

  6. Summary of 2014 Criteria • Current minimum criteria to become a PCPCH will remain the same • More options available for clinics to achieve PCPCH recognition and higher Tier levels • Application renewal cycle will be expanded from annually to every two years • New opportunity for primary care homes to become Tier 3 “star” performers

  7. PCPCH Scoring • 10 must-pass standards that all clinics must meet in order to recognized at any Tier level Example: On-site language/cultural interpretation • Menu of optional standards worth varying amount of points - Examples: 5 pts - Access to care outside normal business hours 10 pts - CAHPS patient experience survey 15 pts – Meets benchmarks on quality measures • Expanded optional standards available in 2014 Example: Patient & Family Involvement in Quality Improvement – options worth 5, 10, or 15 points

  8. PCPCH Tier Levels • The total points accumulated determines a clinic’s overall Tier of PCPCH recognition: • Tier 1: 30 – 60 points and all 10 Must-Pass Standards • Tier 2: 65 – 125 points and all 10 Must-Pass Standards • Tier 3: 130 + points and all 10 Must-Pass Standards Lots of ways to get credit for the good things clinics are doing (or want to start doing)!

  9. Provider Resources and Technical Assistance • PCPCH Program Staff: PCPCH@state.or.us • Program website: www.PrimaryCareHome.oregon.gov • Technical Assistance and Reporting Guidelines (TA Guide) - 2011 criteria available now - 2014 criteria available mid-September • Online learning modules for 2014 criteria available fall 2013 • Patient-Centered Primary Care Institute - Public-private partnership supporting practice-level transformation

  10. PCPCI Technical Assistance Current Offerings • PCPCH Learning Collaborative - 25 clinics receiving in-person training, practice facilitation services, and stipends • Website of downloadable resources at www.pcpci.org • Monthly webinars on core practice transformation topics open to all - recorded & available online • TA expert learning network and leadership learning collaborative • Behavioral Health Integration Training (see handout) – Applications due Aug 30th!

  11. PCPCI Resources to Note • Behavioral Health Integration - In-person and onsite training - SBIRT tools, webinar, links to videos - Developmental screening – tools & webinar September 10th • Using Data for Quality Improvement – tools & webinar August 20th • Patient-Centered Interactions: Creating a truly Patient-Centered Primary Care Home – webinar September 17th

  12. Visit: www.PrimaryCareHome.oregon.govContact us: PCPCH@state.or.us Jeanene Smith MD, MPH Chief Medical Officer - Oregon Health Authority (OHA) Administrator, Office for Oregon Health Policy and Research, OHA jeanene.smith@state.or.us E. Dawn Creach, MS PCPCH Program lead for Recognition, Technical Assistance, and Communications dawn.creach@state.or.us Nicole Merrithew, MPH PCPCH Program Director nicole.merrithew@state.or.us

More Related