REPORTING PLAN Suffolk Care Collaborative Office of Population Health Stony Brook Medicine HSC, Level 5, Rm 058 Stony Brook, New York

Transcription

1 REPORTING PLAN Suffolk Care Collaborative Office of Population Health Stony Brook Medicine HSC, Level 5, Rm 058 Stony Brook, New York August 24, 2015

2 TABLE OF CONTENTS REPORTING PLAN Suffolk Care Collaborative Project Management Office Executive Summary... 2 Health System ing Requirements... 2 Health System ing Roles... 2 SCC Quarterly ing Schedule... 5 Page 1 of 6

3 Executive Summary Upon execution of the SCC Participation Agreement all Health Systems and Engaged/Contracted Provider Type within Health Systems shall follow the SCC ing Plan defined herein. The three Health Systems include Stony Brook University Hospital, North-Shore LIJ and Catholic Health Services (CHS). For purposes of reporting, the non-health system affiliated or contracted provider types (PCP, SNF, Hospital and Behavioral Health) will report to Stony Brook University Hospital. For Health System affiliated or contracted provider types providers will report to their Health System unless otherwise indicated in this plan. The purpose of the ing Plan is to establish accountability of deliverables and that the deliverables are collected and reported on time. This document will delineate: What to report When to start reporting Who is responsible to collect the reports and submit to the SCC This ing Plan will serve as a guide for the quarterly report throughout the life of the DSRIP initiative. Health System ing Requirements Each Health System will be responsible for reporting all required documentation, for each individual contracted partner, as outlined (by unit level provider type) in; 1. SCC Contracting Plan 2. SCC Participation Manual 3. SCC Metrics Matrix 4. SCC Performance ing & Improvement Plan 5. SCC Quarterly ing Schedule 6. SCC 11 DSRIP Project Management Plans (PMP) Health System ing Roles In addition to the Process Domain 1 and Outcomes Domain 2-4 requirements outlined herein, SCC may require additional narrative summaries of status in engagement across all applicable DSRIP Requirements periodically. Process (Domain 1) Patient Engagement There are specific provider types delineated as engaged/contracted in particular projects as defined in the SCC Participation Agreement. Patient Engagement requirements defined by the NYS DOH and provided by the SCC will outline the metric and specifications to be collected to assure the patients are engaged in the projects. Definitions: 1. Health System Collection & ing: Health Systems are responsible for reporting patient engagement metrics and submission of all required data sources directly to the SCC. Health Systems will follow the Quarterly ing Schedule defined in the SCC ing Plan. For project data Page 2 of 6

4 sources/reports without PHI, the Health System will submit via Performance Logic. For project data sources/reports with PHI, the Health System will submit via BO. ed data is subject to periodic audit. The mechanism and timeline to which quarterly reports and data sources are submitted are subject to change. 2. Provider Type Collection & ing: Provider Types are responsible for reporting patient engagement metrics and submission of all required data sources directly to the SCC. Provider Types will follow the Quarterly ing Schedule defined in the SCC ing Plan. For project data sources/reports without PHI, the Provider Types will submit via Performance Logic. For project data sources/reports with PHI, the Health System will submit via BO. ed data is subject to periodic audit. The mechanism and timeline to which quarterly reports and data sources are submitted are subject to change. Project Name Health System Collection & Provider Types Collection & Project 2biv. TOC Project 2bvii: INTERACT (SNF) (CHS-SNFs) Project 2bix: OBS Project 2di: 11 th Project PAM (CBO) Project 3ai: BH & PC Project 3bi: Cardiology Project 3ci: Diabetes Project 3dii: Asthma Project Engagement (Project & Organizational Requirements) There are specific provider types delineated as engaged/contracted in particular projects as defined in the SCC Participation Agreement. Data sources defined by the NYS DOH and outlined in the DSRIP Project Management Plan outline the task, requirement and document to be collected to assure the Provider Types is engaged in the project. Definitions: 1. Health System Collection & ing: Health Systems are responsible for reporting pre-completion, completion, and post-completion of all milestones, including quarterly reporting requirements and submission of all required data sources as described in the DSRIP Project Management Plan. Health Systems will follow the Quarterly ing Schedule in the SCC ing Plan. For project data sources/reports without PHI, the Health System will submit via Performance Logic. For project data sources/reports with PHI, the Health System will submit via BO. ed data is subject to periodic audit. The mechanism and timeline to which quarterly reports and data sources are submitted are subject to change. 2. Provider Types Collection & ing: Provider Types are responsible for reporting pre-completion, completion, and post-completion of all milestones, including quarterly reporting requirements and submission of all required data sources as described in the DSRIP Project Management Plan. Provider Types will follow the Quarterly ing Schedule in the SCC ing Plan. For project data sources/reports without PHI, the Provider Types will submit via Performance Logic. For project data sources/reports with PHI, the Health System will submit via BO. ed data is subject to periodic audit. The mechanism and timeline to which quarterly reports and data sources are submitted are subject to change. Page 3 of 6

5 Project Name Health System Collection & Provider Types Collection & Compliance Financial Sustainability/ Budget & Funds Flow Workforce Cultural Competency & Health Literacy Performance ing Population Health Management Clinical Integration Governance Project 2ai: PCMH Project 2ai: IT Project 2biv. TOC Project 2bvii: INTERACT (SNF) Project 2bix: OBS Project 2di: 11 th Project PAM (CBO) Project 3ai: BH & PC Project 3bi: Cardiology Project 3ci: Diabetes Project 3dii: Asthma Project 4aii: SBIRT & MEBH Project 4bii: Chronic Disease Outcomes (Domains 2-4) There are specific provider types delineated as engaged/contracted in particular projects as defined in the SCC Participation Agreement. Data measures defined by the NYS DOH and outlined in the SCC Metrics Matrix outline the measure and performance goals to be monitored to assure the Provider Type is engaged in the project. Definitions: 1. Health System Collection & ing: Health Systems are responsible for engaging all Engaged/Contracted provider types within Health System on all required measures. Health Systems will follow the Quarterly ing Schedule in the SCC ing Plan. For project data sources without PHI, the Health System will submit via Performance Logic. For project data sources/reports with PHI, the Health System will submit via BO. ed data is subject to periodic audit. The mechanism and timeline to which quarterly reports and data sources are submitted are subject to change. 2. Provider Type Collection & ing: Provider Types are responsible for engagement on all required measures. Provider Types will follow the Quarterly ing Schedule in the SCC ing Plan. For project data sources without PHI, the Health System will submit via Performance Logic. For project data sources/reports with PHI, the Health System will submit via BO. ed data is subject to periodic audit. The mechanism and timeline to which quarterly reports and data sources are submitted are subject to change. Project Name DSRIP PPS ed Measures Percent of PCP meeting PCMH Health System Collection & Provider Types Collection & Page 4 of 6

6 CG-CAHPS for uninsured Use of primary and preventative care services ED use by uninsured Patient Activation Measure (PAM) *Medical Record Abstraction - Screening for Clinical Depression and follow-up - Controlling High Blood Pressure - Comprehensive Diabetes Screening All three tests (HbA1c, dilated eye exam, nephropathy monitor) - Comprehensive Diabetes Care: HbA1c Poor Control (>9.0) *The Medical Record Abstraction process will be facilitated by the DOH for the MY1 measurement period. SCC will notify providers of the abstraction process and support the vendors to assure the requirements are fulfilled in a timely manner. In subsequent DSRIP years SCC will contract directly with a vendor to fulfill this requirement. DSRIP NYS ed Measures Health System Action Planning Requirements (Ref: SCC PI Plan) SCC Quarterly ing Schedule For full schedule please see the Performance Logic online version. # Due Date DY & Q Covered Time Period Covered 1 July 31, 2015 DY1 Q1 April 1-June October 31, 2015 DY1 Q2 July 1- Sept January 31, 2016 DY1 Q3 Oct 1-Dec April 30, 2016 DY1 Q4 Jan 1-Mar July 31, 2016 DY2 Q1 April 1-June October 31, 2016 DY2 Q2 July 1- Sept January 31, 2017 DY2 Q3 Oct 1-Dec April 30, 2017 DY2 Q4 Jan 1-Mar July 31, 2017 DY3 Q1 April 1-June October 31, 2017 DY3 Q2 July 1- Sept January 31, 2018 DY3 Q3 Oct 1-Dec April 30, 2018 DY3 Q4 Jan 1-Mar July 31, 2018 DY4 Q1 April 1-June Page 5 of 6

7 14 October 31, 2018 DY4 Q2 July 1- Sept January 31, 2019 DY4 Q3 Oct 1-Dec April 30, 2019 DY4 Q4 Jan 1-Mar July 31, 2019 DY5 Q1 April 1-June October 31, 2019 DY5 Q2 July 1- Sept January 31, 2020 DY5 Q3 Oct 1-Dec April 30, 2020 DY5 Q4 Jan 1-Mar Page 6 of 6