Urban Indian Health Program Patient Centered Health Home Collaborative

(UIHP PCHH)

This webpage is for the Urban Indian Health Program Patient Centered Health Home (UIHP PCMH) collaborative, facilitated by Merin McCabe, CPC CPC-I ICD10 Instructor.

Members of this collaborative assist and support one another in either achieving or maintaining recognition as a Patient Centered Health Home, which can be earned from a variety of entities including NCQA and AAAHC. Payers and States also have recognition programs. The requirements are similar enough, so that we will be able to make progress regardless of the entity you choose.

This work group is established to assist one another to develop the policies, procedures and audits we all need. Our programs are similar; but, also very unique. Therefore our processes and procedures will be too.

Participation is voluntary. We will plan to meet via teleconference every on Fridays at 10:00 am Pacific Time. The link and phone number will be sent to members of the collaborative before this time. Click here to view the UIHP 2016 Schedule.

This is project supported by National Consortium for Urban Indian Health and The Office of Urban Indian Health.

See below for topics covered through UIHP PCHH and related documents:

June 24, 2015

Coding and billing for tobacco cessation

210.4 Smoking Tobacco-Use Cessation Counseling dvpmbs 5516F

Websites referenced on this call

June 3, 2016

Guests: Christine Brennan and Helen Maldonado from the California Area Office

Performance Improvement Toolbox

2016 IHS Partnership Conference

Board of Directors and Management Reports

CRS 2017

GPRA taxonomy instructions

Behavioral Health Integration Intensive (Pre-work due date is now extended to June 17, 2016)

Managed Care Rule webinar series

Patient-Centered Medical Home Resources: Comparison Chart

RPMS Program Release Notice_CRSv16_1

Running GPRA Reports

May 27, 2016

2014-2016 GPRA Measure Matrix

Basic Care Team Report Card Sample

CA Urban GPRA Updates 12_18_15

CO EXCEL BOCCHSO_03162016

National GPRA/GPRAMA Report Performance Measure List and Definitions

GPRA Overview

RPMS Program Release Notice_CRSv16_1

May 20, 2016 

2016 Indian Health Partnership Conference

CDC AMA Additions to ICD 10 2017

March 18, 2016

IHS Implements New Regulation for Tribes to Negotiate Medicare-Like Rates

MACRA and Alternative Payment Models

Medicare Access and CHIP Reauthorization Act of 2015

March 11, 2016

Chronic Care

Chronic Care Services

March 4, 2016 

CPT Updates

Errata and Technical Corrections – CPT 2016

Medicare Flu Vaccine CPT

CPT and RUC simplified

Preventative Services Chart

SBIRT Fact Sheet

US Vaccines

Vaccine Abbreviations

CPT Category I Vaccine Codes and Category III Codes

CPT Category I Vaccine Codes

 

August 19, 2015

Review documentation libraries and applications with any site applying for recognition.

 

August 5, 2015

REVISIT:

3D – Clinical Quality Measures – align initiatives

6A – Performance Measurement and QI

6B – 2 measures for Care Coordination & 2 health care costs

 

July 15,2015

REVISIT:

6C – CQI – Patient Experience Surveys

6D – CQI Goals & Disparities (chose measures in March)

6E – Demonstrate CQI

6F – Report Performance

 

July 1, 2015

Topics:  1B – Clinical Advice

1C – Electronic Access

 

June 17, 2015

Topics:  3A – Patient Information

3B – Clinical Data

3C – Comprehensive Health Assessment

3E – Evidenced based decision support

 

June 3, 2015

Topics:  1A6 – Acting to improve access

1A5 – No Shows

 

May 20, 2015 

Topics:  6C – CQI – Patient Experience Surveys

6D – CQI Goals & Disparities (chose measures in March)

6E – Demonstrate CQI

6F – Report Performance

 

May 6, 2015 

Topics:  2C – Culturally Appropriate

2D – Roles, teams, orders, QI Participation

3D – Not recently seen & Med monitoring

4A – Care Management

4B – Care planning/Self-support; Goals

4E – Self Support Shared Decision Making

 

April 22, 2015 

Topics:  5A – Test Tracking and Follow Up

5B – Referral Tracking and Follow Up

5C – Coordinated Care

 

 

April 8, 2015

Topics:  2A – Continuity (Empanelment)

2B – Medical Home Responsibilities

2D3 – Huddles

4C – Medication Management

4D – E Prescribing

Documents:

Monthly Continuity Report (DOC)

– Aligning Measures (Excel File)

– Huddles (PDF)

Patient Health & Wellness Toolkit (DOC)

 Patient Health & Wellness Toolkit Presentation (Powerpoint)

 Toolkit Distribution Report (DOC)

– Patient Health and Wellness Online Process (PDF)

Population Management Measures (DOC)

 

March 25, 2015

Topics:  3D – Clinical Quality Measures – align initiatives

6A – Performance Measurement and QI

6B – 2 measures for Care Coordination & 2 health care costs

 

March 11, 2015

Topics:  3D 2Prev

3Acute/Chronic

2 IMM

 

February 25, 2015

Topics:  1A – Access

1A1 – Same day

Appointment Types

Documents:

– Baseline PCMH Self Assessment Tool (PDF)

–  Same Day Audit Guide (Excel File)

–  2015 Same Day Audit Tool (Excel File)

Aligning Measures (Excel File)

 

February 13, 2015

Review all must pass elements and critical factors

Overview of project goals and objectives