Common use of Practice Outreach and Communication Clause in Contracts

Practice Outreach and Communication. The Project Manager shall contact all primary care (internal medicine, family practice, pediatric, and naturopath) and substance abuse practices within the HSA in order to encourage their participation in the program and area learning health system activities. In collaboration with the Blueprint QI Facilitators, the Contractor will help willing practices engage in the processes for achieving National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) recognition, integrating CHT staff into practice workflows, and joining the appropriate CC forums within the HSA. The Project Manager will monitor the status of each primary care practice throughout these activities and report any issues encountered to the State’s Blueprint Assistant Director as they arise. Additional supports funded and provided by the State and available to the practices include QI facilitation for assistance with NCQA-PCMH scoring activities and continuous quality improvement, data quality initiative project leaders, and Vermont Information Technology Leaders (VITL) staff for establishing practice electronic health record (EHR) interface connectivity to the Vermont Health Information Exchange (VHIE) and associated data repositories designated by the State. The Project Manager shall facilitate collaboration between the practices and area Blueprint QI Facilitators and ACO provider networks to promote quality improvement, including participation in the CC forum(s) and associated quality improvement projects, learning collaboratives, training events, and other mechanisms to ensure innovation between practices. In collaboration with the QI facilitators, the Project Manager will also support primary care practices in implementing quality improvement initiatives through activities including:  Providing access to relevant data reports and interpretation of these reports, such as Blueprint practice and HSA profiles, ACO reports, Emergency Department (ED) use, inpatient admissions, data on trends in hospital readmission rates, population outreach reports, access to lists of patients for each practice, ACO reports, and other relevant patient data  Coordinating and reporting on progress of quality improvement projects between practices, specialists, hospitals, and community organizations based on core clinical measures, data reports, and priorities identified by the CC leadership team and stakeholders, ACOs, and State healthcare reform initiatives  Integration of CHT staff into primary care workflow  Providing education on and staff support for empanelment and panel management  Organizing learning events (using training and flexible funds to support speaker costs)  Promoting learning health system activities, such as providing logistical support for local meetings of primary care practices and creating innovative opportunities for learning and communication between primary care practices  Developing and coordinating co-management and referral agreements with practices in the health home neighborhood (integrated community) The Project Manager shall be in contact with all practices and programs providing medication assisted treatment for opioid addiction within the HSA on a regular basis to encourage their participation in the statewide “Hub & Spoke” initiative, to coordinate hiring and deployment of MAT staff, and to support quality improvement projects to improve care and patient outcomes. The Project Manager will also collaborate with local leadership to encourage the recruitment of additional providers to offer MAT. The Project Manager shall be responsible for communicating directly with practices on changes in statewide healthcare reform policies and procedures, especially as they impact practice processes, participation requirements, involvement in other State or national reform or billing efforts, and Blueprint program payment levels and practice eligibility criteria. The Contractor shall communicate updates received from the State in a timely fashion.

Practice Outreach and Communication. The Project Manager shall contact all primary care (internal medicine, family practice, pediatric, and naturopath) and substance abuse practices within the HSA in order to encourage their participation in the program and area learning health system activities. In collaboration with the Blueprint QI Facilitators, the Contractor will help willing practices engage in the processes for achieving National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) recognition, integrating CHT staff into practice workflows, and joining the appropriate CC forums within the HSA. The Project Manager will monitor the status of each primary care practice throughout these activities and report any issues encountered to the State’s Blueprint Assistant Director as they arise. Additional supports funded and provided by the State and available to the practices include QI facilitation for assistance with NCQA-PCMH scoring activities and continuous quality improvement, data quality initiative project leaders, and Vermont Information Technology Leaders (VITL) staff for establishing practice electronic health record (EHRher) interface connectivity to the Vermont Health Information Exchange (VHIE) and associated data repositories designated by the State. The Project Manager shall facilitate collaboration between the practices and area Blueprint QI Facilitators and ACO provider networks to promote quality improvement, including participation participat ion in the CC forum(s) and associated quality improvement projects, learning collaboratives, training events, and other mechanisms to ensure innovation between practices. In collaboration with the QI facilitators, the Project Manager will also support primary care practices in implementing quality improvement initiatives through activities including:  Providing access to relevant data reports and interpretation of these reports, such as Blueprint practice and HSA profiles, ACO reports, Emergency Department (ED) use, inpatient admissions, data on trends in hospital readmission rates, population outreach reports, access to lists of patients for each practice, ACO reports, and other relevant patient data  Coordinating and reporting on progress of quality improvement projects between practices, specialists, hospitals, and community organizations based on core clinical measures, data reports, and priorities identified by the CC leadership team and stakeholders, ACOs, and State healthcare reform initiatives  Integration of CHT staff into primary care workflow  Providing education on and staff support for empanelment and panel management  Organizing learning events (using training and flexible funds to support speaker costs)  Promoting learning health system activities, such as providing logistical support for local meetings of primary care practices and creating innovative opportunities for learning and communication between primary care practices  Developing and coordinating co-management and referral agreements with practices in the health home neighborhood (integrated community) The Project Manager shall be in contact with all practices and programs providing medication assisted treatment for opioid addiction within the HSA on a regular basis to encourage their participation in the statewide “Hub & Spoke” initiative, to coordinate hiring and deployment of MAT staff, and to support quality improvement projects to improve care and patient outcomes. The Project Manager will also collaborate with local leadership to encourage the recruitment of additional providers to offer MAT. The Project Manager shall be responsible for communicating directly with practices on changes in statewide healthcare reform policies and procedures, especially as they impact practice processes, participation requirements, involvement in other State or national reform or billing efforts, and Blueprint program payment levels and practice eligibility criteria. The Contractor shall communicate updates received from the State in a timely fashion.

Practice Outreach and Communication. The Project Manager shall contact all primary care (internal medicine, family practice, pediatric, and naturopath) and substance abuse practices within the HSA in order to encourage their participation in the program and area learning health system activities. In collaboration with the Blueprint QI FacilitatorsFacilitators contracted by the State, the Contractor will help willing practices engage in the processes for achieving National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) recognition, integrating CHT staff into practice workflows, and joining the appropriate CC forums within the HSA. The Project Manager will monitor the status of each primary care practice throughout these activities and report any issues encountered to the State’s Blueprint Assistant Director as they arise. Additional supports funded and provided by the State and available to the practices include QI facilitation for assistance with NCQA-PCMH scoring activities and continuous quality improvement, data quality initiative project leaders, and Vermont Information Technology Leaders (VITL) staff for establishing practice electronic health record (EHR) interface connectivity to the Vermont Health Information Exchange (VHIE) and associated data repositories designated by the State. The Project Manager shall facilitate collaboration between the practices and area Blueprint QI Facilitators and ACO provider networks to promote quality improvement, including participation in the CC forum(s) and associated quality improvement projects, learning collaboratives, training events, and other mechanisms to ensure innovation between practices. In collaboration with the QI facilitators, the Project Manager will also support primary care practices in implementing quality improvement initiatives through activities including:  Providing access to relevant data reports and interpretation of these reports, such as Blueprint practice and HSA profiles, ACO reports, Emergency Department (ED) use, inpatient admissions, data on trends in hospital readmission rates, population outreach reports, access to lists of patients for each practice, ACO reports, and other relevant patient data  Coordinating and reporting on progress of quality improvement projects between practices, specialists, hospitals, and community organizations based on core clinical measures, data reports, and priorities identified by the CC leadership team and stakeholders, ACOs, and State healthcare reform initiatives  Integration of CHT staff into primary care workflow  Providing education on and staff support for empanelment and panel management  Organizing learning events (using training and flexible funds to support speaker costs)  Promoting learning health system activities, such as providing logistical support for local meetings of primary care practices and creating innovative opportunities for learning and communication between primary care practices  Developing and coordinating co-management and referral agreements with practices in the health home neighborhood (integrated community) The Project Manager shall be in contact with all practices and programs providing medication assisted treatment for opioid addiction within the HSA on a regular basis to encourage their participation in the statewide “Hub & Spoke” initiative, to coordinate hiring and deployment of MAT staff, and to support quality improvement projects to improve care and patient outcomes. The Project Manager will also collaborate with local leadership to encourage the recruitment of additional providers to offer MAT. The Project Manager shall be responsible for communicating directly with practices on changes in statewide healthcare reform policies and procedures, especially as they impact practice processes, participation requirements, involvement in other State or national reform or billing efforts, and Blueprint program payment levels and practice eligibility criteria. The Contractor shall communicate updates received from the State in a timely fashion.

Practice Outreach and Communication. The Blueprint Project Manager shall be in contact with all area primary care (internal medicine, family practice, pediatric, and naturopath) and substance abuse practices within the HSA in order to introduce the Blueprint for Health and encourage their participation in the program and area learning health system activities. In collaboration with the Blueprint QI Facilitators, the Contractor will help willing practices engage in the processes for achieving National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) recognition, integrating CHT staff into practice workflows, and joining the appropriate CC UCC forums within the HSA. The Project Manager will monitor the status of each primary care practice throughout these activities and report any issues encountered barriers to success to the State’s Blueprint Assistant Director as they arise. Additional supports funded and provided by the State and available to the practices include QI facilitation for assistance with NCQA-PCMH scoring activities and continuous quality improvement, data quality initiative project leaders, and Vermont Information Technology Leaders (VITL) staff for establishing practice electronic health record (EHR) EHR interface connectivity to the Vermont Health Information Exchange (VHIE) and associated data repositories designated by the State. The Blueprint Project Manager shall facilitate collaboration between the practices and area Blueprint QI Facilitators and ACO provider networks to promote quality improvement, including participation in the CC UCC forum(s) and associated quality improvement projects, learning collaboratives, training events, and other mechanisms to ensure innovation between practices. In collaboration with the QI facilitators, the Project Manager will also support primary care practices in implementing quality improvement initiatives through activities including:  Providing access to relevant data reports and interpretation of these reports, such as Blueprint practice and HSA profiles, ACO reports, Emergency Department (ED) use, inpatient admissions, data on trends in hospital readmission rates, population outreach reports, access to lists of patients for each practice, ACO reports, and other relevant patient data  Coordinating and reporting on progress of Promoting quality improvement projects between practices, specialists, hospitals, and community organizations based on core clinical measures, data reports, and priorities identified by the CC leadership team and stakeholders, ACOs, and State healthcare reform initiatives UCC forums (at least one UCC-identified QI project required for payment per practice per agreement year)  Integration of CHT staff into primary care workflow  Providing education on and staff support for empanelment and panel management  Organizing learning events (using training and flexible funds to support speaker costs)  Promoting learning health system activities, such as providing logistical support for local meetings of primary care practices and creating innovative opportunities for learning and communication between primary care practices  Developing and coordinating co-management and referral agreements with practices in the health home neighborhood (integrated community) The Project Manager shall be in contact with all area practices and programs providing medication assisted treatment for opioid addiction within the HSA on a regular basis to encourage their participation in the statewide “Hub & Spoke” initiative, to coordinate hiring and deployment of MAT staff, and to support quality improvement projects to improve care and patient outcomes. The Project Manager will also collaborate with local leadership to encourage the recruitment of additional providers to offer MAT. The Project Manager shall be responsible for communicating directly with practices on changes in statewide healthcare reform policies and procedures, especially as they impact practice processes, participation requirements, involvement in other State or national reform or billing efforts, and Blueprint program payment levels and practice eligibility criteria. The Contractor shall communicate updates received from the State in a timely fashion.