Area of Transformation. Developing and implementing a health care delivery model that integrates mental health and physical health care and addictions and dental health, when dental services are included. This area of transformation must specifically address the needs of individuals with severe and persistent mental illness. Benchmark 1 INTEGRATING PHYSICAL AND BEHAVIORAL HEALTH CARE: Optimal Diabetes Care Among Adults with Persistent and Chronic Mental Illness How Benchmark will be measured (Baseline to July 1, 2015) Contractor will participate in the statewide Performance Improvement Project (PIP), proposed to measure: Numerator: Members, aged 18-75, who are concurrently diagnosed with severe and persistent mental illness and diabetes who met all three National Committee for Quality Assurance (NCQA) Comprehensive Diabetes Care and as aligned with NQF measure #1934 focuses on measures testing rates for both HbA1c and LDL-C. Denominator: Members, aged 18-75, who are concurrently diagnosed with severe and persistent mental illness and diabetes who have at least two visits for this diagnosis in the last two years with one visit in the last 12 months. Milestone(s) to be achieved as of July 1, 2014 5% Improvement over Baseline. Baseline and method of calculation to be determined and mutually agreed upon between Contractor and OHA. Benchmark to be achieved as of July 1, 2015 10% Improvement over Baseline with minimum score of 20%. Baseline and method of calculation to be determined and mutually agreed upon between Contractor and OHA.
Area of Transformation. Continuing implementation and development of Patient-Centered Primary Care Home (PCPCH). Benchmark 2 Patient-Centered Primary-Care Home (PCPCH)
Area of Transformation. Preparing a strategy for developing Contractor’s Community Health Assessment and adopting an annual Community Health Improvement Plan consistent with SB 1580 (2012), Section 13. Benchmark 4 Community Health Assessment and Community Health Improvement Plan How Benchmark will be measured (Baseline to July 1, 2015) Hard copies of documents adopted by Contractor board of directors will serve as the method of measurement.
Area of Transformation. Developing a plan for encouraging electronic health records; health information exchange; and meaningful use.
