Common use of H-MH System Improvement Initiatives Clause in Contracts

H-MH System Improvement Initiatives. Each awardee‟s project work plan and subsequent progress reports must incorporate the awardee‟s strategy for accomplishing the implemented initiatives as well as the milestones to measure success. a) Each awardee must implement an initiative to restructure operations to enhance patients‟ continuity of care experience in conjunction with developing a patient centered medical home. Awardees shall extend the ambulatory, continuity training experience of residents within the limits of residency requirements from the Residency Review Committee of the Accreditation Council for Graduate Medical Education. This could be accomplished by increasing the number of continuity training sites, expanding sites beyond the hospital environment (if the program is based in a hospital), increasing resident time in ambulatory settings, or other activities or combinations of approaches. These sites would also be required to provide care consistent with medical home requirements and achieve formal recognition within two years of program start date. The project work plan must include: i. A method for objective measurement of progress which may include number of new continuity sites, percent increase in ambulatory training experience for residents; ii. How these activities will support core activities of medical home transformation; and iii. How these restructuring changes will be sustained following the termination of the demonstration. b) Further, each awardee must select at least one of the following four initiatives to implement during the grant award period:

H-MH System Improvement Initiatives. Each awardee‟s awardee’s project work plan and subsequent progress reports must incorporate the awardee‟s awardee’s strategy for accomplishing the implemented initiatives as well as the milestones to measure success. a) Each awardee must implement an initiative to restructure operations to enhance patients‟ patients’ continuity of care experience in conjunction with developing a patient centered medical home. Awardees shall extend the ambulatory, continuity training experience of residents within the limits of residency requirements from the Residency Review Committee of the Accreditation Council for Graduate Medical Education. This could be accomplished by increasing the number of continuity training sites, expanding sites beyond the hospital environment (if the program is based in a hospital), increasing resident time in ambulatory settings, or other activities or combinations of approaches. These sites would also be required to provide care consistent with medical home requirements and achieve formal recognition within two years of program start date. The project work plan must include: i. A method for objective measurement of progress which may include number of new continuity sites, percent increase in ambulatory training experience for residents; ii. How these activities will support core activities of medical home transformation; and and iii. How these restructuring changes will be sustained following the termination of the demonstration. b) Further, each awardee must select at least one of the following four initiatives to implement during the grant award period:

H-MH System Improvement Initiatives. Each awardee‟s awardee’s project work plan and subsequent progress reports must incorporate the awardee‟s awardee’s strategy for accomplishing the implemented initiatives as well as the milestones to measure success. a) a. Each awardee must implement an initiative to restructure operations to enhance patients‟ patients’ continuity of care experience in conjunction with developing a patient centered medical home. Awardees shall extend the ambulatory, continuity training experience of residents within the limits of residency requirements from the Residency Review Committee of the Accreditation Council for Graduate Medical Education. This could be accomplished by increasing the number of continuity training sites, expanding sites beyond the hospital environment (if the program is based in a hospital), increasing resident time in ambulatory settings, or other activities or combinations of approaches. These sites would also be required to provide care consistent with medical home requirements and achieve formal recognition within two years of program start date. The project work plan must include: i. A method for objective measurement of progress which may include number of new continuity sites, percent increase in ambulatory training experience for residents; ii. How these activities will support core activities of medical home transformation; and iii. How these restructuring changes will be sustained following the termination of the demonstration. b) Further, each awardee must select at least one of the following four initiatives to implement during the grant award period: