Practice Facilitation. Following recruitment, interviewing, and subsequent approval by the State’s Blueprint Assistant Director, the Grantee may hire a local practice facilitator. The State’s Blueprint leadership must interview and approve all hired facilitators. The Grantee will employ a Practice Facilitator (.75 FTE) to coach approximately 6 to 10 primary care practices; the specific number of practices will be determined by the NCQA scoring schedule, the needs of the practices, and discussion between the State and the Grantee. Work will be tailored to helping each practice be successful in implementing and managing quality improvement initiatives (including NCQA- PCMH recognition); use of practice profiles and ACO data to improve care; effective use of information technology (IT) systems, such as registries and portals to improve patient care; integration of self- management support, shared decision making, and planned care visits; redefining roles and establishing team-based care; and seamlessly connecting with community resources and specialty referrals, such as with the CHT. The practice facilitator shall meet with each practice on a regular basis as negotiated with the practice and as approved by the State. The Grantee shall ensure that practice facilitation work includes:
Practice Facilitation. The Grantee shall invoice the State monthly up to the sum of $6,000 per 1.0 FTE for facilitation activities outlined in section G based on expenses incurred and completion of grant deliverables. In addition to the monthly payments, milestone payments of up to $6,000, for which the Grantee can invoice the State at any point during the grant period, will be paid as follows: • Completion of a patient-centered care PDSA (incorporation of shared decision making, self-management support, panel management, or mental health and substance abuse treatment into clinical practice): $500 per practice. • Documentation of the workflow and referral protocols in the primary care practice or MAT provider office: $500 (only one payment per practice). • Completion of a learning collaborative for which the facilitator led or was a member of the planning team: $1,000. • Mentoring of a new practice facilitator for 9 months: $500. • NCQA recognition (initial survey or rescoring): $500 per practice. • Attested connection to State’s clinical registry and demonstrated use of reports: $1,000 per practice. • Quality improvement projects related to priorities and measures set forth in practice profiles, including ACO measures: $500. Payments for practice facilitation will only be issued after all reports due in that month are received and accepted by the State Assistant Director. Training, Travel, and Flexible Funding Mechanism The Grantee will invoice the State monthly for the actual expenses incurred for approved training, consultation, and travel and for those items approved in writing by the Blueprint under the Flexible Funding Mechanism, not to exceed $10,000 during the grant time period. Examples may include interpreter services for Blueprint sponsored self-management programs. Mileage expense for use of personal vehicles and meal expense will be reimbursed at the current State rate. The Grantee will hold all receipts and necessary documentation on file and make documentation available upon request by the State. Travel expenses must be in compliance with State of Vermont Administrative Bulletin 3.4.
Practice Facilitation. Practice facilitation services are provided to selected patient-centered medical homes and offered to enhance primary care services and support chronic disease prevention. Facilitation services range from a brief period of academic detailing to a full-scope chronic disease process improvement- focused service that occurs over a lengthy period of time. Practice facilitation supports the health coaches and assists coached practices with quality improvement initiatives.
Practice Facilitation. Practice facilitation services are provided to selected patient- centered medical homes and offered to enhance primary care services and support chronic disease prevention. Facilitation services range from a brief period of academic detailing to a full-scope chronic disease process improvement-focused service that occurs over a lengthy period of time. Practice facilitation supports the health coaches and assists coached practices with quality improvement initiatives. Changes to the HMP program. The state must notify CMS 60 days prior to any requested change in HMP services and must submit a revised budget neutrality assessment that indicates the current budget neutrality status and the projected impact of the request on budget neutrality for the remainder of the demonstration. CMS will review the state’s documentation and, if approved, will provide a written confirmation to the state within 60 days of receiving the request.
Practice Facilitation. The Grantee shall invoice the State monthly up to the sum of $6,000 per 1.0 FTE for facilitation activities outlined in section H based on expenses incurred and completion of grant deliverables. In addition to the monthly payments, milestone payments of up to $6,000, for which the Grantee can invoice the State at any point during the grant period, will be paid as follows: • Completion of a Patient Centered Care PDSA (incorporation of shared decision making, self- management support, panel management, or mental health and substance abuse treatment into clinical practice): $500 per practice. • Documentation of the workflow and referral protocols in the primary care practice for the CHT: $500 (only one payment per practice). • Completion of a learning collaborative for which the facilitator led or was a member of the planning team: $1000. • Mentoring of a new practice facilitator for 9 months: $500. • NCQA recognition (initial survey or rescoring): $500 per practice. • Attested DocSite connection and demonstrated use of reports: $1,000 per practice. Payments for practice facilitation will only be issued after all reports due in that month are received by the State.
Practice Facilitation. Following recruitment, interviewing, and subsequent approval by the State’s Blueprint Assistant Director, the Grantee may hire a local practice facilitator. The State’s Blueprint leadership must interview and approve all hired facilitators. The Grantee will employ a Practice Facilitator (1.0 FTE) to coach approximately 8 to 10 primary care practices/sites; the specific number of practices will be determined by the NCQA scoring schedule, the needs of the practices, and discussion between the State and the Grantee. In addition, the Grantee will employ a practice an advanced level Practice Facilitator at (0.5 to 0.75) during the grant period to lead, mentor and train the statewide network of practice facilitators. The Practice Facilitator and the advanced level practice Facilitator shall be staffed not to exceed 1.75 (FTE) during the grant period and or actual expenses shall not exceed the total budgeted amount for the facilitator line item. Work will be tailored to helping each practice be successful in implementing and managing quality improvement initiatives (including NCQA-PCMH recognition); use of practice profiles and ACO data to improve care; effective use of information technology (IT) systems, such as registries and portals to improve patient care; integration of self-management support, shared decision making, and planned care visits; redefining roles and establishing team-based care; and seamlessly connecting with community resources and specialty referrals, such as with the CHT. The practice facilitator shall meet with each practice on a regular basis as negotiated with the practice and as approved by the State. The Grantee shall ensure that practice facilitation work includes:
Practice Facilitation. The Grantee shall invoice the State monthly up to the sum of $6,000 per 1.0 FTE ($5,400 for .9 FTE) for facilitation activities outlined in section G based on expenses incurred and completion of grant deliverables. In addition to the monthly payments, milestone payments of up to $7,500, for which the Grantee can invoice the State at any point during the grant period, will be paid as follows: • Completion of a patient-centered care PDSA (incorporation of shared decision making, self-management support, panel management, or mental health and substance abuse treatment into clinical practice): $500 per practice. • Documentation of the workflow and referral protocols in the primary care practice or MAT provider office: $500 (only one payment per practice). • Completion of a learning collaborative for which the facilitator led or was a member of the planning team: $1,000. • Mentoring of a new practice facilitator for 9 months: $500. • NCQA recognition (initial survey or rescoring): $500 per practice. • Attested connection to State’s clinical registry and demonstrated use of reports: $1,000 per practice. • Quality improvement projects related to priorities and measures set forth in practice profiles, including ACO measures: $500. Payments for practice facilitation will only be issued after all reports due in that month are received and accepted by the State Assistant Director. Training, Travel, and Flexible Funding Mechanism The Grantee will invoice the State monthly for the actual expenses incurred for approved training, consultation, and travel and for those items approved in writing by the Blueprint under the Flexible Funding Mechanism, not to exceed $10,000 during the grant time period. Examples may include interpreter services for Blueprint sponsored self-management programs. Mileage expense for use of personal vehicles and meal expense will be reimbursed at the current State rate. The Grantee will hold all receipts and necessary documentation on file and make documentation available upon request by the State. Travel expenses must be in compliance with State of Vermont Administrative Bulletin 3.4.
Practice Facilitation
