Common use of Unified Performance Reporting and Data Utility Clause in Contracts

Unified Performance Reporting and Data Utility. In the Contractor’s HSA, the Project Manager shall coordinate, support, and partner with others in activities that strengthen and grow the utility, quality, and comprehensiveness of data passed into and available for reporting from Vermont’s Health Information Technology (HIT) infrastructure and the information technology and data infrastructure of the ACOs. The State’s goals are to:  Engage clinicians in initial and ongoing data quality efforts, including Blueprint data quality and connectivity projects, if needed, for both demographic and clinical data entry and maintenance in source EHR systems.  Ensure linkage of health records (such as practice EHRs, the State’s clinical registry, hospital laboratory feeds, and the Vermont Department of Health (VDH) immunization registry) with the VHIE operated by VITL  Develop an architecture that allows clinicians to use the clinical tracking system of their choice (meaning EHR and/or systems or reports offered by the State) for patient care, care coordination, panel management, and performance reporting  Populate a central repository with core data elements through usual processes for patient care, such as through interfaces or flat files from the EHR or other databases  Capture CHT activity, especially patient contacts and date of interactions, in a central repository for activity reporting to insurers and for analysis of staffing ratios  Use clinical data for Blueprint program evaluation and generation of measures for performance reporting  Maintain data quality levels on an ongoing basis after completion of initial data quality work and connectivity to the State HIT architecture In order to generate HSA-level quality payments, each HSA will need to have a statistically significant sample of data available to establish a measurement of performance. Data will be aggregated using claims and clinical data generated from the State’s all-payer claims database, Vermont Healthcare Claims Uniform Reporting & Evaluation System (VHCURES), the VHIE, and the statewide clinical registry. For practices or parent organizations not currently contributing data to the VHIE and the statewide clinical registry, the Contractor shall perform outreach and education to facilitate their participation in Blueprint data quality and connectivity projects designed to establish demographic (ADT) and clinical (CCD) interfaces to the VHIE and the statewide clinical registry and immunization (VXU) interfaces to the VDH immunization registry. The Blueprint, in collaboration with the ACO provider networks in Vermont, uses this data (de-identified) as a source for generating core measures published in the practice and HSA profile reports. The Project Manager and the Contractor will assist with making connections between area practices and VITL, Blueprint Data Quality Project leaders, and Data Quality teams to complete data quality and connectivity projects in a timely manner. The Contractor shall convene meetings as necessary for this purpose. The Contractor will work with VITL to ensure that the necessary business associate agreements (XXXx) with VITL, the State, and the practices are in place. The Project Manager shall support the roll out of new technologies supporting healthcare reform efforts, as specified and funded by the State or the ACOs, to practices and CHT staff, for example Care Navigator, Health Catalyst, and Patient Ping. The Project Manager shall ensure that all CHT staff funded through Blueprint payments in the HSA track patient encounters, inclusive of at least the patient’s first and last name, date of birth, zip code, the date of the encounter, and an encounter description, in a system that allows for reporting on CHT staff activity in a comma-separated file. These reports shall be provided to the State’s Blueprint Assistant Director for the HSA upon request. The State may designate a specific system for CHT staff to track encounter data and patient contacts at any point during the agreement year. To ensure coordination of care, CHT staff who are providing services to a patient on behalf of a practice or organization shall document activity on that patient in that practice’s or organization’s clinical record.

Unified Performance Reporting and Data Utility. In the Contractor’s HSA, the Project Manager shall coordinate, support, and partner with others in activities that strengthen and grow the utility, quality, and comprehensiveness of data passed into and available for reporting from Vermont’s Health Information Technology (HIT) infrastructure and the information technology and data infrastructure of the ACOs. The State’s goals are to:  Engage clinicians in initial and ongoing data quality efforts, including Blueprint data quality and connectivity projects, if needed, for both demographic and clinical data entry and maintenance in source EHR electronic health record (EHR) systems.  Ensure linkage of health records (such as practice EHRs, the State’s clinical registry, hospital laboratory feeds, and the Vermont Department of Health (VDH) immunization registry) with the VHIE operated by VITL  Develop an architecture that allows clinicians to use the clinical tracking system of their choice (meaning EHR and/or systems or reports offered by the State) for patient care, care coordination, panel management, and performance reporting  Populate a central repository with core data elements through usual processes for patient care, such as through interfaces or flat files from the EHR or other databases  Capture CHT activity, especially patient contacts and date of interactions, in a central repository for activity reporting to insurers and for analysis of staffing ratios  Use clinical data for Blueprint program evaluation and generation of measures for performance reporting  Maintain data quality levels on an ongoing basis after completion of initial data quality work and connectivity to the State HIT architecture In order to generate HSA-level quality payments, each HSA will need to have a statistically significant sample of data available to establish a measurement of performance. Data will be aggregated using claims and clinical data generated from the State’s all-payer claims database, Vermont Healthcare Claims Uniform Reporting & Evaluation System (VHCURES), the VHIE, and the statewide clinical registry. For practices or parent organizations not currently contributing data to the VHIE and the statewide clinical registry, the Contractor shall perform outreach and education to facilitate their participation in Blueprint data quality and connectivity projects designed to establish demographic (ADT) and clinical (CCD) interfaces to the VHIE and the statewide clinical registry and immunization (VXU) interfaces to the VDH immunization registry. The Blueprint, in collaboration with the ACO provider networks in Vermont, uses this data (de-identified) as a source for generating core measures published in the practice and HSA profile reports. The Project Manager and the Contractor will assist with making connections between area practices and VITL, Blueprint Data Quality Project leaders, and Data Quality teams to complete data quality and connectivity projects in a timely manner. The Contractor shall convene meetings as necessary for this purpose. The Contractor will work with VITL to ensure that the necessary business associate agreements (XXXx) with VITL, the State, and the practices are in place. The Project Manager shall support the roll out of new technologies supporting healthcare reform efforts, as specified and funded by the State or the ACOs, to practices and CHT staff, for example Care Navigator, Health Catalyst, and Patient Ping. The Project Manager shall ensure that all CHT staff funded through Blueprint payments in the HSA track patient encounters, inclusive of at least the patient’s first and last name, date of birth, zip code, the date of the encounter, and an encounter description, in a system that allows for reporting on CHT staff activity in a comma-separated file. These reports shall be provided to the State’s Blueprint Assistant Director for the HSA upon request. The State may designate a specific system for CHT staff to track encounter data and patient contacts at any point during the agreement year. To ensure coordination of care, CHT staff who are providing services to a patient on behalf of a practice or organization shall document activity on that patient in that practice’s or organization’s clinical record.

Unified Performance Reporting and Data Utility. In the Contractor’s HSA, the Project Manager shall coordinate, support, and partner with others in activities that strengthen and grow the utility, quality, and comprehensiveness of data passed into and available for reporting from Vermont’s Health Information Technology (HIT) infrastructure and the information technology and data infrastructure of the ACOs. The State’s goals are to:  Engage clinicians in initial and ongoing data quality efforts, including Blueprint data quality and connectivity projects, if needed, for both demographic and clinical data entry and maintenance in source EHR systems.  Ensure linkage of health records (such as practice EHRs, the State’s clinical registry, hospital laboratory feeds, and the Vermont Department of Health (VDH) immunization registry) with the VHIE operated by VITL  Develop an architecture that allows clinicians to use the clinical tracking system of their choice (meaning EHR and/or systems or reports offered by the State) for patient care, care coordination, panel management, and performance reporting  Populate a central repository with core data elements through usual processes for patient care, such as through interfaces or flat files from the EHR or other databases  Capture CHT activity, especially patient contacts and date of interactions, in a central repository for activity reporting to insurers and for analysis of staffing ratios  Use clinical data for Blueprint program evaluation and generation of measures for performance reporting  Maintain data quality levels on an ongoing basis after completion of initial data quality work and connectivity to the State HIT architecture In order to generate HSA-level quality payments, each HSA will need to have a statistically significant sample of data available to establish a measurement of performance. Data will be aggregated using claims and clinical data generated from the State’s all-payer claims database, Vermont Healthcare Claims Uniform Reporting & Evaluation System (VHCURES), the VHIE, and the statewide clinical registry. For practices or parent organizations not currently contributing data to the VHIE and the statewide clinical registry, the Contractor shall perform outreach and education to facilitate their participation in Blueprint data quality and connectivity projects designed to establish demographic (ADT) and clinical (CCD) interfaces to the VHIE and the statewide clinical registry and immunization (VXU) interfaces to the VDH immunization registry. The Blueprint, in collaboration with the ACO provider networks in Vermont, uses this data (de-identified) as a source for generating core measures published in the practice and HSA profile reports. The Project Manager and the Contractor will assist with making connections between area practices and VITL, Blueprint Data Quality Project leaders, and Data Quality teams to complete data quality and connectivity projects in a timely manner. The Contractor shall convene meetings as necessary for this purpose. The Contractor will work with VITL to ensure that the necessary business associate agreements (XXXx) with VITL, the State, and the practices are in place. The Project Manager shall support the roll out of new technologies supporting healthcare reform efforts, as specified and funded by the State or the ACOs, to practices and CHT staff, for example Care Navigator, Health Catalyst, and Patient Ping. The Project Manager shall ensure that all work with CHT staff funded through Blueprint payments in the HSA track patient encounters, inclusive of at least the patient’s first and last name, date of birth, zip code, the date of the encounter, and an encounter description, in the Blueprint Clinical Registry or a system that allows for reporting on CHT staff activity in a comma-separated file. These reports shall be provided to the State’s Blueprint Assistant Director for the HSA upon request. The State may designate a specific system for CHT staff to track encounter data and patient contacts at any point during the agreement year. To ensure coordination of care, CHT staff who are providing services to a patient on behalf of a practice or organization shall should make every attempt to document activity on that patient in that practice’s or organization’s clinical record.

Unified Performance Reporting and Data Utility. In the Contractor’s HSA, the Blueprint Project Manager shall coordinate, support, and partner with others in activities that strengthen and grow the utility, quality, and comprehensiveness of data passed into and available for reporting from Vermont’s Health Information Technology (HIT) infrastructure and the information technology and data infrastructure of the ACOsinfrastructure. The State’s goals are to:  Engage clinicians in initial and ongoing data quality efforts, including Blueprint data quality and connectivity Sprint projects, if needed, for both demographic and clinical data entry and maintenance in source EHR electronic health record (EHR) systems.  Ensure linkage of health records (such as practice EHRs), the State’s clinical registry, hospital laboratory feeds, and the Vermont Department of Health (VDH) immunization registry) with the VHIE Vermont Health Information Exchange (VHIE) operated by VITL Vermont Information Technology Leaders (VITL)  Develop an architecture that allows clinicians to use the clinical tracking system of their choice (meaning EHR and/or systems or reports offered by the State) for patient care, care coordination, panel management, and performance reporting  Populate a central repository with core data elements through usual processes for patient care, such as through interfaces or flat files from the EHR or other databases  Capture CHT activity, especially patient contacts patients engaged and date of interactions, in a central repository for activity reporting to insurers and for analysis of staffing ratios  Use clinical data for Blueprint program evaluation and generation of measures for performance reporting  Maintain data quality levels on an ongoing basis after completion of initial data quality work (Sprints) and connectivity to the State HIT architecture In order to generate HSA-level quality payments, each Each HSA will need to have a statistically significant sample of representative data available to establish a measurement of performance. Data will be aggregated using claims and clinical data generated from the State’s all-payer claims database, Vermont Healthcare Claims Uniform Reporting & Evaluation System (VHCURES), the VHIE, and the statewide clinical registry. For The Contractor shall perform outreach and education to practices or parent organizations not currently contributing data to the VHIE and the statewide clinical registry, the Contractor shall perform outreach and education to facilitate their registry participation in Blueprint Sprints (data quality and connectivity projects projects) designed to establish demographic (ADT) and clinical (CCD) interfaces to the VHIE and the statewide clinical registry and immunization (VXU) interfaces to the VDH immunization registry. The Blueprint, in collaboration with the ACO provider networks in Vermont, uses this data (de-identified) as a source for generating core measures published in the practice and HSA profile reports. The Blueprint Project Manager shall help organize and support activities to establish clean data transmission from practice EHRs to the VHIE and the State’s clinical registry for owned practices and participating community-based practices. The Contractor will assist with making connections between area practices and VITL, Blueprint Data Quality Sprint Project leaders, and Data Quality Sprint teams to complete data quality and connectivity these projects in a timely manner. The Contractor shall convene meetings as necessary manner in order that these content experts can conduct these activities, including initial assessment, setting priorities for this purposedata remediation or reporting, use of interfaces, and completion of Sprints, will be done in collaboration with VITL, Sprint project leaders, and the State’s clinical registry vendor. The Contractor will work with VITL to ensure that the necessary business associate agreements (XXXx) with VITL, the State’s clinical registry vendor, and the practices are in place. The Project Manager Contractor shall support convene meetings as necessary to develop HIT interfaces, including individual practice interfaces with the roll out VHIE and/or practice interfaces directly with the State’s clinical registry. For practices that currently report ADT and CCD to the VHIE, assist in organizing strategies to maintain the health and quality of new technologies supporting healthcare reform efforts, the data through periodic assessments and remediation activities as specified and funded by the State or the ACOs, to practices and CHT staff, for example Care Navigator, Health Catalyst, and Patient Pingnecessary. The Blueprint Project Manager shall ensure that all CHT staff funded through Blueprint payments in the HSA track patient encounters, inclusive of at least the patient’s first and last name, date of birth, zip code, and the date of the encounter, and an encounter description, in a system that allows for reporting on CHT staff activity in a comma-comma- separated file. These reports shall be provided to the State’s Blueprint Assistant Director for the HSA upon request. The State may designate a specific system for CHT staff to track encounter data and patient contacts at any point during the agreement year. To ensure coordination of care, CHT staff who are providing services to a patient on behalf of a practice or organization shall should document activity on that patient in that practice’s or organization’s clinical record.