Aqua Room. DAY ONE October 29, 2013 TIME SESSION TITLE TOPICS COVERED/SUGGESTED PARTICIPANTS

Size: px

Start display at page:

Download "Aqua Room. DAY ONE October 29, 2013 TIME SESSION TITLE TOPICS COVERED/SUGGESTED PARTICIPANTS"

Leo Henry
8 years ago
Views:

1 N ew P O O r i e n t a t i o n AG E N D A October 29 30, 2013 BCBSM New Hudson Lyon Meadows Facility Conference Center Grand River Ave, New Hudson, MI Aqua Room DAY ONE October 29, 2013 TIME SESSION TITLE TOPICS COVERED/SUGGESTED PARTICIPANTS 8:00 am Breakfast and Registration 8:45 am Introduction to PGIP PO Role and Responsibilities Introduce Day One Learning Objectives Welcome by David Share, MD, MPH, SVP Value Partnerships PGIP Background and History Collaboaration Opportunities PGIP Quarterly Meetings PGIP Workgroups 9:45 am Overview of PO Tasks and Deliverables and Associated with the PGIP Program 10:45 am 15 Minute Break PO Deliverables to PGIP: PGIP Timeline: o PA Tool o SAD Tool o Physician List o Initiative Selection o Progress Report Suggested Participants: PO Operations, PO Data Analysts, PO, PO Financial 11:00 am Overview of PGIP Reports and Data PGIP Reports to PO: Dashboard elements Dataset Claims feeds Attribution Timeframes Suggested Participants: PO Operations, PO Data Analysts 1

Share, MD, MPH, SVP Value Partnerships PGIP Background and History Collaboaration Opportunities PGIP Quarterly Meetings PGIP Workgroups 9:45 am Overview of PO Tasks and Deliverables and Associated

2 12:00 LUNCH 1:00 pm The PGIP Initiatives Driving Improvement State Wide PGIP Initiatives: Structure: o Initiative Plan o Summary of Initiatives Expectations Tools to help drive improvement Suggested Participants: PO Operations, PO 2:00 Overview of PGIP Incentive Payment Process PO Incentive Payments: Payment Cycle Payment Methodologies Payment Report including an explanation of the opportunity analysis and how that works Limitations: o Data lag o Rationale for population level reports o Timeframes 3:00 pm 15 Minute Break Suggested Participants: PO Operations, PO Financial 3:15 pm The PO Collaborative Sharepoint Website Interactive session to demonstrate navigation of PO Collaborative Site: EDDI mailbox Issues Log and how to file an issue Functionality o Setting alerts o Discussion boards 2

analysis and how that works Limitations: o Data lag o Rationale for population level reports o Timeframes 3:00 pm 15 Minute Break Suggested Participants: PO Operations, PO Financial 3:15 pm The PO

3 4:15 PCMH - N PCMH N Initiative Overview Interpretive Guidelines Site Visit PCMH Designation Process: PO responsibilities o Nomination o Practice Transformation o Interpretive Guidelines Designation Process o Designation Cycle o Methodology o Benchmark performer and uplifts Suggested Participants: PO Operations, PO 4:45 PDCM Basic Overview of the PDCM Program What it is Requirements Requirements in Oncology practices PO responsibilities 5:15 Day One Adjournment Suggested Participants: PO Operations Day Two October 30, 2013 TIME SESSION TITLE TOPICS COVERED/SUGGESTED PARTICIPANTS 8:00 am Breakfast 8:00 am Sharepoint Super User Training This breakout session is intended for PO representatives who will be responsible for retrieving reports, uploading documents, main user of the sharepoint site. 8:45 am Day One Summary Q&A from Day One Suggested Participants: PO Operations, PO Data Analysts, 9:00 am The Specialist Uplift Process Specialist Uplift Process: Uplift Methodology Nomination o Member, Partner, Principal Partner o Primary Care-Specialist Agreement CAVE reports Timeframes for nomination and other requirements 10:00 am 15 Minute Break PO Operations, PO Data Analysts, PO 3

in Oncology practices PO responsibilities 5:15 Day One Adjournment Suggested Participants: PO Operations Day Two October 30, 2013 TIME SESSION TITLE TOPICS COVERED/SUGGESTED PARTICIPANTS 8:00 am

4 10:15 am Organized Systems of Care Organized Systems of Care: Background and Overview Interpretive Guidelines 10:45 am Value Based Hospital Contracting Overview of Value Based Contracting: Infastrcture/Performance PO Requirements Hopsital Requirements 11:15 am OSC Data Reporting Population Insights Overview of Reports Tiimeframe Lunch 12:00 pm Lunch 12:00 pm Data Super Users Working Lunch TBD Suggested Participants: PO Operations, PO Data Analysts Computer Lab Indepth review for data super users Suggested Participants: PO Data Analysts 1:00 pm The Collaborative Quality Initiatives CQI Overview Professional vs hospital Role of Coordinating Center List of CQI 1:30 pm Michigan Data Collaborative Overview of organization 2:00 pm 15 Minute Break 2:15 pm New PO Roundtable 2:45 pm Closing Summary of day two Q&A Next Steps 3:00 pm Adjournment 4

Lunch TBD Suggested Participants: PO Operations, PO Data Analysts Computer Lab Indepth review for data super users Suggested Participants: PO Data Analysts 1:00 pm The Collaborative Quality

5 Local Hotel Accomodations: 2.2 Miles Holiday Inn Express (248) BCBSM Corporate Rate Available 4.6 mi Hilton Garden Inn Detroit Novi - detroitnovi.hgi.com 5.2 mi The Baronette Renaissance marriott.com 5

Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan Provider Delivered Care Management Program Thomas Simmer, MD Sr. Vice President and Chief Medical Officer January 18, 2013 PGIP: Catalyzing Health System Transformation