DRAFT Meeting Agenda & Minutes

Date & Start Time 05/26/2009 8:00 am End Time: 9:30 am

Meeting Type: Medical Home Project Meeting Location: NHCHI Offices Call in information is 1-309-946-5000, Access code 524881 Go to meeting: https://www1.gotomeeting.com/join/523752558

HANDOUTS : INVITEES/ATTENDEES: Facilitator Heather Staples Agenda Scott Beaudette Lori Guyette - Cheshire Jeannie McAllister - CMHI Annals Article Richard LaFleur, MD Carl Cooley, MD - CMHI Ann Peters - Lamprey DraftdProject Survey Plan Alan Freeman, MD Marie Wawrzyniak - CRHC Patty Couture- CCFHS Doris Lotz, MD Sean Lyon – Life Long Tom Buchanan - Derry Tracie Fitzpatrick - Franklin Betsy Cotter - Cheshire Amy Dobston - Elliot Ed Shanshala - ACHS Debbie Snow Kathi Fortin – Bi-State Sharon Beaty – Mid-State Deb Donovan Eva Martel- Elliot Bob Noonan Kevin Danielson

AGENDA NOTES ACTION ITEMS 1 Introductions (5) 2 Attribution, Payment & NCQA Heather called and NCQA Updates (10) I was on a PCPCC call on 5/19 and NCQA stated the following: emailed NCQA regarding the “The biggest reason that people fail to achieve Level 3 and end up getting Level 1 is that they process for don’t provide proof of use of the evidence-based guidelines (PPC3A). Most practices provide us amending a with the guideline and may cite the source (you need to site source), but don’t show proof of how submitted it is being used on a daily basis”. application.

When asked what would constitute proof – they said that screen shots from an EMR where it Heather will speak may show a lab value and the recommendation and what to do about it is a common way to with Dr. Lafleur. demonstration this. Heather will contact It was clear from the conversation that a number of sites referenced their EBM guidelines, but Wendy Pelkey didn't show screen shots that prove it. As a result, they would not be able to achieve higher than regarding HPHC Level One. Heather has an email into Tina Bridgeport at NCQA to ask how sites can amend amendments. their submissions without having to re-apply and pay the fees again.

Amendments Mid-State raised a concern which was echoed by DHMC-Keene about the Anthem language in 4/9/2018 Page 1 of 3 DRAFT Meeting Agenda & Minutes

AGENDA NOTES ACTION ITEMS the amendment that allowed for unilateral changes in the payment amount. Heather will speak with Dr. Lafleur.

Not all the sites have heard from Harvard Pilgrim. Heather will contact Wendy Pelkey to get a status update.

Joyce (MVP) will follow up with the contracting group in NH.

3 Review of Draft Survey The purpose of the survey is to capture basic information about the sites that will best aid us in designing the programming, but also will serve as a resource to each of you in collaborating with one another.

A number of recommendations were made to the survey. Heather will incorporate these and send out the link to the Survey Monkey survey. 4 Patient Communications The PCPCC has put forth a number of educational aids for practices in communicating the About the Medical concept of the Medical Home. Home One such aid is a 4 minute video that you can post to your own site or play for your patients. It can be found at www.pcpcc.net/content/emmi

The link to the Patient Education section of the site is: http://www.pcpcc.net/content/engaging-consumer-family-patient-employee-community-etc If you click on Consumers & Patients in the left navigation bar – a sub-menu appears with resources.

People felt that it would be very worthwhile to work together on a care plan template that could be automated (even if sites then took the template and modified it to best meet their needs). People also felt that it would be worthwhile to work together on patient engagement including materials, methods, messaging and measuring experience of care.

We will work on an extended agenda for 6/23 at a bigger location (with food) to facilitate the

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AGENDA NOTES ACTION ITEMS engagement piece and provide examples of successes and challenges and work/collaboration time. 5 Learning Community Jeannie and Heather are asking for a few sites to join us in designing the education/collaboration Email Heather to Plan sessions. It would require a couple of meetings to design out a plan for the next six months. Let volunteer for the us know if you can participate. We'll be calling to make specific asks of people if we don't hear education/collaborat back directly. ion workgroup. Bob has a message into people at Think RHIO and will get back to the group.

6 Communications Quotes for the press release should be into Heather by Friday 5/29. We will include a couple in Quotes to Heather Strategy the body of the release and then have a supplemental page for local news outlets. by 5/29 7 Next Steps Next meeting is scheduled for Tuesday, June 23rd. It will be an extended meeting. Heather will send out the location and agenda.

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