127376505 1.1 1.13.1 1.13.1.a.b.c.d.e Extended Observation Unit Emergence Health Network 127376505 Related Category 3 Outcome Measure(s): IT-9.2 127376505 3.1 OD‐9 Right Care, Right Setting IT‐9.2 ED appropriate utilization Year 2 (10/1/2012 – 9/30/2013) Year 3 (10/1/2013 – 9/30/2014) Year 4 (10/1/2014 – 9/30/2015) Year 5 (10/1/2015 – 9/30/2016) Milestone 1 (P-1) Conduct stakeholder meetings among consumers, family members, law enforcement, medical staff and social workers from EDs and psychiatric hospitals, EMS, and relevant community behavioral health services providers. Metric 1 (P-1.1): Number of meetings and participants. Baseline/Goal: Establish a baseline of quarterly admissions Data Source: Attendance lists Milestone 1 Estimated Incentive Payment (maximum amount): $1,214,321 Milestone 5 (P-6) Evaluate and continuously improve crisis services. Metric 1 (P-6.1): Project planning and implementation documentation demonstrates plan, do, study, act quality improvement cycles. Goal: Evaluate and improve crisis services. Data Source: Project reports include examples of how data is used for improvement to guide continuous quality improvement Milestone 5: Estimated Incentive Payment (maximum amount): $2,068,181 Milestone 6 (I-12): Utilization Milestone 7 (I-12): Utilization of appropriate crisis alternatives Metric 1 (I-12.1):% increase in utilization of appropriate crisis alternatives. Goal: TBD Data Source: Claims, encounter, and clinical record data. Milestone 7 Estimated Incentive Payment: $5,001,708 Milestone 8 (I-12): Utilization of appropriate crisis alternatives Metric 1 (I-12.1):% increase in utilization of appropriate crisis alternatives. Goal: TBD Data Source: Claims, encounter, and clinical record data. Milestone 8 Estimated Incentive Payment: $5,805,462
Milestone 2 (P-2) Conduct mapping and gap analysis of current crisis system. Metric 1 (P-2.1): Produce a written analysis of community needs for crisis services. Baseline/Goal: Identify community needs for crisis services. Data Source: Written plan Milestone 2: Estimated Incentive Payment (maximum amount): $1,214,321 Milestone 3 (P-4) Hire and train staff to implement identified crisis stabilization services. of appropriate crisis alternatives Metric 1 (I-12.1):% increase in utilization of appropriate crisis alternatives. Goal: TBD Data Source: Claims, encounter, and clinical record data. Milestone 6 Estimated Incentive Payment: $2,068,181
127376505.3.1 9.IT.9.2 OD‐9 Right Care, Right Setting IT‐9.2 ED appropriate utilization Emergence Health Network 127376505 Related Category 1 or 2 Projects:: 127376505.1.1 Starting Point/Baseline: TBD Year 2 (10/1/2012 – 9/30/2013) Year 3 (10/1/2013 – 9/30/2014) Year 4 (10/1/2014 – 9/30/2015) Year 5 (10/1/2015 – 9/30/2016) Process Milestone 1 P-1: Project planning-engage stakeholders, identify current capacity and needed resources, determine timelines and document implementation plans Data Source: Plans and agendas Process Milestone 1 Estimated Incentive Payment (maximum amount): $0 Process Milestone 2 P-2: Establish baseline rates Data Source: Baseline data Process Milestone 2 Estimated Incentive Payment: $0 Outcome Improvement Target 1 IT-9.2: ED appropriate utilization Improvement Target: TBD Data Source: ED Data Outcome Improvement Target 1 Estimated Incentive Payment: $459,596 Outcome Improvement Target 2 IT-9.2: ED appropriate utilization Improvement Target: TBD Data Source: ED Data Outcome Improvement Target 2 Estimated Incentive Payment: $555,745 Outcome Improvement Target 3 IT-9.2: ED appropriate utilization Improvement Target: TBD Data Source: ED Data Outcome Improvement Target 3 Estimated Incentive Payment: $1,451,366