065086301.1.4 1.10.2 1.10.2 (Quality Improvement) Project Title: Automated Emergency dispatch system Performing Provider Name: City of El Paso Department of Public Health TPI: 065086301 Related Category 3 Outcome Measures: OD-10 Quality of Life/ Functional Status 065086301.3.4 IT-10.7 Other Outcome Improvement Target (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 P-5 Enhance or expand the organizational infrastructure and resources to store, analyze, and share the patient experience data and/ or quality measures data, as well as utilize them for quality improvement Process Metric P-5.1 Increased collection of patient experience and/ or quality measures data Goal: Implement automated dispatch system. Monitor unit deployment trends, e.g., triaging of calls, response times. Report findings and adjust staffing and response protocols, as needed. Process Milestone P-5 Enhance or expand the organizational infrastructure and resources to store, analyze, and share the patient experience data and/ or quality measures data, as well as utilize them for quality improvement Process Metric P-5.1 Increased collection of patient experience and/ or quality measures data Goal: Implement automated dispatch system. Monitor unit deployment trends, e.g., triaging of calls, response times. Report findings and adjust staffing and response protocols, as needed. Improvement Milestone I-9 Demonstrated improvement in 2 selected quality measures Improvement Metric I-9.1 Improvement in selected quality measures Goal: Develop/implement quality improvement data system with benchmarks for appropriate triaging of emergent and response time expectations. Collect and report patient experience data; adjust operations, accordingly Data Source: Performance monitoring/tracking data system; evidence of evaluative/reactive Improvement Milestone I-9 Demonstrated improvement in 2 selected quality measures Improvement Metric I-9.1 Improvement in selected quality measures Goal: Develop/implement quality improvement data system with benchmarks for appropriate triaging of emergent and response time expectations. Collect and report patient experience data; adjust operations, accordingly Data Source: Performance monitoring/tracking data system; evidence of evaluative/reactive
Data Source: Performance monitoring/tracking data system Estimated incentive payment: $746,750 Process Milestone P-9 Participate in face-to-face learning at least twice per year with other providers and RHP to promote collaborative learning around shared or similar projects. At each face-to-face meeting, all providers should identify and agree upon several improvements (simple initiatives that all providers can do to “raise the floor” for performance). Each participating provider should publically commit to improvements Data Source: Performance monitoring/tracking data system Estimated incentive payment: $700,027 Process Milestone P-9 Participate in face-to-face learning at twice per year with other providers and RHP to promote collaborative learning around shared or similar projects. At each face-to-face meeting, all providers should identify and agree upon several improvements (simple initiatives that all providers can do to “raise the floor” for performance). Each participating provider should publically commit to improvements response to patient experience data system Estimated Incentive Payment: $749,982 Process Milestone P-9 Participate in face-to-face learning at least twice per year with other providers and RHP to promote collaborative learning around shared or similar projects. At each face-to-face meeting, all providers should identify and agree upon several improvements (simple initiatives that all providers can do to “raise the floor” for performance). Each participating provider should publically commit to improvements response to patient experience data system Estimated Incentive Payment: $699,992 Process Milestone P-9 Participate in face-to-face learning at least twice per year with other providers and RHP to promote collaborative learning around shared or similar projects. At each face-to-face meeting, all providers should identify and agree upon several improvements (simple initiatives that all providers can do to “raise the floor” for performance). Each participating provider should publically commit to improvements
Process Metric P-9.2 Implement the “raise the floor” improvement initiatives established at the semiannual meeting Goal: Participate in face-to-face learning Data Source: Documentation of semi-annual face-to-face meetings; evidence of “raise the floor” initiative Estimated Incentive Payment: $746,750 Process Metric P-9.2 Implement the “raise the floor” improvement initiatives established at the semiannual meeting Goal: Participate in face-to-face learning Data Source: Documentation of semi-annual face-to-face meetings; evidence of “raise the floor” initiative Estimated Incentive Payment: $700,026 Process Metric P-9.2 Implement the “raise the floor” improvement initiatives established at the semiannual meeting Goal: Participate in face-to-face learning Data Source: Documentation of semi-annual face-to-face meetings; evidence of “raise the floor” initiative Estimated Incentive Payment: $749,981 Process Metric P-9.2 Implement the the floor” improvement initiatives established at the semiannual meeting Goal: Participate in face-to-face learning Data Source: Documentation of semi-annual face-to-face meetings; evidence of “raise the floor” initiative Estimated Incentive Payment: $699,991 Year 2 Estimated Milestone Bundle Amount: $1,493,500 Year 3 Estimated Milestone Bundle Amount: $1,400,053 Year 4 Estimated Milestone Bundle Amount: $1,499,963 Year 5 Estimated Milestone Bundle Amount: $1,399,983 TOTAL ESTIMATED INCENTIVE PAYMENTS FOR 4-YEAR PERIOD (add milestone bundle amounts over Years 2-5): $5,793,499
065086301.3.4 3.IT-10.7 Outcome Improvement Target (TBD) Performing Provider Name: City of El Paso Department of Public Health TPI-065086301 Enhance Improvement Capacity through Technology: 065086301.1.4 Starting Point/Baseline: Total Response Time of 13:34 OD-10 Quality of Life/ Functional Status 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) Category 3 Process Milestone P-1 Project planning- engage stakeholders identify current capacity and needed resources, determine timelines and document implementation plans Process Milestone Metric: Goal: Identify process improvements, spec complete automated system, prepare rollout plan for new dispatching policy Data Source: Performing Provider: evidence of procurement; system installation; development/implementation of staff training Category 3 Process Milestone P-2 Establish baseline rates Process Milestone Metric: Goal: Improve current response time rates of: Dispatch call handling 3:27 min., Turn out time 1:42min., 1st unit arrival travel to scene 7:04min., and total time response 13:34min. Data Source: Performing Provider: monitoring/tracking system with attendant reports Estimated Incentive Payment: $418,080 Category 3 Outcome Improvement Target IT-10.7: Other Outcome Improvement Target: must be evidence based, appropriate for proposed project, and meet the above definition of an outcome measure. Goal: TBD Data Source: Performing Provider Estimated Incentive Payment: $444,959 Category 3 Outcome Improvement Target IT-10.7: Other Outcome Improvement Target: must be evidence based, appropriate for proposed project, and meet the above definition of an outcome measure. Goal: TBD Data Source: Performing Provider Estimated Incentive Payment: $714,078
Estimated Incentive Payment: $75,000 Year 2 Estimated Outcome Amount: $75,000 Year 3 Estimated Outcome Amount: $418,080 Year 4 Estimated Outcome Amount: $444,959 Year 5 Estimated Outcome Amount: $714,078 TOTAL ESTIMATED INCENTIVE PAYMENTS FOR 4-YEAR PERIOD (add outcome amounts over DYs 2-5): $1,652,117