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Get ready for the new year

LHP is busy gearing up for another successful performance year in 2019. The LHP Board and Quality and Membership Committee designed the 2019 Clinical Integration (CI) Program with meaningful measure growth in mind, continuing the 2018 program’s focus on improving patient outcomes, enhancing patient experience, and monitoring utilization of health care resources.

Highlights of the 2019 CI program

For 2019, just two new quality measures have been added to the CI Program. Both measures support performance monitoring for chronic disease care for our populations:
 
•  Statin Therapy for Patients with Diabetes
•  Persistence of beta- blocker treatment after a heart attack

We have a strong measure set and are prepared to focus on performance monitoring and improvement, additional individual provider-level measurement, and greater data connectivity. Measures are still reported at the network level for specialists, but another six performance measures will be reported at the individual provider level for primary care providers. This means PCPs will be able to track their personal performance on the following 15 measures next year:
 
•  Breast cancer screening
•  Cervical cancer screening
•  Colorectal cancer screening
•  Immunization rates up-to-date by 2 years of age
•  Appropriate testing for children with pharyngitis
•  Well-child visits in the first 15 months of life (six or more visits)
•  Well-child visits in the third, fourth, fifth and sixth years of life
•  Adolescent well-care visits (ages 12-21)
•  Medication management for people with asthma
•  Comprehensive diabetes care: HbA1c poor control (>9.0%)
•  Comprehensive diabetes care: Routine HbA1c
•  Comprehensive diabetes care: Eye exam
•  Comprehensive diabetes care: Medical attention for nephropathy
•  Statin therapy for patients with cardiovascular disease
•  Controlling high blood pressure
 
Coming soon - Performance handbook

The annual performance handbook will be available in early 2019 and will include complete information about measure definitions. In the meantime, you can view summaries of the CI measures in the 2019 Performance Measure document on the LHP Team Site and review the measures you will be accountable for next year.

A word about membership requirements

In 2018, Medical Home recognition for primary care practices and Certified Electronic Health Record Technology (CEHRT) for all practices became requirements for membership in the LHP network. This past year, LHP recognized practices who were in the process of implementing these requirements as meeting the membership requirements; however full implementation is expected by the end of 2019 to maintain LHP membership:
•  Primary care practices must be certified as a Medical Home Tier 3 or higher by Oregon PCPCH or meet the Core Criteria for NCQA PCMH by 12/31/2019. Washington practices should intend to be certified by 12/31/2021. 
•  All practices must have a CEHRT that is recognized by the Office of the National Coordinator (ONC) implemented by 12/31/2019. Some practices may meet criteria that qualifies them for an exemption. Practices can download the CEHRT Exemption request form  on the LHP Team Site and submit it to LHP in 2019.

If you have questions about LHP’s membership requirements, talk with your Field Operations Adviser.

 

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Legacy Health Partners Mission: Delivering value and improving health

Learn more at www.LegacyHealthPartners.org

Questions? Call 503-415-5109.

 

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