PHSO Scorecard RFMG 2023 YTD April Metrics and Performance
Explore the PHSO Scorecard RFMG metrics for 2023 YTD up to April, including compliance training, quality data submission, and Promoting Interoperability activities. Check diabetes control rates, blood pressure control, senior admissions, patient engagement, and collaborative meeting attendance to track progress and performance.
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PHSO Scorecard RFMG (2023 YTD - April) Attribution: Attribution: N/A IPA N/A & Medicare N/A Category Metric Descriptions, deadlines, and thresholds Score Points Earned / Available 1. Complete annual compliance training 1. Compliance attestation submission due 12.31.2023 TBD N/A Compliance (All must be complete to achieve any Shared Savings) N/A 2. Submit quality data 2. Quality data submission due by 3.31.2024 N/A 3. Submit Promoting Interoperability 3. PI Attestation due by 3.31.2024 N/A N/A Diabetes Control Rate of >50% (A1c <8%) Higher Rate is better Diabetes A1c 45.6% 15 Points / 20 available Quality Blood Pressure Control Rate >70% (<140/90mmHg) Higher Rate is better Controlling High Blood Pressure 49.3% 0 Points / 20 available Lowering Senior Admissions to Well Managed Population (<240/k) Lower Rate is better Cost Lowering Admissions N/A N/A Improvement Activities >2 Patient E&M Visits Per Calendar Year Improving patient engagement (>80%) Higher rate is better N/A N/A Promoting Interoperability Collaborative Meetings A minimum of one representative is required to attend at least 2 meetings per year 1 15 Points / 30 available 30 Points / 70 available = 43% Total 1 Score Card Rubric and Notes on next page
PHSO Scorecard RFMG (2022 Final) Attribution: IPA N/A & Medicare N/A Category Metric Descriptions, deadlines, and thresholds Score Points Earned / Available 1. Complete annual compliance training 1. Compliance attestation submission due 12.31.2022 Complete N/A Compliance (All must be complete to achieve any Shared Savings) N/A 2. Submit quality data 2. Quality data submission due by 3.31.2023 N/A 3. Submit Promoting Interoperability 3. PI Attestation due by 3.31.2023 N/A N/A Diabetes Control Rate of >50% (A1c <8%) Higher Rate is better Diabetes A1c 46.1% 15 Points / 20 available Quality Blood Pressure Control Rate >70% (<140/90mmHg) Higher Rate is better Controlling High Blood Pressure 48.6% 0 Points / 20 available Lowering Senior Admissions to Well Managed Population (<240/k) Lower Rate is better Cost Lowering Admissions N/A N/A Improvement Activities >2 Patient E&M Visits Per Calendar Year Improving patient engagement (>80%) Higher rate is better N/A N/A Promoting Interoperability Collaborative Meetings A minimum of one representative is required to attend at least 2 meetings per year 2 30 Points / 30 available 45 Points / 70 available = 67% Total 2 Score Card Rubric and Notes on next page
PHSO Scorecard Scoring Grid Metric 0 Points 5 Points 10 Points 15 Points 20 Points 30 Points Diabetes Higher rate is better <= 25% > 25% to 35% > 35 % to 45% > 45% to 50% >= 50% Controlling High Blood Pressure Higher rate is better <= 55% > 55% to 60% > 60% to 65% > 65% to 70% >= 70% Average Managed > 240/k to 245/k Lowering Admissions Poorly Managed > 250/k to 256/k Loosely Managed > 246/k to 250/k Well Managed =>240/k >= 256/k Patient E&M Visits <=49% >50 to 79% >80% Collaborative Meetings At least 1 meeting No meetings 2 meetings
PHSO Scorecard Notes Metric NOTES Diabetes Higher rate is better Diabetes Control Rate of >50% (A1c <8%). Only applicable for practices on EPIC Blood Pressure Control Rate >70% (<140/90mmHg). Only applicable for practices on EPIC Controlling High Blood Pressure Higher rate is better Reduce admissions rate below 240/k. Only applicable for practices in the ACO/Managed Care HMO Plans Lowering Admissions Increase patient engagement. Only applicable for practices in the ACO/Managed Care HMO Plans Patient E&M Visits Collaborative Meetings Increase network collaborative and interoperability.
