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Care Management PCMH Committee Person Centered Medical Home
January 14, 2015
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Person Centered Medical Home Participation Status
91 PCMH Program Participants* 333 Individual Sites (Includes pending)
53 PCMH Approved Practices• 168 PCMH Approved Sites• 789 PCMH Approved Providers• 16 Pending PCMH Sites with 44 Providers
27 Glide Path Practices • 46 Sites• 182 Glide Path Providers
14 PCMH Accreditation Practices• 103 Sites• 378 PCMH Providers
* 3 Practices have sites in both PCMH and Glide Path Programs
2This data reflects current information as of 12/31/2014
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Person Centered Medical Home Last Reporting Period Change
PCMH Program Participants 91 compared to 92 since last report (11/12/2014)
PCMH Practices 53* PCMH Approved Practices, 2 practices completed Glide Path 27* Glide Path Practices, 3 practices changed status 14 PCMH Accreditation Practices, (no Change)
Individual Sites 333 compared to 327 since last report
• 11 New Site Applications and 5 Sites Voluntarily Termed
Overall Provider Count 1,393, compared to 1,300 since last report, due to a Provider
Panel Clean up Project
PCMH Attributed Members 282,366 compared to 282,232 since last report
*3 Practices have sites in both PCMH and Glide Path Programs
3This data reflects current information as of 12/31/2014
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Q12012
Q22012
Q32012
Q42012
Q12013
Q22013
Q32013
Q42013
Q12014
Q22014
Q32014
Q42014
0
10
20
30
40
50
60
70
80
90
100
2329
40
4953
6367
72
81 8490 91
PCMH Participating Practice Growth by QuarterJanuary 1, 2012 Through December 31, 2014
The PCMH Participating Practice Growth Level is a 295.65% Increase From Q1-2012 to Q4-2014The Program Participation has grown four fold since it’s inception.
PCMH Program Summary
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87,137
43,783
151,446
PCMH Program Attributed Members by Program Type as of 12/31/2014
PCMH Practices
Glide Path Practices
FQHC's14 FQHC Practices103 Practice Sites378 Providers
*53 PCMH Practices184 Practice Sites833 Providers
*27 Glide Path Practices 46 Practice Sites182 Providers
*Please Note: 3 Practices are included in both the PCMH Approved & Glide Path "Practice" Numbers as they have Sites in both Programs. Practices & Sites Pending PCMH Approval also included.
PCMH Program Summary
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87,137
43,783
151,446
PCMH Program Attributed Members by Program Type as of 12/31/2014
PCMH Practices
Glide Path Practices
FQHC's
*Please Note: 3 Practices are included in both the PCMH Approved & Glide Path "Practice" Numbers as they have Sites in both Programs. Practices & Sites Pending PCMH Approval also included.
41,421 Adult45,716 Child
10,680 Adult33,103 Child
89,535 Adult61,911 Child
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PCMH Program Member Attribution Summary
Q12013
Q22013
Q32013
Q42013
Q12014
Q22014
Q32014
Q42014
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
550,000
600,000
203,718 205,774226,764
211,206240,892 250,213
273,012 282,366
421,198 423,308443,193 434,839
459,338
498,005
533,372546,668
Total PCMH Attributed Members Vs Overall Total Attributed Members By Quarter from January/2013 to December/2014
Total Attributed PCMH Total Attributed Membership
48% 49%51% 49%
52%50%
51% 52%
48% 49%51% 49%
52%50%
51%52%
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PCMH Glide Path Status
27 Current Glide Path Practice Participants 46 Total Practice Sites
10 Practices Currently in Phase 1 4 Practices Currently in Phase 2 13 Practices Currently in Phase 3
PCMH and Glide Path Activity: 0 New PCMH Unique Practice Applications 2 New PCMH Approved Practices 20 New PCMH Approved Sites (16 are pending Approval) 0 New Glide Path Unique Practice Applications 0 Practices Advanced from Phase 1 to Phase 2 1 Practice Advanced from Phase 2 to Phase 3 2 Practices Advanced from Glide Path to PCMH Approved 8 Practices to date have requested an Extension of Phase 1 7 Practices to date have requested an Extension of Phase 2 19 Practices to date have requested an Extension of Phase 3
This data reflects current information as of 12/31/2014
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PCMH Program Summary
Int Med Fam Med Pediatric Geriatric0
50
100
150
200
250
300
350
299319
210
5
5024
107
1
85
218
70
5
PCMH Provider Specialty By Program as of 12/31/2014
PCMH Glide Path FQHC
PCMH, Glide Path & FQHC Participants by Region as of 12/31/14
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PCMH Recruitment Status 291 Practices contacted since 1/1/12:
91 practices enrolled 71 prospective practices in open status 49 practices on a Watch-List 73 practices on a Closed-List 5 practices merged since enrolling 2 additional practice sites under the same TIN required distinct
recruitment efforts EHR status of 71 prospective practices in open
status: 54 practices (76%) have live EHRs, purchased or are
implementing an EHR 4 practices (6%) are searching for an EHR 13 practices (18%) the EHR status is unknown at this time
11This data reflects current information as of 12/31/2014
PCMH Recruitment Status - continued
73 Practices on Closed-ListNot interested in enrolling in the PCMH
program
49 Practices on a Watch-List Follow-up takes place periodically based on
the feedback received from the group
12This data reflects current information as of 12/31/2014
