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Blue Cross Blue Shield of Michigan (BCBSM)

Physician Group Incentive Program (PGIP)

 

Text Box: In 2008, JPA was invited to join BCBSM Physician Group Incentive Program. The purpose of the program is to transform systems of care to more effectively manage populations of patients, and build the necessary infrastructure to measure, monitor and optimize the quality of care. Incentive dollars are earned by the Physician Group (JPA) from Self Assessments measuring capability increases and from percent change in Quality measures.

To participate in PGIP, physician organizations may select up to 34 initiatives in which to participate. They then should show meaningful progress in implementing patient centered medical home capabilities while improving quality-and-use performance. PGIP has organized its initiatives and qualification standards into (5) general categories: service-focused; core clinical process-focused; condition-focused; clinical information technology; and organized systems care.

 

As of January 2012, the Jackson Physicians Alliance has chosen to implement a total of 27 initiatives. Since 2008, JPA has been working with each participating member practice to maximize their earning potential in each of the categories. In the table below, you can learn more about each initiative by clicking on it.  JPA is dedicated to helping practice improve their processes to become more efficient, quality driven and patient centered.

 

Click Here for a detailed summary of BCBSM PGIP

Text Box: 2012 PGIP Initiative List

SERVICE-FOCUSED INITIATIVES

Increasing the Use of Generic Drugs—PCMH Quality Measure

Radiology Management—PCMH Quality Measure

Emergency Department Utilization—PCMH Quality Measure

Michigan Anticoagulation Quality Improvement Initiative

Advanced Care Planning - New in 2012

 

CORE CLINICAL PROCESS-FOCUSED INITIATIVES

Evidence Based Care Tracking —PCMH Quality Measure

LEAN Clinical Redesign - PCMH Quality Measure

Patient Provider Partnership —PCMH Capability 1.0

Performance Reporting —PCMH Capability 3.0

Individual Care Management —PCMH Capability 4.0

Extended Access —PCMH Capability 5.0

Test Tracking and Follow-up—PCMH Capability 6.0

Preventative Services —PCMH Capability 9.0

Linkage to Community Services —PCMH Capability 10.0

Self-Management Support—PCMH Capability 11.0

Coordination of Care—PCMH Capability 13.0

Specialist Referral Process—PCMH Capability 14.0

Michigan Transitions of Care Collaborative - New in 2012

 

CONDITION-FOCUSED INITIATIVES

Cardiac Care - Phase I - New in 2012

Cardiac Care - Phase II - New in 2012

Cardiac Care - Phase III - New in 2012

Chronic Kidney Disease

 Encouraging Evidence-Based Utilization of Hysterectomy

 Encouraging Evidence-Based Utilization of Labor Induction

Environmental Cancer - New in 2012

Michigan Oncology Quality Consortium

Michigan Oncology Clinical Treatment Pathways

Michigan Urological Surgery Improvement Collaborative (MUSIC) - New in 2012

 

CLINICAL INFORMATION TECHNOLOGY INITIATIVES

Patient Registry —PCMH Capability 2.0

Accelerating the Adoption and Use of Electronic Prescribing —PCMH Capability 8.0

Patient Web Portal —PCMH Capability 12.0

 

ORGANIZED SYSTEMS OF CARE INITIATIVES - New in 2012

Integrated Patient Registry

Integrated Performance Measurement

Processes of Care