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Blue Cross Blue Shield of Michigan (BCBSM) Physician Group Incentive Program (PGIP) |
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Core Clinical Process-Focused Initiatives |
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Evidence Based Care Initiative Tracking to Reduce Gaps in Care
Goal · Improve health outcomes through adherence to PGIP evidence based guidelines; · Reduce gaps in care; · Improve JPA’s overall 2010 EBCR compliance rate; and · Focus on JPA’s diabetic population chronic care management.
Objective · Improve the overall EBCR score and specific clinical topic measures: Diabetes, CHF, CAD, Antibiotic Use, Adult Prevention, Child/Adolescent Preventionand Medication Management. JPA’s overall score for 2nd Quarter 2009 is 75%, the JPA aggregate is 74% and the PGIP benchmark is 76.6%. Practices should 1. Review JPA reports and meet with staff to establish a plan to improve the office’s EBCR rates for the specific clinical topic measures; 2. Review the definitions for the 2010 Evidence Based Care Measures located on the BCBSM website; (www.bcbsm.com); 3. Add patients to your patient registry; and 4. Conduct outreach of the at-risk patients to ensure receipt of appropriate and timely care.
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