Reporting/Data Collection Pilot:
Main contact: Kristen diDonato (kdidonato@spreadinnovation.com) 
Click here to apply
Seeking 20 physicians to assist in testing data collection methods for reporting on a standard set of clinical process and outcomes measures that all of the state’s payers have endorsed for tracking overall progress toward improvement of health status and outcomes in the state. The pilot is only four months long. The Institute will help with technical assistance and physicians will be paid $75 per measure reported per month for up to three months. We need physicians who use an EMR or a registry as well as those who are willing to implement a registry or test manual data collection.

Want a Free EMR?
Main contact: David Campbell (David.Campbell@chnwv.org) 
Click here to apply
An opportunity exists for 10 practices to get a free EMR and technical assistance with its implementation. The system is an adaptation of the VISTA/RPMS Electronic Medical Record used by the Indian Health System, Veterans Affairs system and Community Health Network of West Virginia. This EMR is operated as an Application Service Provider (ASP), meaning that the system is accessed through the Internet without requiring investment in information systems infrastructure in your practice. The system will be made available to 10 practices without cost. Training and technical assistance will also be available without cost. In addition, each practice will receive a $10,000 grant to cover the cost of PC’s, printers, or other local hardware. All you need to do is commit the staff time and effort to implement the system.

Want some start-up funds for your EMR of choice?
Main contact: John Marks (jmarks@wvmi.org)
If so, consider joining the EMR Incentive Pilot. The pilot aims to test the effectiveness of a financial incentive in encouraging practices to implement an EMR. Ten practices from the Innovation Community will be recruited to participate in the pilot. Eligible practices are private practices that include 3 physicians or fewer, have a panel of at least 20% Medicaid, and do not now have an EMR in their practice. Each practice will be provided a stipend of $10,000 to support investments in hardware at the practice level and to offset some of the training and lost productivity costs. Practices will be expected to commit to use best efforts to implement the EMR as expeditiously as possible.

Self-Management Training for Primary Care Teams:
Main contact: Sally Hurst (shurst@marshall.edu) or Richard Crespo (crespo@marshall.edu) 
Click here to apply
All Innovation Community practices are invited to send a care team member to participate in regional workshops to learn the latest techniques in Self-Management coaching for patients using the Stanford Self-Management curriculum. Training and materials will be provided at no cost to the participants. Self-management skill building helps improve quality of care but also can help reduce no-show rates, improve compliance, and decrease stress on the care team. It also prepares you to meet the Self-Management requirements for NCQA recognition. The workshops will be held regionally and are held for 2 hours per week for six weeks. The locations for the first workshops will be determined by the areas in which interested practices are located.

“What to do When Your Child gets Sick” Pilot:
Main contact: David Sotak (Dave.Sotak@pihn.org)
Click here to apply
Seeking 4 pediatric or family medicine practices that will be taught how to use a novel program to engage young mothers and provide them with the skills to better make health care decisions around their sick children. The program is based on a health resource called, “What to Do When Your Child Gets Sick.” It covers the management of more than 50 common childhood illnesses and health problems. Practices will receive training on the use of the resource and copies of the book for their patients. In addition, the practice will receive a $4000 stipend for participation. The goal is a reduction in after-hours telephone calls to the practice and a reduction in inappropriate ED use.

Shared Care Coordinator Pilot:
Main contact: Gerry Stover, MD (gerry.stover@wvafp.org)
The aim of this pilot is to test an adaption of the North Carolina network model as relates to the role of a shared care coordinator. This pilot would use a Federally Qualified Health Center (FQHC) as the hub of a network that connects the FQHC with up to three small private primary care physician practices that are in close enough proximity to permit travel among all of the locations. The pilot will test the willingness of private practices to partner with an FQHC in this manner; the ability of a single care coordinator to provide service to the patients of 4 distinct providers; and the impact on clinical outcomes and utilization of this model of shared service.

Want to become an NCQA-Recognized Medical Home?
Main contact: Sandi Bauer (sbauer@spreadinnovation.com)
Click here to apply
If so, consider joining the Medical Home Performance Incentive Pilot. The purpose of the pilot is to gain experience with implementation of the medical home model in West Virginia and to determine whether the model demonstrates improvement in clinical process and outcomes measures as well as a reduction in overall cost of care. The pilot is divided into two phases. The first phase is the provider training phase; the second phase is the data collection phase to determine impact.

For phase 1, up to 50 providers are being recruited to participate. Each provider is being asked sign a participation agreement and commit to participation as follows:

• Provide a list of all patients in his/her panel, along with the designation of the payer source, to the WVHII staff. This information will be summarized for each payer so that coverage can be verified and the patient designated for inclusion in the subsequent data analysis. WVHII will execute Business Associate Agreements with each practice/ payer.
• Participation the provider and members of the care team in 2 learning session webcasts of 2.5 hours duration each. The first of these will be scheduled during early November, the second in March.
• Attend a one day face to face learning session along with up to 3 other members of his/her care team. The session will be scheduled in January and will last from 9:30 am until 4:00 pm. CME and nursing CEU’s will be available.
• Participation by at least one member of the team on monthly teleconferences of one hour each
• Reporting monthly on the set of measures endorsed by all the WV payers (copy attached)
• Sharing learning and outcomes in a spirit of transparency
• Application for Level 1 NCQA recognition status within 9 months, using diabetes as one of the areas of focus for adults; pediatric obesity as an area of focus for children
• Attempt to track the incremental cost of the changes being made in the practice to evolve to the medical home model. This will assist in decisions about future reimbursement changes.

In return, each physician will be provided with:

• Training on the medical home principles and how to apply them in practice
• Technical assistance and coaching on making these practice changes
• Assistance with installing the open source CDEMS registry if no other registry or EMR is in place
• Payment of the NCQA application fee
• A $5000 stipend to cover lost revenue during the face to face learning session
• Opportunity to share in an incentive pool to which payers will be contributing based on savings experienced through the medical home implementation.

For Phase 2, the payors will use a standard methodology to determine if savings have been achieved, while participants continue to report outcomes. Each payer will contribute 50% of the savings realized, up to 5% of total claims cost, to an incentive pool. Providers will receive a portion of that incentive pool based on their own performance on the clinical outcomes reported as well as utilization of ED visits and hospital admissions. Payers participating in the pilot include Mountain State Blue Cross, PEIA, and UniCare. Efforts will be made to also engage Medicare under a new demonstration project scheduled to begin in 2010.