us-wi/statute/49.45/24g — Physician practice payment pilot.

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us-wi/statute/49.45/24g — Physician practice payment pilot. · Axiom

The department shall develop a proposal to increase medical assistance reimbursement to providers to which at least one of the following applies: 1. The provider is recognized by the National Committee on Quality Assurance as a Patient-Centered Medical Home. 2. The secretary determines that the provider performs well with respect to all of the following aspects of care: a. Adoption of written standards for patient access and patient communication. b. Use of data to show that standards for patient access and patient communication are satisfied. c. Use of paper or electronic charting tools to organize clinical information. d. Use of data to identify diagnoses and conditions among the provider’s patients that have a lasting detrimental effect on health. e. Adoption and implementation of guidelines that are based on evidence for treatment and management of at least 3 chronic conditions. f. Active support of patient self-management. g. Systematic tracking of patient test results and systematic identification of abnormal patient test results. h. Systematic tracking of referrals using a paper or electronic system. i. Measuring the quality of the performance of the physician practice and of individual physicians within the practice, including with respect to provision of clinical services, patient outcomes, and patient safety. j. Reporting to members of the physician practice and to other persons on the quality of the performance of the physician practice and of individual physicians.

(a)(1)#

The provider is recognized by the National Committee on Quality Assurance as a Patient-Centered Medical Home.

(a)(2)#

The secretary determines that the provider performs well with respect to all of the following aspects of care: a. Adoption of written standards for patient access and patient communication. b. Use of data to show that standards for patient access and patient communication are satisfied. c. Use of paper or electronic charting tools to organize clinical information. d. Use of data to identify diagnoses and conditions among the provider’s patients that have a lasting detrimental effect on health. e. Adoption and implementation of guidelines that are based on evidence for treatment and management of at least 3 chronic conditions. f. Active support of patient self-management. g. Systematic tracking of patient test results and systematic identification of abnormal patient test results. h. Systematic tracking of referrals using a paper or electronic system. i. Measuring the quality of the performance of the physician practice and of individual physicians within the practice, including with respect to provision of clinical services, patient outcomes, and patient safety. j. Reporting to members of the physician practice and to other persons on the quality of the performance of the physician practice and of individual physicians.

(a)(2)(a)#

Adoption of written standards for patient access and patient communication.

(a)(2)(b)#

Use of data to show that standards for patient access and patient communication are satisfied.

(a)(2)(c)#

Use of paper or electronic charting tools to organize clinical information.

(a)(2)(d)#

Use of data to identify diagnoses and conditions among the provider’s patients that have a lasting detrimental effect on health.

(a)(2)(e)#

Adoption and implementation of guidelines that are based on evidence for treatment and management of at least 3 chronic conditions.

(a)(2)(f)#

Active support of patient self-management.

(a)(2)(g)#

Systematic tracking of patient test results and systematic identification of abnormal patient test results.

(a)(2)(h)#

Systematic tracking of referrals using a paper or electronic system.

(a)(2)(i)#

Measuring the quality of the performance of the physician practice and of individual physicians within the practice, including with respect to provision of clinical services, patient outcomes, and patient safety.

(a)(2)(j)#

Reporting to members of the physician practice and to other persons on the quality of the performance of the physician practice and of individual physicians.