NJII-Garden Practice Transformation Network
• $50M CMMI Grant
• Transform 10,000 providers
• Better care to 500,000 chronic patients
(includes attention to the underserved)
• Oct 2015 thru Sept 2019 (Dovetails into MIPS Reporting for
2019)
• Goals
Get 75% of these providers enrolled in value based
Better care for patients, access, information…
Lower costs when coordinated
Prepare providers for MIPS and Alternative Payment
Models
NJII Garden Practice Transformation Network 2017
PRACTICE TRANSFORMATION
UNDERSTANDING VALUE BASED
HEALTHCARE DELIVERY
Thomas R. Ortiz, MD, FAAFP
NJ Innovations Institute
Garden Practice Transformation Network
Chief Medical and Information Officer
www.NJII/ptn.org
NJII Garden Practice Transformation Network 2017
Forest Hill Family Health Associates, PA
35 year history of comprehensive family primary care
services in Newark, NJ
2001-Adapted EMR technology
2009-began the process of practice transformation
consistent with premise of ACA
2011-NCQA recognized Level 3 PCMH
2013-selected by CMS as a participant in CPCI, 2017 CPC+
Began participation in Physician owned IPA-Osler Health
Network-an advanced payment model
2016-had a banner year for Quality and RevenueNJII Garden Practice Transformation Network 2017
“I own my data that
demonstrates my value.”
“I therefore, control my future and sustain my practice.”
“I can take advantage of revenue incentives, set goals, take risks
and have joy in practice!”NJII Garden Practice Transformation Network 2017
“This Opportunity for Docs will reassert our
value and control over the health care
delivery system”
From Care Delivery methods to Practice Finance
Provide Patient Satisfaction and Clinical Quality Outcomes
Align Incentives across the Medical Neighborhood
Encourage Population Care through Risk Stratification and
Care Coordination
Create Shared Savings Bonus
NJII Garden Practice Transformation Network 2017
Why Practice Transformation?
“A change in form from one to another, a metamorphosis, or
a paradigm shift”
Streamlines for efficiencies in practice
Improves Practice satisfaction
Improves patient experience and outcomes
Increases revenues, short and long term
Learn to collect, review and use clinical data
Prepare for value based payment system-MIPS/MACRA
NJII Garden Practice Transformation Network 2017
Learning Objectives
What is the Definition of Value?
How Value is being Measured
How Quality and Cost Ratios Lead to Reform in Payment Models
How Value Leads to Practice Efficiencies and joy in Practice
What are the Benefits of Participation in GPTN
NJII Garden Practice Transformation Network 2017
Definition of Value
Value = Quality Clinical Outcomes + Patient Satisfaction
The Cost to Provide it
NJII Garden Practice Transformation Network 2017
5 Point Standardized Initial GPTN
Recommended Transformation Work Plan
#1- Develop an AIMS/mission statement that is consistent
with PTN AIMS/goals for practice transformation as a team.
*Broad aims and specific aims for following items
NJII Garden Practice Transformation Network 2017
#2 Risk Stratification is Basis to Population
Care Management Pull these reports from your EMR patient files monthly:
All Diabetic patients with A1C >9%, in past 12 months
All Hypertensive patients with BP >140/90, in past 12 months
All Patients who admit to smoking, Smoking cessation report by CPT code
All Patients >50 years without Colorectal cancer screen-FOBT annually or Colonoscopy in 10 year intervals
All diabetic patients w/o Nephropathy screening, Microalbuminuria
Meaningful Use Report
CMS QRUR Report
Begin Risk Stratification and Empanelment Process:
Call patients identified in above process for appointments to begin coordinated care/ chronic disease management
NJII Garden Practice Transformation Network 2017
#3 Team Based Care
Org board: Organizational chart
• Flow chart – practice personnel
• Chain of command communications
Jobs descriptions:
• Care Coordinator/Pop Care Manager
• HIT Super user
Duties and responsibilities
• Roles
• Scripts
NJII Garden Practice Transformation Network 2017
#4 Begin Reducing Unnecessary Hospitalizations
and ER visits with Transition of Care
Management (TCM)
Requires Hospital outreach to ED docs, IT Dept. and hospitalists to enhance provider-to-provider electronic communication on ADTs
How does practice manage discharges workflows?
Direct messaging capabilities
Set up email communication or utilize fax
Workflow of patient outreach and TCM
Outreach to inpatient case managers
Access to care by phone/enhanced access
NJII Garden Practice Transformation Network 2017
#5 Lab HL7 Bi-Directional Interface
Set up a EMR interface to “talk” to one or two
laboratory vendors for improved results timeline and to
avoid duplicate testing
Allows for discreet lab generated data to be
electronically entered into EMR program graphs, flow
charts and reports needed for quality tracking and
transmission
Eliminates paper
NJII Garden Practice Transformation Network 2017
KPI Metrics for GPTN
Adult smoking rates- >18y/o decrease by 1%
A1C Control-% of pts.18-75w/ DM & A1C>9%
BP Control-% of pts. 18-75w HTN<140/90
Colorectal Ca Screen-% pts. >50 w/colon or FOBT
Microalbuminuria in Pts. w/ DM-% test done
Preventable ER visits- total # reduction in ER visit
Increase in transitional care management TCM- % of pts. receiving TCM services following D/C from a qualified facility
Advanced Care Planning- % of pts. >65yo who have received some ACP/POLST
NJII Garden Practice Transformation Network 2017
The Business Proposition:
Return on Investment Calculator NJII/ptn.org
Practice ROI Calculator north jersey M/C rate x #of patients = added revenue
Code
Description
Average
Medicare
Fee for
North J.
# of
patients
Added
Revenue
G0402 Welcome to Medicare visit 172.33 50 8616.5
G0438 Annual wellness visit 157.26 150 23589
G0438 Subsequent annual wellness visit (every 365
days) 105.05 550 57777.5
99407 Smoking cessation 30.34 200 6068
99406 Smoking cessation 15.64 200 3128
96103 Depression screening 40.81 500 20405
99496 Transition in care 7 day 259.37 400 103748
99495 Transition in Care 14 day 184.37 300 55311
99490 Chronic Care Management 45.01 1200 54012
99497 POLST 30 min 93.61 100 9361
99498 POLST F/U 81 50 4050
Total 346066NJII Garden Practice Transformation Network 2017
The Business Proposition:
Advanced Payment Model (APM)
The Blended Rate Payment Concept
Up Front payment
for Care
Coordination
FFS Schedule or
capitation
Qualificatio
n by Metrics
by Plan
Cost savings
Gain Sharing
PMPM paid $ billed per visit by code Clinical-EMR Arranged by Contract 50/50
Based on risk
stratification capture data
Utilization-
Claims MLR /Total cost of care
$5-100 ROI Calculator
Patient
satisfaction
-Survey
NJII Garden Practice Transformation Network 2017
Milestone
(P/S)
Change
Concept Ref
Milestone Description Intervention
P4/S4 1.1.3 Practice can demonstrate that it encourages patients and families to collaborate in
goal setting, decision making, and self-management.
1. Ottawa SDM Tool
2. Ask Me 3
P3/S3 None Practice has reduced unnecessary hospitalizations. 1. TCM (scores 2)
2. Document avoidance of 30-day
readmissions (score 3)
P6/S6 1.2.2 Practice sets clear expectations for each team member’s functions and responsibilities
to optimize efficiency, outcomes, and accountability.
1. Practices identifies what person(s) are
responsible for reviewing daily ADTs,
receiving CCDs, conducting interactive
contact, and linking patients to
community resources. (min. score 1)
P10 1.3.3 The practice provides care management for patients at highest risk of hospitalizations
and/or complications and has a standard approach to documentation.
1. TCM (min score 2)
P11/S8 1.4.4 Practice facilitates referrals to appropriate community resources, including community
organizations and agencies as well as direct care providers.
1. Using TCM, practice conducts non face-
to-face services linking patients to
community resources (min score 2)
P13 1.5.1 Practice follows up via phone, visit, or electronic means with patients within a
designated time interval (24 hours/ 48 hours/ 72 hours/ 7 days) after an emergency
room visit or hospital discharge.
1. Practice receives ADTs,
admission/discharge reports from
hospitals, or connected to HIE to track
(score 1)
2. As part of TCM, practice conducts
interactive contact within 2 days of
discharge (min. score 2)P16 1.6.4 Practice uses population reports or registries to identify care gaps and acts to reduce
them.
1. Practice receives ADTs,
admission/discharge reports from
hospitals, or connected to HIE to track
(score 2)
P19/S14 2.2.1 Practice uses an organized approach (e.g. use of PDSAs, Model for Improvement,
Lean, FMEA, Six Sigma) to identify and act on improvement opportunities.
1. Practice is piloting TCM using tests of
change to identify successes/barriers
prior to full implementation (min. score
2)
P23/S18 3.1.1 Practice uses sound business practices, including budget management and return on
investment calculations.
1. Practice makes use of ROI calculator (or
a similar tool) to determine potential
revenue, hiring opportunities, etc. for
TCM
Overall practice performance
KPIs
ER and IP Utilization
Patient Population Risk-Stratification
Clinical metric trends
Gaps in Care
PQRS The QRUR-Quality and Cost
PCP DASHBOARDS- The Metrics
PATIENT VISITS 2017 JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DEC TOTAL
# of Patients Seen 1161 940 1171 1172 1283 1317 1145 1366 9555
# of New Patients 37 26 53 67 55 50 48 65 401
# of F/U Visits 586 485 604 669 744 783 685 858 5414
# of Walk Ins 539 429 514 456 485 486 410 442 3761
No Show/Cancellation
# of No Show 203 139 197 174 211 277 194 249 1644
# of Reschedule 12 10 6 17 17 34 17 20 133
# of Cancelled 95 102 116 91 141 171 103 170 989
Scheduled Appointments
# of Appointments Made 1003 779 1015 1029 1180 1323 1119 1338 8786
# of Appointments Kept 624 512 658 712 799 778 705 952 5740
Appointment Statistics
% of Appointments Kept 62% 66% 65% 69% 68% 59% 63% 71% 65%
% of No Shows 20% 18% 19% 17% 18% 21% 17% 19% 19%
% of Walk Ins 46% 46% 44% 39% 38% 37% 36% 32% 40%
Daily Provider Stats
AN 262 264 285 250 254 233 150 293 1991
TH 422 398 321 377 337 392 381 308 2936
TO 122 84 119 128 66 93 68 97 777
RV 326 159 292 227 271 285 248 292 2100
NK 109 157 310 274 245 307 1402
PI 29 35 45 33 45 45 53 69 354
SD: Behavioral Health 35 26 36 36 32 32 30 33 260
CT: Home Visits 4 9 9 14 13 10 9 9 77
CDE: Diabetic Educators 7 1 2 2 5 4 5 12 38
2017 EMERGENCY ROOM UTILIZATION ANALYSIS: QUARTER 1 & 2
QTR 1 QTR 2
# Of ER Visits 238 166
# of Unique
Patients 215 150
Risk Stratification
LOW RISK 119 83
MOD RISK 82 58
HIGH RISK 24 13
NO RISK 13 12
# OF UNIQUE PATIENTS
Empanelled
Provider QTR 1 QTR 2
TO 11 17
AN 49 38
RV 51 26
TH 104 65
NK - 4
Total 215 150
# OF ER VISITS
QTR 1 QTR 2
12 19
57 42
58 30
111 71
- 4
238 166
Top Diagnoses QTR 1 QTR 2
ABDOMINAL ISSUES 29 7
LUNG ISSUES 27 11
VIRUS/COLD/FEVER 25 12
SKIN ISSUES 17 15
BACK PAIN 18 14
CHEST PAIN 15 NA
JAN FEB MAR APR MAY JUN
# OF ER VISITS 78 93 67 25 71 70
# OF F/U OFFICE VISITS 46 59 32 18 29 33
0
10
20
30
40
50
60
70
80
90
100
2017 ER VISITS PER MONTH VS FOLLOW UP OFFICE VISITS
JAN FEB MAR APR MAY JUN
# OF PATIENTS 10 10 3 2 6 4
0
2
4
6
8
10
12
2017 MONTHLY ER FREQUENT FLYERS
Patients who visited ER 3+
times during QTR 2
# of
admissions
PATIENT 1 3
2017 EMERGENCY ROOM UTILIZATION ANALYSIS FOR
MEDICARE PATIENTS: QUARTER 1 & 2
Medicare TCM Compliance QTR 1 QTR 2
# OF ER VISITS 24 13
F/U OFFICE VISIT WITHIN 7-
14 DAYS/TCM
OPPORTUNITIES
14 6
TCM CODE-99496 12 1
TCM CODE-99495 1 0
MODERATE COMPLEXITY: 1-14 DAYS
99495
HIGH COMPLEXITY: 1-7 DAYS 99496
JAN FEB MAR APR MAY JUN
# OF ER VISITS 7 10 7 3 6 4
# OF OFFICE VISITS 6 5 3 2 3 1
0
2
4
6
8
10
12
MONTHLY MEDICARE ER VISITS VS F/U OFFICE VISITS
2017 HOSPITAL ADMISSIONS ANALYSIS: QUARTER 1 & 2
QTR 1 QTR 2
# Of Admissions 64 71
# of Unique
Patients 56 59
Risk Stratification
LOW RISK 2 6
MOD RISK 28 24
HIGH RISK 31 37
NO RISK 3 4
# OF UNIQUE PATIENTS
Empanelled
Provider QTR 1 QTR 2
TO 11 15
AN 24 19
RV 9 7
TH 12 14
NK - 4
Total 56 59
# OF ADMISSIONS
QTR 1 QTR 2
13 17
29 24
9 8
13 16
- 6
0 6
Patients with 3+ admissions
during QTR 2
# of
admissions
PATIENT 1 3
PATIENT 2 3
Top Diagnoses QTR 1 QTR 2
LUNG DISORDERS 13 9
HEART CONDITIONS 9 10
KIDNEY DISORDERS 8 NA
ABD/DIGESTIVE/GI
ISSUES 6 7
SKIN ISSUES 5 9
STROKE NA 4
DIABETES NA 4
JAN FEB MAR APR MAY JUN
# OF ADMISSIONS 23 21 20 24 21 26
# OF F/U OFFICEVISITS
12 8 11 11 8 10
0
5
10
15
20
25
30
2017 HOSPITAL ADMISSIONS VS F/U OFFICE VISITS
JAN FEB MAR APR MAY JUN
# OF PATIENTS 4 3 1 2 0 2
0
1
2
3
4
5
2017 MONTHLY READMISSIONS
2017 Health Practice Management
2017 HOSPITAL ADMISSIONS ANALYSIS FOR MEDICARE PATIENTS: QUARTER 1 & 2
Medicare TCM Compliance QTR 1 QTR 2
# OF VISITS 29 22
F/U OFFICE VISIT WITHIN 7-
14 DAYS/TCM
OPPORTUNITIES12 10
TCM CODE-99496 9 8
TCM CODE-99495 1 1
MODERATE COMPLEXITY: 1-14 DAYS, 99495HIGH COMPLEXITY: 1-7 DAYS, 99496
JAN FEB MAR APR MAY JUN
# OF ADMISSIONS 13 11 5 7 5 10
# OF F/U OFFICE VISITS 6 3 3 3 2 5
0
2
4
6
8
10
12
14
MONTHLY MEDICARE ADMISSIONS VS F/U OFFICE VISITS
CONTINUITY OF CARE
Provider Name Total # of Pts Seen
# of Empaneled Pts
Seen by Assigned
Provider
% Continuity with
Empaneled Provider
AN 150 82 55%
TH 381 273 72%
TO 68 63 93%
RV 248 152 61%
NK 245 107 44%
0 #DIV/0!
TOTAL 1092 677 62%
May 57%
NOTE FROM HEALTH PRACTICE MANAGEMENT'S
HEALTH INFORMATICS DEPARTMENT:
Continuity of Care Has Increased
RISK STRATIFICATION# of Visit OpportunitIes to Risk Stratify 98
Missed Opportunities by Empanelled Clinician 27
% of Risk Stratification Compliance 72%
Provider Name
# of Empaneled Pts Seen by
Assigned Provider
Missed Opportunities by
Empanelled Clinician
AN 82 3
TH 273 3
TO 63 7
RV 152 4
NK 107 2
0
TOTAL 677 19
NOTE FROM HEALTH PRACTICE MANAGEMENT'S
HEALTH INFORMATICS DEPARTMENT:
1. Clinicians: If your empanelled patient is not risk
stratified: It is your responsibility to provide risk
stratification. Please make sure this is documented in
patient record.
If you change a patient's risk stratification, please
send a note to Health Informatics (TR or JCC) to
ensure patient risk stratification is updated
appropriately in EMR so our data is as accurate as
possible.
FOREST HILL FAMILY HEALTH
ASSOCIATES
PATIENT RISK STRATIFICATION AND
CONTINUITY OF CARE
JULY 2017
RISK STRATIFICATION: JANUARY-JUNE 2017
# of Visit Opportunities to Risk Stratify 449
Missed Opportunities by Empanelled
Clinician104
% of Risk Stratification Compliance 77%
FHFHA 2017 Risk Stratification Data
97% of total active patients (1 year period: July 2016-June 2017)
have been risk-stratified
Low risk: 50%
Moderate Risk: 37%
High Risk: 10%
NOTE FROM HEALTH PRACTICE MANAGEMENT'S
HEALTH INFORMATICS DEPARTMENT:
1. Clinicians: If your empanelled patient is not
risk stratified: It is your responsibility to provide
risk stratification. Please make sure this is
documented in patient record.
If you change a patient's risk stratification,
please send a note to Health Informatics (TR or
JCC) to ensure patient risk stratification is
updated appropriately in EMR so our data is as
accurate as possible.
QTR 1 COMPARISONS 2013 2014 2015 2016
2017 QTR 1
2017 QTR 2
Total Diabetic Pts 410 396 458 435 395 433
Controlled AIC <8 126 140 153 158 144 154
Percentage of
Controlled Diabetics 31% 35% 33% 36% 36% 36%
YEARLY COMPARISONS 2013 2014 2015 2016
Total Diabetic Pts 697 747 726 687
Controlled AIC <8 428 488 461 438
Percentage of Controlled
Diabetics 61% 65% 63% 64%
QTR 1 COMPARISONS 2013 2014 2015 2016
2017
QTR 1
2017
QTR 2
Total Hypertensive
Pts 536 576 692 700 753 841
Controlled BP 379 399 493 611 655 762
Percentage of
Controlled
Hypertensive 71% 69% 71% 87% 87% 90%
0
200
400
600
800
1000
2013 2014 2015 2016 2017QTR 1
2017QTR 2
COMPARISON OF CONTROLLED HYPERTENSIVE
PATIENTS
Total Hypertensive Pts Controlled BP
YEARLY COMPARISONS 2013 2014 2015 2016
Total Hypertensive Pts 986 1144 1235 1339
Controlled BP 832 930 1063 1269
Percentage of Controlled
Hypertensive 84% 81% 86% 95%
*Controlled BP: Systolic is 139 or lessand Diastolic is 89 or less
MONTHLY DATA
REPORTS(Documented in
Practice Partners and Recorded in)
Measure Numerator Denominator Quality Rate
Body Mass Index (BMI) Must be below 25 to close gap 126 1581 8.0%
Mammography (Breast Cancer Screening) age 50-74 217 407 53.3%
Cervical Cancer Screening (Pap) age 21-64 within 3 yrs 6 28 21.4%
Colonoscopy (Colorectal Cancer Screening) age 50-75 194 627 30.9%
Diabetes Care: A1C in last 12 months age 18-75 204 349 58.5%
Diabetes Care: Retinal Eye Exam (18-75) 3 58 5.2%
Diabetes Care: Nephropathy age 18-75 39 58 67.2%
Diabetes Care: A1C <8% 18-75 26 34 76.5%Adult Access to Preventable/Ambulatory Health Services ages 20-65 238 270 88.1%
*Screening for Clinical Depression 7 293 2.4%
GOAL: IF WE OUTREACH AT LISTED # PATIENTS
OUR POTENTIAL OUTCOME IS :Needed
Opp.# of Closed Gaps Denominator Target %
1376 1502 1581 95.0%
170 387 407 95.1%
21 27 28 96.4%
402 596 627 95.1%
128 332 349 95.1%
52 55 58 94.8%
16 55 58 94.8%
6 32 34 94.1%
19 257 270 95.2%
271 278 293 94.9%
Targeted Levels
95th Percentile
2017 PATIENT SATISFACTION SURVEY:
QUARTER 1 RESULTSQ1: Did your doctor give you an easy to understand
explanation about the next steps for any health
questions or concerns? YES
Q2: Did this doctor use pictures, drawings, or videos
to explain things to you? YES
Q3: At today's visit, did the clerks and receptionists
treat you with courtesy and respect? YES
Q4: Did anyone talk to you about specific things you
could do to prevent illness? ALWAYS
Q5: Did anyone ask you if there are things that make
it hard for you to take care of your health? ALWAYS
Q6: Did anyone talk to you about all the prescription
medicines you were taking? ALWAYS
Q7: In the last 12 months, when you phoned this
office to get an emergency appointment for care you
needed right away, how often did you get an
appointment as soon as you needed? ALWAYS
Q8: Did you get the information about what to do if
you needed care during the evenings, weekends, or
holidays? YES
Q9: In the last 12 months, when you phoned this
doctor's office during regular office hours, how often
did you get any answer to your medical questions that
same day or in a reasonable time? ALWAYS
Q10: When you talk about starting or stopping a
prescription medicine, did this doctor ask you what
you thought about what was best for you? ALWAYS
Q11: When you and this doctor talked about a
procedure (mammogram, colonoscopy, etc.) did this
doctor ask what you thought was best for you?
ALWAYS
Q12: In the last 3 months when this doctor ordered a
blood test, x ray, or other test for you, did someone
from this doctor's office follow up to give you those
results? ALWAYS
2016 QTR 1 RESULTS
(50 SURVEYS)
2016 QTR 2 RESULTS
(50 SURVEYS)
2016 QTR 3 RESULTS
(50 SURVEYS)
2016 QTR 4 RESULTS
(50 SURVEYS)
2017 QTR 1 RESULTS
(50 SURVEYS)
2017 QTR 2 RESULTS
(50 SURVEYS)
Q1 86% ( yes) 80% (yes) 85% (yes) 70%(yes) 84%(yes) 80% (yes)
Q2 64% (yes) 54% (yes) 26% (yes) 28% (yes) 27%(yes) 44% (yes)
Q3 96% (yes) 95% (yes)SAME 95%
(yes)SAME
95%(yes)73%(yes) 97% (yes)
Q4 27% (always) 36% (always) 40% (always) 39% (always) 47%(always) 41% (always)
Q5 20% (always) 61% (always) 30% (always) 33% (always) 38%(always)45% (always)
Q6 44% (always) 80% (always) 49% (always) 53% (always) 56%(always)48% (always)
Q7 19% (always) 52% (always) 30% (always) 25% (always) 23%(always)39% (always)
Q8 79% (yes) 61% (yes) 52% (yes) 58% (yes) 61%(yes) 55% (yes)
Q9 20% (always) 48% (always) 39% (always) 31% (always) 35%(always)43% (always)
Q10 24% (always) 60% (always) 42% (always) 46% (always) 30%(always)49% (always)
Q11 24% (always) 42% (always) 44% (always) 41% (always)SAME
41%(always)47% (always)
Q12 25% (always) 46% (always) 25% (always) 43% (always) 47%(always)54% (always)
Patient Satisfaction Survey must obtain feedback from patients/families on their experiences with the practice and care related to:
* access* communication* care coordination* whole person care/self management support
TCPI Opioid Management Initiative
Sign the Pledge
Sign up for and demonstrate your utilization of the State
Controlled Drug Registry
Develop a policy and procedure on opiate prescription
management and document the use of a Chronic Pain
Management contract on the EHR for medically necessary
and continuous opiate and/or controlled drug dependent
patients
NJII Garden Practice Transformation Network 2017
Participate in
Learning Collaborative Programming and all Data
Collection Efforts by GPTN
Participate in all CPC learning sessions in your region by official
TCPI, SANs and Teaching Faculty
Fully engage and cooperate by providing regular status
information as requested, for the purposes of monitoring
progress towards Milestones and KIPs and/or for the purposes of
providing support to meet the Milestones and KPI thresholds.
As a contractor for CMS, the faculty is bound by confidentiality
agreements
NJII Garden Practice Transformation Network 2017
Use Health Information Technology
Attest that each provider within your practice is engaged
with, and working towards, attestation for Stage II of
Meaningful Use in the timelines set by the CMS Meaningful
Use program now incorporated into MIPS-QPP
Plug into your local HIE- CRISP
NJII Garden Practice Transformation Network 2017
Transforming Clinical Practice Initiative (TCPI)Model
and Goals
This is where TCPI and the New Jersey Innovations Institute’s
Garden Practice Transformation Network (GPTN) comes in to
provide hands on support to you and your practice for
developing the skills and tools needed to improve care
delivery and make the transition from the current fee for
service system to a value based system, ultimately into an
alternative payment model.
NJII Garden Practice Transformation Network 2017
Summary of Key Benefits of GPTN to Participating
Clinicians
Optimize healthcare outcomes and safety for your patients with assistance
from trained GPTN coaches providing evidence based quality improvement
and patient engagement resources that align with existing processes and
quality initiatives
Learn how to achieve and maintain benchmark status and thrive under
MACRA, MIPS-QPP, AAPM and APMs through GPTN and TCPI Learning
Activities
Get ahead of the 2019 mandated reimbursement curve and implement
patient-centered, quality focused strategies now.
Collaborate and lead with local, regional and national colleagues to
influence healthcare transformation
NJII Garden Practice Transformation Network 2017
Q & A
NJII Garden Practice Transformation Network 2017
Contact Info:Thomas R. Ortiz, MD, FAAFP
NJ Innovations InstituteGarden Practice Transformation Network
Chief Medical and Information Officer
www.NJII/ptn.org
201-463-2234