41 HCCN Work Plan 2016 Cohort

HCCN WORK PLAN - FY 2016 Cohort
OMB Number: 0915-0285; Expiration Date XX/XX/20XX

Core Objective A: Health IT Implementation and Meaningful Use

Activities will promote effective use of health IT solutions at all health center sites and attainment of Meaningful Use requirements. Applications must
propose at least two activities each for Focus Areas A1 and A2.
Goals (end of project period):
Focus Area A1: Increase the percentage of Participating Health Centers with an ONC-certified EHR
system in use.
Numerator A1: The number of sites with
an implemented, certified EHR system
across all participating health centers
Denominator A1: Total number of Health
Center sites across all participating health
centers
Numerator A1: The number of sites with
an implemented, certified EHR system
across all participating health centers
Denominator A1: Total number of Health
Center sites across all participating health
centers

Baseline Numerator A1:

Denominator A1: Total number of eligible
providers across all participating health
centers
Numerator A2: The number of eligible
providers receiving incentive payments
from CMS for meeting Meaningful Use
requirement across all participating
health centers.
Denominator A1: Total number of eligible
providers across all participating health
centers

Baseline Data
(percentage):

System will calculate

Current Data
(percentage):

System will calculate

Baseline Denominator A1:
For non-competing
Current Numerator A1: continuation applications only
For non-competing
Current Denominator A1: continuation applications only

Focus Area A2: Increase the percentage of Meaningful Use eligible providers at Participating Health
Centers receiving incentive payments from CMS for meeting Meaningful Use requirements.
Numerator A2: The number of eligible
providers receiving incentive payments
from CMS for meeting Meaningful Use
requirement across all participating
health centers.

Goal A1:

Baseline Numerator A2:

Goal A2:

Baseline Data
(percentage):

System will calculate

Current Data
(percentage):

System will calculate

Baseline Denominator A2:

For non-competing
Current Numerator A2: continuation applications only
For non-competing
Current Denominator A2: continuation applications only

Key Factors: Based on participating health centers’ MOAs and overall needs assessment, identify 2 or more key factors impacting performance on these measures
(include at least 1 factor predicted to contribute to and at least 1 factor predicted to restrict progress toward achieving the proposed goals).
1. Contributing Factor(s):
2. Restricting Factor(s):

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Identify at least two activities and corresponding fields (person/area responsible, time frame, and expected outcome) for each focus area. Add additional rows below to
add additional activities.
Activity
Person /Area Responsible
Time Frame
Expected Outcome
Progress/Comments
(Maximum 200 characters)

(Maximum 200 characters)

(Maximum 200 characters)

On separate rows, identify the major
activities that must be taken to achieve
the goal.

Identify who will be
responsible and
accountable for carrying
out the specific activities.

Identify the expected time
frames for carrying out the
specific activities.

(Maximum 200
(Maximum 1,000 characters)
characters)
Indicate what is
Provide progress for each activity (for
non-competing continuation
anticipated to happen as
applications only).
a result of the proposed
activities (i.e.,
quantifiable results).

Focus Area A1: Increase the percentage of Participating Health Centers with an ONC-certified EHR system in use.

Focus Area A2: Increase the percentage of Meaningful Use eligible providers at Participating Health Centers receiving incentive payments from CMS for meeting
Meaningful Use requirements.

Core Objective B: Data Quality and Reporting
Activities will enhance comprehensive, integrated, high-quality data reporting at all Participating Health Centers. Applications must propose at least two
activities each for Focus Areas B1, B2, and B3.
Goals (end of project period):
Focus Area B1 Data Quality: Percentage of Participating Health Centers that electronically extract
data from an EHR to report all UDS Clinical Quality Measure data on all of their patients.
Numerator B1: The number of
Participating Health Centers that
electronically extract data from an EHR to
report all UDS Clinical Quality Measure
data on all of their patients.
Denominator B1: Total number of
Participating Health Centers.
Numerator B1: The number of
Participating Health Centers that
electronically extract data from an EHR to
report all UDS Clinical Quality Measure
data on all of their patients.
Denominator B1: Total number of
Participating Health Centers.

Baseline Numerator B1:

Goal B1:

Baseline Data
(percentage):

System will calculate

Current Data
(percentage):

System will calculate

Baseline Denominator B1:

For non-competing
Current Numerator B1: continuation applications only
For non-competing
Current Denominator B1: continuation applications only

Focus Area B2 Health Center and Site Level Reports: Percentage of Participating Health Centers
generating quality improvement reports at the site and clinical team levels.
Numerator B2: The number of
Participating Health Centers generating
quality improvement reports at the site
and clinical team levels.
System will pre-populate
Baseline Numerator B2:

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Goal B2:

Baseline Data
(percentage):

System will pre-populate

Denominator B2: Total number of
Participating Health Centers.
Numerator B2: The number of
Participating Health Centers generating
quality improvement reports at the site
and clinical team level.
Denominator B2: Total number of
Participating Health Centers.

Baseline Denominator B2:

System will pre-populate

For non-competing
Current Numerator B2: continuation applications only

Denominator B3: Total number of
Participating Health Centers.
Numerator B3: The number of
Participating Health Centers that
integrate data from different service
types and/or providers (e.g., behavioral
health, oral health).
Denominator B3: Total number of
Participating Health Centers.

System will calculate

For non-competing
Current Denominator B2: continuation applications only

Focus Area B3 Health Data Integration: Percentage of Participating Health Centers that integrate
data from different service types and/or providers (e.g., behavioral health, oral health).
Numerator B3: The number of
Participating Health Centers that
integrate data from different service
types and/or providers (e.g., behavioral
health, oral health).

Current Data
(percentage):

Baseline Numerator B3:

Goal B2:

Baseline Data
(percentage):

System will calculate

Current Data
(percentage):

System will calculate

Baseline Denominator B3:

For non-competing
Current Numerator B3: continuation applications only
For non-competing
Current Denominator B3: continuation applications only

Identify at least two activities and corresponding fields (person/area responsible, time frame, and expected outcome) for each focus area. Add additional rows below to
add additional activities.
Activity
Person /Area Responsible
Time Frame
Expected Outcome
Comments
(Maximum 200 characters)

(Maximum 200 characters)

(Maximum 200 characters)

On separate rows, identify the major
activities that must be taken to achieve
the goal.

Identify who will be
responsible and
accountable for carrying
out the specific activities.

Identify the expected time
frames for carrying out the
specific activities.

(Maximum 200
characters)

(Maximum 1,000 characters)

Indicate what is
Provide progress for each activity (for
non-competing continuation
anticipated to happen as
applications only).
a result of the proposed
activities (i.e.,
quantifiable results).

Focus Area B1. Data quality: Percentage of Participating Health Centers that electronically extract data from an EHR to report all UDS Clinical Quality Measure data
on all of their patients.

Focus Area B2 Health Center and Site Level Reports: Percentage of Participating Health Centers generating quality improvement reports at the site and clinical team
levels.

Focus Area B3 Health Data Integration: Percentage of Participating Health Centers that integrate data from different service types and/or providers (e.g., behavioral
health, oral health).

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Core Objective C: Health Information Exchange (HIE) and Population Health Management
Applications must propose activities to increase secure electronic data exchange with patients, unaffiliated providers, and organizations to support patient
centered health care delivery and support population health management. Applications must propose at least two activities each for Focus Areas C1 and C2.
Goals (end of project period):
Focus Area C1. Health Information Exchange: Percent of Participating Health Centers that improve
care coordination through health information exchange with unaffiliated providers or entities.
Numerator C1: The number of
Participating Health Centers that improve
care coordination through health
information exchange with unaffiliated
providers or entities.
Denominator C1: Total number of
Participating Health Centers.
Numerator C1: The number of
Participating Health Centers that improve
care coordination through health
information exchange with unaffiliated
providers or entities.
Denominator C1: Total number of
Participating Health Centers.

Baseline Numerator C1:

Denominator C2: Total number of
Participating Health Centers.
Numerator C2: The number of
Participating Health Centers using health
information exchange to support
population health management.
Denominator C2: Total number of
Participating Health Centers.

Baseline Data
(percentage):

System will calculate

Current Data
(percentage):

System will calculate

Baseline Denominator C1:

For non-competing
Current Numerator C1: continuation applications only
For non-competing
Current Denominator C1: continuation applications only

Focus Area C2 Population Health Management: Percent of Participating Health Centers using health
information exchange to support population health management.
Numerator C2: The number of
Participating Health Centers using health
information exchange to support
population health management.

Goal C1:

Baseline Numerator C2:

Goal C2:

Baseline Data
(percentage):

System will calculate

Current Data
(percentage):

System will calculate

Baseline Denominator C2:

For non-competing
Current Numerator C2: continuation applications only
For non-competing
Current Denominator C2: continuation applications only

Key Factors: Based on participating health centers’ MOAs and overall needs assessment, identify 2 or more key factors impacting performance on these measures
(include at least 1 factor predicted to contribute to and at least 1 factor predicted to restrict progress toward achieving the proposed goals).
1. Contributing Factor(s):
2. Restricting Factor(s):

Page 4 of 7

Identify at least two activities and corresponding fields (person/area responsible, time frame, and expected outcome) for each focus area. Add additional rows below to
add additional activities.
Activity
Person /Area Responsible
Time Frame
Expected Outcome
Comments
(Maximum 200 characters)

(Maximum 200 characters)

(Maximum 200 characters)

On separate rows, identify the major
activities that must be taken to achieve
the goal.

Identify who will be
responsible and
accountable for carrying
out the specific activities.

Identify the expected time
frames for carrying out the
specific activities.

(Maximum 200
characters)

(Maximum 1,000 characters)

Indicate what is
Provide progress for each activity (for
non-competing continuation
anticipated to happen as
applications only).
a result of the proposed
activities (i.e.,
quantifiable results).

Focus Area C1. Health Information Exchange: Percent of Participating Health Centers that improve care coordination through health information exchange with
unaffiliated providers or entities.

Focus Area C2 Population Health Management: Percent of Participating Health Centers using health information exchange to support population health
management.

Core Objective D: Quality Improvement
Applications must propose activities to advance clinical and operational quality improvements. Activities will improve clinical and financial quality measures
and advance PCMH implementation. Applications must propose at least two activities each for Focus Areas D1, D2, and D3.
Goals (end of project period):
Focus Area D1 Clinical Quality Improvement: Percentage of Participating Health Centers that meet or
exceed Healthy People 2020 goals on at least five selected UDS Clinical Quality Measures.
Numerator D1: The number of
Participating Health Centers that
electronically extract data from an EHR to
report all UDS Clinical Quality Measure
data on all of their patients.
Denominator D1: Total number of
Participating Health Centers.
Numerator D1: The number of
Participating Health Centers that
electronically extract data from an EHR to
report all UDS Clinical Quality Measure
data on all of their patients.
Denominator D1: Total number of
Participating Health Centers.

Baseline Numerator B1:

Goal D1:

Baseline Data
(percentage):

System will calculate

Current Data
(percentage):

System will calculate

Baseline Denominator B1:

For non-competing
Current Numerator B1: continuation applications only
For non-competing
Current Denominator B1: continuation applications only

Focus Area D2 Operational Quality Improvement: Percentage of Participating Health Centers that
improved the value, efficiency, and/or effectiveness of health center services.

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Goal D2:

Numerator D2: The number of
Participating Health Centers that
improved the value, efficiency, and/or
effectiveness of health center services.

Baseline Data
(percentage):

System will calculate

For non-competing
Current Numerator B2: continuation applications only

Current Data
(percentage):

System will calculate

For non-competing
Current Denominator B2: continuation applications only
Focus Area D3 Advance PCMH Status : Percentage of Participating Health Center sites that have
current PCMH recognition.

Goal D3:

Denominator D2: Total number of
Participating Health Centers.
Numerator D2: The number of
Participating Health Centers that
improved the value, efficiency, and/or
effectiveness of health center services.

Baseline Numerator B2:
Baseline Denominator B2:

Denominator D2: Total number of
Participating Health Centers.

Numerator D3: The number of
Participating Health Center sites that
have current PCMH recognition.
Denominator D3: Total number of
Participating Health Centers.
Numerator D3: The number of
Participating Health Center sites that
have current PCMH recognition.
Denominator D3: Total number of
Participating Health Centers.

Baseline Numerator B3:

Baseline Data
(percentage):

System will calculate

Current Data
(percentage):

System will calculate

Baseline Denominator B3:
For non-competing
Current Numerator B3: continuation applications only
For non-competing
Current Denominator B3: continuation applications only

Identify at least two activities and corresponding fields (person/area responsible, time frame, and expected outcome) for each focus area. Add additional rows below to
add additional activities.
Activity

Person /Area Responsible

Time Frame

Expected Outcome

Comments

(Maximum 200 characters)

(Maximum 200 characters)

(Maximum 200 characters)

(Maximum 200
characters)

(Maximum 1,000 characters)

On separate rows, identify the major
activities that must be taken to achieve
the goal.

Identify who will be
responsible and
accountable for carrying
out the specific activities.

Identify the expected time
frames for carrying out the
specific activities.

Indicate what is
Provide progress for each activity (for
non-competing continuation
anticipated to happen as
applications only).
a result of the proposed
activities (i.e.,
quantifiable results).

Focus Area D1 Clinical Quality Improvement: Percentage of Participating Health Centers that meet or exceed Healthy People 2020 goals on at least five selected
UDS Clinical Quality Measures.

Focus Area D2 Operational Quality Improvement: Percentage of Participating Health Centers that improved the value, efficiency, and/or effectiveness of health
center services.

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Focus Area D3 Advance PCMH Status: Percentage of Participating Health Center sites that have current PCMH recognition.

Promising Practices (narrative):

Sustainability (narrative):

Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.
The OMB control number for this project is 0915-0285. Public reporting burden for this collection of information is estimated to average 5 hours per response, including the time for reviewing
instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N-39, Rockville, Maryland, 20857.

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