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2022 OHIC PCMH Quality Measures and Integrated Behavioral Health Reporting

Practice Information

Practices required to submit data:

  • All practices are required to indicate their Accountable Care Organization or Accountable Entity (ACO/AE) affiliation and answer the Behavioral Health Integration survey questions.  Starting in 2022 only practices not affiliated with an ACO/AE are required to complete the PCMH Quality Measures and Practice Transformation components of the survey.

If you are entering in information for five practice sites or less, please continue with this survey. Practices should submit data for the October 1, 2021 - September 30, 2022 performance period. Practices should only submit data for an alternate performance period they are unable to pull data for the desired period. Further, practices will be sent a PDF of their submission after completing the survey. Practices will be unable to save partially complete surveys, so practices should gather all of the needed data before entering their survey response.

If you are entering in information for more than five practice sites, you have two options:
  1. Fill out the survey as many times as needed in order to enter in information for all practice sites (e.g., a seven-site practice can fill the survey out twice and include data for five sites the first time and two sites the second time), or
  2. Contact Cory King at OHIC (Cory.King@ohic.ri.gov) for an Excel template to use to fill in in lieu of this survey.
  • In 2022, OHIC has make the following changes to this survey: (1) edited to reflect that only practices not affiliated with an ACO/AE are required to complete the Quality Measures component of the survey, (2) updated to indicate that Colorectal Cancer Screening will be a reporting-only measure in 2022 due to significant specification changes in measurement year (MY) 2022, (3) updated to indicate that Controlling High Blood Pressure is transitioning back to a performance-based measure in 2022 and (4) updated measure specifications and dates to align with the national versions of these specifications.
  • As a reminder, practices can use telehealth encounters when reporting data for the PCMH Measure Set:
Practices can apply telehealth encounters for numerator compliance or for identifying patient populations (denominator compliance), even if the specification says otherwise, when reporting data for the PCMH Measure Set for the 10/1/2021 – 9/30/2022 measurement period.  Practices, however, are not required to include telehealth encounters when reporting data. 

Please note that for 2022, OHIC its maintaining the 2021 methodology for assessing practice performance against the PCMH Measure Set due to the anticipated ongoing impact of COVID-19 on quality measure performance. Practices must meet a high-performance benchmark (which has been adjusted to account for COVID-19) or demonstrate improvement over the October 1, 2020 - September 30, 2021 performance period (there is no three percentage point improvement threshold for 2022). For more information, visit OHIC’s PCMH web page.

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