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2024 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.  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 fewer, please continue with this survey. Practices should submit data for the October 1, 2023 - September 30, 2024 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 2024, OHIC has made the following changes to this survey:  (1) updated to indicate that Glycemic Status Assessment for Patients with Diabetes (<8.0%) will be reporting only in 2024 because of significant specification changes, (2) updated measure specifications and dates to align with the national versions of all measure specifications, and (3) updated to newly request NPI 2 numbers (in addition to NPI 1 numbers).  
  • 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.  Practices, however, are not required to include telehealth encounters when reporting data. 
 
Please note that in 2023, OHIC reinstated its historical methodology for assessing practice performance against the PCMH Measure Set. Use of this methodology was suspended for the purpose of the 2020-2021 and 2021-2022 PCMH assessments due to the impact of COVID-19 on quality measure performance. Practices must now once again meet a high-performance benchmark or demonstrate three percentage-point improvement over the October 1, 2021 – September 30, 2022 performance period or the October 1, 2022 - September 30, 2023 performance period. For more information, visit OHIC’s PCMH web page.
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