PGIP Quarterly - December 2014

POs may not bring guests to PGIP quarterly meetings.

All attendees are asked to register for this event to ensures accurate contact information and general attendance count.

Call in and Webinar information will be available on the PGIP collaboration site shortly before the event date.

OPENING SESSION AND KEY NOTE REMARKS Time Presenter: Title: Description: 8:30 David Share, MD
Welcome and Overview Welcome and General Moring Session for the PGIP Quarterly meeting. 9:00 Mike Paustian, PhD CEB Updates 9:25 Sue Burns Program Updates 9:55 Barb Cadovich, RN HEDIS Audit Update 10:15 TBD MUSIC 11:15 am – 12:00 pm Breakouts 11:15 Kristen Brown MD, BCBSM
Shaun Raleigh, BCBSM
Mike Pinder, BCBSM

BCBSM, Health Care Value National Solutions Blue Distinction Total Care
Blue Distinction Total Care is a mandatory program from BCBSA for 01/01/2016 that allows for hosted members to be attributed to local providers for the purpose of care coordination and participation in other value based programs previously only available to local plan members. 11:15 Alison Pollard
VP Provider Affairs
BCBSM/BCN OSC Tiered Product Questions and Answers This session will provide attendees an opportunity to ask questions about and disucss the development of the new OSC Tiered Product to be launched in 2016
11:15 Center for Healthcare Research and Transformation (CHRT) Variability in Resource Use Center for Healthcare Research and Transformation will be presenting the results of their PO level assessment of various measures of judicious use, expanding beyond “Choosing Wisely." 11:15 Jack Green
Clinical Epidemiology and Biostatistics, BCBSM
2015 PGIP Reporting Updates Updates and changes planned to PGIP analytic reporting for 2015.

Suggested Participants: PO data analysts, PO operational leads, PO quality improvement leads. 12:15 pm – 1:15 pm Lunch Meetings 12:15 Nabeel Qureshi, Clinical Pharmacist, BCBSM - Open Session
12:15 ADT: ACRS active-users group discussion - Closed Workgroup 12:15 POAC Meeting - Closed Workgroup
1:30 pm – 2:15 pm Afternoon Breakout Sessions 1:30 Ellen Ward, Manager, BCBSM

Tim Pletcher, MiHIN ADT Session This session will continue the discussion with the Michigan Health Information Network (MiHIN) statewide notification service and Active Care Relationship Service (ACRS). 1:30 Alina Pabin, Manager, Value Partnerships, BCBSM HEDIS Supplemental Data Year End Summary & 2015 Expectations Year End Project Update/Preparing for 2015 1:30 Erin Schlemmer
Kyle Enger
Elizabeth Hamilton

Clinical Epidemiology & Biostatistics, BCBSM
Specialist Fee Uplift Metrics for 2015 Session to review the new fee uplift metrics and revised metrics for 2015 1:30 Ken Salzman, PhD
Independent Mental Health Care Professional

Lori Zeman, PhD
MNO/Wayne State Univ.

William T. Beecroft, MD
BCN Medical Director Behavioral Health Improving mental health access/FUH7 Behavioral Health/EBCT Panel Discussion 1:30 Jean Malouin, MD University of Michigan Health System MiPCT Update Quarterly MiPCT update Other Meetings 2:30 PCLC - Closed Meeting

Variability In Resource Use