EPT Cohort 1 Xaiv Txoj Kev
Tag nrho ntawm 719 qhov kev coj ua tau siv los ntawm Lub Kaum Hli 2023 rau txoj haujlwm no, thiab thaum Lub Ib Hlis 2024, DHCS tau txais cov ntawv thov los ntawm 211 qhov kev coj ua. Ntawm tag nrho cov ntawv thov DHCS tau txais, hauv qab no yog cov yam ntxwv ntawm kev coj ua:
- 83% los ntawm HPI quartiles 1 thiab 2 (raws li zip codes rau qhov chaw kho mob)
- Hom kev xyaum (tag nrho ntxiv rau ntau tshaj 100% raws li pawg tsis yog sib koom ua ke):
- 51% kev ua haujlwm ywj pheej me me
- 42% Tsoom Fwv Saib Xyuas Kev Noj Qab Haus Huv (FQHCs) lossis FQHC Saib-Alike
- 4% cov kab ke kev noj qab haus huv loj (Lub Nroog-muaj, Tsev Kho Mob Hauv Nroog, thiab lwm yam)
- 5% kev pab cuam noj qab haus huv pab pawg neeg
- Cov pejxeem ntawm tsom:
- 5.2% tsom rau cov tib neeg cev xeeb tub.
- 40.8% tsom rau cov menyuam yaus/cov hluas.
- 18.5% tsom rau cov neeg laus uas xav tau kev tiv thaiv kev noj qab haus huv.
- 28.9% tsom rau cov neeg laus uas muaj mob ntev.
- 6.6% tsom rau cov tib neeg uas muaj tus cwj pwm noj qab haus huv.
The selection process for the Provider Directed Payment Program included two steps: (1) using a DHCS provided rubric, a review and points scoring (out of 90 total) of all applications by the MCP indicated in the practice’s application, and then (2) a DHCS review of applications recommended by the MCPs. Aligned with the priorities set forth in the DHCS Comprehensive Quality Strategy, DHCS added a uniform number of points to all applications meeting the following criteria: DHCS added a uniform number of points to all applications meeting the following criteria:
- Cov ntawv thov nrog cov tub ntxhais hluas / cov menyuam yaus ntawm kev tsom xam (12 cov ntsiab lus ntxiv kom ua tiav 40% ntawm cov kev coj ua xaiv cov pej xeem no)
- Kev siv nrog ib tus neeg cev xeeb tub cov pej xeem ntawm kev tsom xam (20 cov ntsiab lus ntxiv kom ua tiav 5% ntawm cov kev coj ua xaiv cov pej xeem no)
- Daim ntawv thov los ntawm pab pawg neeg cov kev pab cuam noj qab haus huv (15 cov ntsiab lus ntxiv kom ntseeg tau tias muaj cov kev coj ua txaus rau cov pej xeem no)
DHCS tom qab ntawd tau txiav txim siab txog cov ntsiab lus tsis sib xws (77 cov ntsiab lus) uas yuav ua rau muaj cov npe ntawm cov kev coj ua uas yuav nyob hauv cov peev nyiaj tau faib rau theem no ntawm txoj haujlwm. Thaum kawg, DHCS tau txheeb xyuas cov nroog uas muaj cov neeg thov tab sis tsis muaj kev lees paub. Yog tias 1-2 cov ntsiab lus ntxiv rau ib qho kev coj ua tau ua rau lees txais cov kev coj ua los ntawm cov nroog no (qhia tias cov kev coj ua yog cov neeg thov zoo), ces DHCS ntxiv cov ntsiab lus. Cov kauj ruam no tau ua rau suav nrog plaub qhov kev coj ua los ntawm ob lub nroog uas yuav muaj lwm yam tsis tuaj yeem sawv cev, thaum tseem tuav nyiaj txiag rau txoj haujlwm. Rau cov nroog ntxiv uas tsis tau txais kev coj ua, ntxiv qhov tsawg kawg ntawm 10 cov ntsiab lus yuav tsum tau ua, qhia tias cov kev coj ua tsis yog cov neeg sib tw zoo tshaj plaws rau txoj haujlwm.