High Value Element (HVE) Descriptions and Clinic Selection of HVEs
| HVE | # Clinics Selected | Level 1 | Level 2 | Level 3 | |
|---|---|---|---|---|---|
| % Improvement Pre/Post* | |||||
| I | C | ||||
| After-hours access | 0 | 0 | Offers access to in-person care at least 12 hours weekly outside traditional business hours. | ||
| 0% | +25% | ||||
| Tracking 3rd next available appointments | 3 | 1 | Tracks 3rd next available appointments. | Meets a benchmark on 3rd next available appointments. | |
| +25% | +13% | ||||
| Tracking/responding to electronic requests | 1 | 0 | Able to receive and respond to electronic requests. | Able to track electronic request response times. | Provides a response to online or electronic queries within two business days. |
| +17% | +17% | ||||
| Reminders | 4 | 0 | Uses patient information, clinical data, and evidence-based guidelines to generate lists of patients who need reminders and to proactively remind patients/families/caregivers and clinicians of needed services. | Tracks the number of eligible patients who were sent appropriate reminders. | Sends appropriate reminders to at least 20% of all eligible patients. |
| +75% | +50% | ||||
| Clinical information exchange | 0 | 0 | Exchanges structured clinical information and tracks critical elements (e.g., hospitalizations). | ||
| +50% | 0% | ||||
| Utilization followup | 4 | 2 | Follows up on patient hospitalizations and emergency department (ED) visits 30% of the time (when they have the information). | Follows up on patient hospitalizations or ED visits 70% of the time (when they have the information). | Follows up on patient hospitalizations and ED visits 70% of the time (when they have the information). |
| +58% | +8% | ||||
| Utilization prevention | 2 | 1 | Selects and reviews utilization measures and goals most relevant to their overall patient panel, or an at-risk patient population. | Shows improvement or meets a benchmark in utilization metrics on measures closely linked to utilization. | |
| +13% | +13% | ||||
| Performance data utilization | 2 | 1 | Uses performance data to identify opportunities for improvement and acts to improve clinical quality, efficiency and patient experience. | ||
| +25% | 0% | ||||
| Care coordination outreach | 0 | 1 | Care coordination outreach reaches 25% of high risk patients. | Care coordination outreach reaches 50% of high-risk patients. | |
| +12% | +25% | ||||
| Care plan utilization | 3 | 1 | Reports data on care plans provided to high-risk patients. | Provides care plans to >25% of high risk patients. | Provides care plans to >50% of high risk patients. |
| +50% | 0% | ||||
| Advance directive utilization | 3 | 1 | Tracks offers of advance directives to patients over 65 years. | Offers advance directives to at least 30% of patients over 65 years. | Offers advance directives to at least 50% of patients over 65 years. |
| +42% | +8% | ||||
| Education and self-management resources | 2 | 0 | More than 10% of all unique patients are provided patient-specific education resources. | More than 10% of all unique patients are provided patient-specific education resources and self-management services. | |
| +25% | +25% | ||||
↵* Improvement indicates average change in levels passed from baseline to quarter 4 of HVE reporting.