Exhibit 11 - Financial Tracking Tool.xlsx
XLSX spreadsheet 60 KB Posted
- Attached to
- Medical and Mental Health Services
- Solicitation number
- 1301
- Issued by
- Idaho
About this file
Exhibit 11 - Financial Tracking Tool Summary
Exhibit 11 is a Financial Tracking Tool for the Idaho Department of Correction's medical and mental health services contract, documenting quarterly pay-for-performance reconciliation data across four quarters. The tool tracks performance incentives for vendor services delivery to the inmate population at IDOC facilities statewide. The spreadsheet contains detailed performance metrics organized into two primary categories: Medical Criteria (25 performance indicators) and Mental Health Criteria (6 performance indicators). Each performance indicator includes assigned weights, minimum thresholds, actual achievement rates, variance percentages over or under threshold, base per diem equivalents, average daily population (ADP) of 7,500 inmates, and quarterly earnings or amounts owed. Performance indicators span medical services including credentialing, discharge planning, sick call services across general population and segregation units, off-site care, periodic health assessments, chronic disease programs (diabetes, chronic kidney disease, HIV, cirrhosis), oral care, TB screening and treatment, vaccinations, pregnancy care, long-term care, infirmary services, hepatitis C monitoring, transfer screening, diagnostics, infection control, peer review, and resident education, alongside mental health services including screening, restrictive housing management, mental health units, outpatient needs, psychiatric medication services, and multidisciplinary team meetings.
For the vendor with complete data (Quarters 1-4), the Medical Criteria section generated $1,062,893.84 in earned incentives while the Mental Health Criteria section totaled $1,304,460.62, reflecting consistent achievement of 100% threshold performance with facility averages ranging from 2% to 10% over minimum thresholds. Each quarter maintains a base per diem incentive amount of $312,500.00 with a corresponding invoice adjustment of $241,566.78. A separate Centurion vendor section for Quarters 2-4 shows ERROR:#DIV/0! throughout all performance calculations, indicating missing or incomplete data submission for that provider. The tool also includes a "Proposed Wt" (Proposed Weight) section listing 23 performance criteria with current weights and proposed adjustments, suggesting ongoing refinement of the performance metric structure. The data sensitivity is classified as L3 Restricted under IDOC protocols.
View the file
Other files
Show all 19
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
QTR 1 - Outcome Incentives.
| QUARTERLY PAY FOR PERFORMANCE PI RECONCILIATION | ||||||||||
| Vendor | ||||||||||
| PI # | DESCRIPTION | Weight | Minimum Threshold | QTR 1 THRESHOLD ACHIEVED | Facility averages | % over / under threshold | Base Per Diem Equivalent | ADP | EARNED/ |
OWED
| MEDICAL CRITERIA | 1 | Credentialing | 2% | 100% | 100% | 100.00% | 0.00% | $0.008 | 7500 | $ - 0 | |
| 2 | Discharge Planning | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 3 | RDU Screen | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 4 | Sick Call General Population | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | ||
| 5 | Sick Call Segregation | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 6 | Sick Call RDU | 1% | 95% | 100% | 100.00% | 5.00% | $0.004 | 7500 | $ 10,980.31 | ||
| 7 | Off-Site Care | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 8 | Periodic Health Assessment | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 9 | CDP - Diabetes | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 10 | CDP - CKD | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 11 | CDP -HIV | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 12 | CDP - Cirrhosis | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 13 | Oral Care | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 14 | TB Screening and Treatment | 2% | 98% | 100% | 100.00% | 2.00% | $0.008 | 7500 | $ 8,784.25 | ||
| 15 | Vaccination Program | 3% | 98% | 100% | 100.00% | 2.00% | $0.012 | 7500 | $ 13,176.37 | ||
| 16 | Pregnant Resident | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 17 | Long Term Care | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 18 | Infirmary | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 19 | 23-Hour Observation | 1% | 95% | 100% | 100.00% | 5.00% | $0.004 | 7500 | $ 10,980.31 | ||
| 20 | Hepatitis C Monitoring | 5% | 95% | 100% | 100.00% | 5.00% | $0.020 | 7500 | $ 54,901.54 | ||
| 21 | Transfer Screening | 1% | 90% | 100% | 100.00% | 10.00% | $0.004 | 7500 | $ 21,960.62 | ||
| 22 | Diagnostics | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 23 | Infection Control & CQI | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 24 | Peer Review | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 25 | Resident Education | 2% | 98% | 100% | 100.00% | 2.00% | $0.008 | 7500 | $ 8,784.25 | $ 1,062,893.84 | |
| MENTAL HEALTH CRITERIA | 1 | Mental Health Screening | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | |
| 2 | Restrictive Housing | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 3 | Mental Health Units | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | $ 1,304,460.62 | |
| 4 | Outpatient Needs | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 5 | Psychiatric Medication Services | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | ||
| 6 | Multidisciplinary Team Meetings | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| QUARTERLY BASE PER DIEM INCENTIVE INVOICE ADJUSTMENT | $ 312,500.00 | $ 241,566.78 |
| Please leave information here and hidden. Thank you, Patrick | ||
| Contacts & Groups | 12 | |
| Assessment-Tx Planning | 12 | $ 241,566.78 |
| Health Services Requests | 12 | |
| Psychiatric Encounters | 12 |
| Current Wt | Threshold | Proposed Wt | ||
| 1 | Credentialing / Training | 2% | 95% | 2% |
| 2 | Transfer DC Meds | 3% | 90% | 3% |
| 3 | RDU Screen | 10% | 95% | 10% |
| 4 | Sick Call GP Chart Review | 9% | 95% | 8% |
| 4a | Sick Call GP Offered | 95% | 1% | |
| 5 | SC Segregation Chart Review | 9% | 95% | 8% |
| 5a | Sick Call Segregation Offered | 95% | 1% | |
| 6 | Sick Call RDU Chart Review | 9% | 95% | 8% |
| 6a | Sick Call RDU Offered | 95% | 1% | |
| 7 | Continuity of Care | 8% | 90% | 8% |
| 8 | Periodic Health Assessment | 2% | 85% | 2% |
| 9 | Chronic Disease | 10% | 95% | 8% |
| 9a | Treatment Plans | 95% | 2% | |
| 10 | Oral Care | 3% | 85% | 3% |
| 11 | Annual TB | 10% | 100% | 8% |
| 12 | Segregation | 2% | 85% | 2% |
| 13 | Pregnant Resident | 3% | 95% | 3% |
| 14 | LTC - Inpatient | 2% | 95% | 2% |
| 15 | Acute Infirmary Care | 2% | 95% | 2% |
| 16 | 23HR Observation | 3% | 95% | 3% |
| 17 | HEP C Tracking | 2% | 95% | 2% |
| 18 | Transfer Screen (RCV) | 3% | 95% | 3% |
| 19 | LTBI | 2% | 100% | 2% |
| 20 | MAR | 2% | 95% | 2% |
| 21 | Diagnostics | 2% | 90% | 2% |
| 22 | Pharmacy Operations | 100% | 2% | |
| 23 | Annual Tool | 2% | 90% | 2% |
| 100% |
_x000D_&1#&"Calibri"&10&K000000 IDOC Data Sensitivity Classification - L3 Restricted
QTR 2 - Outcome Incentives.
| QUARTERLY PAY FOR PERFORMANCE PI RECONCILIATION | ||||||||||
| Vendor | ||||||||||
| PI # | DESCRIPTION | Weight | Minimum Threshold | QTR 1 THRESHOLD ACHIEVED | Facility averages | % over / under threshold | Base Per Diem Equivalent | ADP | EARNED/ |
OWED
| MEDICAL CRITERIA | 1 | Credentialing | 2% | 100% | 100% | 100.00% | 0.00% | $0.008 | 7500 | $ - 0 | |
| 2 | Discharge Planning | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 3 | RDU Screen | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 4 | Sick Call General Population | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | ||
| 5 | Sick Call Segregation | 3% | 95% | 30% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 6 | Sick Call RDU | 1% | 95% | 100% | 100.00% | 5.00% | $0.004 | 7500 | $ 10,980.31 | ||
| 7 | Off-Site Care | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 8 | Periodic Health Assessment | 5% | 90% | 40% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 9 | CDP - Diabetes | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 10 | CDP - CKD | 2% | 95% | 50% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 11 | CDP -HIV | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 12 | CDP - Cirrhosis | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 13 | Oral Care | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 14 | TB Screening and Treatment | 2% | 98% | 100% | 100.00% | 2.00% | $0.008 | 7500 | $ 8,784.25 | ||
| 15 | Vaccination Program | 3% | 98% | 100% | 100.00% | 2.00% | $0.012 | 7500 | $ 13,176.37 | ||
| 16 | Pregnant Resident | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 17 | Long Term Care | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 18 | Infirmary | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 19 | 23-Hour Observation | 1% | 95% | 100% | 100.00% | 5.00% | $0.004 | 7500 | $ 10,980.31 | ||
| 20 | Hepatitis C Monitoring | 5% | 95% | 100% | 100.00% | 5.00% | $0.020 | 7500 | $ 54,901.54 | ||
| 21 | Transfer Screening | 1% | 90% | 100% | 100.00% | 10.00% | $0.004 | 7500 | $ 21,960.62 | ||
| 22 | Diagnostics | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 23 | Infection Control & CQI | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 24 | Peer Review | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 25 | Resident Education | 2% | 98% | 100% | 100.00% | 2.00% | $0.008 | 7500 | $ 8,784.25 | $ 1,062,893.84 | |
| MENTAL HEALTH CRITERIA | 1 | Mental Health Screening | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | |
| 2 | Restrictive Housing | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 3 | Mental Health Units | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | $ 1,304,460.62 | |
| 4 | Outpatient Needs | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 5 | Psychiatric Medication Services | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | ||
| 6 | Multidisciplinary Team Meetings | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| QUARTERLY BASE PER DIEM INCENTIVE INVOICE ADJUSTMENT | $ 312,500.00 | $ 241,566.78 |
| Please leave information here and hidden. Thank you, Patrick | ||
| Contacts & Groups | 12 | |
| Assessment-Tx Planning | 12 | $ 241,566.78 |
| Health Services Requests | 12 | |
| Psychiatric Encounters | 12 |
| Current Wt | Threshold | Proposed Wt | ||
| 1 | Credentialing / Training | 2% | 95% | 2% |
| 2 | Transfer DC Meds | 3% | 90% | 3% |
| 3 | RDU Screen | 10% | 95% | 10% |
| 4 | Sick Call GP Chart Review | 9% | 95% | 8% |
| 4a | Sick Call GP Offered | 95% | 1% | |
| 5 | SC Segregation Chart Review | 9% | 95% | 8% |
| 5a | Sick Call Segregation Offered | 95% | 1% | |
| 6 | Sick Call RDU Chart Review | 9% | 95% | 8% |
| 6a | Sick Call RDU Offered | 95% | 1% | |
| 7 | Continuity of Care | 8% | 90% | 8% |
| 8 | Periodic Health Assessment | 2% | 85% | 2% |
| 9 | Chronic Disease | 10% | 95% | 8% |
| 9a | Treatment Plans | 95% | 2% | |
| 10 | Oral Care | 3% | 85% | 3% |
| 11 | Annual TB | 10% | 100% | 8% |
| 12 | Segregation | 2% | 85% | 2% |
| 13 | Pregnant Resident | 3% | 95% | 3% |
| 14 | LTC - Inpatient | 2% | 95% | 2% |
| 15 | Acute Infirmary Care | 2% | 95% | 2% |
| 16 | 23HR Observation | 3% | 95% | 3% |
| 17 | HEP C Tracking | 2% | 95% | 2% |
| 18 | Transfer Screen (RCV) | 3% | 95% | 3% |
| 19 | LTBI | 2% | 100% | 2% |
| 20 | MAR | 2% | 95% | 2% |
| 21 | Diagnostics | 2% | 90% | 2% |
| 22 | Pharmacy Operations | 100% | 2% | |
| 23 | Annual Tool | 2% | 90% | 2% |
| 100% |
_x000D_&1#&"Calibri"&10&K000000 IDOC Data Sensitivity Classification - L3 Restricted
QTR 3 - Outcome Incentives.
| QUARTERLY PAY FOR PERFORMANCE PI RECONCILIATION | ||||||||||
| Vendor | ||||||||||
| PI # | DESCRIPTION | Weight | Minimum Threshold | QTR 1 THRESHOLD ACHIEVED | Facility averages | % over / under threshold | Base Per Diem Equivalent | ADP | EARNED/ |
OWED
| MEDICAL CRITERIA | 1 | Credentialing | 2% | 100% | 100% | 100.00% | 0.00% | $0.008 | 7500 | $ - 0 | |
| 2 | Discharge Planning | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 3 | RDU Screen | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 4 | Sick Call General Population | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | ||
| 5 | Sick Call Segregation | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 6 | Sick Call RDU | 1% | 95% | 100% | 100.00% | 5.00% | $0.004 | 7500 | $ 10,980.31 | ||
| 7 | Off-Site Care | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 8 | Periodic Health Assessment | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 9 | CDP - Diabetes | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 10 | CDP - CKD | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 11 | CDP -HIV | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 12 | CDP - Cirrhosis | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 13 | Oral Care | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 14 | TB Screening and Treatment | 2% | 98% | 100% | 100.00% | 2.00% | $0.008 | 7500 | $ 8,784.25 | ||
| 15 | Vaccination Program | 3% | 98% | 100% | 100.00% | 2.00% | $0.012 | 7500 | $ 13,176.37 | ||
| 16 | Pregnant Resident | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 17 | Long Term Care | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 18 | Infirmary | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 19 | 23-Hour Observation | 1% | 95% | 100% | 100.00% | 5.00% | $0.004 | 7500 | $ 10,980.31 | ||
| 20 | Hepatitis C Monitoring | 5% | 95% | 100% | 100.00% | 5.00% | $0.020 | 7500 | $ 54,901.54 | ||
| 21 | Transfer Screening | 1% | 90% | 100% | 100.00% | 10.00% | $0.004 | 7500 | $ 21,960.62 | ||
| 22 | Diagnostics | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 23 | Infection Control & CQI | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 24 | Peer Review | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 25 | Resident Education | 2% | 98% | 100% | 100.00% | 2.00% | $0.008 | 7500 | $ 8,784.25 | $ 1,062,893.84 | |
| MENTAL HEALTH CRITERIA | 1 | Mental Health Screening | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | |
| 2 | Restrictive Housing | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 3 | Mental Health Units | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | $ 1,304,460.62 | |
| 4 | Outpatient Needs | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 5 | Psychiatric Medication Services | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | ||
| 6 | Multidisciplinary Team Meetings | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| QUARTERLY BASE PER DIEM INCENTIVE INVOICE ADJUSTMENT | $ 312,500.00 | $ 241,566.78 |
| Please leave information here and hidden. Thank you, Patrick | ||
| Contacts & Groups | 12 | |
| Assessment-Tx Planning | 12 | $ 241,566.78 |
| Health Services Requests | 12 | |
| Psychiatric Encounters | 12 |
| Current Wt | Threshold | Proposed Wt | ||
| 1 | Credentialing / Training | 2% | 95% | 2% |
| 2 | Transfer DC Meds | 3% | 90% | 3% |
| 3 | RDU Screen | 10% | 95% | 10% |
| 4 | Sick Call GP Chart Review | 9% | 95% | 8% |
| 4a | Sick Call GP Offered | 95% | 1% | |
| 5 | SC Segregation Chart Review | 9% | 95% | 8% |
| 5a | Sick Call Segregation Offered | 95% | 1% | |
| 6 | Sick Call RDU Chart Review | 9% | 95% | 8% |
| 6a | Sick Call RDU Offered | 95% | 1% | |
| 7 | Continuity of Care | 8% | 90% | 8% |
| 8 | Periodic Health Assessment | 2% | 85% | 2% |
| 9 | Chronic Disease | 10% | 95% | 8% |
| 9a | Treatment Plans | 95% | 2% | |
| 10 | Oral Care | 3% | 85% | 3% |
| 11 | Annual TB | 10% | 100% | 8% |
| 12 | Segregation | 2% | 85% | 2% |
| 13 | Pregnant Resident | 3% | 95% | 3% |
| 14 | LTC - Inpatient | 2% | 95% | 2% |
| 15 | Acute Infirmary Care | 2% | 95% | 2% |
| 16 | 23HR Observation | 3% | 95% | 3% |
| 17 | HEP C Tracking | 2% | 95% | 2% |
| 18 | Transfer Screen (RCV) | 3% | 95% | 3% |
| 19 | LTBI | 2% | 100% | 2% |
| 20 | MAR | 2% | 95% | 2% |
| 21 | Diagnostics | 2% | 90% | 2% |
| 22 | Pharmacy Operations | 100% | 2% | |
| 23 | Annual Tool | 2% | 90% | 2% |
| 100% |
_x000D_&1#&"Calibri"&10&K000000 IDOC Data Sensitivity Classification - L3 Restricted
QTR 4 - Outcome Incentives.
| QUARTERLY PAY FOR PERFORMANCE PI RECONCILIATION | ||||||||||
| Vendor | ||||||||||
| PI # | DESCRIPTION | Weight | Minimum Threshold | QTR 1 THRESHOLD ACHIEVED | Facility averages | % over / under threshold | Base Per Diem Equivalent | ADP | EARNED/ |
OWED
| MEDICAL CRITERIA | 1 | Credentialing | 2% | 100% | 100% | 100.00% | 0.00% | $0.008 | 7500 | $ - 0 | |
| 2 | Discharge Planning | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 3 | RDU Screen | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 4 | Sick Call General Population | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | ||
| 5 | Sick Call Segregation | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 6 | Sick Call RDU | 1% | 95% | 100% | 100.00% | 5.00% | $0.004 | 7500 | $ 10,980.31 | ||
| 7 | Off-Site Care | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 8 | Periodic Health Assessment | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 9 | CDP - Diabetes | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 10 | CDP - CKD | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 11 | CDP -HIV | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 12 | CDP - Cirrhosis | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 13 | Oral Care | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 14 | TB Screening and Treatment | 2% | 98% | 100% | 100.00% | 2.00% | $0.008 | 7500 | $ 8,784.25 | ||
| 15 | Vaccination Program | 3% | 98% | 100% | 100.00% | 2.00% | $0.012 | 7500 | $ 13,176.37 | ||
| 16 | Pregnant Resident | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 17 | Long Term Care | 4% | 95% | 100% | 100.00% | 5.00% | $0.016 | 7500 | $ 43,921.23 | ||
| 18 | Infirmary | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| 19 | 23-Hour Observation | 1% | 95% | 100% | 100.00% | 5.00% | $0.004 | 7500 | $ 10,980.31 | ||
| 20 | Hepatitis C Monitoring | 5% | 95% | 100% | 100.00% | 5.00% | $0.020 | 7500 | $ 54,901.54 | ||
| 21 | Transfer Screening | 1% | 90% | 100% | 100.00% | 10.00% | $0.004 | 7500 | $ 21,960.62 | ||
| 22 | Diagnostics | 3% | 90% | 100% | 100.00% | 10.00% | $0.012 | 7500 | $ 65,881.85 | ||
| 23 | Infection Control & CQI | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 24 | Peer Review | 5% | 90% | 100% | 100.00% | 10.00% | $0.020 | 7500 | $ 109,803.08 | ||
| 25 | Resident Education | 2% | 98% | 100% | 100.00% | 2.00% | $0.008 | 7500 | $ 8,784.25 | $ 1,062,893.84 | |
| MENTAL HEALTH CRITERIA | 1 | Mental Health Screening | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | |
| 2 | Restrictive Housing | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 3 | Mental Health Units | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | $ 1,304,460.62 | |
| 4 | Outpatient Needs | 2% | 95% | 100% | 100.00% | 5.00% | $0.008 | 7500 | $ 21,960.62 | ||
| 5 | Psychiatric Medication Services | 6% | 95% | 100% | 100.00% | 5.00% | $0.023 | 7500 | $ 65,881.85 | ||
| 6 | Multidisciplinary Team Meetings | 3% | 95% | 100% | 100.00% | 5.00% | $0.012 | 7500 | $ 32,940.92 | ||
| QUARTERLY BASE PER DIEM INCENTIVE INVOICE ADJUSTMENT | $ 312,500.00 | $ 241,566.78 |
| Please leave information here and hidden. Thank you, Patrick | ||
| Contacts & Groups | 12 | |
| Assessment-Tx Planning | 12 | $ 241,566.78 |
| Health Services Requests | 12 | |
| Psychiatric Encounters | 12 |
| Current Wt | Threshold | Proposed Wt | ||
| 1 | Credentialing / Training | 2% | 95% | 2% |
| 2 | Transfer DC Meds | 3% | 90% | 3% |
| 3 | RDU Screen | 10% | 95% | 10% |
| 4 | Sick Call GP Chart Review | 9% | 95% | 8% |
| 4a | Sick Call GP Offered | 95% | 1% | |
| 5 | SC Segregation Chart Review | 9% | 95% | 8% |
| 5a | Sick Call Segregation Offered | 95% | 1% | |
| 6 | Sick Call RDU Chart Review | 9% | 95% | 8% |
| 6a | Sick Call RDU Offered | 95% | 1% | |
| 7 | Continuity of Care | 8% | 90% | 8% |
| 8 | Periodic Health Assessment | 2% | 85% | 2% |
| 9 | Chronic Disease | 10% | 95% | 8% |
| 9a | Treatment Plans | 95% | 2% | |
| 10 | Oral Care | 3% | 85% | 3% |
| 11 | Annual TB | 10% | 100% | 8% |
| 12 | Segregation | 2% | 85% | 2% |
| 13 | Pregnant Resident | 3% | 95% | 3% |
| 14 | LTC - Inpatient | 2% | 95% | 2% |
| 15 | Acute Infirmary Care | 2% | 95% | 2% |
| 16 | 23HR Observation | 3% | 95% | 3% |
| 17 | HEP C Tracking | 2% | 95% | 2% |
| 18 | Transfer Screen (RCV) | 3% | 95% | 3% |
| 19 | LTBI | 2% | 100% | 2% |
| 20 | MAR | 2% | 95% | 2% |
| 21 | Diagnostics | 2% | 90% | 2% |
| 22 | Pharmacy Operations | 100% | 2% | |
| 23 | Annual Tool | 2% | 90% | 2% |
| 100% |
_x000D_&1#&"Calibri"&10&K000000 IDOC Data Sensitivity Classification - L3 Restricted
QTR 2 - Outcome Incentives
| QUARTERLY PAY FOR PERFORMANCE PI RECONCILIATION | ||||||||||
| Centurion | ||||||||||
| PI # | DESCRIPTION | Weight | Minimum Threshold | QTR 2 THRESHOLD ACHIEVED | Facility averages | % over / under threshold | Base Per Diem Equivalent | ADP | EARNED/ |
OWED
| MEDICAL CRITERIA | 1 | Credentialing | 2% | 100% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | ||
| 2 | Discharge Planning | 3% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 3 | RDU Screen | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 4 | Sick Call General Population | 6% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.023 | 7500 | ERROR:#DIV/0! | |||
| 5 | Sick Call Segregation | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 6 | Sick Call RDU | 1% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 7 | Off-Site Care | 5% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 8 | Periodic Health Assessment | 5% | 85% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 9 | CDP - Diabetes Mellitus | 4% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.016 | 7500 | ERROR:#DIV/0! | |||
| 10 | CDP - Chronic Kidney Disease | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 11 | CDP - HIV | 1% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 12 | CDP - Cirrhosis | 4% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.016 | 7500 | ERROR:#DIV/0! | |||
| 13 | Oral Care | 2% | 85% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 14 | TB Screening & Treatment | 2% | 98% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 15 | Vaccination Program | 3% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 16 | Pregnant Residents | 4% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.016 | 7500 | ERROR:#DIV/0! | |||
| 17 | Long-Term Care | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 18 | Acute Infirmary Care | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 19 | 23 Hour Observation | 1% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 20 | Hepatitis C Tracking | 5% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 21 | Transfer Screening | 1% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 22 | Diagnostics | 3% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 23 | Infection Control & CQI Meetings | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 24 | Sentinel & Adverse Events | 5% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 25 | Patient Education | 5% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 26 | Continuous Quality Improvement | *Required per NCCHC standards. Not evaluated or audited per contract. | ERROR:#DIV/0! | ||||||||
| MENTAL HEALTH CRITERIA | 1 | Mental Health Screening | 6% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.023 | 7500 | ERROR:#DIV/0! | ||
| 2 | Restrictive Housing | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 3 | Mental Health Units | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||
| 4 | Outpatient Needs | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 5 | Psychiatric Medication Services | 6% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.023 | 7500 | ERROR:#DIV/0! | |||
| 6 | Multidisciplinary Team Meeting (MDT) | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||
| QUARTERLY BASE PER DIEM INCENTIVE INVOICE ADJUSTMENT | ERROR:#DIV/0! | ||||||||||
| Please leave information here and hidden. Thank you, Patrick | |||||||||||
| Contacts & Groups | 12 | ||||||||||
| Assessment-Tx Planning | 12 | ||||||||||
| Health Services Requests | 12 | ||||||||||
| Psychiatric Encounters | 12 |
| Current Wt | Threshold | Proposed Wt | ||
| 1 | Credentialing / Training | 2% | 95% | 2% |
| 2 | Transfer DC Meds | 3% | 90% | 3% |
| 3 | RDU Screen | 10% | 95% | 10% |
| 4 | Sick Call GP Chart Review | 9% | 95% | 8% |
| 4a | Sick Call GP Offered | 95% | 1% | |
| 5 | SC Segregation Chart Review | 9% | 95% | 8% |
| 5a | Sick Call Segregation Offered | 95% | 1% | |
| 6 | Sick Call RDU Chart Review | 9% | 95% | 8% |
| 6a | Sick Call RDU Offered | 95% | 1% | |
| 7 | Continuity of Care | 8% | 90% | 8% |
| 8 | Periodic Health Assessment | 2% | 85% | 2% |
| 9 | Chronic Disease | 10% | 95% | 8% |
| 9a | Treatment Plans | 95% | 2% | |
| 10 | Oral Care | 3% | 85% | 3% |
| 11 | Annual TB | 10% | 100% | 8% |
| 12 | Segregation | 2% | 85% | 2% |
| 13 | Pregnant Resident | 3% | 95% | 3% |
| 14 | LTC - Inpatient | 2% | 95% | 2% |
| 15 | Acute Infirmary Care | 2% | 95% | 2% |
| 16 | 23HR Observation | 3% | 95% | 3% |
| 17 | HEP C Tracking | 2% | 95% | 2% |
| 18 | Transfer Screen (RCV) | 3% | 95% | 3% |
| 19 | LTBI | 2% | 100% | 2% |
| 20 | MAR | 2% | 95% | 2% |
| 21 | Diagnostics | 2% | 90% | 2% |
| 22 | Pharmacy Operations | 100% | 2% | |
| 23 | Annual Tool | 2% | 90% | 2% |
| 100% |
QTR 3 - Outcome Incentives
| QUARTERLY PAY FOR PERFORMANCE PI RECONCILIATION | ||||||||||
| Centurion | ||||||||||
| PI # | DESCRIPTION | Weight | Minimum Threshold | QTR 3 THRESHOLD ACHIEVED | Facility averages | % over / under threshold | Base Per Diem Equivalent | ADP | EARNED/ |
OWED
| MEDICAL CRITERIA | 1 | Credentialing | 2% | 100% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | ||
| 2 | Discharge Planning | 3% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 3 | RDU Screen | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 4 | Sick Call General Population | 6% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.023 | 7500 | ERROR:#DIV/0! | |||
| 5 | Sick Call Segregation | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 6 | Sick Call RDU | 1% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 7 | Off-Site Care | 5% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 8 | Periodic Health Assessment | 5% | 85% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 9 | CDP - Diabetes Mellitus | 4% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.016 | 7500 | ERROR:#DIV/0! | |||
| 10 | CDP - Chronic Kidney Disease | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 11 | CDP - HIV | 1% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 12 | CDP - Cirrhosis | 4% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.016 | 7500 | ERROR:#DIV/0! | |||
| 13 | Oral Care | 2% | 85% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 14 | TB Screening & Treatment | 2% | 98% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 15 | Vaccination Program | 3% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 16 | Pregnant Residents | 4% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.016 | 7500 | ERROR:#DIV/0! | |||
| 17 | Long-Term Care | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 18 | Acute Infirmary Care | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 19 | 23 Hour Observation | 1% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 20 | Hepatitis C Tracking | 5% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 21 | Transfer Screening | 1% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 22 | Diagnostics | 3% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 23 | Infection Control & CQI Meetings | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 24 | Sentinel & Adverse Events | 5% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 25 | Patient Education | 5% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 26 | Continuous Quality Improvement | *Required per NCCHC standards. Not evaluated or audited per contract. | ERROR:#DIV/0! | ||||||||
| MENTAL HEALTH CRITERIA | 1 | Mental Health Screening | 6% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.023 | 7500 | ERROR:#DIV/0! | ||
| 2 | Restrictive Housing | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 3 | Mental Health Units | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||
| 4 | Outpatient Needs | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 5 | Psychiatric Medication Services | 6% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.023 | 7500 | ERROR:#DIV/0! | |||
| 6 | Multidisciplinary Team Meeting (MDT) | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||
| QUARTERLY BASE PER DIEM INCENTIVE INVOICE ADJUSTMENT | ERROR:#DIV/0! | ||||||||||
| Please leave information here and hidden. Thank you, Patrick | |||||||||||
| Contacts & Groups | 12 | ||||||||||
| Assessment-Tx Planning | 12 | ||||||||||
| Health Services Requests | 12 | ||||||||||
| Psychiatric Encounters | 12 |
| Current Wt | Threshold | Proposed Wt | ||
| 1 | Credentialing / Training | 2% | 95% | 2% |
| 2 | Transfer DC Meds | 3% | 90% | 3% |
| 3 | RDU Screen | 10% | 95% | 10% |
| 4 | Sick Call GP Chart Review | 9% | 95% | 8% |
| 4a | Sick Call GP Offered | 95% | 1% | |
| 5 | SC Segregation Chart Review | 9% | 95% | 8% |
| 5a | Sick Call Segregation Offered | 95% | 1% | |
| 6 | Sick Call RDU Chart Review | 9% | 95% | 8% |
| 6a | Sick Call RDU Offered | 95% | 1% | |
| 7 | Continuity of Care | 8% | 90% | 8% |
| 8 | Periodic Health Assessment | 2% | 85% | 2% |
| 9 | Chronic Disease | 10% | 95% | 8% |
| 9a | Treatment Plans | 95% | 2% | |
| 10 | Oral Care | 3% | 85% | 3% |
| 11 | Annual TB | 10% | 100% | 8% |
| 12 | Segregation | 2% | 85% | 2% |
| 13 | Pregnant Resident | 3% | 95% | 3% |
| 14 | LTC - Inpatient | 2% | 95% | 2% |
| 15 | Acute Infirmary Care | 2% | 95% | 2% |
| 16 | 23HR Observation | 3% | 95% | 3% |
| 17 | HEP C Tracking | 2% | 95% | 2% |
| 18 | Transfer Screen (RCV) | 3% | 95% | 3% |
| 19 | LTBI | 2% | 100% | 2% |
| 20 | MAR | 2% | 95% | 2% |
| 21 | Diagnostics | 2% | 90% | 2% |
| 22 | Pharmacy Operations | 100% | 2% | |
| 23 | Annual Tool | 2% | 90% | 2% |
| 100% |
QTR 4 - Outcome Incentives
| QUARTERLY PAY FOR PERFORMANCE PI RECONCILIATION | ||||||||||
| Centurion | ||||||||||
| PI # | DESCRIPTION | Weight | Minimum Threshold | QTR 4 THRESHOLD ACHIEVED | Facility averages | % over / under threshold | Base Per Diem Equivalent | ADP | EARNED/ |
OWED
| MEDICAL CRITERIA | 1 | Credentialing | 2% | 100% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | ||
| 2 | Discharge Planning | 3% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 3 | RDU Screen | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 4 | Sick Call General Population | 6% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.023 | 7500 | ERROR:#DIV/0! | |||
| 5 | Sick Call Segregation | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 6 | Sick Call RDU | 1% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 7 | Off-Site Care | 5% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 8 | Periodic Health Assessment | 5% | 85% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 9 | CDP - Diabetes Mellitus | 4% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.016 | 7500 | ERROR:#DIV/0! | |||
| 10 | CDP - Chronic Kidney Disease | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 11 | CDP - HIV | 1% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 12 | CDP - Cirrhosis | 4% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.016 | 7500 | ERROR:#DIV/0! | |||
| 13 | Oral Care | 2% | 85% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 14 | TB Screening & Treatment | 2% | 98% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 15 | Vaccination Program | 3% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 16 | Pregnant Residents | 4% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.016 | 7500 | ERROR:#DIV/0! | |||
| 17 | Long-Term Care | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 18 | Acute Infirmary Care | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 19 | 23 Hour Observation | 1% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 20 | Hepatitis C Tracking | 5% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 21 | Transfer Screening | 1% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.004 | 7500 | ERROR:#DIV/0! | |||
| 22 | Diagnostics | 3% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | |||
| 23 | Infection Control & CQI Meetings | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 24 | Sentinel & Adverse Events | 5% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 25 | Patient Education | 5% | 90% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.020 | 7500 | ERROR:#DIV/0! | |||
| 26 | Continuous Quality Improvement | *Required per NCCHC standards. Not evaluated or audited per contract. | ERROR:#DIV/0! | ||||||||
| MENTAL HEALTH CRITERIA | 1 | Mental Health Screening | 6% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.023 | 7500 | ERROR:#DIV/0! | ||
| 2 | Restrictive Housing | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 3 | Mental Health Units | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||
| 4 | Outpatient Needs | 2% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.008 | 7500 | ERROR:#DIV/0! | |||
| 5 | Psychiatric Medication Services | 6% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.023 | 7500 | ERROR:#DIV/0! | |||
| 6 | Multidisciplinary Team Meeting (MDT) | 3% | 95% | ERROR:#DIV/0! | ERROR:#DIV/0! | $0.012 | 7500 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||
| QUARTERLY BASE PER DIEM INCENTIVE INVOICE ADJUSTMENT | ERROR:#DIV/0! | ||||||||||
| Please leave information here and hidden. Thank you, Patrick | |||||||||||
| Contacts & Groups | 12 | ||||||||||
| Assessment-Tx Planning | 12 | ||||||||||
| Health Services Requests | 12 | ||||||||||
| Psychiatric Encounters | 12 |
| Current Wt | Threshold | Proposed Wt | ||
| 1 | Credentialing / Training | 2% | 95% | 2% |
| 2 | Transfer DC Meds | 3% | 90% | 3% |
| 3 | RDU Screen | 10% | 95% | 10% |
| 4 | Sick Call GP Chart Review | 9% | 95% | 8% |
| 4a | Sick Call GP Offered | 95% | 1% | |
| 5 | SC Segregation Chart Review | 9% | 95% | 8% |
| 5a | Sick Call Segregation Offered | 95% | 1% | |
| 6 | Sick Call RDU Chart Review | 9% | 95% | 8% |
| 6a | Sick Call RDU Offered | 95% | 1% | |
| 7 | Continuity of Care | 8% | 90% | 8% |
| 8 | Periodic Health Assessment | 2% | 85% | 2% |
| 9 | Chronic Disease | 10% | 95% | 8% |
| 9a | Treatment Plans | 95% | 2% | |
| 10 | Oral Care | 3% | 85% | 3% |
| 11 | Annual TB | 10% | 100% | 8% |
| 12 | Segregation | 2% | 85% | 2% |
| 13 | Pregnant Resident | 3% | 95% | 3% |
| 14 | LTC - Inpatient | 2% | 95% | 2% |
| 15 | Acute Infirmary Care | 2% | 95% | 2% |
| 16 | 23HR Observation | 3% | 95% | 3% |
| 17 | HEP C Tracking | 2% | 95% | 2% |
| 18 | Transfer Screen (RCV) | 3% | 95% | 3% |
| 19 | LTBI | 2% | 100% | 2% |
| 20 | MAR | 2% | 95% | 2% |
| 21 | Diagnostics | 2% | 90% | 2% |
| 22 | Pharmacy Operations | 100% | 2% | |
| 23 | Annual Tool | 2% | 90% | 2% |
| 100% |
File details come from the government source that posted it. Updated .