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2010 PGIP Initiatives Selection Form

The 2010 initiative selection process is only open to currently participating PGIP physician organizations.

One contact from each PGIP physician organization should complete the initiative selection process. Please submit this form by the end of business on Dec. 21, 2009.

Thank you for your participation in the 2010 PGIP initiatives selection process.

For questions about a specific initiative, e-mail the appropriate BCBSM Administrative lead as indicated below. For general information about PGIP, please e-mail Provider Partnerships.

Required information

Name:
Telephone:	Hint (xxx) xxx-xxxx
E-mail:
PGIP Organization:

2010 PGIP initiatives selection

Click the checkbox next to each initiative you wish to select. To learn more, please click on the initiative description.

NOTE: PCMH initiatives (*) are not selected in advance.

	Initiative Description	BCBSM Administrative Lead	PGIP Ref#
Improvement capacity initiatives
	Establishing staff dedicated to managing or coaching process improvement teams	Tom Leyden	IC-08-01
	Establishing analytics and reporting staff	Tom Leyden	IC-08-02
Condition-focused initiatives
	Improve oncology practice performance through participation in the American Society of Clinical Oncology, Quality Oncology Practice Initiative ™	Tom Leyden	CF-08-01
	Chronic kidney disease (New in 2010)	Margaret Mason	CF-10-01
	Michigan Oncology Clinical Treatment Pathways (New in 2010) NOTE: Chosen at the individual physician level. PGIP oncologists can choose to participate in this initiative by expressing interest to Physician Resource Management (the PGIP PO coordinating this initiative).	Tom Leyden	CF-10-02
	End stage renal disease (New in 2010)	Margaret Mason	CF-10-03
Service-focused initiatives
	Increase the use of generic drugs	Della Rees	SF-08-01
	Radiology management	Kim Harrison	SF-08-02
	Emergency department utilization	Della Rees, PhD	SF-09-03
	Inpatient utilization	Della Rees, PhD	SF-09-04
	Michigan Anticoagulation Quality Improvement Initiative (New in 2010)	Tom Leyden	SF-09-05
Core clinical process-focused initiatives
	Evidence-based care tracking to reduce gaps in care	Kim Harrison	CCP-08-01
*	Patient-provider partnership	Margaret Mason	CCP-08-02
*	Extended access	Margaret Mason	CCP-08-03
*	Individual care management	Margaret Mason	CCP-08-04
*	Test tracking and follow-up	Margaret Mason	CCP-08-05
*	Performance reporting	Margaret Mason	CCP-08-06
	Lean clinical redesign for PCMH CQI	Tom Leyden	CCP-08-07
*	Coordination of care	Margaret Mason	CCP-09-08
*	Preventive services	Margaret Mason	CCP-09-09
*	Specialist referral process	Margaret Mason	CCP-09-10
*	Linkage to community services	Margaret Mason	CCP-09-11
*	Self-management support	Margaret Mason	CCP-09-12
	Transitions of care (New in 2010)	Della Rees, PhD	CCP-10-02
Clinical information technology-focused initiatives
	Accelerating the adoption and use of electronic prescribing	Margaret Mason	CIT-08-01
*	Patient registry	Margaret Mason	CIT-09-02
*	Patient portal	Margaret Mason	CIT-09-03

* PCMH initiatives are not selected in advance.

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PCMH implementation activity
Will your PO plan to work on at least one of the twelve task-based PCMH initiatives in the coming year?

Yes
No