2023 TCCN Primary Care Quality Program Attestation Survey

1.Please enter your practice name(Required.)

2.What is your name?(Required.)

3.What is your email address?(Required.)

4.Do you attest to participate in the following activities as part of the 2023 TCCN Quality Program? Please place a checkbox next to each activity.(Required.)

My practice will commit to quality improvement and coding for the 2023 TCCN Measures of Focus

My practice agrees to work recall lists to improve measure rates (including contracted payor recall lists) and implement other interventions as needed

My practice commits to attending at least one Clinical Quality Forum for 2023.

My practice will continue current Quality Improvement efforts and adhere to Minimum Standards for Asthma Action Plan, Depression Screening, and BMI Coding.

My practice's Quality Champion will review the Role of the Quality Champion Educational Information sent out in Q1 2023.

My practice will complete the DEI and Transitions of Care Questions Below

My practice will send claims data to TCCN within a minimum of every 14 encounter days

DEI Questions

TCCN is committed to appreciating and valuing the differences and similarities that exist in the collective mix of patients and families that we serve. In an effort to improve race and ethnicity data capture to address health disparities, please complete the following three questions for your practice. Please note your responses will remain anonymous and strictly confidential.

5.Does your practice currently capture your patient’s race and ethnicity?

Yes

Other (please specify)

6.If yes, how do you capture race/ethnicity?

Patient / family self reported

Staff recorded (staff verbally ascertains)

Staff recorded with out patient/ parent confirmation

7.Where is the data recorded? Check all that apply

Paper chart

Practice management system

EMR

Other (please specify)

Transition to adult care

The process of transitioning a pediatric patient to adult care must occur at a certain point in a patient’s life. With your assistance, we are gathering information to evaluate when this occurs for our practices and if there is an established plan. This will help us evaluate our patients and membership needs. For a typical patient please answer the following questions.

8.Do you have an established plan at your practice for when you transition patients to adult care?

Yes

Unsure

10.At what patient age, does your practice start having conversations with the patient about the need to transition to adult care?

Current Progress,

0 of 10 answered