Physician Organization (PO) Requirements

Administrative

1. Sign and return all required documents. Sign and return all required data sharing documents, consistent with the MCT2D and MiHIN data-sharing process and return the completed Participation Agreement, Data Use Agreement and Business Associate Agreement within expected timelines.
   Primary Responsibility of: Administrative Lead
2. Form a team to work on the program. Within 30 days of executing the Participation Agreement (and all included exhibits) the participating center will form their team; including an administrative lead and a clinical champion.
   When notified by MCT2D, with a minimum of 30 days’ notice, identify a quality assurance lead who will be responsible for identifying gaps in data and working to resolve them. Role descriptions are included below.
   Primary Responsibility of: Administrative Lead
3. Communicate with the coordinating center. Identify a primary contact who will be the lead on communications with the MCT2D Coordinating Center
   Primary Responsibility of: Administrative Lead

Data

1. Share required data elements with MiHIN. Share required data elements for participation in MCT2D with the Michigan Health Information Network (MiHIN) and other participants in the care and care improvement process in accordance with established HIPAA and other regulatory data sharing standards.
   Primary Responsibility of: Quality Assurance Lead
2. Meet the data collection standards. Meet the published expectations of the coordinating center for data collection, conformance with data definitions, timeliness, and accuracy.
   Primary Responsibility of: Quality Assurance Lead
3. Partner with the CQI Data Hub to develop & improve data sharing process. Establish an ongoing working partnership with the CQI Data Hub to develop and improve the process for data sharing.
   Primary Responsibility of: Quality Assurance Lead
4. Work to develop ability to submit additional data elements. Work with the Coordinating Center and/or MDC to develop capabilities to submit additional data elements (e.g. surveys, remote monitoring data, qualitative data) that are useful to the quality initiative efforts of MCT2D.
   Primary Responsibility of: Quality Assurance Lead
5. Allow data to be used in publications. Allow data and information to be used in peer-reviewed publications to further advance QI efforts.
6. Work with the practice liaisons on the data. Work with the practice liaisons (designated by each practice) to ensure completeness and quality of data.
   Primary Responsibility of: Quality Assurance Lead

Quality

1. Submit a quality improvement log. Submit a QI log in accordance with the timelines and expectations of the Coordinating Center and BCBSM (Coordinating Center will provide a template and instructions). This includes reporting ongoing feedback regarding successes and failures as well as barriers to practice transformation or patient engagement consistent with care goals.
   Primary Responsibility of: Administrative Lead
2. Advance best practices. Collaborate with the Coordinating Center and participating practices to advance collaborative-wide performance and/or best practices using feedback from MCT2D data and other metrics.
   Primary Responsibility of: Administrative Lead and Clinical Champion

Attendance

1. Participate in calls and collaborative wide meetings. Participate in routine collaborative meetings/calls adhering to the following requirements:
   1. Attend MCT2D collaborative wide meetings
   2. Participate in monthly scheduled conference calls
   Primary Responsibility of: Administrative Lead and Clinical Champion

Practice Engagement

1. Recruit primary care practices. Identify primary care practices from Center’s network who meet established requirements for participation. These practices will be eligible for value-based reimbursement (VBR) payment according to BCBSM eligibility standards.
   Primary Responsibility of: PO Medical Director and Clinical Champion
2. Recruit nephrology and endocrinology practices. Once primary care practice participants are identified, determine which nephrologists and endocrinologists the participating primary care practices refer to, and work with the coordinating center to recruit these specialty practices.
   Primary Responsibility of: Administrative Lead
3. Identify a patient advisor. Within 30 days of determining the practices who will participate, identify a patient/caregiver advisor ensuring that this advisor is representative of the population that the participating center serves in regard to race, income, level of education, etc.
   Primary Responsibility of: Administrative Lead
4. Communicate MCT2D information to practices. Serve as the primary communicator of information related to MCT2D, including notifying participating practices of MCT2D events and encouraging attendance, sharing MCT2D data, identifying lagging practices, and working in conjunction with MCT2D to address issues.
   Primary Responsibility of: Administrative Lead
5. Participate in MCT2D training programs. As required by MCT2D, participate in training programs on continuous glucose monitoring devices, lower carbohydrate diets, and newer diabetes medications.
   Primary Responsibility of: Clinical Champion and other staff as appropriate (e.g. dietician, pharmacist, etc.)

Description of Roles