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Ventura County Medical Center

ADDENDUM TO DSRIP FIVE-YEAR PLAN SUBMITTED February 28, 2011

CATEGORY 3: POPULATION-FOCUSED IMPROVEMENT REPORTING MEASURES

April 14, 2011

Narrative:

Ventura County Medical Center together with Santa Paula Hospital and their affiliated seventeen (17) primary care clinics will collaboratively measure and report Category 3: Population-focused Improvement measures in the categories of:

• Patient and Care Giver Experience

• Care Coordination

• Preventive Health

• At-Risk Populations

Reporting will commence in Year 2 or DY7 for the period of July 1, 2011 through June 30, 2012.

|Patient/Care Giver Experience |

|Year 1 |Year 2 |Year 3 |Year 4 |Year 5 |

| |Undertake the necessary planning, |Report results of CG CAHPS questions for “Getting Timely |Report results of CG CAHPS questions for |Report results of CG CAHPS questions for |

| |redesign, translation, training |Appointments, Care, and Information” theme for at least data|“Getting Timely Appointments, Care, and |“Getting Timely Appointments, Care, and |

| |and contract negotiations in order|from the last two quarters of the demonstration year to the |Information” theme to the State |Information” theme to the State |

| |to implement CG-CAHPS in DY8. |State |Report results of CG CAHPS questions for |Report results of CG CAHPS questions for |

| | |Report results of CG CAHPS questions for “How Well Doctors |“How Well Doctors Communicate With |“How Well Doctors Communicate With |

| | |Communicate With Patients” theme for at least data from the |Patients” theme to the State |Patients” theme to the State |

| | |last two quarters of the demonstration year to the State |Report results of CG CAHPS questions for |Report results of CG CAHPS questions for |

| | |Report results of CG CAHPS questions for “Helpful, |“Helpful, Courteous, and Respectful Office |“Helpful, Courteous, and Respectful Office |

| | |Courteous, and Respectful Office Staff” theme for at least |Staff” theme to the State |Staff” theme to the State |

| | |data from the last two quarters of the demonstration year to|Report results of CG CAHPS questions for |Report results of CG CAHPS questions for |

| | |the State |“Patients’ Rating of the Doctor” theme to |“Patients’ Rating of the Doctor” theme to |

| | |Report results of CG CAHPS questions for “Patients’ Rating |the State |the State |

| | |of the Doctor” theme for at least data from the last two |Report results of CG CAHPS questions for |Report results of CG CAHPS questions for |

| | |quarters of the demonstration year to the State |“Shared Decisionmaking” theme to the State |“Shared Decisionmaking” theme to the State |

| | |Report results of CG CAHPS questions for “Shared | | |

| | |Decisionmaking” theme for at least data from the last two | | |

| | |quarters of the demonstration year to the State | | |

|Care Coordination |

|Year 1 |Year 2 |Year 3 |Year 4 |Year 5 |

| |Report results of the Diabetes, short-term |Report results of the Diabetes, short-term |Report results of the Diabetes, short-term |Report results of the Diabetes, short-term |

| |complications measure to the State |complications measure to the State |complications measure to the State |complications measure to the State |

| |Report results of the Uncontrolled Diabetes|Report results of the Uncontrolled Diabetes|Report results of the Uncontrolled Diabetes|Report results of the Uncontrolled Diabetes|

| |measure to the State |measure to the State |measure to the State |measure to the State |

| | |Report results of the Congestive Heart |Report results of the Congestive Heart |Report results of the Congestive Heart |

| | |Failure measure to the State |Failure measure to the State |Failure measure to the State |

| | |Report results of the Chronic Obstructive |Report results of the Chronic Obstructive |Report results of the Chronic Obstructive |

| | |Pulmonary Disease measure to the State |Pulmonary Disease measure to the State |Pulmonary Disease measure to the State |

Care Coordination Denominator:

The following are the DPH system primary care clinic(s):

1. Academic Family Medicine Center

2. Conejo Valley Family Medical Group

3. Faculty Medical Group

4. Fillmore Family Medical Group

5. John K. Flynn Community Clinic

6. Las Islas Family Medical Group

7. Las Posas Family Medical Group

8. Magnolia Family Medical Group

9. Mandalay Bay Women and Children’s Medical Group

10. Moorpark Family Medical Clinic

11. Pediatric Diagnostic Center

12. Piru Family Medical Center

13. Santa Paula Hospital Clinic

14. Santa Paula Medical Clinic

15. Santa Paula West

16. Sierra Vista Family Medical Clinic

17. West Ventura Medical Clinic

Additionally, in order for there to be consistent reporting across DPH systems, the “past 12 months” for all care coordination measures will be defined as the prior demonstration year (July 1 – June 30 of the prior year).[i]

|Preventive Health |

|Year 1 |Year 2 |Year 3 |Year 4 |Year 5 |

| |Report results of the Mammography Screening for|Report results of the Mammography Screening |Report results of the Mammography Screening for |Report results of the Mammography Screening |

| |Breast Cancer measure to the State |for Breast Cancer measure to the State |Breast Cancer measure to the State |for Breast Cancer measure to the State |

| |Reports results of the Influenza Immunization |Reports results of the Influenza Immunization |Reports results of the Influenza Immunization |Reports results of the Influenza Immunization |

| |measure to the State |measure to the State |measure to the State |measure to the State |

| | |Report results of the Child Weight Screening |Report results of the Child Weight Screening |Report results of the Child Weight Screening |

| | |measure to the State |measure to the State |measure to the State |

| | |Report results of the Pediatrics Body Mass |Report results of the Pediatrics Body Mass Index |Report results of the Pediatrics Body Mass |

| | |Index (BMI) measure to the State |(BMI) measure to the State |Index (BMI) measure to the State |

| | |Report results of the Tobacco Cessation |Report results of the Tobacco Cessation measure to|Report results of the Tobacco Cessation |

| | |measure to the State |the State |measure to the State |

Preventive Health Denominator:

The following are the DPH system primary care clinic(s):

1. Academic Family Medicine Center

2. Conejo Valley Family Medical Group

3. Faculty Medical Group

4. Fillmore Family Medical Group

5. John K. Flynn Community Clinic

6. Las Islas Family Medical Group

7. Las Posas Family Medical Group

8. Magnolia Family Medical Group

9. Mandalay Bay Women and Children’s Medical Group

10. Moorpark Family Medical Clinic

11. Pediatric Diagnostic Center

12. Piru Family Medical Center

13. Santa Paula Hospital Clinic

14. Santa Paula Medical Clinic

15. Santa Paula West

16. Sierra Vista Family Medical Clinic

17. West Ventura Medical Clinic

Additionally, in order for there to be consistent reporting across DPH systems, the “past 12 months” for all preventive health measures will be defined as the prior demonstration year (July 1 – June 30 of the prior year).i

|At-Risk Populations |

|Year 1 |Year 2 |Year 3 |Year 4 |Year 5 |

| |Report results of the Diabetes Mellitus: Low |Report results of the Diabetes Mellitus: Low Density |Report results of the Diabetes Mellitus: Low |Report results of the Diabetes Mellitus: Low |

| |Density Lipoprotein (LDL-C) Control ( ................
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