MILESTONE 2: NETWORK BUILDBACKGROUND

Instructions: Use this Network Build Milestone Tool to submit your Network’s approach for review by CCN Management. Completed Milestone Tools should be submitted to the Network’s assigned CCN Network Facilitator. Milestones submitted by 5pm on the First Business Day of each Month for consideration during that month’s review. Milestone tools received after the first business day of the month may be reviewed the following month. Milestone tools are due at the latest on Friday, February 1, 2019. Objective: As part of the Cohort Management Program, CCN Partner Networks are tasked with building a Network of Partners who, together, can implement the program of core services defined in the Clinical Design Milestone, which are intended to improve outcomes among Cohort members. In completing the Network Build Milestone, Networks will:

1) Meet Network composition requirements2) Formally establish the Network relationships3) Establish Network standards for Partner Engagement

Process: CCN Management provides oversight to Partners’ participation in CCN DSRIP Projects by setting standards for Partner engagement, service delivery, and reporting of project activities. CCN Management will provide oversight over Network activities to ensure compliant use of program funds and will ensure that Partner Networks meet programmatic requirements. Review: CCN Management will assess each Network’s milestone completion material and provide one of the following determinations:

Accept – The Milestone is considered complete. Revise and Resubmit – The Milestone require further specification or

development before it can be considered complete.

The materials comprising the Cohort Management Program are created by and the property of CCN. Unauthorized use of the materials is prohibited.

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The materials comprising the Cohort Management Program are created by and the property of CCN. Unauthorized use of the materials is prohibited.

CMP Form J | Version 2018.08.07

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DEFINE THE NETWORK2A. Network Name

AGREEMENTS AND FUNDS FLOW2D. Provide a list of executed agreements among all Network Partners for Funds Flow and/or Data Sharing under the Cohort Management Program, and the partners involved. (Exclude agreements that do not pertain to Cohort Management activities.) Copies of the agreements do not need to be provided.

General Scope of Agreement Partner One Partner Two1.2.3.4. Insert additional rows if

necessary

2E. Provide a brief description and rationale of a funds flow plan for Network Partners, including percentage allocation, frequency, and/or basis for Network Partners’ payments during the Cohort Active Management Phase. Note: CCN has a toolkit covering different models of funds flow for Networks. [Word Limit: 1000]

The materials comprising the Cohort Management Program are created by and the property of CCN. Unauthorized use of the materials is prohibited.

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2B. List the member Partners of the Network, identifying the VLC, Tier 1 CBO and Referral Source. Refer to the Program Overview for definitions.Name of Partner Organization Network Role1. Value-based Lead Payment Contractor

(VLC) 2. Tier One Community-Based

Organization3. Referral Source Partner4.5. Insert additional rows if necessaryNote: A Partner serving as the Referral Source may also be the VLC, Tier 1 CBO, or another Partner.There must be a minimum of four distinct partners in the Network.

2C. Attach with the submission of this form, a Letter of Participation from each Network Partner. Use the Letter of Participation template (CMP Form C).

NETWORK ACTIVITIES AND SERVICE INTEGRATION 2F. Provide a narrative or explanation describing the Network’s performance management approach to actively manage the chosen Cohort. What are the key strategies to ensure the Network can effectively work together, identify gaps in service, integrate service delivery, and improve outcomes? Incorporate the Network’s goals for patient outcomes and strategies to meet the goals. [Word Limit: 1000]

2G. List the core Network activities that are part of the Network’s approach to managing the Cohort and the Network Partner(s) who are responsible for the activity, as well as the Job Title/Role of Staff Members assigned and the expected Full Time Equivalent (FTE) devoted during the Active Cohort Phase of the program.

Examples: Case Conferencing, Service Integration, Assign Resources to Cohort Members, Process Improvement, Identify Performance Gaps, Facilitated Meetings, Tracking Patient Engagement, Tracking Key Indicators (leading, outcomes), Supporting Partner Engagement, Action Planning, Tracking Progress, Partner Report Outs, Sharing Best Practices, Data Sharing, Dashboards, Partner Onboarding, Mentoring, Triumphs and Fails, Identify Existing Patient/Client Relationships, etc.

Network Activity Network Partner(s) Staff Assigned to Network Activities

1.

Job Title / FTE

2.3.4.5.6.

The materials comprising the Cohort Management Program are created by and the property of CCN. Unauthorized use of the materials is prohibited.

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7.

Insert additional rows if necessary

2H. Describe the Network’s approach to integrating services among the Network Partners. What are the most important referral pathways to develop or optimize, based on the needs of Cohort and performance goals? Describe existing referral pathways among Network Partners which are critical to maintain. Define an Action Plan for the Network related to bridging gaps among Network Partners. [Word Limit: 1000 Words]

2I. Describe the Network’s approach to avoiding duplication of efforts related to Patient/Client engagement or services. How does the Network ensure multiple Partners are not providing similar services and that the approach is coordinated? [Word Limit: 1000 Words]

NETWORK GOVERNANCE AND MANAGEMENT2J. Describe the Network’s approach to management and governance. An additional document may be attached.Network Activity Description of ApproachHow often is it anticipated the Network will meet, where, and who convenes the meetings?Describe the Network’s approach to assessing the needs of the Cohort, needs of individual Cohort members, and/or which services should be offered to Cohort members. How are Cohort members assigned to Partners for outreach and/or engagement?How are decisions made in the Network? (examples: VLC makes decisions, decisions are made by the Network collectively – there are no right or wrong answers)How will new members to the Network be addressed?The materials comprising the Cohort Management Program are created by and the property of CCN. Unauthorized use of the materials is prohibited.

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How will poor performance of Network partners be addressed?

The materials comprising the Cohort Management Program are created by and the property of CCN. Unauthorized use of the materials is prohibited.

CMP Form J | Version 2018.08.07

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