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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},12,"",null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,4,3,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},19,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A49,$E49),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B49,$E49),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C49,$E49),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D49,$E49),\"\")","v":""},null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,4,4,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},26,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A52,$E52),\"\")","v":""},"","","",null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,4,7,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},27,"",null,null,null,null,null,"","","","",null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,0,{"$f":"IF($AE53>$AD$21,1,0)","v":1},0,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},22,"",null,null,null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A57,$E57),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B57,$E57),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C57,$E57),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D57,$E57),\"\")","v":"Numerator: "},null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,4,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},23,"",null,null,null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A58,$E58),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B58,$E58),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C58,$E58),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D58,$E58),\"\")","v":"Denominator: "},null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,5,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},25,"",null,null,null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B59,$E59),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C59,$E59),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D59,$E59),\"\")","v":"QPI Metric: "},null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,6,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},24,"",null,null,null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B61,$E61),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C61,$E61),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D61,$E61),\"\")","v":"MLIU Required: "},null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,6,0,1,0,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,6,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E84+$E$20","v":54},"",null,null,null,null,null,"","","","",null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,11,2,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,11,6,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},62,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A109,$E109),\"\")","v":""},"","","",null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,0,1,0,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},63,"",null,null,null,null,null,"","","","",null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,2,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},57,"",null,null,null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A113,$E113),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B113,$E113),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C113,$E113),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D113,$E113),\"\")","v":"Numeric Goal: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,4,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},58,"",null,null,null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A114,$E114),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B114,$E114),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C114,$E114),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D114,$E114),\"\")","v":"Numerator: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,5,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},59,"",null,null,null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A115,$E115),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B115,$E115),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C115,$E115),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D115,$E115),\"\")","v":"Denominator: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,6,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},61,"",null,null,null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B116,$E116),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C116,$E116),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D116,$E116),\"\")","v":"QPI Metric: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,7,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,{"$f":"$H$41","v":23},null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F117,$H117),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F117,$H117),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F117,$H117),\"\")","v":"QPI Type: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,13,0,1,0,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},60,"",null,null,null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B118,$E118),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C118,$E118),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D118,$E118),\"\")","v":"MLIU Required: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,13,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,13,2,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E102+$E$20","v":65},"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A121,$E121),\"\")","v":""},"","","",null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,13,4,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E103+$E$20","v":66},"",null,null,null,null,null,"","","","",null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,{"$f":"IF(AF122=0,AE121+1,AE121)","v":13},5,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,13,6,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},60,"",null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,13,7,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},67,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A125,$E125),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B125,$E125),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C125,$E125),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D125,$E125),\"\")","v":""},null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},73,"",null,null,null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B135,$E135),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C135,$E135),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D135,$E135),\"\")","v":"QPI Metric: "},null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E122+$E$20","v":78},"",null,null,null,null,null,"","","","",null,null,1,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},72,"",null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,1,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,{"$f":"F144","v":""},null,null,null,null,null,null,null,null,null,null,null,1,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},86,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A147,$E147),\"\")","v":""},"","","",null,null,1,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},87,"",null,null,null,null,null,"","","","",null,null,1,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,7,{"$f":"IF($M$9=\"\",1,SUMPRODUCT(($R149=$AE$21:$AE$124)*($S149=$AF$21:$AF$124)*($AI$21:$AI$124)))","v":1},1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},136,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A236,$E236),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B236,$E236),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C236,$E236),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D236,$E236),\"\")","v":"Denominator: "},null,null,2,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},138,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B237,$E237),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C237,$E237),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D237,$E237),\"\")","v":"QPI Metric: "},null,null,2,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F238,$H238),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F238,$H238),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F238,$H238),\"\")","v":"QPI Type: "},null,null,2,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},137,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B239,$E239),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C239,$E239),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D239,$E239),\"\")","v":"MLIU Required: "},null,null,2,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,2,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},143,"",null,"",null,null,null,"","","","",null,null,2,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,2,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},151,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A249,$E249),\"\")","v":""},"","","",null,null,2,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},152,"",null,"",null,null,null,"","","","",null,null,2,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},150,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B256,$E256),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C256,$E256),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D256,$E256),\"\")","v":"QPI Metric: "},null,null,2,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},171,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A292,$E292),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B292,$E292),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C292,$E292),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D292,$E292),\"\")","v":"Numerator: "},null,null,2,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},172,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A293,$E293),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B293,$E293),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C293,$E293),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D293,$E293),\"\")","v":"Denominator: "},null,null,2,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},174,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B294,$E294),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C294,$E294),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D294,$E294),\"\")","v":"QPI Metric: "},null,null,2,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F295,$H295),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F295,$H295),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F295,$H295),\"\")","v":"QPI Type: "},null,null,2,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},173,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B296,$E296),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C296,$E296),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D296,$E296),\"\")","v":"MLIU Required: "},null,null,2,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,2,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,{"$f":"\"Milestone #\" & $R298 & \" Estimated Incentive Payment:\"","v":"Milestone #2 Estimated Incentive Payment:"},{"$f":"\"Milestone #\" & $R298 & \" Estimated Incentive Payment:\"","v":"Milestone #2 Estimated Incentive Payment:"},"Milestone #2 Estimated Incentive Payment:","Milestone #2 Estimated Incentive Payment:",null,null,2,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #2 Estimated Incentive Payment:","Milestone #2 Estimated Incentive Payment:","Milestone #2 Estimated Incentive Payment:","Milestone #2 Estimated Incentive Payment:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},177,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A299,$E299),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B299,$E299),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C299,$E299),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D299,$E299),\"\")","v":""},null,null,2,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,2,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E161=\"\",\"\",$E161+$AL$12)","v":178},"",null,{"$f":"IF($H161=\"\",\"\",$H161)","v":""},null,null,null,{"$f":"\"Milestone #\"&$R301&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A301,$E301),\"\")","v":"Milestone #3:  "},{"$f":"\"Milestone #\"&$R301&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B301,$E301),\"\")","v":"Milestone #3:  "},{"$f":"\"Milestone #\"&$R301&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C301,$E301),\"\")","v":"Milestone #3:  "},{"$f":"\"Milestone #\"&$R301&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D301,$E301),\"\")","v":"Milestone #3:  "},null,null,3,0,1,{"$f":"IF($R301>Z$21,1,IF($S301>INDEX(AK$21:AK$33,MATCH($R301,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3:  ","Milestone #3:  ","Milestone #3:  ","Milestone #3:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E162=\"\",\"\",$E162+$AL$12)","v":179},"",null,{"$f":"IF($H162=\"\",\"\",$H162)","v":""},null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A302,$E302),\"\")","v":""},"","","",null,null,3,0,1,{"$f":"IF($R302>Z$21,1,IF($S302>INDEX(AK$21:AK$33,MATCH($R302,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},180,"",null,"",null,null,null,"","","","",null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},182,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S305&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A305,$E305),\"\")","v":"Metric #1:  "},{"$f":"\"Metric #\"&$S305&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B305,$E305),\"\")","v":"Metric #1:  "},{"$f":"\"Metric #\"&$S305&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C305,$E305),\"\")","v":"Metric #1:  "},{"$f":"\"Metric #\"&$S305&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D305,$E305),\"\")","v":"Metric #1:  "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #1:  ","Metric #1:  ","Metric #1:  ","Metric #1:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},183,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A306,$E306),\"\")","v":""},"","","",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},184,"",null,"",null,null,null,"","","","",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},185,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A310,$E310),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B310,$E310),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C310,$E310),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D310,$E310),\"\")","v":""},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},192,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A313,$E313),\"\")","v":""},"","","",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},193,"",null,"",null,null,null,"","","","",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},186,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A316,$E316),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B316,$E316),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C316,$E316),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D316,$E316),\"\")","v":"Metric Type: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},187,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A317,$E317),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B317,$E317),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C317,$E317),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D317,$E317),\"\")","v":"Numeric Goal: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},188,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A318,$E318),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B318,$E318),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C318,$E318),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D318,$E318),\"\")","v":"Numerator: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},189,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A319,$E319),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B319,$E319),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C319,$E319),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D319,$E319),\"\")","v":"Denominator: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},255,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A420,$E420),\"\")","v":""},"","","",null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},256,"",null,"",null,null,null,"","","","",null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},257,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A424,$E424),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B424,$E424),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C424,$E424),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D424,$E424),\"\")","v":""},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},264,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A427,$E427),\"\")","v":""},"","","",null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},265,"",null,"",null,null,null,"","","","",null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E290=\"\",\"\",$E290+$AL$12)","v":258},"",null,{"$f":"IF($H290=\"\",\"\",$H290)","v":""},null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A430,$E430),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B430,$E430),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C430,$E430),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D430,$E430),\"\")","v":"Metric Type: "},null,null,3,7,1,{"$f":"IF($R430>Z$21,1,IF($S430>INDEX(AK$21:AK$33,MATCH($R430,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},259,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A431,$E431),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B431,$E431),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C431,$E431),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D431,$E431),\"\")","v":"Numeric Goal: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},260,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A432,$E432),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B432,$E432),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C432,$E432),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D432,$E432),\"\")","v":"Numerator: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},261,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A433,$E433),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B433,$E433),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C433,$E433),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D433,$E433),\"\")","v":"Denominator: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},263,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B434,$E434),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C434,$E434),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D434,$E434),\"\")","v":"QPI Metric: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F435,$H435),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F435,$H435),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F435,$H435),\"\")","v":"QPI Type: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},262,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B436,$E436),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C436,$E436),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D436,$E436),\"\")","v":"MLIU Required: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,{"$f":"\"Milestone #\" & $R438 & \" Estimated Incentive Payment:\"","v":"Milestone #3 Estimated Incentive Payment:"},{"$f":"\"Milestone #\" & $R438 & \" Estimated Incentive Payment:\"","v":"Milestone #3 Estimated Incentive Payment:"},"Milestone #3 Estimated Incentive Payment:","Milestone #3 Estimated Incentive Payment:",null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3 Estimated Incentive Payment:","Milestone #3 Estimated Incentive Payment:","Milestone #3 Estimated Incentive Payment:","Milestone #3 Estimated Incentive Payment:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},266,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A439,$E439),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B439,$E439),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C439,$E439),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D439,$E439),\"\")","v":""},null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E301=\"\",\"\",$E301+$AL$12)","v":267},"",null,{"$f":"IF($H301=\"\",\"\",$H301)","v":""},null,null,null,{"$f":"\"Milestone #\"&$R441&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A441,$E441),\"\")","v":"Milestone #4:  "},{"$f":"\"Milestone #\"&$R441&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B441,$E441),\"\")","v":"Milestone #4:  "},{"$f":"\"Milestone #\"&$R441&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C441,$E441),\"\")","v":"Milestone #4:  "},{"$f":"\"Milestone #\"&$R441&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D441,$E441),\"\")","v":"Milestone #4:  "},null,null,4,0,1,{"$f":"IF($R441>Z$21,1,IF($S441>INDEX(AK$21:AK$33,MATCH($R441,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4:  ","Milestone #4:  ","Milestone #4:  ","Milestone #4:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E302=\"\",\"\",$E302+$AL$12)","v":268},"",null,{"$f":"IF($H302=\"\",\"\",$H302)","v":""},null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A442,$E442),\"\")","v":""},"","","",null,null,4,0,1,{"$f":"IF($R442>Z$21,1,IF($S442>INDEX(AK$21:AK$33,MATCH($R442,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},269,"",null,"",null,null,null,"","","","",null,null,4,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,4,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},271,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S445&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A445,$E445),\"\")","v":"Metric #1:  "},{"$f":"\"Metric #\"&$S445&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B445,$E445),\"\")","v":"Metric #1:  "},{"$f":"\"Metric #\"&$S445&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C445,$E445),\"\")","v":"Metric #1:  "},{"$f":"\"Metric #\"&$S445&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D445,$E445),\"\")","v":"Metric #1:  "},null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #1:  ","Metric #1:  ","Metric #1:  ","Metric #1:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},272,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A446,$E446),\"\")","v":""},"","","",null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},273,"",null,"",null,null,null,"","","","",null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},274,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A450,$E450),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B450,$E450),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C450,$E450),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D450,$E450),\"\")","v":""},null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},300,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A495,$E495),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B495,$E495),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C495,$E495),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D495,$E495),\"\")","v":"Numeric Goal: "},null,null,4,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},301,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A496,$E496),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B496,$E496),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C496,$E496),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D496,$E496),\"\")","v":"Numerator: "},null,null,4,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},302,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A497,$E497),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B497,$E497),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C497,$E497),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D497,$E497),\"\")","v":"Denominator: "},null,null,4,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},304,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B498,$E498),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C498,$E498),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D498,$E498),\"\")","v":"QPI Metric: "},null,null,4,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},303,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B500,$E500),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C500,$E500),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D500,$E500),\"\")","v":"MLIU Required: "},null,null,4,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,4,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},430,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A688,$E688),\"\")","v":""},"","","",null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},425,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A692,$E692),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B692,$E692),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C692,$E692),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D692,$E692),\"\")","v":"Numeric Goal: "},null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},426,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A693,$E693),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B693,$E693),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C693,$E693),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D693,$E693),\"\")","v":"Numerator: "},null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F696,$H696),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F696,$H696),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F696,$H696),\"\")","v":"QPI Type: "},null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},428,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},443,"",null,"",null,null,null,"","","","",null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},437,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A711,$E711),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B711,$E711),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C711,$E711),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D711,$E711),\"\")","v":"Numeric Goal: "},null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},439,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A713,$E713),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B713,$E713),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C713,$E713),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D713,$E713),\"\")","v":"Denominator: "},null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},440,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B716,$E716),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C716,$E716),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D716,$E716),\"\")","v":"MLIU Required: "},null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,{"$f":"\"Milestone #\" & $R718 & \" Estimated Incentive Payment:\"","v":"Milestone #5 Estimated Incentive Payment:"},{"$f":"\"Milestone #\" & $R718 & \" Estimated Incentive Payment:\"","v":"Milestone #5 Estimated Incentive Payment:"},"Milestone #5 Estimated Incentive Payment:","Milestone #5 Estimated Incentive Payment:",null,null,5,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #5 Estimated Incentive Payment:","Milestone #5 Estimated Incentive Payment:","Milestone #5 Estimated Incentive Payment:","Milestone #5 Estimated Incentive Payment:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E581=\"\",\"\",$E581+$AL$12)","v":445},{"$f":"F720","v":""},null,{"$f":"IF($H581=\"\",\"\",$H581)","v":""},null,null,null,{"$f":"\"Milestone #\"&$R721&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A721,$E721),\"\")","v":"Milestone #6:  "},{"$f":"\"Milestone #\"&$R721&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B721,$E721),\"\")","v":"Milestone #6:  "},{"$f":"\"Milestone #\"&$R721&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C721,$E721),\"\")","v":"Milestone #6:  "},{"$f":"\"Milestone #\"&$R721&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D721,$E721),\"\")","v":"Milestone #6:  "},null,null,6,0,1,{"$f":"IF($R721>Z$21,1,IF($S721>INDEX(AK$21:AK$33,MATCH($R721,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6:  ","Milestone #6:  ","Milestone #6:  ","Milestone #6:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},450,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A726,$E726),\"\")","v":""},"","","",null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L726","v":""},{"$f":"M726","v":""},{"$f":"N726","v":""},{"$f":"O726","v":""}]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},451,"",null,"",null,null,null,"","","","",null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,1,1,1,{"$f":"IF($R735>AA$21,1,IF($S735>INDEX(AL$21:AL$33,MATCH($R735,$AJ$21:$AJ$33,0)),1,0))","v":1},{"$f":"IF($R735>AB$21,1,IF($S735>INDEX(AM$21:AM$33,MATCH($R735,$AJ$21:$AJ$33,0)),1,0))","v":1},{"$f":"IF($R735>AC$21,1,IF($S735>INDEX(AN$21:AN$33,MATCH($R735,$AJ$21:$AJ$33,0)),1,0))","v":1},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},454,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A737,$E737),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B737,$E737),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C737,$E737),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D737,$E737),\"\")","v":"Numeric Goal: "},null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F741,$H741),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F741,$H741),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F741,$H741),\"\")","v":"QPI Type: "},null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},457,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B742,$E742),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C742,$E742),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D742,$E742),\"\")","v":"MLIU Required: "},null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},461,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S744&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A744,$E744),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S744&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B744,$E744),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S744&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C744,$E744),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S744&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D744,$E744),\"\")","v":"Metric #2:  "},null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #2:  ","Metric #2:  ","Metric #2:  ","Metric #2:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},471,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A752,$E752),\"\")","v":""},"","","",null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},465,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A755,$E755),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B755,$E755),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C755,$E755),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D755,$E755),\"\")","v":"Metric Type: "},null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},468,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A758,$E758),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B758,$E758),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C758,$E758),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D758,$E758),\"\")","v":"Denominator: "},null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F760,$H760),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F760,$H760),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F760,$H760),\"\")","v":"QPI Type: "},null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},473,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S763&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A763,$E763),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S763&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B763,$E763),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S763&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C763,$E763),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S763&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D763,$E763),\"\")","v":"Metric #3:  "},null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #3:  ","Metric #3:  ","Metric #3:  ","Metric #3:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},475,"",null,"",null,null,null,"","","","",null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F836,$H836),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F836,$H836),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F836,$H836),\"\")","v":"QPI Type: "},null,null,6,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},528,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A853,$E853),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B853,$E853),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C853,$E853),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D853,$E853),\"\")","v":"Denominator: "},null,null,6,7,{"$f":"IF($M$9=\"\",1,SUMPRODUCT(($R853=$AE$21:$AE$124)*($S853=$AF$21:$AF$124)*($AI$21:$AI$124)))","v":1},1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},530,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B854,$E854),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C854,$E854),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D854,$E854),\"\")","v":"QPI Metric: "},null,null,6,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L854","v":0},{"$f":"M854","v":"QPI Metric: "},{"$f":"N854","v":"QPI Metric: "},{"$f":"O854","v":"QPI Metric: "}]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,{"$f":"\"Milestone #\" & $R858 & \" Estimated Incentive Payment:\"","v":"Milestone #6 Estimated Incentive Payment:"},{"$f":"\"Milestone #\" & $R858 & \" Estimated Incentive Payment:\"","v":"Milestone #6 Estimated Incentive Payment:"},"Milestone #6 Estimated Incentive Payment:","Milestone #6 Estimated Incentive Payment:",null,null,6,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6 Estimated Incentive Payment:","Milestone #6 Estimated Incentive Payment:","Milestone #6 Estimated Incentive Payment:","Milestone #6 Estimated Incentive Payment:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},533,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A859,$E859),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B859,$E859),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C859,$E859),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D859,$E859),\"\")","v":""},null,null,6,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E722=\"\",\"\",$E722+$AL$12)","v":535},"",null,{"$f":"IF($H722=\"\",\"\",$H722)","v":""},null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A862,$E862),\"\")","v":""},"","","",null,null,7,0,1,{"$f":"IF($R862>Z$21,1,IF($S862>INDEX(AK$21:AK$33,MATCH($R862,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},536,"",null,"",null,null,null,"","","","",null,null,7,0,1,1,{"$f":"IF($R863>AA$21,1,IF($S863>INDEX(AL$21:AL$33,MATCH($R863,$AJ$21:$AJ$33,0)),1,0))","v":1},{"$f":"IF($R863>AB$21,1,IF($S863>INDEX(AM$21:AM$33,MATCH($R863,$AJ$21:$AJ$33,0)),1,0))","v":1},{"$f":"IF($R863>AC$21,1,IF($S863>INDEX(AN$21:AN$33,MATCH($R863,$AJ$21:$AJ$33,0)),1,0))","v":1},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},540,"",null,"",null,null,null,"","","","",null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},543,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A877,$E877),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B877,$E877),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C877,$E877),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D877,$E877),\"\")","v":"Numeric Goal: "},null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},544,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A878,$E878),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B878,$E878),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C878,$E878),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D878,$E878),\"\")","v":"Numerator: "},null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},546,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B882,$E882),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C882,$E882),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D882,$E882),\"\")","v":"MLIU Required: "},null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},552,"",null,"",null,null,null,"","","","",null,null,7,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},546,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,7,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},560,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A892,$E892),\"\")","v":""},"","","",null,null,7,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},561,"",null,"",null,null,null,"","","","",null,null,7,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},556,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A897,$E897),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B897,$E897),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C897,$E897),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D897,$E897),\"\")","v":"Numerator: "},null,null,7,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},557,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A898,$E898),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B898,$E898),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C898,$E898),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D898,$E898),\"\")","v":"Denominator: "},null,null,7,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},558,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B901,$E901),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C901,$E901),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D901,$E901),\"\")","v":"MLIU Required: "},null,null,7,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},562,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S903&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A903,$E903),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S903&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B903,$E903),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S903&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C903,$E903),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S903&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D903,$E903),\"\")","v":"Metric #3:  "},null,null,7,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #3:  ","Metric #3:  ","Metric #3:  ","Metric #3:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,7,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},565,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A908,$E908),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B908,$E908),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C908,$E908),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D908,$E908),\"\")","v":""},null,null,7,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},572,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A911,$E911),\"\")","v":""},"","","",null,null,7,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},566,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A914,$E914),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B914,$E914),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C914,$E914),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D914,$E914),\"\")","v":"Metric Type: "},null,null,7,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},568,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A916,$E916),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B916,$E916),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C916,$E916),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D916,$E916),\"\")","v":"Numerator: "},null,null,7,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},569,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A917,$E917),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B917,$E917),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C917,$E917),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D917,$E917),\"\")","v":"Denominator: "},null,null,7,3,{"$f":"IF($M$9=\"\",1,SUMPRODUCT(($R917=$AE$21:$AE$124)*($S917=$AF$21:$AF$124)*($AI$21:$AI$124)))","v":1},1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F919,$H919),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F919,$H919),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F919,$H919),\"\")","v":"QPI Type: "},null,null,7,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1199,$H1199),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1199,$H1199),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1199,$H1199),\"\")","v":"QPI Type: "},null,null,9,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},748,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1200,$E1200),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1200,$E1200),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1200,$E1200),\"\")","v":"MLIU Required: "},null,null,9,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,9,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,9,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},762,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1210,$E1210),\"\")","v":""},"","","",null,null,9,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1218,$H1218),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1218,$H1218),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1218,$H1218),\"\")","v":"QPI Type: "},null,null,9,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},764,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S1221&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1221,$E1221),\"\")","v":"Metric #5:  "},{"$f":"\"Metric #\"&$S1221&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1221,$E1221),\"\")","v":"Metric #5:  "},{"$f":"\"Metric #\"&$S1221&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1221,$E1221),\"\")","v":"Metric #5:  "},{"$f":"\"Metric #\"&$S1221&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1221,$E1221),\"\")","v":"Metric #5:  "},null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #5:  ","Metric #5:  ","Metric #5:  ","Metric #5:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},766,"",null,"",null,null,null,"","","","",null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},774,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1229,$E1229),\"\")","v":""},"","","",null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},768,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1232,$E1232),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1232,$E1232),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1232,$E1232),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1232,$E1232),\"\")","v":"Metric Type: "},null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},770,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1234,$E1234),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1234,$E1234),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1234,$E1234),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1234,$E1234),\"\")","v":"Numerator: "},null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},772,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1238,$E1238),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1238,$E1238),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1238,$E1238),\"\")","v":"MLIU Required: "},null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L1238","v":0},{"$f":"M1238","v":"MLIU Required: "},{"$f":"N1238","v":"MLIU Required: "},{"$f":"O1238","v":"MLIU Required: "}]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},787,"",null,"",null,null,null,"","","","",null,null,9,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},781,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1252,$E1252),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1252,$E1252),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1252,$E1252),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1252,$E1252),\"\")","v":"Numeric Goal: "},null,null,9,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},785,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1255,$E1255),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1255,$E1255),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1255,$E1255),\"\")","v":"QPI Metric: "},null,null,9,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},784,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1257,$E1257),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1257,$E1257),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1257,$E1257),\"\")","v":"MLIU Required: "},null,null,9,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},789,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1260,$E1260),\"\")","v":""},"","","",null,null,9,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,9,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},784,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,9,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,9,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},799,"",null,"",null,null,null,"","","","",null,null,9,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},793,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1271,$E1271),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1271,$E1271),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1271,$E1271),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1271,$E1271),\"\")","v":"Numeric Goal: "},null,null,9,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},795,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1273,$E1273),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1273,$E1273),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1273,$E1273),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1273,$E1273),\"\")","v":"Denominator: "},null,null,9,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,9,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,{"$f":"\"Milestone #\" & $R1278 & \" Estimated Incentive Payment:\"","v":"Milestone #9 Estimated Incentive Payment:"},{"$f":"\"Milestone #\" & $R1278 & \" Estimated Incentive Payment:\"","v":"Milestone #9 Estimated Incentive Payment:"},"Milestone #9 Estimated Incentive Payment:","Milestone #9 Estimated Incentive Payment:",null,null,9,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #9 Estimated Incentive Payment:","Milestone #9 Estimated Incentive Payment:","Milestone #9 Estimated Incentive Payment:","Milestone #9 Estimated Incentive Payment:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E1141=\"\",\"\",$E1141+$AL$12)","v":801},"",null,{"$f":"IF($H1141=\"\",\"\",$H1141)","v":""},null,null,null,{"$f":"\"Milestone #\"&$R1281&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1281,$E1281),\"\")","v":"Milestone #10:  "},{"$f":"\"Milestone #\"&$R1281&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1281,$E1281),\"\")","v":"Milestone #10:  "},{"$f":"\"Milestone #\"&$R1281&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1281,$E1281),\"\")","v":"Milestone #10:  "},{"$f":"\"Milestone #\"&$R1281&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1281,$E1281),\"\")","v":"Milestone #10:  "},null,null,10,0,1,{"$f":"IF($R1281>Z$21,1,IF($S1281>INDEX(AK$21:AK$33,MATCH($R1281,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #10:  ","Milestone #10:  ","Milestone #10:  ","Milestone #10:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E1142=\"\",\"\",$E1142+$AL$12)","v":802},"",null,{"$f":"IF($H1142=\"\",\"\",$H1142)","v":""},null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1282,$E1282),\"\")","v":""},"","","",null,null,10,0,1,{"$f":"IF($R1282>Z$21,1,IF($S1282>INDEX(AK$21:AK$33,MATCH($R1282,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},806,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1286,$E1286),\"\")","v":""},"","","",null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},816,"",null,"",null,null,null,"","","","",null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},809,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1296,$E1296),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1296,$E1296),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1296,$E1296),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1296,$E1296),\"\")","v":"Metric Type: "},null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},812,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1299,$E1299),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1299,$E1299),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1299,$E1299),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1299,$E1299),\"\")","v":"Denominator: "},null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1301,$H1301),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1301,$H1301),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1301,$H1301),\"\")","v":"QPI Type: "},null,null,10,1,{"$f":"IF($M$9=\"\",1,SUMPRODUCT(($R1301=$AE$21:$AE$124)*($S1301=$AF$21:$AF$124)*($AI$21:$AI$124)))","v":1},1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},813,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1302,$E1302),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1302,$E1302),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1302,$E1302),\"\")","v":"MLIU Required: "},null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L1302","v":0},{"$f":"M1302","v":"MLIU Required: "},{"$f":"N1302","v":"MLIU Required: "},{"$f":"O1302","v":"MLIU Required: "}]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},818,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1305,$E1305),\"\")","v":""},"","","",null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},827,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1312,$E1312),\"\")","v":""},"","","",null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},822,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1316,$E1316),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1316,$E1316),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1316,$E1316),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1316,$E1316),\"\")","v":"Numeric Goal: "},null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},823,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1317,$E1317),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1317,$E1317),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1317,$E1317),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1317,$E1317),\"\")","v":"Numerator: "},null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1320,$H1320),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1320,$H1320),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1320,$H1320),\"\")","v":"QPI Type: "},null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},825,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1321,$E1321),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1321,$E1321),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1321,$E1321),\"\")","v":"MLIU Required: "},null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},831,"",null,"",null,null,null,"","","","",null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},825,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},863,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1369,$E1369),\"\")","v":""},"","","",null,null,10,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1377,$H1377),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1377,$H1377),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1377,$H1377),\"\")","v":"QPI Type: "},null,null,10,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},868,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1385,$E1385),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1385,$E1385),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1385,$E1385),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1385,$E1385),\"\")","v":""},null,null,10,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},876,"",null,"",null,null,null,"","","","",null,null,10,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},874,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1395,$E1395),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1395,$E1395),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1395,$E1395),\"\")","v":"QPI Metric: "},null,null,10,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},877,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S1399&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1399,$E1399),\"\")","v":"Metric #7:  "},{"$f":"\"Metric #\"&$S1399&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1399,$E1399),\"\")","v":"Metric #7:  "},{"$f":"\"Metric #\"&$S1399&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1399,$E1399),\"\")","v":"Metric #7:  "},{"$f":"\"Metric #\"&$S1399&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1399,$E1399),\"\")","v":"Metric #7:  "},null,null,10,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #7:  ","Metric #7:  ","Metric #7:  ","Metric #7:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},873,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,10,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},913,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1458,$E1458),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1458,$E1458),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1458,$E1458),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1458,$E1458),\"\")","v":"Denominator: "},null,null,11,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},914,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1461,$E1461),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1461,$E1461),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1461,$E1461),\"\")","v":"MLIU Required: "},null,null,11,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},918,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S1463&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1463,$E1463),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S1463&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1463,$E1463),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S1463&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1463,$E1463),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S1463&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1463,$E1463),\"\")","v":"Metric #3:  "},null,null,11,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #3:  ","Metric #3:  ","Metric #3:  ","Metric #3:  "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},927,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1478,$E1478),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1478,$E1478),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1478,$E1478),\"\")","v":"QPI Metric: "},null,null,11,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1676,$H1676),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1676,$H1676),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1676,$H1676),\"\")","v":"QPI Type: "},null,null,12,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E21+12","v":12},"",null,null,null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B42,$E42),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C42,$E42),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D42,$E42),\"\")","v":"MLIU Required: "},null,null,1,1,1,1,1,1,1,null,null,null,null,null,null,3,5,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E27+$E$20","v":18},"",null,null,null,null,null,"","","","",null,null,1,2,1,{"$f":"IF($R46>Z$21,1,IF($S46>INDEX(AK$21:AK$33,MATCH($R46,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,4,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},19,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A49,$E49),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B49,$E49),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C49,$E49),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D49,$E49),\"\")","v":""},null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,4,4,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,4,5,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},26,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A52,$E52),\"\")","v":""},"","","",null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,4,7,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},27,"",null,null,null,null,null,"","","","",null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,0,{"$f":"IF($AE53>$AD$21,1,0)","v":1},0,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},22,"",null,null,null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A57,$E57),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B57,$E57),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C57,$E57),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D57,$E57),\"\")","v":"Numerator: "},null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,4,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},23,"",null,null,null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A58,$E58),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B58,$E58),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C58,$E58),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D58,$E58),\"\")","v":"Denominator: "},null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,5,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},25,"",null,null,null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B59,$E59),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C59,$E59),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D59,$E59),\"\")","v":"QPI Metric: "},null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,5,6,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,2,1,1,1,1,1,null,null,null,null,null,null,6,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E45+$E$20","v":29},"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A64,$E64),\"\")","v":""},"","","",null,null,1,3,1,1,1,1,1,null,null,null,null,null,null,6,3,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E46+$E$20","v":30},"",null,null,null,null,null,"","","","",null,null,1,3,1,{"$f":"IF($R65>Z$21,1,IF($S65>INDEX(AK$21:AK$33,MATCH($R65,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,6,4,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E84+$E$20","v":54},"",null,null,null,null,null,"","","","",null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,11,2,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,11,6,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},62,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A109,$E109),\"\")","v":""},"","","",null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,0,1,0,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},63,"",null,null,null,null,null,"","","","",null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,2,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},56,"",null,null,null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A112,$E112),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B112,$E112),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C112,$E112),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D112,$E112),\"\")","v":"Metric Type: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,3,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},57,"",null,null,null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A113,$E113),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B113,$E113),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C113,$E113),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D113,$E113),\"\")","v":"Numeric Goal: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,4,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},58,"",null,null,null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A114,$E114),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B114,$E114),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C114,$E114),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D114,$E114),\"\")","v":"Numerator: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,5,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},59,"",null,null,null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A115,$E115),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B115,$E115),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C115,$E115),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D115,$E115),\"\")","v":"Denominator: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,6,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},61,"",null,null,null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B116,$E116),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C116,$E116),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D116,$E116),\"\")","v":"QPI Metric: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,12,7,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,{"$f":"$H$41","v":23},null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F117,$H117),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F117,$H117),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F117,$H117),\"\")","v":"QPI Type: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,13,0,1,0,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},60,"",null,null,null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B118,$E118),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C118,$E118),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D118,$E118),\"\")","v":"MLIU Required: "},null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,13,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,5,1,1,1,1,1,null,null,null,null,null,null,13,2,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E101+$E$20","v":64},"",null,null,null,null,null,{"$f":"\"Metric #\"&$S120&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A120,$E120),\"\")","v":"Metric #6:  "},{"$f":"\"Metric #\"&$S120&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B120,$E120),\"\")","v":"Metric #6:  "},{"$f":"\"Metric #\"&$S120&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C120,$E120),\"\")","v":"Metric #6:  "},{"$f":"\"Metric #\"&$S120&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D120,$E120),\"\")","v":"Metric #6:  "},null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,13,3,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #6:  ","Metric #6:  ","Metric #6:  ","Metric #6:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E102+$E$20","v":65},"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A121,$E121),\"\")","v":""},"","","",null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,13,4,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"E103+$E$20","v":66},"",null,null,null,null,null,"","","","",null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,13,5,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,13,6,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},60,"",null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,13,7,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},67,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A125,$E125),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B125,$E125),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C125,$E125),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D125,$E125),\"\")","v":""},null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},60,"",null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},74,"",null,null,null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A128,$E128),\"\")","v":""},"","","",null,null,1,6,1,1,1,1,{"$f":"IF($R128>AC$21,1,IF($S128>INDEX(AN$21:AN$33,MATCH($R128,$AJ$21:$AJ$33,0)),1,0))","v":1},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},75,"",null,null,null,null,null,"","","","",null,null,1,6,1,{"$f":"IF($R129>Z$21,1,IF($S129>INDEX(AK$21:AK$33,MATCH($R129,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},null,"",null,null,null,null,null,null,null,null,null,null,null,1,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},100,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A179,$E179),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B179,$E179),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C179,$E179),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D179,$E179),\"\")","v":"Denominator: "},null,null,2,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E161=\"\",\"\",$E161+$AL$12)","v":178},"",null,{"$f":"IF($H161=\"\",\"\",$H161)","v":""},null,null,null,{"$f":"\"Milestone #\"&$R301&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A301,$E301),\"\")","v":"Milestone #3:  "},{"$f":"\"Milestone #\"&$R301&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B301,$E301),\"\")","v":"Milestone #3:  "},{"$f":"\"Milestone #\"&$R301&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C301,$E301),\"\")","v":"Milestone #3:  "},{"$f":"\"Milestone #\"&$R301&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D301,$E301),\"\")","v":"Milestone #3:  "},null,null,3,0,1,{"$f":"IF($R301>Z$21,1,IF($S301>INDEX(AK$21:AK$33,MATCH($R301,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3:  ","Milestone #3:  ","Milestone #3:  ","Milestone #3:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E162=\"\",\"\",$E162+$AL$12)","v":179},"",null,{"$f":"IF($H162=\"\",\"\",$H162)","v":""},null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A302,$E302),\"\")","v":""},"","","",null,null,3,0,1,{"$f":"IF($R302>Z$21,1,IF($S302>INDEX(AK$21:AK$33,MATCH($R302,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},180,"",null,"",null,null,null,"","","","",null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},183,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A306,$E306),\"\")","v":""},"","","",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},184,"",null,"",null,null,null,"","","","",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},185,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A310,$E310),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B310,$E310),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C310,$E310),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D310,$E310),\"\")","v":""},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},192,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A313,$E313),\"\")","v":""},"","","",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},193,"",null,"",null,null,null,"","","","",null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},186,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A316,$E316),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B316,$E316),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C316,$E316),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D316,$E316),\"\")","v":"Metric Type: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},187,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A317,$E317),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B317,$E317),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C317,$E317),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D317,$E317),\"\")","v":"Numeric Goal: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},188,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A318,$E318),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B318,$E318),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C318,$E318),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D318,$E318),\"\")","v":"Numerator: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},189,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A319,$E319),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B319,$E319),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C319,$E319),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D319,$E319),\"\")","v":"Denominator: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},191,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B320,$E320),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C320,$E320),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D320,$E320),\"\")","v":"QPI Metric: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F321,$H321),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F321,$H321),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F321,$H321),\"\")","v":"QPI Type: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},190,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B322,$E322),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C322,$E322),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D322,$E322),\"\")","v":"MLIU Required: "},null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},194,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S324&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A324,$E324),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S324&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B324,$E324),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S324&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C324,$E324),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S324&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D324,$E324),\"\")","v":"Metric #2:  "},null,null,3,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #2:  ","Metric #2:  ","Metric #2:  ","Metric #2:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},195,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A325,$E325),\"\")","v":""},"","","",null,null,3,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},259,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A431,$E431),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B431,$E431),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C431,$E431),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D431,$E431),\"\")","v":"Numeric Goal: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},260,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A432,$E432),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B432,$E432),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C432,$E432),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D432,$E432),\"\")","v":"Numerator: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},261,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A433,$E433),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B433,$E433),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C433,$E433),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D433,$E433),\"\")","v":"Denominator: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},263,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B434,$E434),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C434,$E434),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D434,$E434),\"\")","v":"QPI Metric: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F435,$H435),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F435,$H435),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F435,$H435),\"\")","v":"QPI Type: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},262,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B436,$E436),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C436,$E436),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D436,$E436),\"\")","v":"MLIU Required: "},null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,{"$f":"\"Milestone #\" & $R438 & \" Estimated Incentive Payment:\"","v":"Milestone #3 Estimated Incentive Payment:"},{"$f":"\"Milestone #\" & $R438 & \" Estimated Incentive Payment:\"","v":"Milestone #3 Estimated Incentive Payment:"},"Milestone #3 Estimated Incentive Payment:","Milestone #3 Estimated Incentive Payment:",null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3 Estimated Incentive Payment:","Milestone #3 Estimated Incentive Payment:","Milestone #3 Estimated Incentive Payment:","Milestone #3 Estimated Incentive Payment:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},266,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A439,$E439),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B439,$E439),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C439,$E439),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D439,$E439),\"\")","v":""},null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,3,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E301=\"\",\"\",$E301+$AL$12)","v":267},"",null,{"$f":"IF($H301=\"\",\"\",$H301)","v":""},null,null,null,{"$f":"\"Milestone #\"&$R441&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A441,$E441),\"\")","v":"Milestone #4:  "},{"$f":"\"Milestone #\"&$R441&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B441,$E441),\"\")","v":"Milestone #4:  "},{"$f":"\"Milestone #\"&$R441&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C441,$E441),\"\")","v":"Milestone #4:  "},{"$f":"\"Milestone #\"&$R441&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D441,$E441),\"\")","v":"Milestone #4:  "},null,null,4,0,1,{"$f":"IF($R441>Z$21,1,IF($S441>INDEX(AK$21:AK$33,MATCH($R441,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4:  ","Milestone #4:  ","Milestone #4:  ","Milestone #4:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E302=\"\",\"\",$E302+$AL$12)","v":268},"",null,{"$f":"IF($H302=\"\",\"\",$H302)","v":""},null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A442,$E442),\"\")","v":""},"","","",null,null,4,0,1,{"$f":"IF($R442>Z$21,1,IF($S442>INDEX(AK$21:AK$33,MATCH($R442,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},269,"",null,"",null,null,null,"","","","",null,null,4,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,4,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},271,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S445&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A445,$E445),\"\")","v":"Metric #1:  "},{"$f":"\"Metric #\"&$S445&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B445,$E445),\"\")","v":"Metric #1:  "},{"$f":"\"Metric #\"&$S445&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C445,$E445),\"\")","v":"Metric #1:  "},{"$f":"\"Metric #\"&$S445&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D445,$E445),\"\")","v":"Metric #1:  "},null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #1:  ","Metric #1:  ","Metric #1:  ","Metric #1:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},272,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A446,$E446),\"\")","v":""},"","","",null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},273,"",null,"",null,null,null,"","","","",null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},274,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A450,$E450),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B450,$E450),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C450,$E450),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D450,$E450),\"\")","v":""},null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},281,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A453,$E453),\"\")","v":""},"","","",null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},282,"",null,"",null,null,null,"","","","",null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},275,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A456,$E456),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B456,$E456),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C456,$E456),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D456,$E456),\"\")","v":"Metric Type: "},null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},276,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A457,$E457),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B457,$E457),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C457,$E457),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D457,$E457),\"\")","v":"Numeric Goal: "},null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},277,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A458,$E458),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B458,$E458),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C458,$E458),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D458,$E458),\"\")","v":"Numerator: "},null,null,4,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},308,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A503,$E503),\"\")","v":""},"","","",null,null,4,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E366=\"\",\"\",$E366+$AL$12)","v":303},"",null,{"$f":"IF($H366=\"\",\"\",$H366)","v":""},null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,4,4,1,{"$f":"IF($R506>Z$21,1,IF($S506>INDEX(AK$21:AK$33,MATCH($R506,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},313,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A515,$E515),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B515,$E515),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C515,$E515),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D515,$E515),\"\")","v":"Numerator: "},null,null,4,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F518,$H518),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F518,$H518),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F518,$H518),\"\")","v":"QPI Type: "},null,null,4,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},321,"",null,"",null,null,null,"","","","",null,null,4,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},322,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A526,$E526),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B526,$E526),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C526,$E526),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D526,$E526),\"\")","v":""},null,null,4,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},329,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A529,$E529),\"\")","v":""},"","","",null,null,4,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,4,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},325,{"$f":"F533","v":""},null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A534,$E534),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B534,$E534),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C534,$E534),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D534,$E534),\"\")","v":"Numerator: "},null,null,4,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L534","v":"Numerator: "},"Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},328,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B536,$E536),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C536,$E536),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D536,$E536),\"\")","v":"QPI Metric: "},null,null,4,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F537,$H537),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F537,$H537),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F537,$H537),\"\")","v":"QPI Type: "},null,null,4,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},331,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S540&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A540,$E540),\"\")","v":"Metric #6:  "},{"$f":"\"Metric #\"&$S540&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B540,$E540),\"\")","v":"Metric #6:  "},{"$f":"\"Metric #\"&$S540&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C540,$E540),\"\")","v":"Metric #6:  "},{"$f":"\"Metric #\"&$S540&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D540,$E540),\"\")","v":"Metric #6:  "},null,null,4,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #6:  ","Metric #6:  ","Metric #6:  ","Metric #6:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},333,"",null,"",null,null,null,"","","","",null,null,4,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},393,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B638,$E638),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C638,$E638),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D638,$E638),\"\")","v":"QPI Metric: "},null,null,5,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},392,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B640,$E640),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C640,$E640),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D640,$E640),\"\")","v":"MLIU Required: "},null,null,5,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},397,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A643,$E643),\"\")","v":""},"","","",null,null,5,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E506=\"\",\"\",$E506+$AL$12)","v":392},"",null,{"$f":"IF($H506=\"\",\"\",$H506)","v":""},null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,5,4,1,{"$f":"IF($R646>Z$21,1,IF($S646>INDEX(AK$21:AK$33,MATCH($R646,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,5,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},400,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A653,$E653),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B653,$E653),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C653,$E653),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D653,$E653),\"\")","v":"Metric Type: "},null,null,5,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},401,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A654,$E654),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B654,$E654),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C654,$E654),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D654,$E654),\"\")","v":"Numeric Goal: "},null,null,5,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},405,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B657,$E657),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C657,$E657),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D657,$E657),\"\")","v":"QPI Metric: "},null,null,5,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},404,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B659,$E659),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C659,$E659),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D659,$E659),\"\")","v":"MLIU Required: "},null,null,5,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},410,"",null,"",null,null,null,"","","","",null,null,5,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,5,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},404,"",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,5,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},418,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A669,$E669),\"\")","v":""},"","","",null,null,5,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},412,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A672,$E672),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B672,$E672),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C672,$E672),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D672,$E672),\"\")","v":"Metric Type: "},null,null,5,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},414,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A674,$E674),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B674,$E674),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C674,$E674),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D674,$E674),\"\")","v":"Numerator: "},null,null,5,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F677,$H677),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F677,$H677),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F677,$H677),\"\")","v":"QPI Type: "},null,null,5,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,5,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},422,"",null,"",null,null,null,"","","","",null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},423,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A685,$E685),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B685,$E685),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C685,$E685),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D685,$E685),\"\")","v":""},null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},416,"",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},430,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A688,$E688),\"\")","v":""},"","","",null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},425,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A692,$E692),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B692,$E692),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C692,$E692),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D692,$E692),\"\")","v":"Numeric Goal: "},null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},426,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A693,$E693),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B693,$E693),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C693,$E693),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D693,$E693),\"\")","v":"Numerator: "},null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F696,$H696),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F696,$H696),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F696,$H696),\"\")","v":"QPI Type: "},null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,5,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},428,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,5,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F741,$H741),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F741,$H741),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F741,$H741),\"\")","v":"QPI Type: "},null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},457,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B742,$E742),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C742,$E742),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D742,$E742),\"\")","v":"MLIU Required: "},null,null,6,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},461,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S744&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A744,$E744),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S744&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B744,$E744),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S744&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C744,$E744),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S744&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D744,$E744),\"\")","v":"Metric #2:  "},null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #2:  ","Metric #2:  ","Metric #2:  ","Metric #2:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},471,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A752,$E752),\"\")","v":""},"","","",null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},468,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A758,$E758),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B758,$E758),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C758,$E758),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D758,$E758),\"\")","v":"Denominator: "},null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F760,$H760),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F760,$H760),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F760,$H760),\"\")","v":"QPI Type: "},null,null,6,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},473,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S763&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A763,$E763),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S763&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B763,$E763),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S763&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C763,$E763),\"\")","v":"Metric #3:  "},{"$f":"\"Metric #\"&$S763&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D763,$E763),\"\")","v":"Metric #3:  "},null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #3:  ","Metric #3:  ","Metric #3:  ","Metric #3:  "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},483,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A771,$E771),\"\")","v":""},"","","",null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},477,"",null,"",null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A774,$E774),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B774,$E774),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C774,$E774),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D774,$E774),\"\")","v":"Metric Type: "},null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},479,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A776,$E776),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B776,$E776),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C776,$E776),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D776,$E776),\"\")","v":"Numerator: "},null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},481,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B780,$E780),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C780,$E780),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D780,$E780),\"\")","v":"MLIU Required: "},null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},486,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A783,$E783),\"\")","v":""},"","","",null,null,6,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E646=\"\",\"\",$E646+$AL$12)","v":481},"",null,{"$f":"IF($H646=\"\",\"\",$H646)","v":""},null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,6,4,1,{"$f":"IF($R786>Z$21,1,IF($S786>INDEX(AK$21:AK$33,MATCH($R786,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},481,"",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,6,4,{"$f":"IF($M$9=\"\",1,SUMPRODUCT(($R789=$AE$21:$AE$124)*($S789=$AF$21:$AF$124)*($AI$21:$AI$124)))","v":1},1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:",{"$f":"O789","v":"Data Source:"}]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},496,"",null,"",null,null,null,"","","","",null,null,6,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},490,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A794,$E794),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B794,$E794),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C794,$E794),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D794,$E794),\"\")","v":"Numeric Goal: "},null,null,6,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},494,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B797,$E797),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C797,$E797),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D797,$E797),\"\")","v":"QPI Metric: "},null,null,6,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},493,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B799,$E799),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C799,$E799),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D799,$E799),\"\")","v":"MLIU Required: "},null,null,6,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},498,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A802,$E802),\"\")","v":""},"","","",null,null,6,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},493,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,6,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"D807","v":{"$error":"#N/A"}},493,"",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,6,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},508,"",null,"",null,null,null,"","","","",null,null,6,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},502,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A813,$E813),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B813,$E813),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C813,$E813),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D813,$E813),\"\")","v":"Numeric Goal: "},null,null,6,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},504,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A815,$E815),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B815,$E815),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C815,$E815),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D815,$E815),\"\")","v":"Denominator: "},null,null,6,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},509,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S820&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A820,$E820),\"\")","v":"Metric #6:  "},{"$f":"\"Metric #\"&$S820&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B820,$E820),\"\")","v":"Metric #6:  "},{"$f":"\"Metric #\"&$S820&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C820,$E820),\"\")","v":"Metric #6:  "},{"$f":"\"Metric #\"&$S820&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D820,$E820),\"\")","v":"Metric #6:  "},null,null,6,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #6:  ","Metric #6:  ","Metric #6:  ","Metric #6:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},505,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,6,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},519,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A828,$E828),\"\")","v":""},"","","",null,null,6,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},515,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A833,$E833),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B833,$E833),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C833,$E833),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D833,$E833),\"\")","v":"Numerator: "},null,null,6,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F836,$H836),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F836,$H836),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F836,$H836),\"\")","v":"QPI Type: "},null,null,6,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},521,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S839&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A839,$E839),\"\")","v":"Metric #7:  "},{"$f":"\"Metric #\"&$S839&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B839,$E839),\"\")","v":"Metric #7:  "},{"$f":"\"Metric #\"&$S839&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C839,$E839),\"\")","v":"Metric #7:  "},{"$f":"\"Metric #\"&$S839&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D839,$E839),\"\")","v":"Metric #7:  "},null,null,6,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #7:  ","Metric #7:  ","Metric #7:  ","Metric #7:  "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},517,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,6,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},524,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A844,$E844),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B844,$E844),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C844,$E844),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D844,$E844),\"\")","v":""},null,null,6,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},531,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A847,$E847),\"\")","v":""},"","","",null,null,6,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,6,7,1,1,1,1,{"$f":"IF($R849>AC$21,1,IF($S849>INDEX(AN$21:AN$33,MATCH($R849,$AJ$21:$AJ$33,0)),1,0))","v":1},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},528,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A853,$E853),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B853,$E853),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C853,$E853),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D853,$E853),\"\")","v":"Denominator: "},null,null,6,7,{"$f":"IF($M$9=\"\",1,SUMPRODUCT(($R853=$AE$21:$AE$124)*($S853=$AF$21:$AF$124)*($AI$21:$AI$124)))","v":1},1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},530,{"$f":"F853","v":""},null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B854,$E854),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C854,$E854),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D854,$E854),\"\")","v":"QPI Metric: "},null,null,6,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L854","v":0},"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,{"$f":"\"Milestone #\" & $R858 & \" Estimated Incentive Payment:\"","v":"Milestone #6 Estimated Incentive Payment:"},{"$f":"\"Milestone #\" & $R858 & \" Estimated Incentive Payment:\"","v":"Milestone #6 Estimated Incentive Payment:"},"Milestone #6 Estimated Incentive Payment:","Milestone #6 Estimated Incentive Payment:",null,null,6,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6 Estimated Incentive Payment:","Milestone #6 Estimated Incentive Payment:","Milestone #6 Estimated Incentive Payment:","Milestone #6 Estimated Incentive Payment:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},533,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A859,$E859),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B859,$E859),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C859,$E859),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D859,$E859),\"\")","v":""},null,null,6,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E722=\"\",\"\",$E722+$AL$12)","v":535},"",null,{"$f":"IF($H722=\"\",\"\",$H722)","v":""},null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A862,$E862),\"\")","v":""},"","","",null,null,7,0,1,{"$f":"IF($R862>Z$21,1,IF($S862>INDEX(AK$21:AK$33,MATCH($R862,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},536,"",null,"",null,null,null,"","","","",null,null,7,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},540,"",null,"",null,null,null,"","","","",null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,7,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1218,$H1218),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1218,$H1218),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1218,$H1218),\"\")","v":"QPI Type: "},null,null,9,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},770,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1234,$E1234),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1234,$E1234),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1234,$E1234),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1234,$E1234),\"\")","v":"Numerator: "},null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},772,{"$f":"F1237","v":""},null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1238,$E1238),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1238,$E1238),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1238,$E1238),\"\")","v":"MLIU Required: "},null,null,9,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L1238","v":0},"MLIU Required: ","MLIU Required: ","MLIU Required: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},785,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1255,$E1255),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1255,$E1255),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1255,$E1255),\"\")","v":"QPI Metric: "},null,null,9,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E1142=\"\",\"\",$E1142+$AL$12)","v":802},"",null,{"$f":"IF($H1142=\"\",\"\",$H1142)","v":""},null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1282,$E1282),\"\")","v":""},"","","",null,null,10,0,1,{"$f":"IF($R1282>Z$21,1,IF($S1282>INDEX(AK$21:AK$33,MATCH($R1282,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},806,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1286,$E1286),\"\")","v":""},"","","",null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},812,"",null,"",null,null,null,{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1299,$E1299),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1299,$E1299),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1299,$E1299),\"\")","v":"Denominator: "},{"$f":"\"Denominator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1299,$E1299),\"\")","v":"Denominator: "},null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Denominator: ","Denominator: ","Denominator: ","Denominator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1301,$H1301),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1301,$H1301),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1301,$H1301),\"\")","v":"QPI Type: "},null,null,10,1,{"$f":"IF($M$9=\"\",1,SUMPRODUCT(($R1301=$AE$21:$AE$124)*($S1301=$AF$21:$AF$124)*($AI$21:$AI$124)))","v":1},1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ",{"$f":"O1301","v":"QPI Type: "}]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},813,{"$f":"F1301","v":""},null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1302,$E1302),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1302,$E1302),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1302,$E1302),\"\")","v":"MLIU Required: "},null,null,10,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L1302","v":0},"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},818,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1305,$E1305),\"\")","v":""},"","","",null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},827,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1312,$E1312),\"\")","v":""},"","","",null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},822,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1316,$E1316),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1316,$E1316),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1316,$E1316),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1316,$E1316),\"\")","v":"Numeric Goal: "},null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},823,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1317,$E1317),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1317,$E1317),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1317,$E1317),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1317,$E1317),\"\")","v":"Numerator: "},null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"D1319","v":{"$error":"#N/A"}},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1320,$H1320),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1320,$H1320),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1320,$H1320),\"\")","v":"QPI Type: "},null,null,10,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},831,"",null,"",null,null,null,"","","","",null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},825,"",null,"",null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},825,"",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},834,"",null,"",null,null,null,{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1335,$E1335),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1335,$E1335),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1335,$E1335),\"\")","v":"Numeric Goal: "},{"$f":"\"Numeric Goal: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1335,$E1335),\"\")","v":"Numeric Goal: "},null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numeric Goal: ","Numeric Goal: ","Numeric Goal: ","Numeric Goal: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},835,"",null,"",null,null,null,{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1336,$E1336),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1336,$E1336),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1336,$E1336),\"\")","v":"Numerator: "},{"$f":"\"Numerator: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1336,$E1336),\"\")","v":"Numerator: "},null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Numerator: ","Numerator: ","Numerator: ","Numerator: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},838,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1338,$E1338),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1338,$E1338),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1338,$E1338),\"\")","v":"QPI Metric: "},null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,10,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E1206=\"\",\"\",$E1206+$AL$12)","v":837},"",null,{"$f":"IF($H1206=\"\",\"\",$H1206)","v":""},null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:",null,null,10,4,1,{"$f":"IF($R1346>Z$21,1,IF($S1346>INDEX(AK$21:AK$33,MATCH($R1346,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Baseline/Goal:","Baseline/Goal:","Baseline/Goal:","Baseline/Goal:"]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},837,"",null,"",null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:",null,null,10,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Source:","Data Source:","Data Source:","Data Source:"]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},927,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1478,$E1478),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1478,$E1478),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1478,$E1478),\"\")","v":"QPI Metric: "},null,null,11,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,11,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},{"$f":"IF($E1410=\"\",\"\",$E1410+$AL$12)","v":970},"",null,{"$f":"IF($H1410=\"\",\"\",$H1410)","v":""},null,null,null,{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1550,$E1550),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1550,$E1550),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1550,$E1550),\"\")","v":"Metric Type: "},{"$f":"\"Metric Type: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1550,$E1550),\"\")","v":"Metric Type: "},null,null,11,7,1,{"$f":"IF($R1550>Z$21,1,IF($S1550>INDEX(AK$21:AK$33,MATCH($R1550,$AJ$21:$AJ$33,0)),1,0))","v":1},1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric Type: ","Metric Type: ","Metric Type: ","Metric Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},975,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1554,$E1554),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1554,$E1554),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1554,$E1554),\"\")","v":"QPI Metric: "},null,null,11,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},974,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1556,$E1556),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1556,$E1556),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1556,$E1556),\"\")","v":"MLIU Required: "},null,null,11,7,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},978,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1559,$E1559),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1559,$E1559),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1559,$E1559),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1559,$E1559),\"\")","v":""},null,null,11,0,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},986,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1570,$E1570),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1570,$E1570),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1570,$E1570),\"\")","v":""},{"$f":"IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1570,$E1570),\"\")","v":""},null,null,12,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},993,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1573,$E1573),\"\")","v":""},"","","",null,null,12,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},992,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1580,$E1580),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1580,$E1580),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1580,$E1580),\"\")","v":"QPI Metric: "},null,null,12,1,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},995,"",null,"",null,null,null,{"$f":"\"Metric #\"&$S1584&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1584,$E1584),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S1584&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1584,$E1584),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S1584&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1584,$E1584),\"\")","v":"Metric #2:  "},{"$f":"\"Metric #\"&$S1584&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1584,$E1584),\"\")","v":"Metric #2:  "},null,null,12,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metric #2:  ","Metric #2:  ","Metric #2:  ","Metric #2:  "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},1003,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1601,$E1601),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1601,$E1601),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1601,$E1601),\"\")","v":"MLIU Required: "},null,null,12,2,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1619,$H1619),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1619,$H1619),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1619,$H1619),\"\")","v":"QPI Type: "},null,null,12,3,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},1019,{"$f":"F1621","v":""},null,"",null,null,null,{"$f":"\"Metric #\"&$S1622&\":  \"&IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1622,$E1622),\"\")","v":"Metric #4:  "},{"$f":"\"Metric #\"&$S1622&\":  \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1622,$E1622),\"\")","v":"Metric #4:  "},{"$f":"\"Metric #\"&$S1622&\":  \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1622,$E1622),\"\")","v":"Metric #4:  "},{"$f":"\"Metric #\"&$S1622&\":  \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1622,$E1622),\"\")","v":"Metric #4:  "},null,null,12,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L1622","v":"Metric #4:  "},"Metric #4:  ","Metric #4:  ","Metric #4:  "]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,12,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,12,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},1028,"",null,"",null,null,null,null,{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1637,$E1637),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1637,$E1637),\"\")","v":"QPI Metric: "},{"$f":"\"QPI Metric: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1637,$E1637),\"\")","v":"QPI Metric: "},null,null,12,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Metric: ","QPI Metric: ","QPI Metric: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,"",null,null,null,null,null,null,null,null,null,12,4,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,0]
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["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},"","",null,23,null,null,null,null,{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1657,$H1657),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1657,$H1657),\"\")","v":"QPI Type: "},{"$f":"\"QPI Type: \" & IFERROR(OFFSET(INDIRECT($S$1&$A$12),$F1657,$H1657),\"\")","v":"QPI Type: "},null,null,12,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"QPI Type: ","QPI Type: ","QPI Type: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},1039,"",null,"",null,null,null,null,{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(M$1&$A$20),B1658,$E1658),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(N$1&$A$20),C1658,$E1658),\"\")","v":"MLIU Required: "},{"$f":"\"MLIU Required: \"&IFERROR(OFFSET(INDIRECT(O$1&$A$20),D1658,$E1658),\"\")","v":"MLIU Required: "},null,null,12,5,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"MLIU Required: ","MLIU Required: ","MLIU Required: "]
["N/A",{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"},1044,"",null,"",null,null,null,{"$f":"IFERROR(OFFSET(INDIRECT(L$1&$A$20),A1661,$E1661),\"\")","v":""},"","","",null,null,12,6,1,1,1,1,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","","",""]
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{"sheet":"Project Dropdown List","index":2,"n_rows":1463,"n_cols":10,"rows_kept":1463,"cut":false,"hidden":true,"merged":[]}
["List of all Project IDs by Category, RHP, and TPI:"]
["*** If you change a TPI Number or Project ID in one of the 'Detail' worksheet, make the same change in this worksheet as well  ***"]
["*** Be Careful when dealing with a TPI Number with a '0' as the first digit; many times excel will automatically remove this '0'.  Insert an apostrophe (') before the 0 to fix this issue ***"]
[null,"Category Indicator","RHP","TPI","Project ID",null,"Category Indicator","RHP","TPI","Project ID"]
[null,"1",1,"017624007","017624002.1.1",null,"1",1,"017624007","017624002.1.1"]
[null,1,1,"020812601","020812601.1.1",null,1,1,"020812601","020812601.1.1"]
[null,"1",1,"020812601","020812601.1.2",null,"1",1,"020812601","020812601.1.2"]
[null,"2",1,"020812601","020812601.2.3",null,"2",1,"020812601","020812601.2.3"]
[null,"1",1,"084434201","084434201.1.1",null,"1",1,"084434201","084434201.1.1"]
[null,"1",1,"084434201","084434201.1.2",null,"1",1,"084434201","084434201.1.2"]
[null,"1",1,"084434201","084434201.1.3",null,"1",1,"084434201","084434201.1.3"]
[null,"1",1,"084434201","084434201.1.4",null,"1",1,"084434201","084434201.1.4"]
[null,"2",1,"084434201","084434201.2.1",null,"2",1,"084434201","084434201.2.1"]
[null,2,1,"084434201","084434201.2.2",null,2,1,"084434201","084434201.2.2"]
[null,"2",1,"094095902","094095902.2.1",null,"2",1,"094095902","094095902.2.1"]
[null,"1",1,"094108002","094108002.1.1",null,"1",1,"094108002","094108002.1.1"]
[null,"1",1,"094108002","094108002.1.2",null,"1",1,"094108002","094108002.1.2"]
[null,"1",1,"094108002","094108002.1.3",null,"1",1,"094108002","094108002.1.3"]
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[null,"2",1,"094108002","094108002.2.2",null,"2",1,"094108002","094108002.2.2"]
[null,"2",1,"094108002","094108002.2.3",null,"2",1,"094108002","094108002.2.3"]
[null,"1",1,"094127002","094127002.1.1",null,"1",1,"094127002","094127002.1.1"]
[null,"2",1,"094127002","094127002.2.1",null,"2",1,"094127002","094127002.2.1"]
[null,"1",1,"094190802","094190802.1.1",null,"1",1,"094190802","094190802.1.1"]
[null,"2",1,"094190802","094190802.2.1",null,"2",1,"094190802","094190802.2.1"]
[null,"1",1,"111411803","111411803.1.100",null,"1",1,"111411803","111411803.1.100"]
[null,"1",1,"111411803","111411803.1.101",null,"1",1,"111411803","111411803.1.101"]
[null,"2",1,"111411803","111411803.2.100",null,"2",1,"111411803","111411803.2.100"]
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[null,"2",1,"121817401","121817401.2.1",null,"2",1,"121817401","121817401.2.1"]
[null,"1",1,"121988304","121988304.1.1",null,"1",1,"121988304","121988304.1.1"]
[null,"2",1,"121988304","121988304.2.1",null,"2",1,"121988304","121988304.2.1"]
[null,"2",1,"121988304","121988304.2.2",null,"2",1,"121988304","121988304.2.2"]
[null,"1",1,"127278302","127278302.1.1",null,"1",1,"127278302","127278302.1.1"]
[null,"1",1,"127278302","127278302.1.10",null,"1",1,"127278302","127278302.1.10"]
[null,"1",1,"127278302","127278302.1.11",null,"1",1,"127278302","127278302.1.11"]
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[null,"1",1,"127278302","127278302.1.13",null,"1",1,"127278302","127278302.1.13"]
[null,"1",1,"127278302","127278302.1.4",null,"1",1,"127278302","127278302.1.4"]
[null,"1",1,"127278302","127278302.1.8",null,"1",1,"127278302","127278302.1.8"]
[null,"1",1,"127278302","127278302.1.9",null,"1",1,"127278302","127278302.1.9"]
[null,"2",1,"127278302","127278302.2.1",null,"2",1,"127278302","127278302.2.1"]
[null,"2",1,"127278302","127278302.2.100",null,"2",1,"127278302","127278302.2.100"]
[null,"2",1,"127278302","127278302.2.13",null,"2",1,"127278302","127278302.2.13"]
[null,"2",1,"127278302","127278302.2.14",null,"2",1,"127278302","127278302.2.14"]
[null,"2",1,"127278302","127278302.2.15",null,"2",1,"127278302","127278302.2.15"]
[null,"2",1,"127278302","127278302.2.16",null,"2",1,"127278302","127278302.2.16"]
[null,"2",1,"127278302","127278302.2.17",null,"2",1,"127278302","127278302.2.17"]
[null,"2",1,"127278302","127278302.2.18",null,"2",1,"127278302","127278302.2.18"]
[null,"2",1,"127278302","127278302.2.19",null,"2",1,"127278302","127278302.2.19"]
[null,"2",1,"127278302","127278302.2.20",null,"2",1,"127278302","127278302.2.20"]
[null,"2",1,"127278302","127278302.2.22",null,"2",1,"127278302","127278302.2.22"]
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[null,"2",1,"138365512","751281410.2.2",null,"2",1,"138365512","751281410.2.2"]
[null,"2",1,"138365512","751281410.2.3",null,"2",1,"138365512","751281410.2.3"]
[null,"1",1,"138374715","138374715.1.1",null,"1",1,"138374715","138374715.1.1"]
[null,"1",1,"138913209","138913209.1.1",null,"1",1,"138913209","138913209.1.1"]
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[{"$f":"\"\" & CELL(\"address\",$F$7) & \":\" & CELL(\"address\",$F$1005)","v":"$F$7:$F$1005"},"Cells to look at:",{"$f":"\"\" & CELL(\"address\",$E$1) & \":\" & CELL(\"address\",$ASA$1)","v":"$E$1:$ASA$1"},"To Hide ---->",0,0,0,0,0,0,0,0,0,0,{"$f":"IF(O$2>$C$2,1,IF(O$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(O$2-1))),1,0))","v":0},{"$f":"IF(P$2>$C$2,1,IF(P$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(P$2-1))),1,0))","v":0},{"$f":"IF(Q$2>$C$2,1,IF(Q$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(Q$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(AE$2>$C$2,1,IF(AE$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AE$2-1))),1,0))","v":1},{"$f":"IF(AF$2>$C$2,1,IF(AF$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AF$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(CB$2>$C$2,1,IF(CB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(CB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(EN$2>$C$2,1,IF(EN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(EN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(GZ$2>$C$2,1,IF(GZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(GZ$2-1))),1,0))","v":0},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(JL$2>$C$2,1,IF(JL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(JL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LX$2>$C$2,1,IF(LX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(LX$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(OJ$2>$C$2,1,IF(OJ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(OJ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(QV$2>$C$2,1,IF(QV$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(QV$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(TH$2>$C$2,1,IF(TH$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(TH$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(VT$2>$C$2,1,IF(VT$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(VT$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(YF$2>$C$2,1,IF(YF$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(YF$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AAR$2>$C$2,1,IF(AAR$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AAR$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ADD$2>$C$2,1,IF(ADD$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ADD$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AFP$2>$C$2,1,IF(AFP$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AFP$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AIB$2>$C$2,1,IF(AIB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AIB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AKN$2>$C$2,1,IF(AKN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AKN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AMZ$2>$C$2,1,IF(AMZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AMZ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(APL$2>$C$2,1,IF(APL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(APL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ARX$2>$C$2,1,IF(ARX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ARX$2-1))),1,0))","v":1},1,1,1]
[{"$f":"\"\" & CELL(\"address\",$H$7) & \":\" & CELL(\"address\",$H$1005)","v":"$H$7:$H$1005"},"Max Milestones:",{"$f":"MAX($M$7:$M$1005)","v":4},"Milestone --->",0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(LEFT(P$5)=\"M\",O2+1,O2)","v":1},{"$f":"IF(LEFT(Q$5)=\"M\",P2+1,P2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LEFT(CC$5)=\"M\",CB2+1,CB2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,{"$f":"IF(LEFT(EO$5)=\"M\",EN2+1,EN2)","v":2},2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(HA$5)=\"M\",GZ2+1,GZ2)","v":3},3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(JM$5)=\"M\",JL2+1,JL2)","v":3},3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,{"$f":"IF(LEFT(LY$5)=\"M\",LX2+1,LX2)","v":4},4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,{"$f":"IF(LEFT(OK$5)=\"M\",OJ2+1,OJ2)","v":5},5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,{"$f":"IF(LEFT(QW$5)=\"M\",QV2+1,QV2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,{"$f":"IF(LEFT(TI$5)=\"M\",TH2+1,TH2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,{"$f":"IF(LEFT(VU$5)=\"M\",VT2+1,VT2)","v":7},7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(YG$5)=\"M\",YF2+1,YF2)","v":8},8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(AAS$5)=\"M\",AAR2+1,AAR2)","v":8},8,8,8,8,8,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,{"$f":"IF(LEFT(ADE$5)=\"M\",ADD2+1,ADD2)","v":9},9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,{"$f":"IF(LEFT(AFQ$5)=\"M\",AFP2+1,AFP2)","v":10},10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AIC$5)=\"M\",AIB2+1,AIB2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AKO$5)=\"M\",AKN2+1,AKN2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,{"$f":"IF(LEFT(ANA$5)=\"M\",AMZ2+1,AMZ2)","v":12},12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(APM$5)=\"M\",APL2+1,APL2)","v":13},13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(ARY$5)=\"M\",ARX2+1,ARX2)","v":13},13,13]
[null,null,null,"Metric --->",0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0]
[{"$f":"\"RHP \" & RHP & \" Category 1 - DY2\"","v":"RHP 4 Category 1 - DY2"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #1",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #5",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #8",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #9",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #10",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #11",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #12",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #13"]
["Unique Identifier","RHP_TPI","DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY2","Project DSRIP Allocation in DY2","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #1 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #2 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #3 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #4 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #5 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #6 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #7 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #8 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #9 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #10 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #11 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #12 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #13 DSRIP\n(DY2)",null,"DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Proejct Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY2","Project DSRIP Allocation in DY2","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #1 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #2 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #3 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #4 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #5 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #6 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #7 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #8 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #9 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #10 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #11 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #12 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #13 DSRIP\n(DY2)"]
[{"$f":"IF(E7=\"\",\"\",\"\" & E7 & \"_\" & H7)","v":"4_020811801.1.1"},{"$f":"IF($E7=\"\",\"\",\"\"&$E7&\"_\"&$F7)","v":"4_020811801"},2,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.1","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,222531.13,"P-1","Identify one or more target patient populations diagnosed with selected chronic disease(s) (e.g. diabetes, CHF, COBP, etc) or with Multiple Chronic Conditions (MCCs).",null,1,"P-1.1","Documentation of patients to be entered into the registry",null,"Baseline/Goal: Registry\nDevelopment for 2 major chronic\ndiseases/conditions; CHF and\ndiabetes. 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["4_020811801.1.2","4_020811801",2,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,270216.37,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.","Documentation of program materials including implementation plan, vendor agreements/contracts, staff training and training logs","Initiate PADnet\nprogram/infrastructure for remote\nscreening and access to\ncardiovascular specialists in the\nBeeville FHC","Yes/No",null,"","",null,null,"Program 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Spohn Hospital Beeville","020811801.1.3","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",1,490593,"P-1","Establish additional/expand existing/relocate primary care clinics",null,1,"P-1.1","Number of additional clinics or expanded hours or space",null,"Goal: 1 Clinic. Spohn will identify a\nnew space in which to locate a\nBeeville clinic, and will establish the\nclinic within that space to provide\nprimary care services to the residents\nof Bee County and surrounding\ncounties. 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["4_020973601.1.1","4_020973601",2,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,1146512,"P-1","Establish additional/expand existing/relocate primary care clinics","Expand clinic by 7 rooms above the current 9 rooms for the adult patients.",1,"P-1.1","Number of additional clinics or expanded hours or space","Provide a report\nidentifying the following:\n Expansion plans for Amistad\nCommunity Health Center\n Number and type of additional\nprimary care providers to be\nadded\n Additional space requirements to\naccommodate new providers\n Timing of space renovations and\nprojected start dates for new\nproviders\n Support personnel required for\nnew providers\n Projected volumes and clinic\nhours for the new providers","Baseline: 9 exam rooms; Goal: 16 exam rooms for adult patients","Numeric",7,"","",null,null,"New primary care schedule or other Performing Provider document or 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ull,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,1146512,"P-1","Establish additional/expand existing/relocate primary care clinics","Expand clinic by 7 rooms above the current 9 rooms for the adult patients.",1,"P-1.1","Number of additional clinics or expanded hours or space","Provide a report\nidentifying the following:\n Expansion plans for Amistad\nCommunity Health Center\n Number and type of additional\nprimary care providers to be\nadded\n Additional space requirements to\naccommodate new providers\n Timing of space renovations and\nprojected start dates for new\nproviders\n Support personnel required for\nnew providers\n Projected volumes and clinic\nhours for the new providers","Baseline: 9 exam rooms; Goal: 16 exam rooms for adult patients","Numeric",7,"","",null,null,"New primary care schedule or other Performing Provider document or other plans as designated by Performing Provider","Expansion plan,\nconstruction estimates, 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ull,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.2","4_020973601",2,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.2","1.2","Increase Training of Primary Care Workforce","1.2.2","Increase the number of primary care providers (i.e., physicians, residents, nurse practitioners, physician assistants) and other clinicians/staff (such as health coaches and community health workers/promotoras).",2,1019122,"P-10","Obtain approval from the Accreditation Council for Graduate Medical Education (ACGME) to increase the number of primary care residents",null,1,"P-10.1","Documentation of ACGME approval for residency position expansion",null,"Goal: Submit application and\nobtain approval for at least four\nadditional residency positions for\nInternal Medicine","Numeric",4,"","",null,null,"Justify the number of residents needed","AOA approval letter",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,509561,"P-1","Conduct a primary care gap analysis to determine workforce needs.",null,1,"P-1.1","Gap assessment of workforce shortages","Provide a report detailing expansion plans for FP/IM residency and resources necessary to accommodate the increase in residents.","Goal: Produce a comprehensive\nreport documenting all points\nabove","Yes/No",null,"","",null,null,"Assessment results","Expansion plan,\ninterviews, community 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Christi Medical Center","020973601.1.2","1.2","Increase Training of Primary Care Workforce","1.2.2","Increase the number of primary care providers (i.e., physicians, residents, nurse practitioners, physician assistants) and other clinicians/staff (such as health coaches and community health workers/promotoras).",2,1019122,"P-10","Obtain approval from the Accreditation Council for Graduate Medical Education (ACGME) to increase the number of primary care residents",null,1,"P-10.1","Documentation of ACGME approval for residency position expansion",null,"Goal: Submit application and\nobtain approval for at least four\nadditional residency positions for\nInternal Medicine","Numeric",4,"","",null,null,"Justify the number of residents needed","AOA approval letter",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,509561,"P-1","Conduct a primary care gap analysis to determine workforce needs.",null,1,"P-1.1","Gap assessment of workforce shortages","Provide a report detailing expansion plans for FP/IM residency and resources necessary to accommodate the increase in residents.","Goal: Produce a comprehensive\nreport documenting all points\nabove","Yes/No",null,"","",null,null,"Assessment results","Expansion plan,\ninterviews, community 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["4_020973601.1.3","4_020973601",2,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.3","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1019122,"P-16","Obtain approval from the Accreditation Council for Graduate Medical Education (ACGME) to increase the number of TSC residents","Obtain approval from the American Osteopathic Association (AOA) to add two Fellowship programs in key specialty care areas",1,"P-16.1","ACGME approval for residency position expansion","Documentation of\nAOA approval for two Fellowship\nprograms","Goal: Submit application and obtain\napproval for two Fellowship","Numeric",2,"","",null,null,"Documentation of ACGME approval for residency position expansion","AOA approval letter",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,509561,"P-1","Conduct specialty care gap assessment based on community need",null,1,"P-1.1","Documentation of gap assessment. Demonstrate improvement over prior reporting period (baseline for DY2).","Provide a report\nidentifying the following:\n Number, age, type of practice,\nand any other pertinent provider\ninformation on the specialty care\nphysician practices in the\ncommunity\n Average length of time to obtain\nan initial appointment\n Primary care provider input and\ncommunity input on perceived\nspecialty care needs","Goal: Produce a comprehensive\nreport documenting all points\nabove","Yes/No",null,"","",null,null,"Needs Assessment","Interviews,\ncommunity needs assessment",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,509561,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.3","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1019122,"P-16","Obtain approval from the Accreditation Council for Graduate Medical Education (ACGME) to increase the number of TSC residents","Obtain approval from the American Osteopathic Association (AOA) to add two Fellowship programs in key specialty care areas",1,"P-16.1","ACGME approval for residency position expansion","Documentation of\nAOA approval for two Fellowship\nprograms","Goal: Submit application and obtain\napproval for two Fellowship","Numeric",2,"","",null,null,"Documentation of ACGME approval for residency position expansion","AOA approval letter",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,509561,"P-1","Conduct specialty care gap assessment based on community need",null,1,"P-1.1","Documentation of gap assessment. Demonstrate improvement over prior reporting period (baseline for DY2).","Provide a report\nidentifying the following:\n Number, age, type of practice,\nand any other pertinent provider\ninformation on the specialty care\nphysician practices in the\ncommunity\n Average length of time to obtain\nan initial appointment\n Primary care provider input and\ncommunity input on perceived\nspecialty care needs","Goal: Produce a comprehensive\nreport documenting all points\nabove","Yes/No",null,"","",null,null,"Needs Assessment","Interviews,\ncommunity needs 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["4_020973601.1.4","4_020973601",2,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.4","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",1,1082817,"P-2","Identify licenses, equipment requirements and other components needed to implement and operate options selected.",null,1,"P-2.1","Develop a project plan and timeline detailing the operational needs, training materials, equipment and components","Provide a report\nidentifying the following:\n Additional potential locations for\nintensive outpatient therapy\n(IOP) programs\n Prioritize locations based on\ncommunity need\n Determine space and staffing\nrequirements and timing of new\nIOP and PHP programs\n Integration with partial\nhospitalization program (PHP)\n Projected volumes and program\nhours for both IOP and PHP","Goal: Produce a comprehensive\nreport documenting all points\nabove; obtain necessary regulatory approvals","Yes/No",null,"","",null,null,"Project 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null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.4","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",1,1082817,"P-2","Identify licenses, equipment requirements and other components needed to implement and operate options selected.",null,1,"P-2.1","Develop a project plan and timeline detailing the operational needs, training materials, equipment and components","Provide a report\nidentifying the following:\n Additional potential locations for\nintensive outpatient therapy\n(IOP) programs\n Prioritize locations based on\ncommunity need\n Determine space and staffing\nrequirements and timing of new\nIOP and PHP programs\n Integration with partial\nhospitalization program (PHP)\n Projected volumes and program\nhours for both IOP and PHP","Goal: Produce a comprehensive\nreport documenting all points\nabove; obtain necessary regulatory approvals","Yes/No",null,"","",null,null,"Project Plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1082817,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.5","4_020973601",2,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.5","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,890874,"P-1","Identify one or more target patient populations diagnosed with selected chronic disease(s) (e.g. diabetes, CHF, COBP, etc) or with Multiple Chronic Conditions (MCCs).",null,1,"P-1.1","Documentation of patients to be entered into the registry",null,"Register 50 patients","Numeric",50,"Number of patients entered into the registry with target condition","Total number of patients with the target condition",null,null,"Performing providers records/documentation","EHR, community\nneeds assessment, Performing\nProvider historical data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,445437,"P-2","Review current registry capability and assess future needs.",null,1,"P-2.1","Documentation of review of current registry capability and assessment of future registry needs.",null,"Produce a comprehensive\nreport documenting all points\nabove.  Data elements to be included in\nthe registry\n Required reporting capabilities\n Sources and method of data\nextraction\n HIPAA considerations","Yes/No",null,"Number entered into the registry;0 if documentation is not provided, 1 if it is provided;","Total patients with the target condition",null,null,"EHR systems and/or other performing provider\ndocumentation.","Final Registry 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County Memorial Hospital","020991801.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,295070,"P-1","Establish additional/expand existing/relocate primary care clinics",null,1,"P-1.1","Number of additional clinics or expanded hours or space",null,"Baseline: Currently only set up for\ntwo primary care physicians\nGoal: 1 Room","Numeric",1,"","",null,null,"New primary care schedule or other Performing Provider document or other plans as designated by Performing Provider","Cllinic documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,147535,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Baseline: Two full time primary\nphysicians\nGoal: Three full-time primary care\nphysicians by June, DY2","Numeric",3,"","",null,null,"Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,147535,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.1.1","4_094118902",2,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.1","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,1481538,"P-4","Hire and train staff to operate and manage projects selected.",null,1,"P-4.1","Number of staff secured and trained","Contract with or contract\nprofessional staff to operate IOP.\nNumber of staff secured and trained.","Baseline is 0. Goal:\nOne psychiatrist, medical director, 2\nlicensed counselors. (shared with\nrelated project)","Numeric",4,"","",null,null,"Project records; Training curricula as develop in P-2","Contracts and/or\nemployment records.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,740769,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered","Preparation complete\nby determining regulations, building\nprogram plan, securing location and\ndeveloping physical plant.. Number\nof new community-based settings\nwhere behavioral health services are\ndelivered. Number of patients\nserved.","Goal is to have\none IOP established in 2013. We will serve 52 patients\nin DY2.","Numeric",1,"","",null,null,null,"Performing Provider\nevidence of innovational plan.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,740769,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.1","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,1481538,"P-4","Hire and train staff to operate and manage projects selected.",null,1,"P-4.1","Number of staff secured and trained","Contract with or contract\nprofessional staff to operate IOP.\nNumber of staff secured and trained.","Baseline is 0. Goal:\nOne psychiatrist, medical director, 2\nlicensed counselors. (shared with\nrelated project)","Numeric",4,"","",null,null,"Project records; Training curricula as develop in P-2","Contracts and/or\nemployment records.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,740769,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered","Preparation complete\nby determining regulations, building\nprogram plan, securing location and\ndeveloping physical plant.. Number\nof new community-based settings\nwhere behavioral health services are\ndelivered. Number of patients\nserved.","Goal is to have\none IOP established in 2013. We will serve 52 patients\nin DY2.","Numeric",1,"","",null,null,null,"Performing Provider\nevidence of innovational plan.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,740769,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.1.3","4_094118902",2,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.3","1.2","Increase Training of Primary Care Workforce","1.2.3","Increase the number of residency/training program for faculty/staff to support an expanded, more updated program",2,1312000,"P-1","Conduct a primary care gap analysis to determine workforce needs.",null,1,"P-1.1","Gap assessment of workforce shortages",null,"Completed assessment of workforce shortages","Yes/No",null,"","",null,null,"Assessment results",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,656000,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists",null,1,"P-2.2","Hire additional precepting primary care faculty members. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Baseline: 0. Goal: Hire 1 Residency Program Director","Numeric",1,"","",null,null,"HR documents, faculty lists, or other documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,656000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.3","1.2","Increase Training of Primary Care Workforce","1.2.3","Increase the number of residency/training program for faculty/staff to support an expanded, more updated program",2,1312000,"P-1","Conduct a primary care gap analysis to determine workforce needs.",null,1,"P-1.1","Gap assessment of workforce shortages",null,"Completed assessment of workforce shortages","Yes/No",null,"","",null,null,"Assessment results",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,656000,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists",null,1,"P-2.2","Hire additional precepting primary care faculty members. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Baseline: 0. Goal: Hire 1 Residency Program Director","Numeric",1,"","",null,null,"HR documents, faculty lists, or other documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,656000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.1","4_094222902",2,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,268796.78000000003,"P-1","Establish additional/expand existing/relocate primary care clinics","Expand existing\nPrimary Care Clinic services and\nhours",1,"P-1.1","Number of additional clinics or expanded hours or space","Increase number of\nhours at primary care clinic over\nbaseline","The Freer clinic\nwill begin providing six (6) hours of\nclinic open hours every other\nSaturday","Yes/No",null,"","",null,null,"New primary care schedule or other Performing Provider document or other plans as designated by Performing Provider","Clinic schedules,\ndocumentation of service\nexpansion",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134398.39000000001,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers","Contract with\nadditional primary care providers and\nstaff.",1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Spohn will recruit\none additional NP and one\nadditional support staff for fulltime\nemployment in the Freer\nclinic","Numeric",2,"","",null,null,"Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Staffing schedules, HR documents",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134398.39000000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,268796.78000000003,"P-1","Establish additional/expand existing/relocate primary care clinics","Expand existing\nPrimary Care Clinic services and\nhours",1,"P-1.1","Number of additional clinics or expanded hours or space","Increase number of\nhours at primary care clinic over\nbaseline","The Freer clinic\nwill begin providing six (6) hours of\nclinic open hours every other\nSaturday","Yes/No",null,"","",null,null,"New primary care schedule or other Performing Provider document or other plans as designated by Performing Provider","Clinic schedules,\ndocumentation of service\nexpansion",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134398.39000000001,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers","Contract with\nadditional primary care providers and\nstaff.",1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Spohn will recruit\none additional NP and one\nadditional support staff for fulltime\nemployment in the Freer\nclinic","Numeric",2,"","",null,null,"Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Staffing schedules, HR documents",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134398.39000000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.2","4_094222902",2,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,268796.78000000003,"P-1","Identify one or more target patient populations diagnosed with selected chronic disease(s) (e.g. diabetes, CHF, COBP, etc) or with Multiple Chronic Conditions (MCCs).",null,1,"P-1.1","Documentation of patients to be entered into the registry",null,"Registry\nDevelopment for 2 major chronic\ndiseases/conditions; CHF and\ndiabetes. Spohn will register a test population of five (5) eligible patients from the target population into the registry during this initial development and implementation year in order to confirm functionality of the registry.","Numeric",5,"Number of patients entered into the registry with target condition","Total number of patients with the target condition",null,null,"Performing providers records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134398.39000000001,"P-2","Review current registry capability and assess future needs.",null,1,"P-2.1","Documentation of review of current registry capability and assessment of future registry needs.",null,"Approval of\ncomprehensive proposal to\ndevelop electronic infrastructure\nfor longitudinal data registry","Yes/No",null,"Number entered into the registry;0 if documentation is not provided, 1 if it is provided;","Total patients with the target condition",null,null,"EHR systems and/or other performing provider\ndocumentation.","Registry Project\nManagement Plan/Proposal",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134398.39000000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,268796.78000000003,"P-1","Identify one or more target patient populations diagnosed with selected chronic disease(s) (e.g. diabetes, CHF, COBP, etc) or with Multiple Chronic Conditions (MCCs).",null,1,"P-1.1","Documentation of patients to be entered into the registry",null,"Registry\nDevelopment for 2 major chronic\ndiseases/conditions; CHF and\ndiabetes. Spohn will register a test population of five (5) eligible patients from the target population into the registry during this initial development and implementation year in order to confirm functionality of the registry.","Numeric",5,"Number of patients entered into the registry with target condition","Total number of patients with the target condition",null,null,"Performing providers records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134398.39000000001,"P-2","Review current registry capability and assess future needs.",null,1,"P-2.1","Documentation of review of current registry capability and assessment of future registry needs.",null,"Approval of\ncomprehensive proposal to\ndevelop electronic infrastructure\nfor longitudinal data registry","Yes/No",null,"Number entered into the registry;0 if documentation is not provided, 1 if it is provided;","Total patients with the target condition",null,null,"EHR systems and/or other performing provider\ndocumentation.","Registry Project\nManagement Plan/Proposal",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134398.39000000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.3","4_094222902",2,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,326396.09000000003,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.","Documentation of program materials including implementation plan, vendor agreements/contracts, staff training and training logs","Initiate PADnet\nprogram/infrastructure for remote\nscreening and access to\ncardiovascular specialists in\nSpohn's Freer Clinic and the local\nFQHC (Health Center - Laviana)","Yes/No",null,"","",null,null,"Program 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Spohn Hospital Alice","094222902.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,326396.09000000003,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.","Documentation of program materials including implementation plan, vendor agreements/contracts, staff training and training logs","Initiate PADnet\nprogram/infrastructure for remote\nscreening and access to\ncardiovascular specialists in\nSpohn's Freer Clinic and the local\nFQHC (Health 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["4_112673204.1.1","4_112673204",2,"1",4,"112673204","Yoakum Community Hospital","112673204.1.1","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",1,192933.9,"P-1","Establish additional/expand existing/relocate primary care clinics",null,1,"P-1.1","Number of additional clinics or expanded hours or space",null,"Baseline: No clinic space exists for\nprimary care services in 2012.\nGoal: Create space to support 2\nPCPs","Yes/No",null,"","",null,null,"New primary care schedule or other Performing Provider document or other plans as designated by Performing 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null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"112673204","Yoakum Community Hospital","112673204.1.1","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",1,192933.9,"P-1","Establish additional/expand existing/relocate primary care clinics",null,1,"P-1.1","Number of additional clinics or expanded hours or space",null,"Baseline: No clinic space exists for\nprimary care services in 2012.\nGoal: Create space to support 2\nPCPs","Yes/No",null,"","",null,null,"New primary care schedule or other Performing Provider document or other plans as designated by Performing Provider",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,192933.9,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_112673204.1.2","4_112673204",2,"1",4,"112673204","Yoakum Community Hospital","112673204.1.2","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",1,162470.65,"P-1","Conduct specialty care gap assessment based on community need",null,1,"P-1.1","Documentation of gap assessment. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Completed needs assessment","Yes/No",null,"","",null,null,"Needs Assessment",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,162470.65,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"112673204","Yoakum Community Hospital","112673204.1.2","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",1,162470.65,"P-1","Conduct specialty care gap assessment based on community need",null,1,"P-1.1","Documentation of gap assessment. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Completed needs assessment","Yes/No",null,"","",null,null,"Needs Assessment",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,162470.65,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.1","4_121775403",2,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,1954139,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Increase clinic\nhours in at least one FHC to\ninclude 2 additional hours per\nweek after 5pm or during the\nweekend (improvement over\nbaseline, as evidenced by DY1\nclinic schedules)","Yes/No",null,"","",null,null,"Clinic documentation","Clinic schedules",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,977069.5,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Hire/contract two\n(2 - total) Community Health\nWorkers to staff Spohn's primary\ncare clinics.","Numeric",2,"","",null,null,"Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Staffing schedules,\nHR 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Health System dba Spohn Memorial Hospital","121775403.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,1954139,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Increase clinic\nhours in at least one FHC to\ninclude 2 additional hours per\nweek after 5pm or during the\nweekend (improvement over\nbaseline, as evidenced by DY1\nclinic schedules)","Yes/No",null,"","",null,null,"Clinic documentation","Clinic schedules",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,977069.5,"P-5","Train/hire additional primary care providers and staff 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["4_121775403.1.2","4_121775403",2,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1609290.94,"P-1","Identify one or more target patient populations diagnosed with selected chronic disease(s) (e.g. diabetes, CHF, COBP, etc) or with Multiple Chronic Conditions (MCCs).",null,1,"P-1.1","Documentation of patients to be entered into the registry",null,"Develop and implement chronic disease  registry targeting CHF and diabetes patients treated in Spohn campuses. Spohn will register a test population of ten (10) eligible patients from the target population during this initial year in order to test the functionality of the registry.","Numeric",10,"Number of patients entered into the registry with target condition","Total number of patients with the target condition",null,null,"Performing providers records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,804645.47,"P-2","Review current registry capability and assess future needs.",null,1,"P-2.1","Documentation of review of current registry capability and assessment of future registry needs.",null,"Approval of\ncomprehensive proposal to\ndevelop electronic infrastructure\nfor longitudinal data registry","Yes/No",null,"Number entered into the registry;0 if documentation is not provided, 1 if it is provided;","Total patients with the target condition",null,null,"EHR systems and/or other performing provider\ndocumentation.","Registry Project\nManagement 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Health System dba Spohn Memorial Hospital","121775403.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1609290.94,"P-1","Identify one or more target patient populations diagnosed with selected chronic disease(s) (e.g. diabetes, CHF, COBP, etc) or with Multiple Chronic Conditions (MCCs).",null,1,"P-1.1","Documentation of patients to be entered into the registry",null,"Develop and implement chronic disease  registry targeting CHF and diabetes patients treated in Spohn campuses. Spohn will register a test population of ten (10) eligible patients from the target population during this initial year in order to test the functionality of the registry.","Numeric",10,"Number of patients entered into the registry with target condition","Total number of patients with the target condition",null,null,"Performing providers records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,804645.47,"P-2","Review current registry capability and assess future needs.",null,1,"P-2.1","Documentation of review of current registry capability and assessment of future registry needs.",null,"Approval of\ncomprehensive proposal to\ndevelop electronic infrastructure\nfor longitudinal data registry","Yes/No",null,"Number entered into the registry;0 if documentation is not provided, 1 if it is provided;","Total patients with the target condition",null,null,"EHR systems and/or other performing provider\ndocumentation.","Registry Project\nManagement 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["4_121775403.1.3","4_121775403",2,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,1954139,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.","Documentation of program materials including implementation plan, vendor agreements/contracts, staff training and training logs","Initiate PADnet\nprogram/infrastructure for remote\nscreening and access to\ncardiovascular specialists in at\nleast 2 of Spohn's FHCs","Numeric",2,"","",null,null,"Program 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null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,1954139,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.","Documentation of program materials including implementation plan, vendor agreements/contracts, staff training and training logs","Initiate PADnet\nprogram/infrastructure for remote\nscreening and access to\ncardiovascular specialists in at\nleast 2 of Spohn's FHCs","Numeric",2,"","",null,null,"Program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1954139,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.4","4_121775403",2,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.4","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1724240.29,"P-12","Implement a specialty care access plan to include such components as statement of problem, background and methods, findings, implication of findings in short and long term, conclusions",null,1,"P-12.1","Documentation of specialty care access plan",null,"Draft and implement a plan for expanding the Intensivist Model of Care Delivery to facilitate care coordination of critically ill patients","Yes/No",null,"","",null,null,"Documentation of Provider plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,862120.14500000002,"P-2","Train care providers and staff on processes, guidelines and technology for referrals and consultations into selected medical specialties",null,1,"P-2.1","Training of staff and providers on referral guidelines, process and technology","Documentation of\ntraining materials","Training curriculum completed, 80% of staff trained.","Percentage",0.8,"Number of staff and providers trained and documentation of training materials","Total number of staff and providers working in specialty care and medical specialty clinics",null,null,"Log of specialty care personnel trained and Curriculum for 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Health System dba Spohn Memorial Hospital","121775403.1.4","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1724240.29,"P-12","Implement a specialty care access plan to include such components as statement of problem, background and methods, findings, implication of findings in short and long term, conclusions",null,1,"P-12.1","Documentation of specialty care access plan",null,"Draft and implement a plan for expanding the Intensivist Model of Care Delivery to facilitate care coordination of critically ill patients","Yes/No",null,"","",null,null,"Documentation of Provider 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["4_121775403.1.5","4_121775403",2,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.5","1.13","Development of behavioral health crisis stabilization services as alternatives to hospitalization.","1.13.1","Develop and implement crisis stabilization services to address the identified gaps in the current community crisis system",2,2184037.7000000002,"P-2","Conduct mapping and gap analysis of current crisis system.",null,1,"P-2.1","Produce a written analysis of community needs for crisis services.",null,"Identify gaps in\ncurrent crisis stabilization system\nexiting in Corpus Christi and\nproduce report and analysis of\nfindings","Yes/No",null,"","",null,null,"Written plan","Report of gap analysis",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1092018.8500000001,"P-3","Develop implementation plans for needed crisis services.",null,1,"P-3.1","Produce data-driven written action plan for development of specific crisis stabilization alternatives that are needed in each community based on gap analysis and assessment of needs.",null,"Development of\nplan to implement the behavioral\nhealth crisis stabilization/urgent\ncare services at the HPG clinic","Yes/No",null,"","",null,null,"Written 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Health System dba Spohn Memorial Hospital","121775403.1.5","1.13","Development of behavioral health crisis stabilization services as alternatives to hospitalization.","1.13.1","Develop and implement crisis stabilization services to address the identified gaps in the current community crisis system",2,2184037.7000000002,"P-2","Conduct mapping and gap analysis of current crisis system.",null,1,"P-2.1","Produce a written analysis of community needs for crisis services.",null,"Identify gaps in\ncurrent crisis stabilization system\nexiting in Corpus Christi and\nproduce report and analysis of\nfindings","Yes/No",null,"","",null,null,"Written plan","Report of gap analysis",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1092018.8500000001,"P-3","Develop implementation plans for needed crisis services.",null,1,"P-3.1","Produce data-driven written action plan for development of specific crisis stabilization alternatives that are needed in each community based on gap analysis and assessment of needs.",null,"Development of\nplan to implement the behavioral\nhealth crisis stabilization/urgent\ncare services at the HPG clinic","Yes/No",null,"","",null,null,"Written plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1092018.8500000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.6","4_121775403",2,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.6","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1724240.29,"P-16","Obtain approval from the Accreditation Council for Graduate Medical Education (ACGME) to increase the number of TSC residents","Obtain approval from TAMU Regents and NLNAC to increase number of PMHNP providers for the state",1,"P-16.1","ACGME approval for residency position expansion","NLNAC approval for NP program expansion","Approval for\nPMHNP program at TAMUCC.","Yes/No",null,"","",null,null,"Documentation of ACGME approval for residency position expansion","Documentation of TAMU and NLNAC for program expansion",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,862120.14500000002,"P-1","Conduct specialty care gap assessment based on community need",null,1,"P-1.1","Documentation of gap assessment. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Provide basis to\nsupport addition of PMHNP\nprogram at TAMUCC.","Yes/No",null,"","",null,null,"Needs Assessment","Gap assessment document",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,862120.14500000002,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.6","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1724240.29,"P-16","Obtain approval from the Accreditation Council for Graduate Medical Education (ACGME) to increase the number of TSC residents","Obtain approval from TAMU Regents and NLNAC to increase number of PMHNP providers for the state",1,"P-16.1","ACGME approval for residency position expansion","NLNAC approval for NP program expansion","Approval for\nPMHNP program at TAMUCC.","Yes/No",null,"","",null,null,"Documentation of ACGME approval for residency position expansion","Documentation of TAMU and NLNAC for program expansion",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,862120.14500000002,"P-1","Conduct specialty care gap assessment based on community need",null,1,"P-1.1","Documentation of gap assessment. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Provide basis to\nsupport addition of PMHNP\nprogram at TAMUCC.","Yes/No",null,"","",null,null,"Needs Assessment","Gap assessment document",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,862120.14500000002,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.7","4_121775403",2,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.7","1.2","Increase Training of Primary Care Workforce","1.2.1","Update primary care training programs to include training on the medical home and chronic care models, disease registry use for population health management, patient panel management, oral health, and other identified training needs and/or quality/performance improvement",1,1379392.23,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists","Expand primary care training for primary care providers, including physicians",1,"P-2.1","Expand the primary care residency, mid-level provider (physician\nassistants and nurse practitioners), and/or other clinician/staff (e.g., health\ncoaches, community health workers/promotoras) training programs and/or\nrotations","Expand primary care residency training program and/or rotations","Develop and implement an plan/agreement with Hector P Garcia to expand the rotations/hours that the residents spend providing primary care in the clinic, with a focus on assigning patient panels and maintaining regular appointment hours","Yes/No",null,"","",null,null,"Training program documentation","Documentation of agreement to\nexpand training 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Health System dba Spohn Memorial Hospital","121775403.1.7","1.2","Increase Training of Primary Care Workforce","1.2.1","Update primary care training programs to include training on the medical home and chronic care models, disease registry use for population health management, patient panel management, oral health, and other identified training needs and/or quality/performance improvement",1,1379392.23,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists","Expand primary care training for primary care providers, including physicians",1,"P-2.1","Expand the primary care residency, mid-level provider (physician\nassistants and nurse practitioners), and/or other clinician/staff (e.g., health\ncoaches, community health workers/promotoras) training programs and/or\nrotations","Expand primary care residency training program and/or 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["4_121785303.1.1","4_121785303",2,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,141210,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Baseline/Goal: Increase number\nof hours from 20 to 24 hours per\nweek.","Numeric",24,"","",null,null,"Clinic 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ll,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,141210,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Baseline/Goal: Increase number\nof hours from 20 to 24 hours per\nweek.","Numeric",24,"","",null,null,"Clinic 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ll,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121785303.1.3","4_121785303",2,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.2","Implement remote patient monitoring programs for diagnosis and/or management of care. Providers should demonstrate that they are exceeding the requirements of the EHR incentive program.",1,78300,"P-5","Implement remote patient monitoring program based on evidence based models and adapted to fit the needs of the population and local context.",null,1,"P-5.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.",null,"Baseline/Goal: Establish program,\ntrain staff and begin monitoring at\nleast one patient.","Yes/No",null,"","",null,null,"Program materials","Agency\ndocumentation, HR records,\nvendor 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ull,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.2","Implement remote patient monitoring programs for diagnosis and/or management of care. Providers should demonstrate that they are exceeding the requirements of the EHR incentive program.",1,78300,"P-5","Implement remote patient monitoring program based on evidence based models and adapted to fit the needs of the population and local context.",null,1,"P-5.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.",null,"Baseline/Goal: Establish program,\ntrain staff and begin monitoring at\nleast one patient.","Yes/No",null,"","",null,null,"Program materials","Agency\ndocumentation, HR records,\nvendor 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["4_132812205.1.1","4_132812205",2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",4,2762500,"P-101",null,"Develop a plan to expand access to primary care services in the Driscoll Service Area",1,"P-101.1",null,"Documentation of plan","Completed plan","Yes/No",null,"","",null,null,null,"Hospital records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,690625,"P-102",null,"Appoint an\ninterdisciplinary Task Force to\nprovide oversight for expanding,\nincreasing, and enhancing after hours\nprimary care services for children in\nthe Driscoll service area.",1,"P-102.1",null,"Documentation of\nTask Force establishment","Established team","Yes/No",null,"","",null,null,null,"Hospital record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,690625,"P-103",null,"Begin media\ncampaign to inform target patient\npopulation about Driscoll’s planned\nAfter Hours Clinic Expansion.",1,"P-103.1",null,"Evidence of\nmarketing (e.g., billboards, radio\nannouncements, etc.).","Completed marketing","Yes/No",null,"","",null,null,null,"Hospital/Clinic\ndocumentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,690625,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"4 trained/hired providers","Numeric",4,"","",null,null,"Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Documentation of HR\nrecords",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,690625,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",4,2762500,"P-101",null,"Develop a plan to expand access to primary care services in the Driscoll Service Area",1,"P-101.1",null,"Documentation of plan","Completed plan","Yes/No",null,"","",null,null,null,"Hospital records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,690625,"P-102",null,"Appoint an\ninterdisciplinary Task Force to\nprovide oversight for expanding,\nincreasing, and enhancing after hours\nprimary care services for children in\nthe Driscoll service area.",1,"P-102.1",null,"Documentation of\nTask Force establishment","Established team","Yes/No",null,"","",null,null,null,"Hospital record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,690625,"P-103",null,"Begin media\ncampaign to inform target patient\npopulation about Driscoll’s planned\nAfter Hours Clinic Expansion.",1,"P-103.1",null,"Evidence of\nmarketing (e.g., billboards, radio\nannouncements, etc.).","Completed marketing","Yes/No",null,"","",null,null,null,"Hospital/Clinic\ndocumentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,690625,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"4 trained/hired providers","Numeric",4,"","",null,null,"Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Documentation of HR\nrecords",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,690625,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_132812205.1.2","4_132812205",2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.2","1.8","Increase, Expand, and Enhance Oral Health Services","1.8.9","The implementation or expansion of school-based sealant and/or fluoride varnish programs that provide sealant placement and/or fluoride varnish applications to otherwise unserved school-aged children by enhancing dental workforce capacity through collaborations and partnerships with dental and dental hygiene schools, local health departments (LHDs), federally  qualified health centers (FQHCs), and/or local dental providers.",4,2898719,"I-101",null,"Expand\nPreventive Dental services by PCP.",1,"I-101.1",null,"Increase the number of\neducation and dental fluoride varnish\ntreatments performed by PCP in\nDriscoll’s delivery service area","Increase the number of education and dental fluoride varnish treatments performed by PCP in Driscoll's delivery service area by 5% above the CY 2011 baseline. Estimated patient impact is 350 additional patients treated.","Percentage",0.05,"","",null,null,null,"Hospital/health plan records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,724679.75,"P-101",null,"Appoint an interdisciplinary Task Force to provide oversight for expanding, increasing, and enhancing pediatric oral health services performed by a primary care provider",1,"P-101.1",null,"Documentation of\nTask Force establishment","Appointment and activation\nof Task Force","Yes/No",null,"","",null,null,null,"Hospital/health plan record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,724679.75,"P-102",null,"Develop plan\nto increase training of PCP\nproviders on how to administer\ndental education and fluoride\nvarnish treatments for pediatric\npatients.",1,"P-102.1",null,"Copy of the plan","Complete and submit plan development","Yes/No",null,"","",null,null,null,"Roster/attendance sheets for grand rounds and training",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,724679.75,"P-103",null,"Conduct an\ninitial assessment to expand,\nincrease, and enhance pediatric\noral health services performed by a\nprimary care provider.",1,"P-103.1",null,"Documentation of plan assessment","Completion of plan assessment","Yes/No",null,"","",null,null,null,"Hospital/health plan records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,724679.75,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.2","1.8","Increase, Expand, and Enhance Oral Health Services","1.8.9","The implementation or expansion of school-based sealant and/or fluoride varnish programs that provide sealant placement and/or fluoride varnish applications to otherwise unserved school-aged children by enhancing dental workforce capacity through collaborations and partnerships with dental and dental hygiene schools, local health departments (LHDs), federally  qualified health centers (FQHCs), and/or local dental providers.",4,2898719,"I-101",null,"Expand\nPreventive Dental services by PCP.",1,"I-101.1",null,"Increase the number of\neducation and dental fluoride varnish\ntreatments performed by PCP in\nDriscoll’s delivery service area","Increase the number of education and dental fluoride varnish treatments performed by PCP in Driscoll's delivery service area by 5% above the CY 2011 baseline. Estimated patient impact is 350 additional patients treated.","Percentage",0.05,"","",null,null,null,"Hospital/health plan records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,724679.75,"P-101",null,"Appoint an interdisciplinary Task Force to provide oversight for expanding, increasing, and enhancing pediatric oral health services performed by a primary care provider",1,"P-101.1",null,"Documentation of\nTask Force establishment","Appointment and activation\nof Task Force","Yes/No",null,"","",null,null,null,"Hospital/health plan record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,724679.75,"P-102",null,"Develop plan\nto increase training of PCP\nproviders on how to administer\ndental education and fluoride\nvarnish treatments for pediatric\npatients.",1,"P-102.1",null,"Copy of the plan","Complete and submit plan development","Yes/No",null,"","",null,null,null,"Roster/attendance sheets for grand rounds and training",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,724679.75,"P-103",null,"Conduct an\ninitial assessment to expand,\nincrease, and enhance pediatric\noral health services performed by a\nprimary care provider.",1,"P-103.1",null,"Documentation of plan assessment","Completion of plan assessment","Yes/No",null,"","",null,null,null,"Hospital/health plan records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,724679.75,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_132812205.1.3","4_132812205",2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.3","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",2,2550000,"P-101",null,"Appoint an interdisciplinary Task Force to provide oversight for expanding, increasing, and enhancing endocrinology services for children in the Driscoll service area.",1,"P-101.1",null,"Documentation\nof Task Force establishment","Complete appointment and\norganization of Task Force","Yes/No",null,"","",null,null,null,"Hospital/health plan\nrecord",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1275000,"P-12","Implement a specialty care access plan to include such components as statement of problem, background and methods, findings, implication of findings in short and long term, conclusions","Implement an\nendocrinology specialty care\naccess plan to include such\ncomponents as statement of\nproblem, background and\nmethods, findings, implications of\nfindings in short and long term,\nconclusions.",1,"P-12.1","Documentation of specialty care access plan",null,"Complete development of\naccess plan","Yes/No",null,"","",null,null,"Documentation of Provider plan","Hospital meeting records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1275000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.3","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",2,2550000,"P-101",null,"Appoint an interdisciplinary Task Force to provide oversight for expanding, increasing, and enhancing endocrinology services for children in the Driscoll service area.",1,"P-101.1",null,"Documentation\nof Task Force establishment","Complete appointment and\norganization of Task Force","Yes/No",null,"","",null,null,null,"Hospital/health plan\nrecord",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1275000,"P-12","Implement a specialty care access plan to include such components as statement of problem, background and methods, findings, implication of findings in short and long term, conclusions","Implement an\nendocrinology specialty care\naccess plan to include such\ncomponents as statement of\nproblem, background and\nmethods, findings, implications of\nfindings in short and long term,\nconclusions.",1,"P-12.1","Documentation of specialty care access plan",null,"Complete development of\naccess plan","Yes/No",null,"","",null,null,"Documentation of Provider plan","Hospital meeting records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1275000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_132812205.1.4","4_132812205",2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.4","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.1","Implement telemedicine program to provide or expand specialist referral services in an area identified as needed to the region.",3,1019999.9,"P-101",null,"Implement or\nexpand telemedicine program\naccessibility to targeted patients\nwithin the Driscoll Service area.",1,"P-101.1",null,"Documentation of the number of patient accessible\nhours.","Baseline: At the beginning of DY2, the telehealth/telemedicine services were being implemented; therefore, the Goal is estimated at 330 hours based on the first six months of DY2","Numeric",330,"","",null,null,null,"Documentation of\noperational hours/contracted\nhours",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,339999.96666666667,"P-102",null,"Appoint an interdisciplinary Task Force to provide oversight for expanding, increasing, and enhancing telemedicine/telehealth services for children in the Driscoll service area.",1,"P-102.1",null,"Documentation of Task Force establishment","Goal: Complete appointment and organization of Task Force","Yes/No",null,"","",null,null,null,"Hospital/health plan record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,339999.96666666667,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.2","Documentation of the number of consults delivered by each specialty",null,"Baseline: At the beginning of DY2, the telehealth/telemedicine services were starting to be implemented so the baseline is 0; therefore, the estimated Goal is 250 consults which will be based on the first six months of DY2","Numeric",250,"","",null,null,"clinic log of health services by telemedicine service",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,339999.96666666667,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.4","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.1","Implement telemedicine program to provide or expand specialist referral services in an area identified as needed to the region.",3,1019999.9,"P-101",null,"Implement or\nexpand telemedicine program\naccessibility to targeted patients\nwithin the Driscoll Service area.",1,"P-101.1",null,"Documentation of the number of patient accessible\nhours.","Baseline: At the beginning of DY2, the telehealth/telemedicine services were being implemented; therefore, the Goal is estimated at 330 hours based on the first six months of DY2","Numeric",330,"","",null,null,null,"Documentation of\noperational hours/contracted\nhours",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,339999.96666666667,"P-102",null,"Appoint an interdisciplinary Task Force to provide oversight for expanding, increasing, and enhancing telemedicine/telehealth services for children in the Driscoll service area.",1,"P-102.1",null,"Documentation of Task Force establishment","Goal: Complete appointment and organization of Task Force","Yes/No",null,"","",null,null,null,"Hospital/health plan record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,339999.96666666667,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.2","Documentation of the number of consults delivered by each specialty",null,"Baseline: At the beginning of DY2, the telehealth/telemedicine services were starting to be implemented so the baseline is 0; therefore, the estimated Goal is 250 consults which will be based on the first six months of DY2","Numeric",250,"","",null,null,"clinic log of health services by telemedicine service",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,339999.96666666667,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_132812205.1.5","4_132812205",2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.5","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",4,3400000,"I-101",null,"Increase the number of specialist providers for the high impact/most impacted medical specialties",1,"I-101.1",null,"Increase number of specialist providers (i.e. sonographers, MD, nursing staff, etc.) in targeted specialties by .5 FTE","Goal: Add an additional .5 FTE from baseline year","Numeric",0.5,"","",null,null,null,"HR Employment Documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,850000,"P-101",null,"Appoint an interdisciplinary Task Force to provide oversight for expanding, increasing, and enhancing Driscoll’s Maternal Fetal Medicine (MFM) Program.",1,"P-101.1",null,"Documentation of Task Force establishment","Baseline/Goal: 2 QI meetings held","Numeric",2,"","",null,null,null,"Hospital meeting minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,850000,"P-102",null,"Develop plan /strategy to expand the Maternal Fetal Medicine Program in Driscoll serve area",1,"P-102.1",null,"Document innovational strategy and plan","Goal: Develop a plan","Yes/No",null,"","",null,null,null,"Hospital planning document",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,850000,"P-6","Develop and implement standardized referral and work-up guidelines",null,1,"P-6.1","Referral and work-up guidelines",null,"Goal: Provide standardized referral process guidelines.","Yes/No",null,"","",null,null,"Referral and work-up policies and procedures documents","Documentation of referral and work-up guidelines",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,850000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.5","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",4,3400000,"I-101",null,"Increase the number of specialist providers for the high impact/most impacted medical specialties",1,"I-101.1",null,"Increase number of specialist providers (i.e. sonographers, MD, nursing staff, etc.) in targeted specialties by .5 FTE","Goal: Add an additional .5 FTE from baseline year","Numeric",0.5,"","",null,null,null,"HR Employment Documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,850000,"P-101",null,"Appoint an interdisciplinary Task Force to provide oversight for expanding, increasing, and enhancing Driscoll’s Maternal Fetal Medicine (MFM) Program.",1,"P-101.1",null,"Documentation of Task Force establishment","Baseline/Goal: 2 QI meetings held","Numeric",2,"","",null,null,null,"Hospital meeting minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,850000,"P-102",null,"Develop plan /strategy to expand the Maternal Fetal Medicine Program in Driscoll serve area",1,"P-102.1",null,"Document innovational strategy and plan","Goal: Develop a plan","Yes/No",null,"","",null,null,null,"Hospital planning document",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,850000,"P-6","Develop and implement standardized referral and work-up guidelines",null,1,"P-6.1","Referral and work-up guidelines",null,"Goal: Provide standardized referral process guidelines.","Yes/No",null,"","",null,null,"Referral and work-up policies and procedures documents","Documentation of referral and work-up guidelines",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,850000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_135233809.1.1","4_135233809",2,"1",4,"135233809","Lavaca Medical Center","135233809.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",3,72766,"P-104",null,"Complete a\nplanning process to expand the\nnumber of primary care clinic staff\nand hours in the primary care clinic.",1,"P-104.1",null,"Documentation of\ncompleted plan that includes:\nEffective recruitment strategies;\nIdentification of resources and\npotential partnerships;\nImplementation timeframe to expand\nthe number of staff; Implementation\ntimeframe of clinic hour’s expansion","Baseline: There is no\ncomprehensive plan at beginning\nof DY2; baseline is 0.\nGoal: Completed plan","Yes/No",null,"","",null,null,null,"Contracts,\nagreements, reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,24255.333333333332,"P-105",null,"Collect baseline\ndata on primary care clinic volume of\nvisits.",1,"P-105.1",null,"Establish baseline\nfor number of visits","Established Baseline","Yes/No",null,"","",null,null,null,"Registry, EHR, claims\ndata",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,24255.333333333332,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Baseline: There are no new\nproviders at beginning of DY 2;\nbaseline is 0\nGoal: to successfully recruit and hire\none new primary care physician","Numeric",1,"","",null,null,"Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Documentation of\ncompletion of agreements,\ncontracts or other documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,24255.333333333332,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"135233809","Lavaca Medical Center","135233809.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",3,72766,"P-104",null,"Complete a\nplanning process to expand the\nnumber of primary care clinic staff\nand hours in the primary care clinic.",1,"P-104.1",null,"Documentation of\ncompleted plan that includes:\nEffective recruitment strategies;\nIdentification of resources and\npotential partnerships;\nImplementation timeframe to expand\nthe number of staff; Implementation\ntimeframe of clinic hour’s expansion","Baseline: There is no\ncomprehensive plan at beginning\nof DY2; baseline is 0.\nGoal: Completed plan","Yes/No",null,"","",null,null,null,"Contracts,\nagreements, reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,24255.333333333332,"P-105",null,"Collect baseline\ndata on primary care clinic volume of\nvisits.",1,"P-105.1",null,"Establish baseline\nfor number of visits","Established Baseline","Yes/No",null,"","",null,null,null,"Registry, EHR, claims\ndata",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,24255.333333333332,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Baseline: There are no new\nproviders at beginning of DY 2;\nbaseline is 0\nGoal: to successfully recruit and hire\none new primary care physician","Numeric",1,"","",null,null,"Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Documentation of\ncompletion of agreements,\ncontracts or other documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,24255.333333333332,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_135254407.1.2","4_135254407",2,"1",4,"135254407","Gulf Bend MHMR Center","135254407.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.3","Use telehealth to deliver specialty, psychosocial, and community-based nursing services",2,233753,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.",null,"Implemented telemedicine program. Submission of implementation\ndocumentation","Yes/No",null,"","",null,null,"Program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,116876.5,"P-4","Implement or expand telehealth program for targeted health services, based upon regional and local community need.",null,1,"P-4.2","Documentation of the quantity of actual telehealth services delivered after implementation",null,"Submit the number of\ntelemedicine/telehealth sessions\nprovided via video-conferencing for\nremote health care providers along\nwith the educational materials from the session","Yes/No",null,"","",null,null,"Log of tele-services by type of health care professionals and type of service","log of tele‐services by\ntype of health care professionals and\ntype of 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County Hospital District dba Otto Kaiser Me","136412710.1.1","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.1","Implement telemedicine program to provide or expand specialist referral services in an area identified as needed to the region.",1,197275,"P-4","Implement or expand telehealth program for targeted health services, based upon regional and local community need.",null,1,"P-4.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.",null,"Implementation of the Neurology Telemedicine Program at OKMH","Yes/No",null,"","",null,null,"Program 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["4_136436606.1.1","4_136436606",2,"1",4,"136436606","CHRISTUS Spohn Hospital Kleberg","136436606.1.1","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,233028.04,"P-1","Identify one or more target patient populations diagnosed with selected chronic disease(s) (e.g. diabetes, CHF, COBP, etc) or with Multiple Chronic Conditions (MCCs).",null,1,"P-1.1","Documentation of patients to be entered into the registry",null,"Registry\nDevelopment for 2 major chronic\ndiseases/conditions; CHF and\ndiabetes. Spohn will register a test population of five (5) eligible patients from the target population during this development year in order to test the functionality of the registry.","Numeric",5,"Number of patients entered into the registry with target condition","Total number of patients with the target condition",null,null,"Performing providers records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,116514.02,"P-2","Review current registry capability and assess future needs.",null,1,"P-2.1","Documentation of review of current registry capability and assessment of future registry needs.",null,"Approval of\ncomprehensive proposal to\ndevelop electronic infrastructure\nfor longitudinal data 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Spohn Hospital Kleberg","136436606.1.1","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,233028.04,"P-1","Identify one or more target patient populations diagnosed with selected chronic disease(s) (e.g. diabetes, CHF, COBP, etc) or with Multiple Chronic Conditions (MCCs).",null,1,"P-1.1","Documentation of patients to be entered into the registry",null,"Registry\nDevelopment for 2 major chronic\ndiseases/conditions; CHF and\ndiabetes. Spohn will register a test population of five (5) eligible patients from the target population during this development year in order to test the functionality of the registry.","Numeric",5,"Number of patients entered into the registry with target condition","Total number of patients with the target condition",null,null,"Performing providers records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,116514.02,"P-2","Review current registry capability and assess future needs.",null,1,"P-2.1","Documentation of review of current registry capability and assessment of future registry needs.",null,"Approval of\ncomprehensive proposal to\ndevelop electronic infrastructure\nfor longitudinal data 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["4_136436606.1.2","4_136436606",2,"1",4,"136436606","CHRISTUS Spohn Hospital Kleberg","136436606.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,282962.61,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.","Documentation of program materials including implementation plan, vendor agreements/contracts, staff training and training logs","Initiate PADnet\nprogram/infrastructure for remote\nscreening and access to\ncardiovascular specialists in the\nKleberg FQHC","Numeric",1,"","",null,null,"Program 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Spohn Hospital Kleberg","136436606.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,282962.61,"P-3","Implement or expand telemedicine program for selected medical specialties, based upon regional and community need.",null,1,"P-3.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.","Documentation of program materials including implementation plan, vendor agreements/contracts, staff training and training logs","Initiate PADnet\nprogram/infrastructure for remote\nscreening and access to\ncardiovascular specialists in the\nKleberg FQHC","Numeric",1,"","",null,null,"Program 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["4_137907508.1.1","4_137907508",2,"1",4,"137907508","County of Victoria dba Citizens Medical Center","137907508.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",3,1183908,"P-106",null,"Confirm hospital\nbaseline data for the three (3) most\ncommon potentially avoidable\nemergency department visits.",1,"P-106.1",null,"Confirmation of\nhospital preliminary data for the\nthree (3) most common potentially\navoidable emergency department\nvisits, namely, Urinary Tract\nInfections, Headache, and Otitis\nMedia.","Preliminary data\nquoted in narrative / Confirm\naccuracy of preliminary data and establish baseline number of\npatients.","Yes/No",null,"","",null,null,null,"Hospital Meditech\nand Premier databases",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,394636,"P-107",null,"Establish a\nbaseline for the number of patients\nutilizing the emergency department\nwith one of the following diagnoses:\n Chronic Pulmonary\nObstructive Disease (COPD);\n Asthma;\n Urinary Tract Infection\n(UTI); and\n Bacterial pneumonia",1,"P-107.1",null,"Baseline data for\npatients presenting to the\nemergency department with one of\nthe following primary diagnoses:\n Chronic Pulmonary\nObstructive Disease (COPD);\n Asthma;\n Urinary Tract Infection\n(UTI); and\n Bacterial pneumonia","Document\nbaseline number of patients\npresenting to the emergency\ndepartment with one of the\nabove diagnoses.","Yes/No",null,"","",null,null,null,"Citizens Medical\nCenter database; Meditech and\nPremier databases",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,394636,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"44 hours per\nweek / ≥ 48 hours per week","Numeric",48,"","",null,null,"Clinic documentation","FQHC data on\nnumber of hours open per week\nat primary care clinic.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,394636,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"1",4,"137907508","County of Victoria dba Citizens Medical Center","137907508.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",3,1183908,"P-106",null,"Confirm hospital\nbaseline data for the three (3) most\ncommon potentially avoidable\nemergency department visits.",1,"P-106.1",null,"Confirmation of\nhospital preliminary data for the\nthree (3) most common potentially\navoidable emergency department\nvisits, namely, Urinary Tract\nInfections, Headache, and Otitis\nMedia.","Preliminary data\nquoted in narrative / Confirm\naccuracy of preliminary data and establish baseline number of\npatients.","Yes/No",null,"","",null,null,null,"Hospital Meditech\nand Premier databases",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,394636,"P-107",null,"Establish a\nbaseline for the number of patients\nutilizing the emergency department\nwith one of the following diagnoses:\n Chronic Pulmonary\nObstructive Disease (COPD);\n Asthma;\n Urinary Tract Infection\n(UTI); and\n Bacterial pneumonia",1,"P-107.1",null,"Baseline data for\npatients presenting to the\nemergency department with one of\nthe following primary diagnoses:\n Chronic Pulmonary\nObstructive Disease (COPD);\n Asthma;\n Urinary Tract Infection\n(UTI); and\n Bacterial pneumonia","Document\nbaseline number of patients\npresenting to the emergency\ndepartment with one of the\nabove diagnoses.","Yes/No",null,"","",null,null,null,"Citizens Medical\nCenter database; Meditech and\nPremier databases",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,394636,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"44 hours per\nweek / ≥ 48 hours per week","Numeric",48,"","",null,null,"Clinic documentation","FQHC data on\nnumber of hours open per week\nat primary care 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[{"$f":"\"\" & CELL(\"address\",$F$7) & \":\" & CELL(\"address\",$F$1005)","v":"$F$7:$F$1005"},"Cells to look at:",{"$f":"\"\" & CELL(\"address\",$E$1) & \":\" & CELL(\"address\",$ASA$1)","v":"$E$1:$ASA$1"},"To Hide ---->",0,0,0,0,0,0,0,0,0,0,{"$f":"IF(O$2>$C$2,1,IF(O$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(O$2-1))),1,0))","v":0},{"$f":"IF(P$2>$C$2,1,IF(P$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(P$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(CB$2>$C$2,1,IF(CB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(CB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(EN$2>$C$2,1,IF(EN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(EN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(GZ$2>$C$2,1,IF(GZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(GZ$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(JL$2>$C$2,1,IF(JL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(JL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LX$2>$C$2,1,IF(LX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(LX$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(OJ$2>$C$2,1,IF(OJ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(OJ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,{"$f":"IF(QV$2>$C$2,1,IF(QV$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(QV$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(TH$2>$C$2,1,IF(TH$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(TH$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(VT$2>$C$2,1,IF(VT$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(VT$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(YF$2>$C$2,1,IF(YF$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(YF$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AAR$2>$C$2,1,IF(AAR$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AAR$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ADD$2>$C$2,1,IF(ADD$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ADD$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AFP$2>$C$2,1,IF(AFP$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AFP$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AIB$2>$C$2,1,IF(AIB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AIB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AKN$2>$C$2,1,IF(AKN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AKN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AMZ$2>$C$2,1,IF(AMZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AMZ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(APL$2>$C$2,1,IF(APL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(APL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ARX$2>$C$2,1,IF(ARX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ARX$2-1))),1,0))","v":1},1,1,1]
[{"$f":"\"\" & CELL(\"address\",$H$7) & \":\" & CELL(\"address\",$H$1005)","v":"$H$7:$H$1005"},"Max Milestones:",{"$f":"MAX($M$7:$M$1005)","v":6},"Milestone --->",0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(LEFT(P$5)=\"M\",O2+1,O2)","v":1},{"$f":"IF(LEFT(Q$5)=\"M\",P2+1,P2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LEFT(CC$5)=\"M\",CB2+1,CB2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,{"$f":"IF(LEFT(EO$5)=\"M\",EN2+1,EN2)","v":2},2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(HA$5)=\"M\",GZ2+1,GZ2)","v":3},3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(JM$5)=\"M\",JL2+1,JL2)","v":3},3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,{"$f":"IF(LEFT(LY$5)=\"M\",LX2+1,LX2)","v":4},4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,{"$f":"IF(LEFT(OK$5)=\"M\",OJ2+1,OJ2)","v":5},5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,{"$f":"IF(LEFT(QW$5)=\"M\",QV2+1,QV2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,{"$f":"IF(LEFT(TI$5)=\"M\",TH2+1,TH2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,{"$f":"IF(LEFT(VU$5)=\"M\",VT2+1,VT2)","v":7},7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(YG$5)=\"M\",YF2+1,YF2)","v":8},8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(AAS$5)=\"M\",AAR2+1,AAR2)","v":8},8,8,8,8,8,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,{"$f":"IF(LEFT(ADE$5)=\"M\",ADD2+1,ADD2)","v":9},9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,{"$f":"IF(LEFT(AFQ$5)=\"M\",AFP2+1,AFP2)","v":10},10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AIC$5)=\"M\",AIB2+1,AIB2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AKO$5)=\"M\",AKN2+1,AKN2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,{"$f":"IF(LEFT(ANA$5)=\"M\",AMZ2+1,AMZ2)","v":12},12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(APM$5)=\"M\",APL2+1,APL2)","v":13},13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(ARY$5)=\"M\",ARX2+1,ARX2)","v":13},13,13]
[null,null,null,"Metric --->",0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0]
[{"$f":"\"RHP \" & RHP & \" Category 1 - DY3\"","v":"RHP 4 Category 1 - DY3"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #1",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #5",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #8",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #9",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #10",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #11",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #12",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #13"]
["Unique Identifier","RHP_TPI","DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY3","Project DSRIP Allocation in DY3","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #1 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #2 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #3 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #4 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #5 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #6 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #7 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #8 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #9 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #10 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #11 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #12 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #13 DSRIP\n(DY3)",null,"DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY3","Project DSRIP Allocation in DY3","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #1 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #2 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #3 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #4 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #5 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #6 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #7 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #8 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #9 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #10 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #11 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #12 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #13 DSRIP\n(DY3)"]
[{"$f":"IF(E7=\"\",\"\",\"\" & E7 & \"_\" & H7)","v":"4_020811801.1.1"},{"$f":"IF($E7=\"\",\"\",\"\"&$E7&\"_\"&$F7)","v":"4_020811801"},3,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.1","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,227596.41,"P-3","Develop cross-functional team to evaluate registry program.",null,1,"P-3.1","Documentation of personnel (clinical, IT, administrative) assigned to evaluate registry program",null,"Baseline/Goal: Spohn multidisciplinary team development of chronic disease registry. Goal: 20% of personnel assigned to enter the registry out of total number of personnel assigned to cross-functional team.","Percentage",0.2,"Number of personnel assigned to enter the registry","Total number of personnel","N","N","Team roster and minutes from team meetings","Registry Project Management Plan/Proposal",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,113798.205,"P-4","Implement/expand a functional disease management registry.",null,1,"P-4.1","Registry functionality is available in X% of the Performing Provider's sites and includes an expanded number of targeted diseases or clinical conditions.",null,"The registry measuring CHF and diabetes will be implemented and used for management and outreach. Goal: 100% of Spohn Care Transition Program sites with registry functionality out of total number of sites.","Percentage",1,"Number of sites with registry functionality","Total number of sites","N","N","Documentation of adoption, installation, upgrade, interface or similar 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Spohn Hospital Beeville","020811801.1.1","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,227596.41,"P-3","Develop cross-functional team to evaluate registry program.",null,1,"P-3.1","Documentation of personnel (clinical, IT, administrative) assigned to evaluate registry program",null,"Baseline/Goal: Spohn multidisciplinary team development of chronic disease registry. Goal: 20% of personnel assigned to enter the registry out of total number of personnel assigned to cross-functional team.","Percentage",0.2,"Number of personnel assigned to enter the registry","Total number of personnel","N","N","Team roster and minutes from team meetings","Registry Project Management Plan/Proposal",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,113798.205,"P-4","Implement/expand a functional disease management registry.",null,1,"P-4.1","Registry functionality is available in X% of the Performing Provider's sites and includes an expanded number of targeted diseases or clinical conditions.",null,"The registry measuring CHF and diabetes will be implemented and used for management and outreach. Goal: 100% of Spohn Care Transition Program sites with registry functionality out of total number of sites.","Percentage",1,"Number of sites with registry functionality","Total number of sites","N","N","Documentation of adoption, installation, upgrade, interface or similar 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[{"$f":"IF(E8=\"\",\"\",\"\" & E8 & \"_\" & H8)","v":"4_020811801.1.2"},{"$f":"IF($E8=\"\",\"\",\"\"&$E8&\"_\"&$F8)","v":"4_020811801"},3,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,276367.07,"I-14","Reduce wait times in high-impact specialty for consult for patient's condition.",null,1,"I-14.1","Number of days until first available time for review and consultation for patient referred for telemedicine services",null,"5% reduction in wait time to cardiovascular consult for PAD","Percentage",0.05,"Average number of days between referral date and first available appointment for patients referred for telemedicine specialty services","Average number of days between referral date and first available appointment for all patients referred for specialty services","N","N","Appointment scheduling software and or electronic referral management software","Referral documentation and PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,138183.535,"P-101",null,"Establish a baseline in order to measure improvement over self",1,"P-101.1",null,"The number of PAD screenings performed subsequent to implementation during DY2","Spohn expects to screen at least 63 patients through PAD devices in DY3.","Numeric",63,"","","N","Y",null,"PAD device 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Spohn Hospital Beeville","020811801.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,276367.07,"I-14","Reduce wait times in high-impact specialty for consult for patient's condition.",null,1,"I-14.1","Number of days until first available time for review and consultation for patient referred for telemedicine services",null,"5% reduction in wait time to cardiovascular consult for PAD","Percentage",0.05,"Average number of days between referral date and first available appointment for patients referred for telemedicine specialty services","Average number of days between referral date and first available appointment for all patients referred for specialty services","N","N","Appointment scheduling software and or electronic referral management software","Referral documentation and PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,138183.535,"P-101",null,"Establish a baseline in order to measure improvement over self",1,"P-101.1",null,"The number of PAD screenings performed subsequent to implementation during DY2","Spohn expects to screen at least 63 patients through PAD devices in DY3.","Numeric",63,"","","N","Y",null,"PAD device 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["4_020811801.1.3","4_020811801",3,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.3","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",2,511259.5,"P-101",null,"Establish a baseline",1,"P-101.1",null,"Number of patients utilizing the Beeville clinic","Determine the volume of patient visits and number of patients seen, in order to measure progress in DYs 4-5.","Yes/No",null,"","","N","N",null,"Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,255629.75,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Spohn will recruit at least one NP and two support staff members for full-time employment in the Beeville clinic","Numeric",3,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Staffing schedules, HR 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Spohn Hospital Beeville","020811801.1.3","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",2,511259.5,"P-101",null,"Establish a baseline",1,"P-101.1",null,"Number of patients utilizing the Beeville clinic","Determine the volume of patient visits and number of patients seen, in order to measure progress in DYs 4-5.","Yes/No",null,"","","N","N",null,"Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,255629.75,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Spohn will recruit at least one NP and two support staff members for full-time employment in the Beeville clinic","Numeric",3,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Staffing schedules, HR documents",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,255629.75,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.1","4_020973601",3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",3,1124503,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Baseline: 2012 data. 1,200 visits/month. Goal: Increase visits by 2.8% or 400 visits.","Numeric",400,"","","N","Y","Registry, EHR, claims or other Performing Provider source",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Baseline: 40 hours/week.  Goal to increase hours of operation by 10%.","Percentage",0.1,"","","N","N","Clinic documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites","Increase the number of primary care providers and staff at Amistad Community Health Center","Baseline: 1 Primary Care Physician, 1 Family Nurse Practitioner, and 1 Pediatrician. Goal: Increase by two Primary Care providers - either Physician or Family Nurse Practitioner","Numeric",2,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Employment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",3,1124503,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Baseline: 2012 data. 1,200 visits/month. Goal: Increase visits by 2.8% or 400 visits.","Numeric",400,"","","N","Y","Registry, EHR, claims or other Performing Provider source",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Baseline: 40 hours/week.  Goal to increase hours of operation by 10%.","Percentage",0.1,"","","N","N","Clinic documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites","Increase the number of primary care providers and staff at Amistad Community Health Center","Baseline: 1 Primary Care Physician, 1 Family Nurse Practitioner, and 1 Pediatrician. Goal: Increase by two Primary Care providers - either Physician or Family Nurse Practitioner","Numeric",2,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Employment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.2","4_020973601",3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.2","1.2","Increase Training of Primary Care Workforce","1.2.2","Increase the number of primary care providers (i.e., physicians, residents, nurse practitioners, physician assistants) and other clinicians/staff (such as health coaches and community health workers/promotoras).",2,999558,"I-11","Increase primary care training and/or rotations",null,2,"I-11.1","Increase the number of primary care residents and/or trainees, as measured by percent change of class size over baseline.","Increase the number of primary care residents over the baseline.","Baseline: 20 Internal Medicine Residents and 6 Family Practice Residents. Goal: Increase the number of residents enrolled in either the Internal Medicine or Family Practice programs by a minimum of 3 for the education year starting 7/1/2014","Numeric",3,"","","N","N","Documented enrollment by class by year by primary care training program","HR records","I-11.1","Increase the number of primary care residents and/or trainees, as measured by percent change of class size over baseline.","Increase the number of community health workers enrolled in the primary care training program","Baseline: 0 community health workers. Goal: Increase the number of community health workers by a minimum of 1.","Numeric",1,"","","N","N","Documented enrollment by class by year by primary care training program","HR records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,499779,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists",null,1,"P-2.1","Expand the primary care residency, mid-level provider (physician\nassistants and nurse practitioners), and/or other clinician/staff (e.g., health\ncoaches, community health workers/promotoras) training programs and/or\nrotations",null,"Baseline: 20 Internal Medicine Residents and 6 Family Practice Residents. Goal: Increase allowable residents by a minimum of 8 from baseline","Numeric",8,"","","N","N","Training program documentation","Gap Analysis, Recruiting plans, Budget",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,499779,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.2","1.2","Increase Training of Primary Care Workforce","1.2.2","Increase the number of primary care providers (i.e., physicians, residents, nurse practitioners, physician assistants) and other clinicians/staff (such as health coaches and community health workers/promotoras).",2,999558,"I-11","Increase primary care training and/or rotations",null,2,"I-11.1","Increase the number of primary care residents and/or trainees, as measured by percent change of class size over baseline.","Increase the number of primary care residents over the baseline.","Baseline: 20 Internal Medicine Residents and 6 Family Practice Residents. Goal: Increase the number of residents enrolled in either the Internal Medicine or Family Practice programs by a minimum of 3 for the education year starting 7/1/2014","Numeric",3,"","","N","N","Documented enrollment by class by year by primary care training program","HR records","I-11.1","Increase the number of primary care residents and/or trainees, as measured by percent change of class size over baseline.","Increase the number of community health workers enrolled in the primary care training program","Baseline: 0 community health workers. Goal: Increase the number of community health workers by a minimum of 1.","Numeric",1,"","","N","N","Documented enrollment by class by year by primary care training program","HR records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,499779,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists",null,1,"P-2.1","Expand the primary care residency, mid-level provider (physician\nassistants and nurse practitioners), and/or other clinician/staff (e.g., health\ncoaches, community health workers/promotoras) training programs and/or\nrotations",null,"Baseline: 20 Internal Medicine Residents and 6 Family Practice Residents. Goal: Increase allowable residents by a minimum of 8 from baseline","Numeric",8,"","","N","N","Training program documentation","Gap Analysis, Recruiting plans, Budget",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,499779,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.3","4_020973601",3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.3","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,999558,"I-31","Increase TSC training and/or rotations (must select one of the following metric)",null,1,"I-31.1","Increase the number of TSC residents and/or trainees, as measured by percent change of class size over baseline. Trainees may include physicians, mid-level providers (physician assistants and nurse practitioners), and/or other specialized clinicians/staff.",null,"Baseline: 0 Fellowship Residents. Goal: Increase the number of residents enrolled in the two Fellowship programs by a minimum of 2 for the education year starting 7/1/2014","Numeric",2,"","","N","N","Documented enrollment by class by year by TSC training program",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,499779,"P-14","Expand targeted specialty care (TSC) training (must include at least one of the following metrics)",null,1,"P-14.1","Expand the TSC residency, mid-level provider (physician assistants and nurse practitioners), and/or other specialized clinician/staff training programs and/or rotations",null,"Baseline: No Fellowship Programs. Goal: Increase allowable Fellowship residents by a minimum of 8 from baseline","Numeric",8,"","","N","N","Training program documentation","Gap Analysis, Recruiting plans, Budget",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,499779,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.3","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,999558,"I-31","Increase TSC training and/or rotations (must select one of the following metric)",null,1,"I-31.1","Increase the number of TSC residents and/or trainees, as measured by percent change of class size over baseline. Trainees may include physicians, mid-level providers (physician assistants and nurse practitioners), and/or other specialized clinicians/staff.",null,"Baseline: 0 Fellowship Residents. Goal: Increase the number of residents enrolled in the two Fellowship programs by a minimum of 2 for the education year starting 7/1/2014","Numeric",2,"","","N","N","Documented enrollment by class by year by TSC training program",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,499779,"P-14","Expand targeted specialty care (TSC) training (must include at least one of the following metrics)",null,1,"P-14.1","Expand the TSC residency, mid-level provider (physician assistants and nurse practitioners), and/or other specialized clinician/staff training programs and/or rotations",null,"Baseline: No Fellowship Programs. Goal: Increase allowable Fellowship residents by a minimum of 8 from baseline","Numeric",8,"","","N","N","Training program documentation","Gap Analysis, Recruiting plans, Budget",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,499779,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.4","4_020973601",3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.4","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,1062030,"I-101",null,"Increased utilization of community behavioral healthcare",1,"I-101.1",null,"Number of individuals utilizing community behavioral healthcare services.","Baseline: 2012 data. Average 3 - 5 patients per week. Goal: Increase to 5 - 7 patients per week for IOP and 2 - 4 for PHP, 80 individuals in DY3.","Numeric",80,"","","N","Y",null,"Patient visit records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,531015,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,2,"P-6.1","Number of new community-based settings where behavioral health services are delivered","Number of new community‐based settings where behavioral health services are delivered (IOP).","Baseline: 1 community-based settings where behavioral health services are delivered (IOP).  Goal:  1 additional community-based settings where behavioral health services are delivered (IOP) in DY3","Numeric",1,"","","N","N",null,"Lease agreements,\nexpansion plans, HR records","P-6.1","Number of new community-based settings where behavioral health services are delivered","Number of new community‐based settings where behavioral health services are delivered (PHP).","Baseline: 0 community-based settings where behavioral health services are delivered (PHP). Goal: 1 new community-based settings where behavioral health services are delivered (PHP).","Numeric",1,"","","N","N",null,"HR records, clinical protocols, expansion plans",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,531015,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.4","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,1062030,"I-101",null,"Increased utilization of community behavioral healthcare",1,"I-101.1",null,"Number of individuals utilizing community behavioral healthcare services.","Baseline: 2012 data. Average 3 - 5 patients per week. Goal: Increase to 5 - 7 patients per week for IOP and 2 - 4 for PHP, 80 individuals in DY3.","Numeric",80,"","","N","Y",null,"Patient visit records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,531015,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,2,"P-6.1","Number of new community-based settings where behavioral health services are delivered","Number of new community‐based settings where behavioral health services are delivered (IOP).","Baseline: 1 community-based settings where behavioral health services are delivered (IOP).  Goal:  1 additional community-based settings where behavioral health services are delivered (IOP) in DY3","Numeric",1,"","","N","N",null,"Lease agreements,\nexpansion plans, HR records","P-6.1","Number of new community-based settings where behavioral health services are delivered","Number of new community‐based settings where behavioral health services are delivered (PHP).","Baseline: 0 community-based settings where behavioral health services are delivered (PHP). Goal: 1 new community-based settings where behavioral health services are delivered (PHP).","Numeric",1,"","","N","N",null,"HR records, clinical protocols, expansion plans",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,531015,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.5","4_020973601",3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.5","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",3,903803,"I-16","Increase the number of patient contacts recorded in the registry relative to baseline rate.",null,1,"I-16.1","Total number of in-person and virtual (including email, phone and webbased) visits, either absolute or divided by denominator.",null,"Baseline: 0 patients in the registry. Goal: Minimum of 500 of patient encounters with selected chronic diseases are entered in the registry","Numeric",500,"Number of patient contacts recorded in the registry","Number of targeted patients in the registry (“targeted” as","N","Y","Internal clinic or hospital records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,301267.66666666669,"P-3","Develop cross-functional team to evaluate registry program.",null,1,"P-3.1","Documentation of personnel (clinical, IT, administrative) assigned to evaluate registry program",null,"Baseline of 1,273 fulltime employees. Goal: 1.8% = number of personnel assigned to enter the registry out of total number of personnel","Percentage",0.02,"Number of personnel assigned to enter the registry","Total number of personnel","N","N","Team roster and minutes from team meetings","Registry program meeting minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,301267.66666666669,"P-4","Implement/expand a functional disease management registry.",null,1,"P-4.1","Registry functionality is available in X% of the Performing Provider's sites and includes an expanded number of targeted diseases or clinical conditions.","Registry functionality is available in 50% of the Performing Provider’s sites and includes an expanded number of targeted diseases or clinical conditions.","Adopt registry at a minimum of 50% of Performing Provider Sites","Percentage",0.5,"Number of sites with registry functionality","Total number of sites","N","N","Documentation of adoption, installation, upgrade, interface or similar documentation","Registry program meeting minutes and documentation of adoption",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,301267.66666666669,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.5","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",3,903803,"I-16","Increase the number of patient contacts recorded in the registry relative to baseline rate.",null,1,"I-16.1","Total number of in-person and virtual (including email, phone and webbased) visits, either absolute or divided by denominator.",null,"Baseline: 0 patients in the registry. Goal: Minimum of 500 of patient encounters with selected chronic diseases are entered in the registry","Numeric",500,"Number of patient contacts recorded in the registry","Number of targeted patients in the registry (“targeted” as","N","Y","Internal clinic or hospital records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,301267.66666666669,"P-3","Develop cross-functional team to evaluate registry program.",null,1,"P-3.1","Documentation of personnel (clinical, IT, administrative) assigned to evaluate registry program",null,"Baseline of 1,273 fulltime employees. Goal: 1.8% = number of personnel assigned to enter the registry out of total number of personnel","Percentage",0.02,"Number of personnel assigned to enter the registry","Total number of personnel","N","N","Team roster and minutes from team meetings","Registry program meeting minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,301267.66666666669,"P-4","Implement/expand a functional disease management registry.",null,1,"P-4.1","Registry functionality is available in X% of the Performing Provider's sites and includes an expanded number of targeted diseases or clinical conditions.","Registry functionality is available in 50% of the Performing Provider’s sites and includes an expanded number of targeted diseases or clinical conditions.","Adopt registry at a minimum of 50% of Performing Provider Sites","Percentage",0.5,"Number of sites with registry functionality","Total number of sites","N","N","Documentation of adoption, installation, upgrade, interface or similar documentation","Registry program meeting minutes and documentation of adoption",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,301267.66666666669,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020991801.1.1","4_020991801",3,"1",4,"020991801","Refugio County Memorial Hospital","020991801.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",4,321906,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Documentation of increased number of visits. Goal of 1,100 visits.","Numeric",1100,"","","N","Y","Registry, EHR, claims or other Performing Provider source",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,80476.5,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Baseline: Clinic is open 40 hrs per week. Goal: expand clinic hours by five to ten hours per week","Numeric",5,"","","N","N","Clinic documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,80476.5,"P-7","Establish a nurse advice line and/or primary care patient appointment unit",null,1,"P-7.1","Documentation of nurse advice line and/or primary care patient appointment unit",null,"Establish advice line to effectively direct patients to the appropriate medical facility.","Yes/No",null,"","","N","N","Documentation of advice line and appointment unit implementation, operating hours and triage policies. Advise line system\nlogs, triage algorithms and appointment unit operations/ policies",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,80476.5,"P-8","Develop an automated tracking system for measuring time to next available offered appointment",null,1,"P-8.1","Documentation that providers and staff are aware of next available appointment time using real time scheduling data, to ensure that patients can receive primary care services according to acuity and need.",null,"Tracking system developed","Yes/No",null,"","","N","N","Documentation of Performing Provider policies for assessing and communicating time to next available appointment and response to patient care needs reporting and communication tool.\nPerforming Provider administrative records from patient scheduling\nsystem",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,80476.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"020991801","Refugio County Memorial Hospital","020991801.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",4,321906,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Documentation of increased number of visits. Goal of 1,100 visits.","Numeric",1100,"","","N","Y","Registry, EHR, claims or other Performing Provider source",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,80476.5,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Baseline: Clinic is open 40 hrs per week. Goal: expand clinic hours by five to ten hours per week","Numeric",5,"","","N","N","Clinic documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,80476.5,"P-7","Establish a nurse advice line and/or primary care patient appointment unit",null,1,"P-7.1","Documentation of nurse advice line and/or primary care patient appointment unit",null,"Establish advice line to effectively direct patients to the appropriate medical facility.","Yes/No",null,"","","N","N","Documentation of advice line and appointment unit implementation, operating hours and triage policies. Advise line system\nlogs, triage algorithms and appointment unit operations/ policies",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,80476.5,"P-8","Develop an automated tracking system for measuring time to next available offered appointment",null,1,"P-8.1","Documentation that providers and staff are aware of next available appointment time using real time scheduling data, to ensure that patients can receive primary care services according to acuity and need.",null,"Tracking system developed","Yes/No",null,"","","N","N","Documentation of Performing Provider policies for assessing and communicating time to next available appointment and response to patient care needs reporting and communication tool.\nPerforming Provider administrative records from patient 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["4_094118902.1.1","4_094118902",3,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.1","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",1,553969,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered",null,"Baseline is 52 patients in the established IOP. Goal is 78 patients. Establish 1 new community-based setting where behavioral health services are delivered.","Numeric",78,"","","N","Y",null,"Provider 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Hospital (Victoria of Tx)","094118902.1.1","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",1,553969,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered",null,"Baseline is 52 patients in the established IOP. Goal is 78 patients. Establish 1 new community-based setting where behavioral health services are delivered.","Numeric",78,"","","N","Y",null,"Provider 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["4_094118902.1.3","4_094118902",3,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.3","1.2","Increase Training of Primary Care Workforce","1.2.3","Increase the number of residency/training program for faculty/staff to support an expanded, more updated program",1,1060000,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists",null,2,"P-2.1","Expand the primary care residency, mid-level provider (physician\nassistants and nurse practitioners), and/or other clinician/staff (e.g., health\ncoaches, community health workers/promotoras) training programs and/or\nrotations",null,"0 Training Programs/Goal is 1","Numeric",1,"","","N","N","Training program documentation","Completed Application for ACGME and agreement for the program with A&M.","P-2.2","Hire additional precepting primary care faculty members. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Baseline is 1 program director. Goal is additional 1 primary care faculty.","Numeric",1,"","","N","N","HR documents, faculty lists, or other documentation","Faculty 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Hospital (Victoria of Tx)","094118902.1.3","1.2","Increase Training of Primary Care Workforce","1.2.3","Increase the number of residency/training program for faculty/staff to support an expanded, more updated program",1,1060000,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists",null,2,"P-2.1","Expand the primary care residency, mid-level provider (physician\nassistants and nurse practitioners), and/or other clinician/staff (e.g., health\ncoaches, community health workers/promotoras) training programs and/or\nrotations",null,"0 Training Programs/Goal is 1","Numeric",1,"","","N","N","Training program documentation","Completed Application for ACGME and agreement for the program with A&M.","P-2.2","Hire additional precepting primary care faculty members. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Baseline is 1 program director. 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["4_094222902.1.1","4_094222902",3,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,274915.17,"P-1","Establish additional/expand existing/relocate primary care clinics","Relocate primary care clinics",1,"P-1.1","Number of additional clinics or expanded hours or space","Amount of expanded space","Spohn will identify a new space in which to relocate the Freer clinic, which will include at least one additional exam room over the existing clinic space","Numeric",1,"","","N","N","New primary care schedule or other Performing Provider document or other plans as designated by Performing Provider","documentation of relocation plans, lease, or other paper evidence of 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Spohn Hospital Alice","094222902.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,274915.17,"P-1","Establish additional/expand existing/relocate primary care clinics","Relocate primary care clinics",1,"P-1.1","Number of additional clinics or expanded hours or space","Amount of expanded space","Spohn will identify a new space in which to relocate the Freer clinic, which will include at least one additional exam room over the existing clinic space","Numeric",1,"","","N","N","New primary care schedule or other Performing Provider document or other plans as designated by Performing Provider","documentation of relocation plans, lease, or other paper evidence of 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ll,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.2","4_094222902",3,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",1,274915.17,"P-3","Develop cross-functional team to evaluate registry program.",null,1,"P-3.1","Documentation of personnel (clinical, IT, administrative) assigned to evaluate registry program",null,"Spohn multidisciplinary team development of chronic disease registry. Goal: 20% of personnel assigned to enter the registry out of total number of personnel assigned to cross-functional team.","Percentage",0.2,"Number of personnel assigned to enter the registry","Total number of personnel","N","N","Team roster and minutes from team meetings","Registry Project Management Plan/Proposal",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,274915.17,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null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Spohn Hospital Alice","094222902.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",1,274915.17,"P-3","Develop cross-functional team to evaluate registry program.",null,1,"P-3.1","Documentation of personnel (clinical, IT, administrative) assigned to evaluate registry program",null,"Spohn multidisciplinary team development of chronic disease registry. Goal: 20% of personnel assigned to enter the registry out of total number of personnel assigned to cross-functional team.","Percentage",0.2,"Number of personnel assigned to enter the registry","Total number of personnel","N","N","Team roster and minutes from team meetings","Registry Project Management Plan/Proposal",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,274915.17,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.3","4_094222902",3,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,333825.56,"I-14","Reduce wait times in high-impact specialty for consult for patient's condition.",null,1,"I-14.1","Number of days until first available time for review and consultation for patient referred for telemedicine services",null,"5% reduction in wait time to cardiovascular consult for PAD for patients referred from the Freer Clinic and FQHC","Percentage",0.05,"Average number of days between referral date and first available appointment for patients referred for telemedicine specialty services","Average number of days between referral date and first available appointment for all patients referred for specialty services","N","N","Appointment scheduling software and or electronic referral management software","Referral documentation and PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,166912.78,"P-101",null,"Establish a baseline in order to measure improvement over self",1,"P-101.1",null,"The number of PAD screenings performed subsequent to implementation during DY2","Spohn expects to screen at least 170 patients through PAD devices in DY3.","Numeric",170,"","","N","Y",null,"PAD device reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,166912.78,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,333825.56,"I-14","Reduce wait times in high-impact specialty for consult for patient's condition.",null,1,"I-14.1","Number of days until first available time for review and consultation for patient referred for telemedicine services",null,"5% reduction in wait time to cardiovascular consult for PAD for patients referred from the Freer Clinic and FQHC","Percentage",0.05,"Average number of days between referral date and first available appointment for patients referred for telemedicine specialty services","Average number of days between referral date and first available appointment for all patients referred for specialty services","N","N","Appointment scheduling software and or electronic referral management software","Referral documentation and PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,166912.78,"P-101",null,"Establish a baseline in order to measure improvement over self",1,"P-101.1",null,"The number of PAD screenings performed subsequent to implementation during DY2","Spohn expects to screen at least 170 patients through PAD devices in DY3.","Numeric",170,"","","N","Y",null,"PAD device reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,166912.78,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_112673204.1.1","4_112673204",3,"1",4,"112673204","Yoakum Community Hospital","112673204.1.1","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",3,210480.48,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Documentation of increased number of visits. Goal of 960 visits.","Numeric",960,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Patient registry and appointment schedule.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,70160.160000000003,"P-101",null,"Establish a baseline in order to measure improvement over self",1,"P-101.1",null,"Documentation of number of patient visits","Determine a baseline number of visits","Yes/No",null,"","","N","N",null,"Patient registry and appointment schedule",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,70160.160000000003,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Baseline: No primary care providers in 2012. Goal: Recruit and hire a total of one primary care physician and support staff","Numeric",2,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Documentation of contracts/human resource confirmation documents confirming hiring of new staff",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,70160.160000000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"112673204","Yoakum Community Hospital","112673204.1.1","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",3,210480.48,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Documentation of increased number of visits. Goal of 960 visits.","Numeric",960,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Patient registry and appointment schedule.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,70160.160000000003,"P-101",null,"Establish a baseline in order to measure improvement over self",1,"P-101.1",null,"Documentation of number of patient visits","Determine a baseline number of visits","Yes/No",null,"","","N","N",null,"Patient registry and appointment schedule",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,70160.160000000003,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Baseline: No primary care providers in 2012. Goal: Recruit and hire a total of one primary care physician and support staff","Numeric",2,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Documentation of contracts/human resource confirmation documents confirming hiring of new staff",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,70160.160000000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_112673204.1.2","4_112673204",3,"1",4,"112673204","Yoakum Community Hospital","112673204.1.2","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",2,177246.72,"P-14","Expand targeted specialty care (TSC) training (must include at least one of the following metrics)","Implement training programs for the most impacted specialties and recruit trainee-providers to provide services in the local clinic",1,"P-14.1","Expand the TSC residency, mid-level provider (physician assistants and nurse practitioners), and/or other specialized clinician/staff training programs and/or rotations",null,"Implement training programs for the most impacted specialties and recruit trainee-providers to provide services in the local clinic","Yes/No",null,"","","N","N","Training program documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,88623.360000000001,"P-3","Collect baseline data for wait times, backlog, and/or return appointments in specialties",null,1,"P-3.1","Establish baseline for performance indicators",null,"Established baseline","Yes/No",null,"TBD by the Performing Provider","TBD by the Performing Provider","N","N","TBD by the Performing Provider","Reports generated from appointment management system and summary detailing how indicators will be used for project planning.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,88623.360000000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"112673204","Yoakum Community Hospital","112673204.1.2","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",2,177246.72,"P-14","Expand targeted specialty care (TSC) training (must include at least one of the following metrics)","Implement training programs for the most impacted specialties and recruit trainee-providers to provide services in the local clinic",1,"P-14.1","Expand the TSC residency, mid-level provider (physician assistants and nurse practitioners), and/or other specialized clinician/staff training programs and/or rotations",null,"Implement training programs for the most impacted specialties and recruit trainee-providers to provide services in the local clinic","Yes/No",null,"","","N","N","Training program documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,88623.360000000001,"P-3","Collect baseline data for wait times, backlog, and/or return appointments in specialties",null,1,"P-3.1","Establish baseline for performance indicators",null,"Established baseline","Yes/No",null,"TBD by the Performing Provider","TBD by the Performing Provider","N","N","TBD by the Performing Provider","Reports generated from appointment management system and summary detailing how indicators will be used for project planning.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,88623.360000000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.1","4_121775403",3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,1998619.4,"P-1","Establish additional/expand existing/relocate primary care clinics",null,1,"P-1.1","Number of additional clinics or expanded hours or space","Expanded space","Increase available space for treating patients in Spohn's Northside Family Health Clinic from 5000 square feet to at least 8000 square feet","Numeric",3000,"","","N","N","New primary care schedule or other Performing Provider document or other plans as designated by Performing Provider","Documentation of the additional space in the Northside  primary care clinic (i.e. evidence of remodeling)",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,999309.7,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Increase clinic hours in at least one FHC to include 2 additional hours per week after 5pm or during the weekend (improvement over baseline, as evidenced by DY1 clinic schedules and over DY2 goal).","Numeric",2,"","","N","N","Clinic documentation","Clinic 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Health System dba Spohn Memorial Hospital","121775403.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,1998619.4,"P-1","Establish additional/expand existing/relocate primary care clinics",null,1,"P-1.1","Number of additional clinics or expanded hours or space","Expanded space","Increase available space for treating patients in Spohn's Northside Family Health Clinic from 5000 square feet to at least 8000 square feet","Numeric",3000,"","","N","N","New primary care schedule or other Performing Provider document or other plans as designated by Performing Provider","Documentation of the additional space in the Northside  primary care clinic (i.e. evidence of 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["4_121775403.1.2","4_121775403",3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1645921.86,"P-3","Develop cross-functional team to evaluate registry program.",null,1,"P-3.1","Documentation of personnel (clinical, IT, administrative) assigned to evaluate registry program",null,"Spohn multidisciplinary team development of chronic disease registry. Goal: 20% of personnel assigned to enter the registry out of total number of personnel assigned to cross-functional team.","Percentage",0.2,"Number of personnel assigned to enter the registry","Total number of personnel","N","N","Team roster and minutes from team meetings","Registry Project Management Plan/Proposal",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,822960.93,"P-4","Implement/expand a functional disease management registry.",null,1,"P-4.1","Registry functionality is available in X% of the Performing Provider's sites and includes an expanded number of targeted diseases or clinical conditions.",null,"The registry measuring CHF and diabetes will be implemented and used for management and outreach in at least 80% of Spohn's FHC sites (4/5 clinics).","Percentage",0.8,"Number of sites with registry functionality","Total number of sites","N","N","Documentation of adoption, installation, upgrade, interface or similar 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Health System dba Spohn Memorial Hospital","121775403.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1645921.86,"P-3","Develop cross-functional team to evaluate registry program.",null,1,"P-3.1","Documentation of personnel (clinical, IT, administrative) assigned to evaluate registry program",null,"Spohn multidisciplinary team development of chronic disease registry. Goal: 20% of personnel assigned to enter the registry out of total number of personnel assigned to cross-functional team.","Percentage",0.2,"Number of personnel assigned to enter the registry","Total number of personnel","N","N","Team roster and minutes from team meetings","Registry Project Management Plan/Proposal",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,822960.93,"P-4","Implement/expand a functional disease management registry.",null,1,"P-4.1","Registry functionality is available in X% of the Performing Provider's sites and includes an expanded number of targeted diseases or clinical conditions.",null,"The registry measuring CHF and diabetes will be implemented and used for management and outreach in at least 80% of Spohn's FHC sites (4/5 clinics).","Percentage",0.8,"Number of sites with registry functionality","Total number of sites","N","N","Documentation of adoption, installation, upgrade, interface or similar documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,822960.93,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.3","4_121775403",3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,1998619.4,"I-14","Reduce wait times in high-impact specialty for consult for patient's condition.",null,1,"I-14.1","Number of days until first available time for review and consultation for patient referred for telemedicine services",null,"5% reduction in wait time to cardiovascular consult for PAD","Percentage",0.05,"Average number of days between referral date and first available appointment for patients referred for telemedicine specialty services","Average number of days between referral date and first available appointment for all patients referred for specialty services","N","N","Appointment scheduling software and or electronic referral management software","Referral documentation and PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,999309.7,"P-101",null,"Establish a baseline in order to measure improvement over self",1,"P-101.1",null,"The number of PAD\nscreenings performed subsequent to implementation during DY2","Spohn expects to screen at least 1000 patients through PAD device in DY3","Numeric",1000,"","","N","Y",null,"PAD device reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,999309.7,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,1998619.4,"I-14","Reduce wait times in high-impact specialty for consult for patient's condition.",null,1,"I-14.1","Number of days until first available time for review and consultation for patient referred for telemedicine services",null,"5% reduction in wait time to cardiovascular consult for PAD","Percentage",0.05,"Average number of days between referral date and first available appointment for patients referred for telemedicine specialty services","Average number of days between referral date and first available appointment for all patients referred for specialty services","N","N","Appointment scheduling software and or electronic referral management software","Referral documentation and PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,999309.7,"P-101",null,"Establish a baseline in order to measure improvement over self",1,"P-101.1",null,"The number of PAD\nscreenings performed subsequent to implementation during DY2","Spohn expects to screen at least 1000 patients through PAD device in DY3","Numeric",1000,"","","N","Y",null,"PAD device reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,999309.7,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.4","4_121775403",3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.4","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1763487.71,"I-33","Increase specialty care capacity using innovative project option. The following metrics are suggested for use with an innovative project option to increase specialty care capacity but are not required.","Increase ICU capacity using Intensivist Model of Care Delivery",1,"I-33.1","Increase percentage of target population reached.",null,"Spohn estimates approximately 6000 critical care admissions to its Corpus facilities annually, of which approximately 650 are assigned to Intensivists. The goal is to assign 20% of ICU admissions across its 3 Corpus facilities to an Intensivist (approximately 1200 admissions, with at least 480 expected to be Medicaid/uninsured) during DY3.","Numeric",1200,"Number of individuals of target population reached by the innovative project.","","N","Y","Documentation of target population reached, as designated in the project plan.","Hospital reports, EMRs",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,881743.85499999998,"P-6","Develop and implement standardized referral and work-up guidelines",null,1,"P-6.1","Referral and work-up guidelines",null,"Draft guidelines for categorizing and prioritizing patients for referral to intensivists in the ICU, and implement electronic system for effectuating and monitoring those referrals within the facilities.","Yes/No",null,"","","N","N","Referral and work-up policies and procedures documents",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,881743.85499999998,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.4","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1763487.71,"I-33","Increase specialty care capacity using innovative project option. The following metrics are suggested for use with an innovative project option to increase specialty care capacity but are not required.","Increase ICU capacity using Intensivist Model of Care Delivery",1,"I-33.1","Increase percentage of target population reached.",null,"Spohn estimates approximately 6000 critical care admissions to its Corpus facilities annually, of which approximately 650 are assigned to Intensivists. The goal is to assign 20% of ICU admissions across its 3 Corpus facilities to an Intensivist (approximately 1200 admissions, with at least 480 expected to be Medicaid/uninsured) during DY3.","Numeric",1200,"Number of individuals of target population reached by the innovative project.","","N","Y","Documentation of target population reached, as designated in the project plan.","Hospital reports, EMRs",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,881743.85499999998,"P-6","Develop and implement standardized referral and work-up guidelines",null,1,"P-6.1","Referral and work-up guidelines",null,"Draft guidelines for categorizing and prioritizing patients for referral to intensivists in the ICU, and implement electronic system for effectuating and monitoring those referrals within the facilities.","Yes/No",null,"","","N","N","Referral and work-up policies and procedures documents",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,881743.85499999998,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.5","4_121775403",3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.5","1.13","Development of behavioral health crisis stabilization services as alternatives to hospitalization.","1.13.1","Develop and implement crisis stabilization services to address the identified gaps in the current community crisis system",2,2233751.1,"P-4","Hire and train staff to implement identified crisis stabilization services. P-4.1. Metric: Number of staff hired and trained.",null,1,"P-4.1","Number of staff hired and trained.",null,"Spohn will hire and/or relocate existing PAS staff to the HPG clinic and train them to implement the stabilization crisis services and operationalize the protocols and clinical guidelines. Goal: 11 staff hired/relocated and trained.","Numeric",11,"","","N","N","Training curricula",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1116875.55,"P-5","Develop administration of operational protocols and clinical guidelines for crisis services.",null,1,"P-5.1","Completion of policies and procedures.",null,"Completion of policies and procedures.","Yes/No",null,"","","N","N","Internal policy and procedures documents and operations manual.","Spohn will create and implement an Operations Manual for the crisis stabilization/urgent care system that incorporates existing best practices and alternative care models to the unit currently in existence.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1116875.55,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.5","1.13","Development of behavioral health crisis stabilization services as alternatives to hospitalization.","1.13.1","Develop and implement crisis stabilization services to address the identified gaps in the current community crisis system",2,2233751.1,"P-4","Hire and train staff to implement identified crisis stabilization services. P-4.1. Metric: Number of staff hired and trained.",null,1,"P-4.1","Number of staff hired and trained.",null,"Spohn will hire and/or relocate existing PAS staff to the HPG clinic and train them to implement the stabilization crisis services and operationalize the protocols and clinical guidelines. Goal: 11 staff hired/relocated and trained.","Numeric",11,"","","N","N","Training curricula",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1116875.55,"P-5","Develop administration of operational protocols and clinical guidelines for crisis services.",null,1,"P-5.1","Completion of policies and procedures.",null,"Completion of policies and procedures.","Yes/No",null,"","","N","N","Internal policy and procedures documents and operations manual.","Spohn will create and implement an Operations Manual for the crisis stabilization/urgent care system that incorporates existing best practices and alternative care models to the unit currently in existence.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1116875.55,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.6","4_121775403",3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.6","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",1,1763487.71,"P-14","Expand targeted specialty care (TSC) training (must include at least one of the following metrics)","Implement PMHNP training.",2,"P-14.1","Expand the TSC residency, mid-level provider (physician assistants and nurse practitioners), and/or other specialized clinician/staff training programs and/or rotations","PMHNP cohort\nenrollment","PMHNP minimum recruitment of at least four (4) students to participate in the program","Numeric",4,"","","N","N","Training program documentation","Program documentation, Cohort documentation","P-14.2","Hire additional precepting TSC faculty members",null,"Provide faculty according to NLNC guidelines. Hire 1.0 FTE","Numeric",1,"","","N","N","HR documents, faculty lists, or other documentation","HR records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1763487.71,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.6","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",1,1763487.71,"P-14","Expand targeted specialty care (TSC) training (must include at least one of the following metrics)","Implement PMHNP training.",2,"P-14.1","Expand the TSC residency, mid-level provider (physician assistants and nurse practitioners), and/or other specialized clinician/staff training programs and/or rotations","PMHNP cohort\nenrollment","PMHNP minimum recruitment of at least four (4) students to participate in the program","Numeric",4,"","","N","N","Training program documentation","Program documentation, Cohort documentation","P-14.2","Hire additional precepting TSC faculty members",null,"Provide faculty according to NLNC guidelines. Hire 1.0 FTE","Numeric",1,"","","N","N","HR documents, faculty lists, or other documentation","HR records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1763487.71,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null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["4_121775403.1.7","4_121775403",3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.7","1.2","Increase Training of Primary Care Workforce","1.2.1","Update primary care training programs to include training on the medical home and chronic care models, disease registry use for population health management, patient panel management, oral health, and other identified training needs and/or quality/performance improvement",1,1410790.17,"P-3","Expand positive primary care exposure for residents/trainees (must include at least one of the following metrics)",null,1,"P-3.2","Train trainees in the medical home model, chronic Care Model and/or disease registry use; have primary care trainees participate in medical homes by managing panels","Train trainees in the medical home model, chronic care model and/or disease registry use","Presently, Spohn's residents are assigned to patients in the Hector P Garcia clinic (approximately 9000 patients), but are not regularly available to those patients. The goal of this project is to incorporate the residents into the Medical Home Model that is being implemented at the clinic through another DSRIP project. Residents will be regularly available for their assigned patient panel, and will be trained in using the chronic disease registry being implemented through another DSRIP project as part of their provision of care","Yes/No",null,"","","N","N","Curriculum, rotation hours, and/or patient panels assigned to resident/trainee",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1410790.17,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.7","1.2","Increase Training of Primary Care Workforce","1.2.1","Update primary care training programs to include training on the medical home and chronic care models, disease registry use for population health management, patient panel management, oral health, and other identified training needs and/or quality/performance improvement",1,1410790.17,"P-3","Expand positive primary care exposure for residents/trainees (must include at least one of the following metrics)",null,1,"P-3.2","Train trainees in the medical home model, chronic Care Model and/or disease registry use; have primary care trainees participate in medical homes by managing panels","Train trainees in the medical home model, chronic care model and/or disease registry use","Presently, Spohn's residents are assigned to patients in the Hector P Garcia clinic (approximately 9000 patients), but are not regularly available to those patients. The goal of this project is to incorporate the residents into the Medical Home Model that is being implemented at the clinic through another DSRIP project. Residents will be regularly available for their assigned patient panel, and will be trained in using the chronic disease registry being implemented through another DSRIP project as part of their provision of care","Yes/No",null,"","","N","N","Curriculum, rotation hours, and/or patient panels assigned to resident/trainee",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1410790.17,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121785303.1.100","4_121785303",3,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.100","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.2","Implement remote patient monitoring programs for diagnosis and/or management of care. Providers should demonstrate that they are exceeding the requirements of the EHR incentive program.",4,8470,"I-101",null,"Increase the number of individuals having their glucose monitored by the remote continuous glucose monitoring system",1,"I-101.1",null,"Number of persons having glucose monitored","Baseline: 0 / Goal: 50  patients enrolled in glucoge monitoring program in DY3","Numeric",50,"","",null,"Y",null,"EHR, medical records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,2117.5,"P-102",null,"Purchase remote diabetes monitors and sensors",1,"P-102.1",null,"Purchase equipment","Goal: Purchase 4 monitors and sensors","Yes/No",null,"","",null,"N",null,"Purchase reciepts",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,2117.5,"P-2","Conduct needs assessment to identify needed services that could be delivered via telehealth.",null,1,"P-2.1","Needs assessment","Needs assessment detailing needed services to be delivered via tele-medicine.","Goal: Completion of the gap assessment","Yes/No",null,"","",null,"N","Needs assessment",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,2117.5,"P-5","Implement remote patient monitoring program based on evidence based models and adapted to fit the needs of the population and local context.",null,1,"P-5.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.",null,"Goal: Implementation of the diabetes remote monitoring system","Yes/No",null,"","",null,"N","Program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,2117.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.100","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.2","Implement remote patient monitoring programs for diagnosis and/or management of care. Providers should demonstrate that they are exceeding the requirements of the EHR incentive program.",4,8470,"I-101",null,"Increase the number of individuals having their glucose monitored by the remote continuous glucose monitoring system",1,"I-101.1",null,"Number of persons having glucose monitored","Baseline: 0 / Goal: 50  patients enrolled in glucoge monitoring program in DY3","Numeric",50,"","",null,"Y",null,"EHR, medical records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,2117.5,"P-102",null,"Purchase remote diabetes monitors and sensors",1,"P-102.1",null,"Purchase equipment","Goal: Purchase 4 monitors and sensors","Yes/No",null,"","",null,"N",null,"Purchase reciepts",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,2117.5,"P-2","Conduct needs assessment to identify needed services that could be delivered via telehealth.",null,1,"P-2.1","Needs assessment","Needs assessment detailing needed services to be delivered via tele-medicine.","Goal: Completion of the gap assessment","Yes/No",null,"","",null,"N","Needs assessment",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,2117.5,"P-5","Implement remote patient monitoring program based on evidence based models and adapted to fit the needs of the population and local context.",null,1,"P-5.1","Documentation of program materials including implementation plan, vendor agreements/ contracts, staff training and HR documents.",null,"Goal: Implementation of the diabetes remote monitoring system","Yes/No",null,"","",null,"N","Program 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["4_121785303.1.1","4_121785303",3,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,141210,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"580 over pre-DSRIP baseline of 1618 (total of 2198 encounters in DY3)","Numeric",580,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,70605,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Baseline/Goal: Increase number of hours from 24 to 28 hours per week.","Numeric",28,"","","N","N","Clinic 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County Hospital District DBA Memorial Hos","121785303.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,141210,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"580 over pre-DSRIP baseline of 1618 (total of 2198 encounters in DY3)","Numeric",580,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,70605,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Baseline/Goal: Increase number of hours from 24 to 28 hours per week.","Numeric",28,"","","N","N","Clinic 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["4_132812205.1.4","4_132812205",3,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.4","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.1","Implement telemedicine program to provide or expand specialist referral services in an area identified as needed to the region.",3,1191241,"I-12","Increase number of telemedicine visits for each specialty identified as high need",null,1,"I-12.1","Number of telemedicine visits",null,"Increase the number of patient visits in the Driscoll service area by 25% from the baseline of 264 to provide 66 additional visits.","Numeric",66,"Number of visits in which patients are seen using telemedicine services for each type of medical or surgical subspecialty provided by specified timeframe (e.g. one year) and geographic area in a RHP or for individual provider.","Number of patients referred to medical specialties","N","Y","EHR or electronic referral processing system; encounter records from telemedicine program",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,397080.33333333331,"P-103",null,"Increase accessibility for telemedicine services",1,"P-103.1",null,"Increase the number of telemedicine/telehealth hours of operation.","Increase the number of patient access hours of in the Driscoll service area by 25% from the baseline for an additional 83 hours.","Percentage",0.25,"","","N","N",null,"Documentation of operational hours/contracted hours",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,397080.33333333331,"P-104",null,"Task Force leads quality improvement initiative for expanding children’s telemedicine/telehealth services in the Driscoll service area.",2,"P-104.1",null,"Documentation of Quality Improvement meetings held twice per year","2 QI Meetings held","Numeric",2,"","","N","N",null,"Meeting records","P-104.2",null,"Documentation of Task Force meetings, findings and/or action plan to further improve access to  telemedicine/telehealth services,","Documentation in Task Force meeting minutes of project findings and action plan to further improve access to  telemedicine/telehealth services","Yes/No",null,"","","N","N",null,"Hospital meeting 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Children's Hospital","132812205.1.4","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.1","Implement telemedicine program to provide or expand specialist referral services in an area identified as needed to the region.",3,1191241,"I-12","Increase number of telemedicine visits for each specialty identified as high need",null,1,"I-12.1","Number of telemedicine visits",null,"Increase the number of patient visits in the Driscoll service area by 25% from the baseline of 264 to provide 66 additional visits.","Numeric",66,"Number of visits in which patients are seen using telemedicine services for each type of medical or surgical subspecialty provided by specified timeframe (e.g. one year) and geographic area in a RHP or for individual provider.","Number of patients referred to medical specialties","N","Y","EHR or electronic referral processing system; encounter records from telemedicine program",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,397080.33333333331,"P-103",null,"Increase accessibility for telemedicine services",1,"P-103.1",null,"Increase the number of telemedicine/telehealth hours of operation.","Increase the number of patient access hours of in the Driscoll service area by 25% from the baseline for an additional 83 hours.","Percentage",0.25,"","","N","N",null,"Documentation of operational hours/contracted hours",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,397080.33333333331,"P-104",null,"Task Force leads quality improvement initiative for expanding children’s telemedicine/telehealth services in the Driscoll service area.",2,"P-104.1",null,"Documentation of Quality Improvement meetings held twice per year","2 QI Meetings held","Numeric",2,"","","N","N",null,"Meeting records","P-104.2",null,"Documentation of Task Force meetings, findings and/or action plan to further improve access to  telemedicine/telehealth services,","Documentation in Task Force meeting minutes of project findings and action plan to further improve access to  telemedicine/telehealth 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[{"$f":"\"\" & CELL(\"address\",$F$7) & \":\" & CELL(\"address\",$F$1005)","v":"$F$7:$F$1005"},"Cells to look at:",{"$f":"\"\" & CELL(\"address\",$E$1) & \":\" & CELL(\"address\",$ASA$1)","v":"$E$1:$ASA$1"},"To Hide ---->",0,0,0,0,0,0,0,0,0,0,{"$f":"IF(O$2>$C$2,1,IF(O$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(O$2-1))),1,0))","v":0},{"$f":"IF(P$2>$C$2,1,IF(P$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(P$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(CB$2>$C$2,1,IF(CB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(CB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(EN$2>$C$2,1,IF(EN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(EN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(GZ$2>$C$2,1,IF(GZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(GZ$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(JL$2>$C$2,1,IF(JL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(JL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LX$2>$C$2,1,IF(LX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(LX$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(OJ$2>$C$2,1,IF(OJ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(OJ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,1,1,1,1,{"$f":"IF(QV$2>$C$2,1,IF(QV$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(QV$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(TH$2>$C$2,1,IF(TH$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(TH$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(VT$2>$C$2,1,IF(VT$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(VT$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(YF$2>$C$2,1,IF(YF$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(YF$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AAR$2>$C$2,1,IF(AAR$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AAR$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ADD$2>$C$2,1,IF(ADD$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ADD$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AFP$2>$C$2,1,IF(AFP$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AFP$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AIB$2>$C$2,1,IF(AIB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AIB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AKN$2>$C$2,1,IF(AKN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AKN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AMZ$2>$C$2,1,IF(AMZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AMZ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(APL$2>$C$2,1,IF(APL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(APL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ARX$2>$C$2,1,IF(ARX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ARX$2-1))),1,0))","v":1},1,1,1]
[{"$f":"\"\" & CELL(\"address\",$H$7) & \":\" & CELL(\"address\",$H$1005)","v":"$H$7:$H$1005"},"Max Milestones:",{"$f":"MAX($M$7:$M$1005)","v":5},"Milestone --->",0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(LEFT(P$5)=\"M\",O2+1,O2)","v":1},{"$f":"IF(LEFT(Q$5)=\"M\",P2+1,P2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LEFT(CC$5)=\"M\",CB2+1,CB2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,{"$f":"IF(LEFT(EO$5)=\"M\",EN2+1,EN2)","v":2},2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(HA$5)=\"M\",GZ2+1,GZ2)","v":3},3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(JM$5)=\"M\",JL2+1,JL2)","v":3},3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,{"$f":"IF(LEFT(LY$5)=\"M\",LX2+1,LX2)","v":4},4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,{"$f":"IF(LEFT(OK$5)=\"M\",OJ2+1,OJ2)","v":5},5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,{"$f":"IF(LEFT(QW$5)=\"M\",QV2+1,QV2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,{"$f":"IF(LEFT(TI$5)=\"M\",TH2+1,TH2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,{"$f":"IF(LEFT(VU$5)=\"M\",VT2+1,VT2)","v":7},7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(YG$5)=\"M\",YF2+1,YF2)","v":8},8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(AAS$5)=\"M\",AAR2+1,AAR2)","v":8},8,8,8,8,8,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,{"$f":"IF(LEFT(ADE$5)=\"M\",ADD2+1,ADD2)","v":9},9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,{"$f":"IF(LEFT(AFQ$5)=\"M\",AFP2+1,AFP2)","v":10},10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AIC$5)=\"M\",AIB2+1,AIB2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AKO$5)=\"M\",AKN2+1,AKN2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,{"$f":"IF(LEFT(ANA$5)=\"M\",AMZ2+1,AMZ2)","v":12},12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(APM$5)=\"M\",APL2+1,APL2)","v":13},13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(ARY$5)=\"M\",ARX2+1,ARX2)","v":13},13,13]
[null,null,null,"Metric --->",0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0]
[{"$f":"\"RHP \" & RHP & \" Category 1 - DY4\"","v":"RHP 4 Category 1 - DY4"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #1",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #5",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #8",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #9",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #10",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #11",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #12",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #13"]
["Unique Identifier","RHP_TPI","DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY4","Project DSRIP Allocation in DY4","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #1 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #2 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #3 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #4 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #5 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #6 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #7 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #8 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #9 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #10 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #11 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #12 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #13 DSRIP\n(DY4)",null,"DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY4","Project DSRIP Allocation in DY4","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #1 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #2 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #3 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #4 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #5 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #6 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #7 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #8 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #9 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #10 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #11 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #12 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #13 DSRIP\n(DY4)"]
[{"$f":"IF(E7=\"\",\"\",\"\" & E7 & \"_\" & H7)","v":"4_020811801.1.1"},{"$f":"IF($E7=\"\",\"\",\"\"&$E7&\"_\"&$F7)","v":"4_020811801"},4,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.1","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,227243.55,"I-101",null,"Increase the number of patients enrolled in the registry.",1,"I-101.1",null,"Number of patients in the registry with diabetes and/or CHF","Increase the number of diabetic and CHF patients (across the board) entered into the registry by 65 individuals in DY4.","Numeric",65,"","","N","Y",null,"Registry/EHR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,113621.77499999999,"P-8","Create/disseminate protocols for registry-driven reminders and reports for clinicians and providers regarding key health indicator monitoring and management in patients with targeted diseases",null,1,"P-8.1","Submitted protocols for the specified conditions and health indicators",null,"Spohn will create protocols for using the information stored in the registry to address diabetes and CHF Data. Goal: 2 protocols for specified conditions and health indicators submitted.","Numeric",2,"","","N","N","Protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,113621.77499999999,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.1","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,227243.55,"I-101",null,"Increase the number of patients enrolled in the registry.",1,"I-101.1",null,"Number of patients in the registry with diabetes and/or CHF","Increase the number of diabetic and CHF patients (across the board) entered into the registry by 65 individuals in DY4.","Numeric",65,"","","N","Y",null,"Registry/EHR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,113621.77499999999,"P-8","Create/disseminate protocols for registry-driven reminders and reports for clinicians and providers regarding key health indicator monitoring and management in patients with targeted diseases",null,1,"P-8.1","Submitted protocols for the specified conditions and health indicators",null,"Spohn will create protocols for using the information stored in the registry to address diabetes and CHF Data. Goal: 2 protocols for specified conditions and health indicators submitted.","Numeric",2,"","","N","N","Protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,113621.77499999999,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
[{"$f":"IF(E8=\"\",\"\",\"\" & E8 & \"_\" & H8)","v":"4_020811801.1.2"},{"$f":"IF($E8=\"\",\"\",\"\"&$E8&\"_\"&$F8)","v":"4_020811801"},4,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,275938.59999999998,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient. Denominator: Number of patients referred to all medical specialties using referral processing system","Increase PAD screenings in the Beeville FHC with access to cardiovascular specialists by 94 (157 total estimated encounters).","Numeric",157,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device 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Spohn Hospital Beeville","020811801.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,275938.59999999998,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient. Denominator: Number of patients referred to all medical specialties using referral processing system","Increase PAD screenings in the Beeville FHC with access to cardiovascular specialists by 94 (157 total estimated encounters).","Numeric",157,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device 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Demonstrate improvement over prior reporting period.","Documentation of increased number of visits.","5% increase in clinic volume of patient visits over baseline, approximately 1,000 encounters.","Numeric",1000,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,503240.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,n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Spohn Hospital Beeville","020811801.1.3","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",1,503240.5,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Documentation of increased number of visits.","5% increase in clinic volume of patient visits over baseline, approximately 1,000 encounters.","Numeric",1000,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,503240.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.1","4_020973601",4,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",3,1202956,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Increase the number of visits over the baseline","Increase visits 12.2% from baseline, 1,760 visits (encounters) in DY4.","Numeric",1760,"","","N","Y","Registry, EHR, claims or other Performing Provider source","EHR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,400985.33333333331,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours","Expand the hours of Amistad Community Health Center",1,"P-4.1","Increased number of hours at primary care clinic over baseline","Increase the number of hours available to schedule patient visits","20% increase from baseline","Percentage",0.2,"","","N","N","Clinic documentation","Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,400985.33333333331,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites","Increase the number of primary care providers and staff at Amistad Community Health Center","Increase by an additional one Primary Care provider - either Physician or Family Nurse Practitioner.","Numeric",1,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Employment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,400985.33333333331,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",3,1202956,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Increase the number of visits over the baseline","Increase visits 12.2% from baseline, 1,760 visits (encounters) in DY4.","Numeric",1760,"","","N","Y","Registry, EHR, claims or other Performing Provider source","EHR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,400985.33333333331,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours","Expand the hours of Amistad Community Health Center",1,"P-4.1","Increased number of hours at primary care clinic over baseline","Increase the number of hours available to schedule patient visits","20% increase from baseline","Percentage",0.2,"","","N","N","Clinic documentation","Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,400985.33333333331,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites","Increase the number of primary care providers and staff at Amistad Community Health Center","Increase by an additional one Primary Care provider - either Physician or Family Nurse Practitioner.","Numeric",1,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Employment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,400985.33333333331,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.2","4_020973601",4,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.2","1.2","Increase Training of Primary Care Workforce","1.2.2","Increase the number of primary care providers (i.e., physicians, residents, nurse practitioners, physician assistants) and other clinicians/staff (such as health coaches and community health workers/promotoras).",3,1069294,"I-101",null,"Increase the number of Continuity of Care Clinic sessions available for primary care trainees.",1,"I-101.1",null,"Increase the number of Continuity of Care Clinic sessions available for primary care trainees.","Baseline: Current resident rotations through the Continuity of Care Clinics are 35 one-half day sessions per week.  Goal is to increase the one-half day sessions by 10% over baseline to 39 per week (208 additional in DY4).","Numeric",208,"","","N","N",null,"Clinic rotation records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,356431.33333333331,"I-102",null,"Number of encounters provided by additional primary care trainees",1,"I-102.1",null,"Number of encounters provided by additional primary care trainees","640 encounters provided by additional primary care trainees","Numeric",640,"","","N","Y",null,"clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,356431.33333333331,"I-11","Increase primary care training and/or rotations",null,3,"I-11.1","Increase the number of primary care residents and/or trainees, as measured by percent change of class size over baseline.",null,"Increase the number of residents enrolled in either the Internal Medicine or Family Practice programs by a minimum of 6 from the baseline for the education year starting 7/1/2015","Numeric",6,"","","N","N","Documented enrollment by class by year by primary care training program","HR records","I-11.1","Increase the number of primary care residents and/or trainees, as measured by percent change of class size over baseline.","Increase the number of community health workers enrolled in the primary care training program over the baseline.","Increase the number of community health workers by a minimum of 2 over the baseline.","Numeric",2,"","","N","N","Documented enrollment by class by year by primary care training program","HR records","I-11.2","Increase the number or primary care trainees rotating at the Performing Provider's facilities","Increase the number of primary care rotations at CCMC.","Residents rotate through and work directly with the Hospitalists on the Bay Area campus of CCMC. Goal: Expand the rotation to include the Doctors Regional campus of CCMC. Scheduled hours to be at least one-half of those currently worked at the Bay Area campus. For example if the resident rotation hours are 100/week at the BAMC campus then the rotation hours should be at least 50/week at the DRMC campus.","Percentage",0.5,"","","N","N","Student/trainee rotation schedule","Rotation schedules",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,356431.33333333331,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.2","1.2","Increase Training of Primary Care Workforce","1.2.2","Increase the number of primary care providers (i.e., physicians, residents, nurse practitioners, physician assistants) and other clinicians/staff (such as health coaches and community health workers/promotoras).",3,1069294,"I-101",null,"Increase the number of Continuity of Care Clinic sessions available for primary care trainees.",1,"I-101.1",null,"Increase the number of Continuity of Care Clinic sessions available for primary care trainees.","Baseline: Current resident rotations through the Continuity of Care Clinics are 35 one-half day sessions per week.  Goal is to increase the one-half day sessions by 10% over baseline to 39 per week (208 additional in DY4).","Numeric",208,"","","N","N",null,"Clinic rotation records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,356431.33333333331,"I-102",null,"Number of encounters provided by additional primary care trainees",1,"I-102.1",null,"Number of encounters provided by additional primary care trainees","640 encounters provided by additional primary care trainees","Numeric",640,"","","N","Y",null,"clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,356431.33333333331,"I-11","Increase primary care training and/or rotations",null,3,"I-11.1","Increase the number of primary care residents and/or trainees, as measured by percent change of class size over baseline.",null,"Increase the number of residents enrolled in either the Internal Medicine or Family Practice programs by a minimum of 6 from the baseline for the education year starting 7/1/2015","Numeric",6,"","","N","N","Documented enrollment by class by year by primary care training program","HR records","I-11.1","Increase the number of primary care residents and/or trainees, as measured by percent change of class size over baseline.","Increase the number of community health workers enrolled in the primary care training program over the baseline.","Increase the number of community health workers by a minimum of 2 over the baseline.","Numeric",2,"","","N","N","Documented enrollment by class by year by primary care training program","HR records","I-11.2","Increase the number or primary care trainees rotating at the Performing Provider's facilities","Increase the number of primary care rotations at CCMC.","Residents rotate through and work directly with the Hospitalists on the Bay Area campus of CCMC. Goal: Expand the rotation to include the Doctors Regional campus of CCMC. Scheduled hours to be at least one-half of those currently worked at the Bay Area campus. For example if the resident rotation hours are 100/week at the BAMC campus then the rotation hours should be at least 50/week at the DRMC campus.","Percentage",0.5,"","","N","N","Student/trainee rotation schedule","Rotation schedules",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,356431.33333333331,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.3","4_020973601",4,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.3","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1069294,"I-23","Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Increase the number of specialty care clinic visits specifically related to the clinic rotations for the Fellowship training, 640 encounters.","Numeric",640,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic billing/registration data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,534647,"I-31","Increase TSC training and/or rotations (must select one of the following metric)",null,2,"I-31.1","Increase the number of TSC residents and/or trainees, as measured by percent change of class size over baseline. Trainees may include physicians, mid-level providers (physician assistants and nurse practitioners), and/or other specialized clinicians/staff.",null,"Increase the number of residents enrolled in the two Fellowship programs by an additional 4 from the baseline for the education year starting 7/1/15.","Numeric",4,"","","N","N","Documented enrollment by class by year by TSC training program",null,"I-31.2","Increase the number of TSC trainees rotating at the Performing Provider's facilities","Increase the number of targeted specialty care rotations at CCMC.","Baseline: 0 targeted specialty care rotations at CCMC.  Goal: 40 targeted specialty care rotations at CCMC in DY4.","Numeric",40,"","","N","N","Student/trainee rotation schedule",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,534647,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.3","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1069294,"I-23","Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"Increase the number of specialty care clinic visits specifically related to the clinic rotations for the Fellowship training, 640 encounters.","Numeric",640,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic billing/registration data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,534647,"I-31","Increase TSC training and/or rotations (must select one of the following metric)",null,2,"I-31.1","Increase the number of TSC residents and/or trainees, as measured by percent change of class size over baseline. Trainees may include physicians, mid-level providers (physician assistants and nurse practitioners), and/or other specialized clinicians/staff.",null,"Increase the number of residents enrolled in the two Fellowship programs by an additional 4 from the baseline for the education year starting 7/1/15.","Numeric",4,"","","N","N","Documented enrollment by class by year by TSC training program",null,"I-31.2","Increase the number of TSC trainees rotating at the Performing Provider's facilities","Increase the number of targeted specialty care rotations at CCMC.","Baseline: 0 targeted specialty care rotations at CCMC.  Goal: 40 targeted specialty care rotations at CCMC in DY4.","Numeric",40,"","","N","N","Student/trainee rotation schedule",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,534647,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.4","4_020973601",4,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.4","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,1136125,"I-101",null,"Increased utilization of community behavioral healthcare",1,"I-101.1",null,"Number of individuals utilizing community behavioral healthcare services.","Increase to 7 - 9 patients per week for IOP and 4 - 6 for PHP, 150 individuals in DY4. For reporting purposes, provider will report only on annual goal of 150 individuals in DY4.","Numeric",150,"","","N","Y",null,"Patient visit records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568062.5,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered","Number of new community-based settings where behavioral health services are delivered (IOP).","Baseline: 1 community-based setting where behavioral health services are delivered (IOP).  DY4 Goal:  1 additional community-based setting where behavioral health services are delivered (IOP). (Total of 3 IOPs - Baseline of 1 +1 in DY3 + 1 in DY4).","Numeric",1,"","","N","N",null,"Lease agreements  expansion plans, HR records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568062.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.4","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,1136125,"I-101",null,"Increased utilization of community behavioral healthcare",1,"I-101.1",null,"Number of individuals utilizing community behavioral healthcare services.","Increase to 7 - 9 patients per week for IOP and 4 - 6 for PHP, 150 individuals in DY4. For reporting purposes, provider will report only on annual goal of 150 individuals in DY4.","Numeric",150,"","","N","Y",null,"Patient visit records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568062.5,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered","Number of new community-based settings where behavioral health services are delivered (IOP).","Baseline: 1 community-based setting where behavioral health services are delivered (IOP).  DY4 Goal:  1 additional community-based setting where behavioral health services are delivered (IOP). (Total of 3 IOPs - Baseline of 1 +1 in DY3 + 1 in DY4).","Numeric",1,"","","N","N",null,"Lease agreements  expansion plans, HR records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568062.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.5","4_020973601",4,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.5","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",3,964742.9,"I-16","Increase the number of patient contacts recorded in the registry relative to baseline rate.",null,1,"I-16.1","Total number of in-person and virtual (including email, phone and webbased) visits, either absolute or divided by denominator.",null,"0 patients in the registry Goal: Minimum of 1,750 patient encounters with selected chronic diseases are entered in the registry in DY4.","Numeric",1750,"Number of patient contacts recorded in the registry","Number of targeted patients in the registry (“targeted” as","N","Y","Internal clinic or hospital records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,321580.96666666667,"P-4","Implement/expand a functional disease management registry.",null,1,"P-4.1","Registry functionality is available in X% of the Performing Provider's sites and includes an expanded number of targeted diseases or clinical conditions.","Registry functionality is available in 75% of the Performing Provider’s sites and includes an expanded number of targeted diseases or clinical conditions.","Adopt registry at a minimum of 75% of Performing Provider Sites","Percentage",0.75,"Number of sites with registry functionality","Total number of sites","N","N","Documentation of adoption, installation, upgrade, interface or similar documentation","Registry program meeting minutes and documentation of adoption",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,321580.96666666667,"P-5","Demonstrate registry automated reporting ability to track and report on patient demographics, diagnoses, patients in need of services or not at goal, and preventive care status",null,1,"P-5.1","Documentation of registry automated report",null,"Goal: Documentation showing registry automated report capability - ability to pull patient population/ care status by specific inquiries.  For example, by time since last contact; patients discharged to community provider; patients in need of a follow-up appointment; etc.","Yes/No",null,"Number of patients with required information entered in the registry","Total number of patients with target 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Christi Medical Center","020973601.1.5","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",3,964742.9,"I-16","Increase the number of patient contacts recorded in the registry relative to baseline rate.",null,1,"I-16.1","Total number of in-person and virtual (including email, phone and webbased) visits, either absolute or divided by denominator.",null,"0 patients in the registry Goal: Minimum of 1,750 patient encounters with selected chronic diseases are entered in the registry in DY4.","Numeric",1750,"Number of patient contacts recorded in the registry","Number of targeted patients in the registry (“targeted” as","N","Y","Internal clinic or hospital records/documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,321580.96666666667,"P-4","Implement/expand a functional disease management registry.",null,1,"P-4.1","Registry functionality is available in X% of the Performing Provider's sites and includes an expanded number of targeted diseases or clinical conditions.","Registry functionality is available in 75% of the Performing Provider’s sites and includes an expanded number of targeted diseases or clinical conditions.","Adopt registry at a minimum of 75% of Performing Provider Sites","Percentage",0.75,"Number of sites with registry functionality","Total number of sites","N","N","Documentation of adoption, installation, upgrade, interface 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["4_020991801.1.1","4_020991801",4,"1",4,"020991801","Refugio County Memorial Hospital","020991801.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,322841,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Baseline: Clinic Patient volume from DY 2. Goal: 2600 additional patient visits (encounters) in DY4.","Numeric",2600,"","","N","Y","Registry, EHR, claims or other Performing Provider source",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,161420.5,"P-101",null,"Participate in face‐to‐face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP to promote collaborative learning around shared or similar projects. At each face‐to‐face meeting, all providers should identify and agree upon several improvements (simple initiatives that all providers can do to “raise the floor” for performance). Each participating provider should publicly commit to implementing these improvements.",1,"P-101.1",null,"Participate in semi‐annual face‐to‐face meetings or seminars organized by the RHP.","Goal: Participate in 2 face-to-face meetings or seminars organized by the RHP.","Numeric",2,"","","N","N",null,"Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,161420.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"020991801","Refugio County Memorial Hospital","020991801.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,322841,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Baseline: Clinic Patient volume from DY 2. Goal: 2600 additional patient visits (encounters) in DY4.","Numeric",2600,"","","N","Y","Registry, EHR, claims or other Performing Provider source",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,161420.5,"P-101",null,"Participate in face‐to‐face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP to promote collaborative learning around shared or similar projects. At each face‐to‐face meeting, all providers should identify and agree upon several improvements (simple initiatives that all providers can do to “raise the floor” for performance). Each participating provider should publicly commit to implementing these improvements.",1,"P-101.1",null,"Participate in semi‐annual face‐to‐face meetings or seminars organized by the RHP.","Goal: Participate in 2 face-to-face meetings or seminars organized by the RHP.","Numeric",2,"","","N","N",null,"Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,161420.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.1.1","4_094118902",4,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.1","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,562188,"I-11","Increased utilization of community behavioral healthcare",null,1,"I-11.1","Percent utilization of community behavioral healthcare services.",null,"Increase services by 5%. Numerator - Number of patients receiving community based behavioral healthcare services.  Denominator - Number of patients receiving community based behavioral health services from Performing Provider.","Percentage",0.05,"Number receiving community behavioral healthcare services from mobile clinics after access expansion","Number of people receiving community behavioral health services after access expansion.","N","N","Claims data and encounter data from community behavioral health sites and expanded transportation programs.","Claims and encounter data from community behavioral health sites",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,281094,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered",null,"Continue operation of IOP program that is fully-staffed with increased enrollment. Baseline/Goal: 78 clients/ 98 clients in DY4.","Numeric",98,"","","N","Y",null,"Provider records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,281094,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.1","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,562188,"I-11","Increased utilization of community behavioral healthcare",null,1,"I-11.1","Percent utilization of community behavioral healthcare services.",null,"Increase services by 5%. Numerator - Number of patients receiving community based behavioral healthcare services.  Denominator - Number of patients receiving community based behavioral health services from Performing Provider.","Percentage",0.05,"Number receiving community behavioral healthcare services from mobile clinics after access expansion","Number of people receiving community behavioral health services after access expansion.","N","N","Claims data and encounter data from community behavioral health sites and expanded transportation programs.","Claims and encounter data from community behavioral health sites",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,281094,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered",null,"Continue operation of IOP program that is fully-staffed with increased enrollment. Baseline/Goal: 78 clients/ 98 clients in DY4.","Numeric",98,"","","N","Y",null,"Provider records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,281094,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.1.3","4_094118902",4,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.3","1.2","Increase Training of Primary Care Workforce","1.2.3","Increase the number of residency/training program for faculty/staff to support an expanded, more updated program",2,1206000,"I-101",null,"Increase primary care volume of visits",1,"I-101.1",null,"Documentation of increased number of visits","Baseline: 0. Goal: 4,000 patient visits (encounters)","Numeric",4000,"","","N","Y",null,"Registry, EHR, claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,603000,"I-11","Increase primary care training and/or rotations",null,1,"I-11.2","Increase the number or primary care trainees rotating at the Performing Provider's facilities",null,"Baseline: 0. Goal: 6 residents doing rotation in family practice","Numeric",6,"","","N","N","Student/trainee rotation schedule","Program enrollment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,603000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.3","1.2","Increase Training of Primary Care Workforce","1.2.3","Increase the number of residency/training program for faculty/staff to support an expanded, more updated program",2,1206000,"I-101",null,"Increase primary care volume of visits",1,"I-101.1",null,"Documentation of increased number of visits","Baseline: 0. Goal: 4,000 patient visits (encounters)","Numeric",4000,"","","N","Y",null,"Registry, EHR, claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,603000,"I-11","Increase primary care training and/or rotations",null,1,"I-11.2","Increase the number or primary care trainees rotating at the Performing Provider's facilities",null,"Baseline: 0. Goal: 6 residents doing rotation in family practice","Numeric",6,"","","N","N","Student/trainee rotation schedule","Program enrollment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,603000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.1","4_094222902",4,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,274488.95,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"5% increase in clinic volume of patient visits over baseline, approximately 218 encounters.","Numeric",218,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,274488.95,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,274488.95,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"5% increase in clinic volume of patient visits over baseline, approximately 218 encounters.","Numeric",218,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,274488.95,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.2","4_094222902",4,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,274488.95,"I-101",null,"Increase the number of patients enrolled in the registry.",1,"I-101.1",null,"Increase the number of patients in the registry with diabetes and/or CHF.","Increase the percentage of the Freer Clinic's diabetic and CHF patients entered into the registry by 10% over the percentage in the registry in DY3 (if DY3 reflects 100% of these patients are in the registry, then the Freer Clinic will maintain this percentage by adding all new patients with the targeted condition into the registry by the end of DY4 - Spohn hopes to have 177 enrollees in DY4)","Numeric",177,"","","N","Y",null,"Registry or EHR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,137244.47500000001,"P-8","Create/disseminate protocols for registry-driven reminders and reports for clinicians and providers regarding key health indicator monitoring and management in patients with targeted diseases",null,1,"P-8.1","Submitted protocols for the specified conditions and health indicators",null,"Spohn will create protocols for using the information stored in the registry to address diabetes and CHF in the Freer Clinic. Goal: 2 protocols for specified conditions and health indicators submitted.","Numeric",2,"","","N","N","Protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,137244.47500000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,274488.95,"I-101",null,"Increase the number of patients enrolled in the registry.",1,"I-101.1",null,"Increase the number of patients in the registry with diabetes and/or CHF.","Increase the percentage of the Freer Clinic's diabetic and CHF patients entered into the registry by 10% over the percentage in the registry in DY3 (if DY3 reflects 100% of these patients are in the registry, then the Freer Clinic will maintain this percentage by adding all new patients with the targeted condition into the registry by the end of DY4 - Spohn hopes to have 177 enrollees in DY4)","Numeric",177,"","","N","Y",null,"Registry or EHR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,137244.47500000001,"P-8","Create/disseminate protocols for registry-driven reminders and reports for clinicians and providers regarding key health indicator monitoring and management in patients with targeted diseases",null,1,"P-8.1","Submitted protocols for the specified conditions and health indicators",null,"Spohn will create protocols for using the information stored in the registry to address diabetes and CHF in the Freer Clinic. Goal: 2 protocols for specified conditions and health indicators submitted.","Numeric",2,"","","N","N","Protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,137244.47500000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.3","4_094222902",4,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,333308.01,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Increase PAD screenings in the Freer Clinic and FQHC, using PAD devices with access to cardiovascular specialists, by 339.","Increase PAD screenings in the Freer Clinic and FQHC, using PAD devices with access to cardiovascular specialists, by 339 (encounters) in DY4.","Numeric",339,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device 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Spohn Hospital Alice","094222902.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,333308.01,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Increase PAD screenings in the Freer Clinic and FQHC, using PAD devices with access to cardiovascular specialists, by 339.","Increase PAD screenings in the Freer Clinic and FQHC, using PAD devices with access to cardiovascular specialists, by 339 (encounters) in DY4.","Numeric",339,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,333308.01,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null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["4_112673204.1.1","4_112673204",4,"1",4,"112673204","Yoakum Community Hospital","112673204.1.1","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",2,211092.17,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"To be established by Milestone 3 in DY3 Goal: Increase of 5% over baseline or an amount to be established in baseline study, 1,920 encounters in DY4.","Numeric",1920,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Patient Registry and appointment schedule",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,105546.08500000001,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"No primary care providers in 2012 Goal: Recruit and hire a total of two primary care physician and support staff","Numeric",4,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Documentation of contracts/human resource document confirming hiring of new provider and staff",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,105546.08500000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"112673204","Yoakum Community Hospital","112673204.1.1","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",2,211092.17,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"To be established by Milestone 3 in DY3 Goal: Increase of 5% over baseline or an amount to be established in baseline study, 1,920 encounters in DY4.","Numeric",1920,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Patient Registry and appointment schedule",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,105546.08500000001,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"No primary care providers in 2012 Goal: Recruit and hire a total of two primary care physician and support staff","Numeric",4,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Documentation of contracts/human resource document confirming hiring of new provider and staff",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,105546.08500000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_112673204.1.2","4_112673204",4,"1",4,"112673204","Yoakum Community Hospital","112673204.1.2","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",1,177761.83,"I-22","Increase the number of specialist providers, clinic hours and/or procedure hours available for the high impact/most impacted medical specialties",null,1,"I-22.1","Increase number of specialist providers, clinic hours and/or procedure hours in targeted specialties",null,"Hire trainees and/or new recruits to increase the procedure hours available for uninsured/indigent patients in the community and to increase the number of specialist providers by at least one (1) provider in at least one (1) of the targeted specialties. Numerator: Number of specialist providers in targeted specialties over baseline or change in the number of specialist providers in targeted specialties. Denominator: Number of specialist providers in targeted specialties at baseline. Goal: Increase the number of specialist providers by 20%.","Percentage",0.2,"Number of specialist providers in targeted specialties over baseline or change in the number of specialist providers in targeted specialties","Number of monthly or annual referrals into targeted medical specialties clinic or number of specialist providers in targeted specialties at baseline","N","N","HR documents or other documentation demonstrating employed/contracted specialists",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,177761.83,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"112673204","Yoakum Community Hospital","112673204.1.2","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",1,177761.83,"I-22","Increase the number of specialist providers, clinic hours and/or procedure hours available for the high impact/most impacted medical specialties",null,1,"I-22.1","Increase number of specialist providers, clinic hours and/or procedure hours in targeted specialties",null,"Hire trainees and/or new recruits to increase the procedure hours available for uninsured/indigent patients in the community and to increase the number of specialist providers by at least one (1) provider in at least one (1) of the targeted specialties. Numerator: Number of specialist providers in targeted specialties over baseline or change in the number of specialist providers in targeted specialties. Denominator: Number of specialist providers in targeted specialties at baseline. Goal: Increase the number of specialist providers by 20%.","Percentage",0.2,"Number of specialist providers in targeted specialties over baseline or change in the number of specialist providers in targeted specialties","Number of monthly or annual referrals into targeted medical specialties clinic or number of specialist providers in targeted specialties at baseline","N","N","HR documents or other documentation demonstrating employed/contracted specialists",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,177761.83,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.1","4_121775403",4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,1995520.77,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Increase clinic hours in at least one primary care clinic to include 2 additional hours per week after 5pm or during the weekend over DY3 hours of availability.","Numeric",2,"","","N","N","Clinic documentation","Clinic schedules",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,997760.38500000001,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Hire/contract 2 additional providers to staff Spohn's primary care clinics over DY2 goal.","Numeric",2,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. Hospital or other Performing Provider report, policy, contract or other documentation","Staffing schedules, HR 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Health System dba Spohn Memorial Hospital","121775403.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,1995520.77,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Increase clinic hours in at least one primary care clinic to include 2 additional hours per week after 5pm or during the weekend over DY3 hours of availability.","Numeric",2,"","","N","N","Clinic documentation","Clinic schedules",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,997760.38500000001,"P-5","Train/hire additional primary care providers and staff and/or increase the number of primary care clinics for existing providers",null,1,"P-5.1","Documentation of increased number of providers and staff and/or clinic sites",null,"Hire/contract 2 additional providers to staff Spohn's primary care clinics over DY2 goal.","Numeric",2,"","","N","N","Documentation of completion of all items described by the RHP plan for this measure. 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["4_121775403.1.2","4_121775403",4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1643370.04,"I-15","Increase the percentage of patients enrolled in the registry.",null,1,"I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","Percentage of patients in the registry with targeted chronic conditions","Increase the percentage of the FHCs' diabetic and CHF patients (across the board) entered into the registry by 10% over the percentage in the registry in DY3 (if DY3 reflects 100% of these patients are in the registry, then the FHCs will maintain this percentage by adding all new patients with the targeted condition into the registry by the end of DY4 - Spohn hopes to have 1400 enrollees in DY4)","Numeric",1400,"Number of patients in registry","Number of patients assigned to this clinic for routine care","N","Y","Registry or HER",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,821685.02,"P-8","Create/disseminate protocols for registry-driven reminders and reports for clinicians and providers regarding key health indicator monitoring and management in patients with targeted diseases",null,1,"P-8.1","Submitted protocols for the specified conditions and health indicators",null,"Spohn will create protocols for using the information stored in the registry to address diabetes and CHF in each of its five FHCs. Goal: 2 protocols for specified conditions and health indicators submitted.","Numeric",2,"","","N","N","Protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,821685.02,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1643370.04,"I-15","Increase the percentage of patients enrolled in the registry.",null,1,"I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","Percentage of patients in the registry with targeted chronic conditions","Increase the percentage of the FHCs' diabetic and CHF patients (across the board) entered into the registry by 10% over the percentage in the registry in DY3 (if DY3 reflects 100% of these patients are in the registry, then the FHCs will maintain this percentage by adding all new patients with the targeted condition into the registry by the end of DY4 - Spohn hopes to have 1400 enrollees in DY4)","Numeric",1400,"Number of patients in registry","Number of patients assigned to this clinic for routine care","N","Y","Registry or HER",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,821685.02,"P-8","Create/disseminate protocols for registry-driven reminders and reports for clinicians and providers regarding key health indicator monitoring and management in patients with targeted diseases",null,1,"P-8.1","Submitted protocols for the specified conditions and health indicators",null,"Spohn will create protocols for using the information stored in the registry to address diabetes and CHF in each of its five FHCs. Goal: 2 protocols for specified conditions and health indicators submitted.","Numeric",2,"","","N","N","Protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,821685.02,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.3","4_121775403",4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,1995520.77,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Increase PAD screenings in Spohn FHC offices with PAD device access to cardiovascular specialists by 750 (1750 total estimated in DY4). Total impact of 2,750 encounters.","Increase PAD screenings in Spohn FHC offices with PAD device access to cardiovascular specialists by 750 (1750 total estimated encounters in DY4).","Numeric",1750,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,997760.38500000001,"I-16","Expand telemedicine program to additional clinics.",null,1,"I-16.1","New telemedicine-enhanced clinics","New PAD device enhanced clinics","Increase in telemedicine enhanced clinics to at least one additional FHC or local clinic","Numeric",1,"Number of clinics providing at least ten telemedicine visits per month.","Number of clinics in system, community or region","N","N","Appointment scheduling software records","PAD device reports and purchases.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,997760.38500000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,1995520.77,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Increase PAD screenings in Spohn FHC offices with PAD device access to cardiovascular specialists by 750 (1750 total estimated in DY4). Total impact of 2,750 encounters.","Increase PAD screenings in Spohn FHC offices with PAD device access to cardiovascular specialists by 750 (1750 total estimated encounters in DY4).","Numeric",1750,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,997760.38500000001,"I-16","Expand telemedicine program to additional clinics.",null,1,"I-16.1","New telemedicine-enhanced clinics","New PAD device enhanced clinics","Increase in telemedicine enhanced clinics to at least one additional FHC or local clinic","Numeric",1,"Number of clinics providing at least ten telemedicine visits per month.","Number of clinics in system, community or region","N","N","Appointment scheduling software records","PAD device reports and purchases.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,997760.38500000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.4","4_121775403",4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.4","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1760753.62,"I-33","Increase specialty care capacity using innovative project option. The following metrics are suggested for use with an innovative project option to increase specialty care capacity but are not required.","Increase ICU capacity using Intensivist Model of Care Delivery.",1,"I-33.1","Increase percentage of target population reached.","Increased percentage of ICU patients referred to Intensivists.","Spohn's goal is to assign 30% of ICU admissions across its 3 Corpus facilities to an Intensivist in DY4 (approximately 1800 admissions [encounters], with at least 756 expected to be Medicaid/uninsured.).","Numeric",1800,"Number of individuals of target population reached by the innovative project.","","N","Y","Documentation of target population reached, as designated in the project plan.","Hospital Reports, EMRs",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,880376.81,"P-101",null,"Assess efficacy of process in place and recommend process improvements to implement if any.",1,"P-101.1",null,"Written assessment reflecting analysis of intensivist program's efficiency and areas for improvement.","Spohn intends to assess the expansion of the intensivist model over Dys 2-4 and determine where improvements can be made going forward in DY5 and beyond. This will entail assessing the efficacy of referrals to intensivists, patient outcomes for patients assigned to intensivists, and patient and staff satisfaction associated with the intensivist model.","Yes/No",null,"","","N","N",null,"Document containing assessment.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,880376.81,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.4","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1760753.62,"I-33","Increase specialty care capacity using innovative project option. The following metrics are suggested for use with an innovative project option to increase specialty care capacity but are not required.","Increase ICU capacity using Intensivist Model of Care Delivery.",1,"I-33.1","Increase percentage of target population reached.","Increased percentage of ICU patients referred to Intensivists.","Spohn's goal is to assign 30% of ICU admissions across its 3 Corpus facilities to an Intensivist in DY4 (approximately 1800 admissions [encounters], with at least 756 expected to be Medicaid/uninsured.).","Numeric",1800,"Number of individuals of target population reached by the innovative project.","","N","Y","Documentation of target population reached, as designated in the project plan.","Hospital Reports, EMRs",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,880376.81,"P-101",null,"Assess efficacy of process in place and recommend process improvements to implement if any.",1,"P-101.1",null,"Written assessment reflecting analysis of intensivist program's efficiency and areas for improvement.","Spohn intends to assess the expansion of the intensivist model over Dys 2-4 and determine where improvements can be made going forward in DY5 and beyond. This will entail assessing the efficacy of referrals to intensivists, patient outcomes for patients assigned to intensivists, and patient and staff satisfaction associated with the intensivist model.","Yes/No",null,"","","N","N",null,"Document containing assessment.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,880376.81,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.5","4_121775403",4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.5","1.13","Development of behavioral health crisis stabilization services as alternatives to hospitalization.","1.13.1","Develop and implement crisis stabilization services to address the identified gaps in the current community crisis system",2,2230287.92,"I-101",null,"Utilization of appropriate crisis alternatives (encounters).",1,"I-101.1",null,"Increase in utilization of appropriate crisis alternatives (encounters)","Spohn anticipates providing 1000 encounters in the Behavioral Health Center by the end of DY3. In DY4, Spohn is targeting an increase of 1000 additional encounters with BH/SA patients from the baseline established in DY3.","Numeric",2000,"","","N","Y",null,"Crisis center claims data, encounters and clinical record data.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1115143.96,"P-6","Evaluate and continuously improve crisis services",null,1,"P-6.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles","Project planning and evaluation documentation demonstrate PDSA quality improvement cycle.","To produce comprehensive reports that demonstrate improvements to the crisis stabilization services, and which identify key challenges to expanding the provision of services and the lessons learned in DYs 2-4","Yes/No",null,"","","N","N","Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement (i.e. how the project continuously uses data such as weekly run charts or monthly dashboards to drive improvement)","Project reports with real time data to demonstrate rapid cycle improvements to guide quality improvement",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1115143.96,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.5","1.13","Development of behavioral health crisis stabilization services as alternatives to hospitalization.","1.13.1","Develop and implement crisis stabilization services to address the identified gaps in the current community crisis system",2,2230287.92,"I-101",null,"Utilization of appropriate crisis alternatives (encounters).",1,"I-101.1",null,"Increase in utilization of appropriate crisis alternatives (encounters)","Spohn anticipates providing 1000 encounters in the Behavioral Health Center by the end of DY3. In DY4, Spohn is targeting an increase of 1000 additional encounters with BH/SA patients from the baseline established in DY3.","Numeric",2000,"","","N","Y",null,"Crisis center claims data, encounters and clinical record data.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1115143.96,"P-6","Evaluate and continuously improve crisis services",null,1,"P-6.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles","Project planning and evaluation documentation demonstrate PDSA quality improvement cycle.","To produce comprehensive reports that demonstrate improvements to the crisis stabilization services, and which identify key challenges to expanding the provision of services and the lessons learned in DYs 2-4","Yes/No",null,"","","N","N","Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement (i.e. how the project continuously uses data such as weekly run charts or monthly dashboards to drive improvement)","Project reports with real time data to demonstrate rapid cycle improvements to guide quality improvement",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1115143.96,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.6","4_121775403",4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.6","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1760753.62,"I-31","Increase TSC training and/or rotations (must select one of the following metric)","Develop PMHNP student rotations",1,"I-31.2","Increase the number of TSC trainees rotating at the Performing Provider's facilities","Number of PMHNP students rotating at Spohn.","At least 75% of PMHNP students rotate to Spohn. Goal: 8 students rotate to Spohn.","Numeric",8,"","","N","N","Student/trainee rotation schedule",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,880376.81,"P-14","Expand targeted specialty care (TSC) training (must include at least one of the following metrics)","Implement PMHNP training.",1,"P-14.1","Expand the TSC residency, mid-level provider (physician assistants and nurse practitioners), and/or other specialized clinician/staff training programs and/or rotations","PMHNP cohort enrollment\nenrollment","PMHNP minimum enrollment of an additional six (6) students to participate in the program in DY4, for a total of ten (10) enrollees by the end of DY4","Numeric",10,"","","N","N","Training program documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,880376.81,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.6","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1760753.62,"I-31","Increase TSC training and/or rotations (must select one of the following metric)","Develop PMHNP student rotations",1,"I-31.2","Increase the number of TSC trainees rotating at the Performing Provider's facilities","Number of PMHNP students rotating at Spohn.","At least 75% of PMHNP students rotate to Spohn. Goal: 8 students rotate to Spohn.","Numeric",8,"","","N","N","Student/trainee rotation schedule",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,880376.81,"P-14","Expand targeted specialty care (TSC) training (must include at least one of the following metrics)","Implement PMHNP training.",1,"P-14.1","Expand the TSC residency, mid-level provider (physician assistants and nurse practitioners), and/or other specialized clinician/staff training programs and/or rotations","PMHNP cohort enrollment\nenrollment","PMHNP minimum enrollment of an additional six (6) students to participate in the program in DY4, for a total of ten (10) enrollees by the end of DY4","Numeric",10,"","","N","N","Training program documentation",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,880376.81,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.7","4_121775403",4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.7","1.2","Increase Training of Primary Care Workforce","1.2.1","Update primary care training programs to include training on the medical home and chronic care models, disease registry use for population health management, patient panel management, oral health, and other identified training needs and/or quality/performance improvement",2,1408602.89,"I-11","Increase primary care training and/or rotations",null,1,"I-11.6","Improvement in trainee knowledge assessment scores",null,"Spohn's family medicine residents will achieve a 3% improvement in knowledge assessment scores after receiving training in the medical home model and/or chronic disease registry use. Numerator: sum of differences in pre and post training assessment scores. Denominator: number of graduates from training program.","Percentage",0.03,"Sum of differences in pre and post training assessment","Number of graduates from training program.",null,null,"Knowledge assessment tool","Knowledge assessment tool",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,704301.44499999995,"P-101",null,"Expand positive primary care exposure for residents/trainees",1,"P-101.1",null,"Train trainees in the medical home model, chronic Care Model and/or disease registry use","The 36 Family Practice Residents will manage patient panels at the clinic, providing a medical home to their empaneled patients. Spohn estimates this will result in 2880 additional patient encounters at the clinic, as newly empaneled patients will have access to an assigned physician.","Numeric",2880,"","","N","Y",null,"Documentation of patient panels assigned to residents",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,704301.44499999995,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.7","1.2","Increase Training of Primary Care Workforce","1.2.1","Update primary care training programs to include training on the medical home and chronic care models, disease registry use for population health management, patient panel management, oral health, and other identified training needs and/or quality/performance improvement",2,1408602.89,"I-11","Increase primary care training and/or rotations",null,1,"I-11.6","Improvement in trainee knowledge assessment scores",null,"Spohn's family medicine residents will achieve a 3% improvement in knowledge assessment scores after receiving training in the medical home model and/or chronic disease registry use. Numerator: sum of differences in pre and post training assessment scores. Denominator: number of graduates from training program.","Percentage",0.03,"Sum of differences in pre and post training assessment","Number of graduates from training program.",null,null,"Knowledge assessment tool","Knowledge assessment tool",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,704301.44499999995,"P-101",null,"Expand positive primary care exposure for residents/trainees",1,"P-101.1",null,"Train trainees in the medical home model, chronic Care Model and/or disease registry use","The 36 Family Practice Residents will manage patient panels at the clinic, providing a medical home to their empaneled patients. Spohn estimates this will result in 2880 additional patient encounters at the clinic, as newly empaneled patients will have access to an assigned physician.","Numeric",2880,"","","N","Y",null,"Documentation of patient panels assigned to residents",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,704301.44499999995,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121785303.1.100","4_121785303",4,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.100","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.2","Implement remote patient monitoring programs for diagnosis and/or management of care. Providers should demonstrate that they are exceeding the requirements of the EHR incentive program.",2,7287,"I-101",null,"Increase the number of individuals having their glucose monitored by the remote continuous glucose monitoring system",1,"I-101.1",null,"Number of persons having glucose monitored","Goal: 75 patients enrolled in glucose monitoring program in DY4.","Numeric",75,"","",null,"Y",null,"EHR, medical records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,3643.5,"P-10","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions. This data should be collected with simple, interim measurement systems, and should be based on self-reported data and sampling that is sufficient for the purposes of improvement.",null,1,"P-10.1","Number of new ideas, practices, tools, or solutions tested by each provider.",null,"Goal: Quartlerly Documentation of the tested ideas, practices, tools, and/or solutions introduced during each quarter. Gonzales will review 1 new idea, practice, tool, or solution each quarter, and produce total of 4 quarterly reports","Numeric",4,"","",null,"N","Brief description of the idea, practice, tool, or solution tested by each provider each week. Could be summarized at quarterly intervals",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,3643.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.100","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.2","Implement remote patient monitoring programs for diagnosis and/or management of care. Providers should demonstrate that they are exceeding the requirements of the EHR incentive program.",2,7287,"I-101",null,"Increase the number of individuals having their glucose monitored by the remote continuous glucose monitoring system",1,"I-101.1",null,"Number of persons having glucose monitored","Goal: 75 patients enrolled in glucose monitoring program in DY4.","Numeric",75,"","",null,"Y",null,"EHR, medical records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,3643.5,"P-10","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions. This data should be collected with simple, interim measurement systems, and should be based on self-reported data and sampling that is sufficient for the purposes of improvement.",null,1,"P-10.1","Number of new ideas, practices, tools, or solutions tested by each provider.",null,"Goal: Quartlerly Documentation of the tested ideas, practices, tools, and/or solutions introduced during each quarter. Gonzales will review 1 new idea, practice, tool, or solution each quarter, and produce total of 4 quarterly reports","Numeric",4,"","",null,"N","Brief description of the idea, practice, tool, or solution tested by each provider each week. 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["4_121785303.1.1","4_121785303",4,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,133365,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"630 over pre-DSRIP baseline of 1618 (total of 2248 encounters in DY4)","Numeric",630,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,66682.5,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Increase number of hours from 28 to 32 hours per week.","Numeric",32,"","","N","N","Clinic 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County Hospital District DBA Memorial Hos","121785303.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,133365,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"630 over pre-DSRIP baseline of 1618 (total of 2248 encounters in DY4)","Numeric",630,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,66682.5,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Increase number of hours from 28 to 32 hours per week.","Numeric",32,"","","N","N","Clinic 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["4_132812205.1.4","4_132812205",4,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.4","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.1","Implement telemedicine program to provide or expand specialist referral services in an area identified as needed to the region.",3,1180298,"I-12","Increase number of telemedicine visits for each specialty identified as high need",null,1,"I-12.1","Number of telemedicine visits",null,"Increase the number of patient visits in the Driscoll service area by 50% from the baseline of 264 to provide 132 additional visits (encounters).","Numeric",132,"Number of visits in which patients are seen using telemedicine services for each type of medical or surgical subspecialty provided by specified timeframe (e.g. one year) and geographic area in a RHP or for individual provider.","Number of patients referred to medical specialties","N","Y","EHR or electronic referral processing system; encounter records from telemedicine program",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,393432.66666666669,"P-103",null,"Increase accessibility for telemedicine services",1,"P-103.1",null,"Increase the number of telemedicine/telehealth hours of operation.","Increase the number of patient access hours in the Driscoll service area by 50% from the baseline for an additional 165 hours.","Percentage",0.5,"","","N","N",null,"Documentation of operational hours/contracted hours",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,393432.66666666669,"P-104",null,"Task Force leads quality improvement initiative for expanding children’s telemedicine/telehealth services in the Driscoll service area.",2,"P-104.1",null,"Documentation of Quality Improvement meetings held twice per year","2 QI Meetings held","Numeric",2,"","","N","N",null,"Meeting records","P-104.2",null,"Documentation of Task Force meetings, findings and/or action plan to further improve access to  telemedicine/telehealth services,","Documentation in Task Force meeting minutes of project findings and action plan to further improve access to  telemedicine/telehealth services","Yes/No",null,"","","N","N",null,"Hospital meeting 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Children's Hospital","132812205.1.4","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.1","Implement telemedicine program to provide or expand specialist referral services in an area identified as needed to the region.",3,1180298,"I-12","Increase number of telemedicine visits for each specialty identified as high need",null,1,"I-12.1","Number of telemedicine visits",null,"Increase the number of patient visits in the Driscoll service area by 50% from the baseline of 264 to provide 132 additional visits (encounters).","Numeric",132,"Number of visits in which patients are seen using telemedicine services for each type of medical or surgical subspecialty provided by specified timeframe (e.g. one year) and geographic area in a RHP or for individual provider.","Number of patients referred to medical specialties","N","Y","EHR or electronic referral processing system; encounter records from telemedicine program",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,393432.66666666669,"P-103",null,"Increase accessibility for telemedicine services",1,"P-103.1",null,"Increase the number of telemedicine/telehealth hours of operation.","Increase the number of patient access hours in the Driscoll service area by 50% from the baseline for an additional 165 hours.","Percentage",0.5,"","","N","N",null,"Documentation of operational hours/contracted hours",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,393432.66666666669,"P-104",null,"Task Force leads quality improvement initiative for expanding children’s telemedicine/telehealth services in the Driscoll service area.",2,"P-104.1",null,"Documentation of Quality Improvement meetings held twice per year","2 QI Meetings held","Numeric",2,"","","N","N",null,"Meeting records","P-104.2",null,"Documentation of Task Force meetings, findings and/or action plan to further improve access to  telemedicine/telehealth services,","Documentation in Task Force meeting minutes of project findings and action plan to further improve access to  telemedicine/telehealth 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[{"$f":"\"\" & CELL(\"address\",$F$7) & \":\" & CELL(\"address\",$F$1005)","v":"$F$7:$F$1005"},"Cells to look at:",{"$f":"\"\" & CELL(\"address\",$E$1) & \":\" & CELL(\"address\",$ASA$1)","v":"$E$1:$ASA$1"},"To Hide ---->",0,0,0,0,0,0,0,0,0,0,{"$f":"IF(O$2>$C$2,1,IF(O$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(O$2-1))),1,0))","v":0},{"$f":"IF(P$2>$C$2,1,IF(P$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(P$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(CB$2>$C$2,1,IF(CB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(CB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(EN$2>$C$2,1,IF(EN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(EN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(GZ$2>$C$2,1,IF(GZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(GZ$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(JL$2>$C$2,1,IF(JL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(JL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LX$2>$C$2,1,IF(LX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(LX$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(OJ$2>$C$2,1,IF(OJ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(OJ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,1,1,1,1,{"$f":"IF(QV$2>$C$2,1,IF(QV$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(QV$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(TH$2>$C$2,1,IF(TH$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(TH$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(VT$2>$C$2,1,IF(VT$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(VT$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(YF$2>$C$2,1,IF(YF$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(YF$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AAR$2>$C$2,1,IF(AAR$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AAR$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ADD$2>$C$2,1,IF(ADD$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ADD$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AFP$2>$C$2,1,IF(AFP$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AFP$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AIB$2>$C$2,1,IF(AIB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AIB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AKN$2>$C$2,1,IF(AKN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AKN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AMZ$2>$C$2,1,IF(AMZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AMZ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(APL$2>$C$2,1,IF(APL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(APL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ARX$2>$C$2,1,IF(ARX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ARX$2-1))),1,0))","v":1},1,1,1]
[{"$f":"\"\" & CELL(\"address\",$H$7) & \":\" & CELL(\"address\",$H$1005)","v":"$H$7:$H$1005"},"Max Milestones:",{"$f":"MAX($M$7:$M$1005)","v":5},"Milestone --->",0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(LEFT(P$5)=\"M\",O2+1,O2)","v":1},{"$f":"IF(LEFT(Q$5)=\"M\",P2+1,P2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LEFT(CC$5)=\"M\",CB2+1,CB2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,{"$f":"IF(LEFT(EO$5)=\"M\",EN2+1,EN2)","v":2},2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(HA$5)=\"M\",GZ2+1,GZ2)","v":3},3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(JM$5)=\"M\",JL2+1,JL2)","v":3},3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,{"$f":"IF(LEFT(LY$5)=\"M\",LX2+1,LX2)","v":4},4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,{"$f":"IF(LEFT(OK$5)=\"M\",OJ2+1,OJ2)","v":5},5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,{"$f":"IF(LEFT(QW$5)=\"M\",QV2+1,QV2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,{"$f":"IF(LEFT(TI$5)=\"M\",TH2+1,TH2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,{"$f":"IF(LEFT(VU$5)=\"M\",VT2+1,VT2)","v":7},7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(YG$5)=\"M\",YF2+1,YF2)","v":8},8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(AAS$5)=\"M\",AAR2+1,AAR2)","v":8},8,8,8,8,8,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,{"$f":"IF(LEFT(ADE$5)=\"M\",ADD2+1,ADD2)","v":9},9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,{"$f":"IF(LEFT(AFQ$5)=\"M\",AFP2+1,AFP2)","v":10},10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AIC$5)=\"M\",AIB2+1,AIB2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AKO$5)=\"M\",AKN2+1,AKN2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,{"$f":"IF(LEFT(ANA$5)=\"M\",AMZ2+1,AMZ2)","v":12},12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(APM$5)=\"M\",APL2+1,APL2)","v":13},13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(ARY$5)=\"M\",ARX2+1,ARX2)","v":13},13,13]
[null,null,null,"Metric --->",0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0]
[{"$f":"\"RHP \" & RHP & \" Category 1 - DY5\"","v":"RHP 4 Category 1 - DY5"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #1",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #5",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #8",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #9",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #10",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #11",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #12",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #13"]
["Unique Identifier","RHP_TPI","DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY5","Project DSRIP Allocation in DY5","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #1 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #2 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #3 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #4 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #5 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #6 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #7 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #8 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #9 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #10 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #11 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #12 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #13 DSRIP\n(DY5)",null,"DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY5","Project DSRIP Allocation in DY5","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #1 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #2 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #3 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #4 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #5 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #6 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #7 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #8 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #9 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #10 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #11 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #12 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #13 DSRIP\n(DY5)"]
[{"$f":"IF(E7=\"\",\"\",\"\" & E7 & \"_\" & H7)","v":"4_020811801.1.1"},{"$f":"IF($E7=\"\",\"\",\"\"&$E7&\"_\"&$F7)","v":"4_020811801"},5,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.1","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,183488.58,"I-102",null,"Increase the number of patients with diabetes and/or CHF entered into the registry who receive instructions appropriate for their chronic disease, such as: activity level, diet, medication management, etc.",1,"I-102.1",null,"Number of patients with diabetes and/or CHF who receive appropriate disease specific discharge instructions.","Goal: 65 patients (individuals) with diabetes and/or CHF will receive disease appropriate instructions after appointments at each FHC on how to manage their condition day-today (for diabetics, specifically diet information and medication management; for CHF patients, specifically medication management and activity level) in DY4.","Numeric",65,"","","N","Y",null,"Disease registry and EHR.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,91744.29,"P-101",null,"Redesign the processes in order to be more effective, incorporating learnings (Quality Improvement)",1,"P-101.1",null,"Documentation of redesign assessment and steps taken to make the process more effective","Identify one best practice from any of the Spohn System FHCs regarding (1) diabetes management, and (2) CHF management, and implement the best practices at each FHC or expand upon the concept","Yes/No",null,"","","N","N",null,"Documentation of assessment of best practices and steps taken to implement the best practices 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Spohn Hospital Beeville","020811801.1.1","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,183488.58,"I-102",null,"Increase the number of patients with diabetes and/or CHF entered into the registry who receive instructions appropriate for their chronic disease, such as: activity level, diet, medication management, etc.",1,"I-102.1",null,"Number of patients with diabetes and/or CHF who receive appropriate disease specific discharge instructions.","Goal: 65 patients (individuals) with diabetes and/or CHF will receive disease appropriate instructions after appointments at each FHC on how to manage their condition day-today (for diabetics, specifically diet information and medication management; for CHF patients, specifically medication management and activity level) in DY4.","Numeric",65,"","","N","Y",null,"Disease registry and 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[{"$f":"IF(E8=\"\",\"\",\"\" & E8 & \"_\" & H8)","v":"4_020811801.1.2"},{"$f":"IF($E8=\"\",\"\",\"\"&$E8&\"_\"&$F8)","v":"4_020811801"},5,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,222807.56,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient. Denominator: Number of patients referred to all medical specialties using referral processing system","Increase PAD screenings in the Beeville FHC with access to cardiovascular specialists by 126 (503 total estimated encounters).","Numeric",503,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,111403.78,"I-17","Improved access to specialists care or other needed services, e.g. community based nursing, case management, patient education, counseling, etc.","Improved access to cardiovascular care for PAD",1,"I-17.2","Improved access to health care services for residents of communities that did not have such services locally before the program.",null,"5% increase in telemedicine consults from geographically underserved areas in Bee County and the surrounding area 78102, 78389, 78701,78022, 77963, 78372","Percentage",0.05,"Number of unique patients from geographically underserved area, HPSA, that receive each type of telemedicine or telehealth services.","Number of residents in HPSA","N","N","EHR","PAD device 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Spohn Hospital Beeville","020811801.1.2","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,222807.56,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient. Denominator: Number of patients referred to all medical specialties using referral processing system","Increase PAD screenings in the Beeville FHC with access to cardiovascular specialists by 126 (503 total estimated encounters).","Numeric",503,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,111403.78,"I-17","Improved access to specialists care or other needed services, e.g. community based nursing, case management, patient education, counseling, etc.","Improved access to cardiovascular care for PAD",1,"I-17.2","Improved access to health care services for residents of communities that did not have such services locally before the program.",null,"5% increase in telemedicine consults from geographically underserved areas in Bee County and the surrounding area 78102, 78389, 78701,78022, 77963, 78372","Percentage",0.05,"Number of unique patients from geographically underserved area, HPSA, that receive each type of telemedicine or telehealth services.","Number of residents in HPSA","N","N","EHR","PAD device 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["4_020811801.1.3","4_020811801",5,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.3","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",1,427662.5,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"8% increase in clinic volume of patient visits over baseline, approximately 1,080 encounters.","Numeric",1080,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,427662.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"020811801","Christus Spohn Hospital Beeville","020811801.1.3","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",1,427662.5,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"8% increase in clinic volume of patient visits over baseline, approximately 1,080 encounters.","Numeric",1080,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic 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ull,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.1","4_020973601",5,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,1188692,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Increase the number of visits over the baseline","Increase visits 25% from baseline, 3,600 visits (encounters) in DY5.","Numeric",3600,"","","N","Y","Registry, EHR, claims or other Performing Provider source","E.H.R",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1188692,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,1188692,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Increase the number of visits over the baseline","Increase visits 25% from baseline, 3,600 visits (encounters) in DY5.","Numeric",3600,"","","N","Y","Registry, EHR, claims or other Performing Provider source","E.H.R",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1188692,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.2","4_020973601",5,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.2","1.2","Increase Training of Primary Care Workforce","1.2.2","Increase the number of primary care providers (i.e., physicians, residents, nurse practitioners, physician assistants) and other clinicians/staff (such as health coaches and community health workers/promotoras).",3,1056615,"I-101",null,"Increase the number of Continuity of Care Clinic sessions available for primary care trainees.",1,"I-101.1",null,"Increase the number of Continuity of Care Clinic sessions available for primary care trainees","Goal is to increase the one-half day sessions by 25% over baseline of 35 to 44 per week (468 additional in DY5).","Numeric",468,"","","N","N",null,"Clinic rotation records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,352205,"I-102",null,"Number of encounters provided by additional primary care trainees",1,"I-102.1",null,"Number of encounters provided by additional primary care trainees","1,280 encounters provided by additional primary care trainees in DY5.","Numeric",1280,"","","N","Y",null,"clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,352205,"I-11","Increase primary care training and/or rotations",null,1,"I-11.2","Increase the number or primary care trainees rotating at the Performing Provider's facilities","Increase the number of primary care rotations at CCMC","Expand the rotation to include the Doctors Regional campus of CCMC. Scheduled hours to be at least 75% of those currently worked at the Bay Area campus. For example if the resident rotation hours are 100/week at the BAMC campus then the rotation hours should be at least 75/week at the DRMC campus.","Percentage",0.75,"","","N","N","Student/trainee rotation schedule",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,352205,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.2","1.2","Increase Training of Primary Care Workforce","1.2.2","Increase the number of primary care providers (i.e., physicians, residents, nurse practitioners, physician assistants) and other clinicians/staff (such as health coaches and community health workers/promotoras).",3,1056615,"I-101",null,"Increase the number of Continuity of Care Clinic sessions available for primary care trainees.",1,"I-101.1",null,"Increase the number of Continuity of Care Clinic sessions available for primary care trainees","Goal is to increase the one-half day sessions by 25% over baseline of 35 to 44 per week (468 additional in DY5).","Numeric",468,"","","N","N",null,"Clinic rotation records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,352205,"I-102",null,"Number of encounters provided by additional primary care trainees",1,"I-102.1",null,"Number of encounters provided by additional primary care trainees","1,280 encounters provided by additional primary care trainees in DY5.","Numeric",1280,"","","N","Y",null,"clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,352205,"I-11","Increase primary care training and/or rotations",null,1,"I-11.2","Increase the number or primary care trainees rotating at the Performing Provider's facilities","Increase the number of primary care rotations at CCMC","Expand the rotation to include the Doctors Regional campus of CCMC. Scheduled hours to be at least 75% of those currently worked at the Bay Area campus. For example if the resident rotation hours are 100/week at the BAMC campus then the rotation hours should be at least 75/week at the DRMC campus.","Percentage",0.75,"","","N","N","Student/trainee rotation schedule",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,352205,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.1.3","4_020973601",5,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.3","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1056615,"I-23","Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Increase the number of specialty care clinic visits specifically related to the clinic rotations for the Fellowship training.","Increase the number of specialty care clinic visits specifically related to the clinic rotations for the Fellowship training, 1,280 encounters in DY5.","Numeric",1280,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic billing/registration data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,528307.5,"I-31","Increase TSC training and/or rotations (must select one of the following metric)","Increase number of targeted specialty residents.",2,"I-31.1","Increase the number of TSC residents and/or trainees, as measured by percent change of class size over baseline. Trainees may include physicians, mid-level providers (physician assistants and nurse practitioners), and/or other specialized clinicians/staff.","Increase the number of targeted specialty care residents over the baseline.","Increase the number of residents enrolled in the two Fellowship programs by an additional 6 from the baseline for the education year starting 7/1/16.","Numeric",6,"","","N","N","Documented enrollment by class by year by TSC training program","HR Records","I-31.2","Increase the number of TSC trainees rotating at the Performing Provider's facilities","Increase the number of targeted specialty care rotations at CCMC.","Baseline: 40 targeted specialty care rotations at CCMC in DY4.  Goal: An additional 40 targeted specialty care rotations at CCMC in DY5, for a total of 80 targeted specialty care rotations at CCMC.","Numeric",80,"","","N","N","Student/trainee rotation schedule",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,528307.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.3","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1056615,"I-23","Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Increase the number of specialty care clinic visits specifically related to the clinic rotations for the Fellowship training.","Increase the number of specialty care clinic visits specifically related to the clinic rotations for the Fellowship training, 1,280 encounters in DY5.","Numeric",1280,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic billing/registration data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,528307.5,"I-31","Increase TSC training and/or rotations (must select one of the following metric)","Increase number of targeted specialty residents.",2,"I-31.1","Increase the number of TSC residents and/or trainees, as measured by percent change of class size over baseline. Trainees may include physicians, mid-level providers (physician assistants and nurse practitioners), and/or other specialized clinicians/staff.","Increase the number of targeted specialty care residents over the baseline.","Increase the number of residents enrolled in the two Fellowship programs by an additional 6 from the baseline for the education year starting 7/1/16.","Numeric",6,"","","N","N","Documented enrollment by class by year by TSC training program","HR Records","I-31.2","Increase the number of TSC trainees rotating at the Performing Provider's facilities","Increase the number of targeted specialty care rotations at CCMC.","Baseline: 40 targeted specialty care rotations at CCMC in DY4.  Goal: An additional 40 targeted specialty care rotations at CCMC in DY5, for a total of 80 targeted specialty care rotations at CCMC.","Numeric",80,"","","N","N","Student/trainee rotation 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["4_020973601.1.4","4_020973601",5,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.4","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",1,1122654,"I-101",null,"Increased utilization of community behavioral healthcare.",1,"I-101.1",null,"Number of individuals utilizing community behavioral healthcare services.","Baseline is 152 individuals seen in intensive outpatient program prior to DSRIP; Goal is to serve 298 individuals in DY5.","Numeric",298,"","","N","Y",null,"Patient visit 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Christi Medical Center","020973601.1.4","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",1,1122654,"I-101",null,"Increased utilization of community behavioral healthcare.",1,"I-101.1",null,"Number of individuals utilizing community behavioral healthcare services.","Baseline is 152 individuals seen in intensive outpatient program prior to DSRIP; Goal is to serve 298 individuals in DY5.","Numeric",298,"","","N","Y",null,"Patient visit records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1122654,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,nu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["4_020973601.1.5","4_020973601",5,"1",4,"020973601","Corpus Christi Medical Center","020973601.1.5","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1012625,"I-15","Increase the percentage of patients enrolled in the registry.","Increase the number of patients enrolled in the registry",1,"I-15.2","Number of unique patients entered in the practice registry",null,"Baseline: 0 patients entered in the registry.  Goal:  2,000 patients entered in the registry in DY5.","Numeric",2000," Number of patients in registry","","N","N","Registry or EHR",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,506312.5,"I-16","Increase the number of patient contacts recorded in the registry relative to baseline rate.",null,1,"I-16.1","Total number of in-person and virtual (including email, phone and webbased) visits, either absolute or divided by denominator.",null,"Baseline: 0 patients in the registry Goal: Minimum of 2,500 patient encounters chronic diseases are entered in the registry in DY5.","Numeric",2500,"Number of patient contacts recorded in the registry","Number of targeted patients in the registry (“targeted” as","N","Y","Internal clinic or hospital 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Christi Medical Center","020973601.1.5","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1012625,"I-15","Increase the percentage of patients enrolled in the registry.","Increase the number of patients enrolled in the registry",1,"I-15.2","Number of unique patients entered in the practice registry",null,"Baseline: 0 patients entered in the registry.  Goal:  2,000 patients entered in the registry in DY5.","Numeric",2000," Number of patients in registry","","N","N","Registry or EHR",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,506312.5,"I-16","Increase the number of patient contacts recorded in the registry relative to baseline rate.",null,1,"I-16.1","Total number of in-person and virtual (including email, phone and webbased) visits, either absolute or divided by denominator.",null,"Baseline: 0 patients in the registry Goal: Minimum of 2,500 patient encounters chronic diseases are entered in the registry in DY5.","Numeric",2500,"Number of patient contacts recorded in the registry","Number of targeted patients in the registry (“targeted” as","N","Y","Internal clinic or hospital 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["4_020991801.1.1","4_020991801",5,"1",4,"020991801","Refugio County Memorial Hospital","020991801.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,266696,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Baseline: DY2 clinic patient volume Goal: 3120 additional patient visits (encounters) in DY5.","Numeric",3120,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,133348,"P-101",null,"Participate in face‐to‐face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP to promote collaborative learning around shared or similar projects. At each face‐to‐face meeting, all providers should identify and agree upon several improvements (simple initiatives that all providers can do to “raise the floor” for performance). Each participating provider should publicly commit to implementing these improvements.",1,"P-101.1",null,"Participate in semi‐annual face‐to‐face meetings or seminars organized by the RHP.","Goal: Participate in 2 face-to-face meetings or seminars organized by the RHP.","Numeric",2,"","","N","N",null,"Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,133348,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"020991801","Refugio County Memorial Hospital","020991801.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,266696,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"Baseline: DY2 clinic patient volume Goal: 3120 additional patient visits (encounters) in DY5.","Numeric",3120,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,133348,"P-101",null,"Participate in face‐to‐face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP to promote collaborative learning around shared or similar projects. At each face‐to‐face meeting, all providers should identify and agree upon several improvements (simple initiatives that all providers can do to “raise the floor” for performance). Each participating provider should publicly commit to implementing these improvements.",1,"P-101.1",null,"Participate in semi‐annual face‐to‐face meetings or seminars organized by the RHP.","Goal: Participate in 2 face-to-face meetings or seminars organized by the RHP.","Numeric",2,"","","N","N",null,"Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,133348,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.1.1","4_094118902",5,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.1","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,570654,"I-11","Increased utilization of community behavioral healthcare",null,1,"I-11.1","Percent utilization of community behavioral healthcare services.",null,"Goal: Increase services by 10%.  Numerator - Number of patients receiving community based behavioral healthcare services.  Denominator - Number of patients receiving community based behavioral health services from Performing Provider.","Percentage",0.1,"Number receiving community behavioral healthcare services from mobile clinics after access expansion","Number of people receiving community behavioral health services after access expansion.","N","N","Claims data and encounter data from community behavioral health sites and expanded transportation programs.","Claims and encounter data from community behavioral health sites",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,285327,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered",null,"Goal: Continue operation of IOP program that is fully-staffed with increased enrollment. Baseline/Goal: Baseline is 98 clients; Goal is 104 clients (individuals) in DY5.","Numeric",104,"","","N","Y",null,"Provider records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,285327,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.1","1.12","Enhance service availability (i.e., hours, locations, transportation, mobile clinics) to appropriate levels of behavioral health care","1.12.2","Expand the number of community based settings where behavioral health services may be delivered in underserved areas",2,570654,"I-11","Increased utilization of community behavioral healthcare",null,1,"I-11.1","Percent utilization of community behavioral healthcare services.",null,"Goal: Increase services by 10%.  Numerator - Number of patients receiving community based behavioral healthcare services.  Denominator - Number of patients receiving community based behavioral health services from Performing Provider.","Percentage",0.1,"Number receiving community behavioral healthcare services from mobile clinics after access expansion","Number of people receiving community behavioral health services after access expansion.","N","N","Claims data and encounter data from community behavioral health sites and expanded transportation programs.","Claims and encounter data from community behavioral health sites",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,285327,"P-6","Establish behavioral health services in new community-based settings in underserved areas.",null,1,"P-6.1","Number of new community-based settings where behavioral health services are delivered",null,"Goal: Continue operation of IOP program that is fully-staffed with increased enrollment. Baseline/Goal: Baseline is 98 clients; Goal is 104 clients (individuals) in DY5.","Numeric",104,"","","N","Y",null,"Provider records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,285327,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.1.3","4_094118902",5,"1",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.1.3","1.2","Increase Training of Primary Care Workforce","1.2.3","Increase the number of residency/training program for faculty/staff to support an expanded, more updated program",3,2062000,"I-101",null,"Increase primary care volume of visits.",1,"I-101.1",null,"Documentation of increased number of visits","14,000 patient visits (encounters) in DY5.","Numeric",14000,"","","N","Y",null,"Registry, EHR, claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,687333.33333333337,"I-11","Increase primary care training and/or rotations",null,1,"I-11.2","Increase the number or primary care trainees rotating at the Performing Provider's facilities",null,"Baseline is 6 residents doing rotation; Goal is increase to 12.","Numeric",12,"","","N","N","Student/trainee rotation schedule","Program enrollment records.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,687333.33333333337,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists","Expand primary care training for primary care providers",1,"P-2.2","Hire additional precepting primary care faculty members. Demonstrate improvement over prior reporting period (baseline for DY2).","Hire additional precepting primary care faculty.","Baseline 2; Goal 3","Numeric",3,"","","N","N","HR documents, faculty lists, or other documentation","Faculty 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Hospital (Victoria of Tx)","094118902.1.3","1.2","Increase Training of Primary Care Workforce","1.2.3","Increase the number of residency/training program for faculty/staff to support an expanded, more updated program",3,2062000,"I-101",null,"Increase primary care volume of visits.",1,"I-101.1",null,"Documentation of increased number of visits","14,000 patient visits (encounters) in DY5.","Numeric",14000,"","","N","Y",null,"Registry, EHR, claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,687333.33333333337,"I-11","Increase primary care training and/or rotations",null,1,"I-11.2","Increase the number or primary care trainees rotating at the Performing Provider's facilities",null,"Baseline is 6 residents doing rotation; Goal is increase to 12.","Numeric",12,"","","N","N","Student/trainee rotation schedule","Program enrollment records.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,687333.33333333337,"P-2","Expand primary care training for primary care providers, including physicians, physician assistants, nurse practitioners, registered nurses, certified midwives, case managers, pharmacists, dentists","Expand primary care training for primary care providers",1,"P-2.2","Hire additional precepting primary care faculty members. Demonstrate improvement over prior reporting period (baseline for DY2).","Hire additional precepting primary care faculty.","Baseline 2; Goal 3","Numeric",3,"","","N","N","HR documents, faculty lists, or other documentation","Faculty List",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,687333.33333333337,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.1","4_094222902",5,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,221637.04,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"8% increase in clinic volume of patient visits over baseline, approximately 436 encounters in DY5.","Numeric",436,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,221637.04,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,221637.04,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"8% increase in clinic volume of patient visits over baseline, approximately 436 encounters in DY5.","Numeric",436,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,221637.04,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.2","4_094222902",5,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,221637.04,"I-102",null,"Increase the number of patients with diabetes and/or CHF entered into the registry who receives instructions appropriate for their chronic disease, such as: activity level, diet, medication management, etc.",1,"I-102.1",null,"Number of patients with diabetes and/or CHF who receive appropriate disease specific discharge instructions","60% of patients with diabetes and/or CHF will receive disease appropriate instructions after appointments at the Freer Clinic on how to manage their condition day-to-day (for diabetics, specifically diet information and medication management; for CHF patients, specifically medication management and activity level) - Spohn estimates this to constitute 177 patients (individuals).","Numeric",177,"","","N","Y",null,"Disease registry and EHR.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,110818.52,"P-101",null,"Redesign the processes in order to be more effective, incorporating learnings (Quality Improvement)",1,"P-101.1",null,"Documentation of redesign assessment and steps taken to make the process more effective","In consultation with Spohn Alice's sister facilities performing the same project, identify one best practice from any of the 5 FHCs regarding (1) diabetes management, and (2) CHF management, and implement the best practices at each FHC or expand upon the concept","Yes/No",null,"","","N","N",null,"Documentation of assessment of best practices and steps taken to implement the best practices at each FHC",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,110818.52,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,221637.04,"I-102",null,"Increase the number of patients with diabetes and/or CHF entered into the registry who receives instructions appropriate for their chronic disease, such as: activity level, diet, medication management, etc.",1,"I-102.1",null,"Number of patients with diabetes and/or CHF who receive appropriate disease specific discharge instructions","60% of patients with diabetes and/or CHF will receive disease appropriate instructions after appointments at the Freer Clinic on how to manage their condition day-to-day (for diabetics, specifically diet information and medication management; for CHF patients, specifically medication management and activity level) - Spohn estimates this to constitute 177 patients (individuals).","Numeric",177,"","","N","Y",null,"Disease registry and EHR.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,110818.52,"P-101",null,"Redesign the processes in order to be more effective, incorporating learnings (Quality Improvement)",1,"P-101.1",null,"Documentation of redesign assessment and steps taken to make the process more effective","In consultation with Spohn Alice's sister facilities performing the same project, identify one best practice from any of the 5 FHCs regarding (1) diabetes management, and (2) CHF management, and implement the best practices at each FHC or expand upon the concept","Yes/No",null,"","","N","N",null,"Documentation of assessment of best practices and steps taken to implement the best practices at each FHC",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,110818.52,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.1.3","4_094222902",5,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,269130.69,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient. Denominator: Number of patients referred to all medical specialties using referral processing system","Increase PAD screenings in the Freer Clinic and FQHC, using PAD devices with access to cardiovascular specialists, by 509 (encounters) in DY5.","Numeric",509,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134565.345,"I-17","Improved access to specialists care or other needed services, e.g. community based nursing, case management, patient education, counseling, etc.","Improved access to cardiovascular care for PAD",1,"I-17.2","Improved access to health care services for residents of communities that did not have such services locally before the program.",null,"5% increase in telemedicine consults from geographically underserved areas of Jim Wells County and surrounding area - 78332, 78375, 78384","Percentage",0.05,"Number of unique patients from geographically underserved area, HPSA, that receive each type of telemedicine or telehealth services.","Number of residents in HPSA","N","N","EHR","PAD device reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134565.345,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"094222902","Christus Spohn Hospital Alice","094222902.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",2,269130.69,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient. Denominator: Number of patients referred to all medical specialties using referral processing system","Increase PAD screenings in the Freer Clinic and FQHC, using PAD devices with access to cardiovascular specialists, by 509 (encounters) in DY5.","Numeric",509,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134565.345,"I-17","Improved access to specialists care or other needed services, e.g. community based nursing, case management, patient education, counseling, etc.","Improved access to cardiovascular care for PAD",1,"I-17.2","Improved access to health care services for residents of communities that did not have such services locally before the program.",null,"5% increase in telemedicine consults from geographically underserved areas of Jim Wells County and surrounding area - 78332, 78375, 78384","Percentage",0.05,"Number of unique patients from geographically underserved area, HPSA, that receive each type of telemedicine or telehealth services.","Number of residents in HPSA","N","N","EHR","PAD device reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,134565.345,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_112673204.1.1","4_112673204",5,"1",4,"112673204","Yoakum Community Hospital","112673204.1.1","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",1,174380.64,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Documentation of increased number of visits.","Baseline: To be established by Milestone 3 in DY3 and clinic volume in DY4 Goal: Increase of 5% over DY 4 clinic volume or an amount to be established in baseline study, 2,880 encounters in DY5.","Numeric",2880,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Patient registry and appointment schedule",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,174380.64,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"112673204","Yoakum Community Hospital","112673204.1.1","1.1","Expand Primary Care Capacity","1.1.1","Establish more primary care clinics",1,174380.64,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Documentation of increased number of visits.","Baseline: To be established by Milestone 3 in DY3 and clinic volume in DY4 Goal: Increase of 5% over DY 4 clinic volume or an amount to be established in baseline study, 2,880 encounters in DY5.","Numeric",2880,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Patient registry and appointment schedule",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,174380.64,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_112673204.1.2","4_112673204",5,"1",4,"112673204","Yoakum Community Hospital","112673204.1.2","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",1,146846.85,"I-23","Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"The specialist providers placed in the local clinic will enable the clinic to see at least 10% more uninsured and indigent patients in the targeted specialties over DY2. Goal of 1,200 encounters.","Numeric",1200,"","","N","Y","Registry, EHR, claims or other Performing Provider source","E.H.R",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,146846.85,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"112673204","Yoakum Community Hospital","112673204.1.2","1.9","Expand Specialty Care Capacity","1.9.2","Improve access to specialty care",1,146846.85,"I-23","Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).",null,"The specialist providers placed in the local clinic will enable the clinic to see at least 10% more uninsured and indigent patients in the targeted specialties over DY2. Goal of 1,200 encounters.","Numeric",1200,"","","N","Y","Registry, EHR, claims or other Performing Provider source","E.H.R",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,146846.85,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.1","4_121775403",5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,1611290.06,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"15% increase in primary care visits over DY2 numbers, as averaged across Spohn's four (4) primary care clinics and the Hector P. Garcia clinic (an estimated 10,050 additional Medicaid/self-pay encounters over DY2, for a total of 61,640 Medicaid-eligible/self-pay visits).","Numeric",10050,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1611290.06,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null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Health System dba Spohn Memorial Hospital","121775403.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",1,1611290.06,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"15% increase in primary care visits over DY2 numbers, as averaged across Spohn's four (4) primary care clinics and the Hector P. Garcia clinic (an estimated 10,050 additional Medicaid/self-pay encounters over DY2, for a total of 61,640 Medicaid-eligible/self-pay visits).","Numeric",10050,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic scheduler, clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1611290.06,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null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["4_121775403.1.2","4_121775403",5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1326944.76,"I-101",null,"Redesign the processes in order to be more effective, incorporating learnings (Quality Improvement)",1,"I-101.1",null,"documentation of redesign assessment and steps taken to make the process more effective","Identify one best practice from any of the 5 FHCs regarding (1) diabetes management, and (2) CHF management, and implement the best practices at each FHC or expand upon the concept","Yes/No",null,"","","N","N",null,"Documentation of assessment of best practices and steps taken to implement the best practices at each FHC",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,663472.38,"I-22","Increase the percentage of patients with chronic disease entered into registry who receives instructions appropriate for their chronic disease or MCCs",null,1,"I-22.1","Percentage of patients with chronic disease who receive appropriate disease specific discharge instructions",null,"50% of patients with diabetes or CHF will receive disease appropriate instructions after appointments at each FHC on how to manage their condition day-today (for diabetics, specifically diet information and medication management; for CHF patients, specifically medication management and activity level) - Spohn estimates this to constitute 700 patients (individuals) in DY5.","Numeric",700,"The number of patients with chronic disease who receive appropriate disease specific instructions","The number of patients with chronic disease or MCCs","N","Y","Disease registry and EHR.",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,663472.38,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.2","1.3","Implement a Chronic Disease Management Registry","1.3.1","Implement/enhance and use chronic disease management registry functionalities",2,1326944.76,"I-101",null,"Redesign the processes in order to be more effective, incorporating learnings (Quality Improvement)",1,"I-101.1",null,"documentation of redesign assessment and steps taken to make the process more effective","Identify one best practice from any of the 5 FHCs regarding (1) diabetes management, and (2) CHF management, and implement the best practices at each FHC or expand upon the concept","Yes/No",null,"","","N","N",null,"Documentation of assessment of best practices and steps taken to implement the best practices at each FHC",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,663472.38,"I-22","Increase the percentage of patients with chronic disease entered into registry who receives instructions appropriate for their chronic disease or MCCs",null,1,"I-22.1","Percentage of patients with chronic disease who receive appropriate disease specific discharge instructions",null,"50% of patients with diabetes or CHF will receive disease appropriate instructions after appointments at each FHC on how to manage their condition day-today (for diabetics, specifically diet information and medication management; for CHF patients, specifically medication management and activity level) - Spohn estimates this to constitute 700 patients (individuals) in DY5.","Numeric",700,"The number of patients with chronic disease who receive appropriate disease specific instructions","The number of patients with chronic disease or MCCs","N","Y","Disease registry and EHR.",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,663472.38,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.3","4_121775403",5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,1611290.06,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient Denominator: Number of patients referred to all medical specialties using referral processing system","Increase PAD screenings in Spohn FHCs offices with PAD device access to cardiovascular specialists by 750 (2500 estimated [encounters] in DY5).","Numeric",2500,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1611290.06,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.3","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.6","Implement an electronic consult or electronic referral processing system to increase efficiency of specialty referral process by enabling specialists to provide advice and guidance to primary care physicians that will address their questions without the need for face-to-face visits when medically appropriate.",1,1611290.06,"I-13","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.",null,1,"I-13.1","Increase number of electronic \"curbside consults\" provided by specialists to primary care physicians through an electronic consults or electronic referral processing system.","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient Denominator: Number of patients referred to all medical specialties using referral processing system","Increase PAD screenings in Spohn FHCs offices with PAD device access to cardiovascular specialists by 750 (2500 estimated [encounters] in DY5).","Numeric",2500,"Number of electronic referrals that specialists can provide direct advice to the primary care providers on diagnosis and treatment without needing to actually have an encounter with the patient","Number of patients referred to all medical specialties using referral processing system","N","Y","EHR or electronic referral processing system","PAD device reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1611290.06,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.4","4_121775403",5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.4","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",1,1421726.52,"I-33","Increase specialty care capacity using innovative project option. The following metrics are suggested for use with an innovative project option to increase specialty care capacity but are not required.","Increase ICU capacity using intensivist Model of Care Capacity.",1,"I-33.1","Increase percentage of target population reached.","Increased percentage of ICU patients referred to intensivists.","Spohn's goal is to assign 40% of ICU admissions across its 3 Corpus facilities to an Intensivist in DY5 (approximately 2400 admissions [encounters], with at least 1000 expected to be Medicaid/uninsured.)","Numeric",2400,"Number of individuals of target population reached by the innovative project.","","N","Y","Documentation of target population reached, as designated in the project 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ull,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.4","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",1,1421726.52,"I-33","Increase specialty care capacity using innovative project option. The following metrics are suggested for use with an innovative project option to increase specialty care capacity but are not required.","Increase ICU capacity using intensivist Model of Care Capacity.",1,"I-33.1","Increase percentage of target population reached.","Increased percentage of ICU patients referred to intensivists.","Spohn's goal is to assign 40% of ICU admissions across its 3 Corpus facilities to an Intensivist in DY5 (approximately 2400 admissions [encounters], with at least 1000 expected to be Medicaid/uninsured.)","Numeric",2400,"Number of individuals of target population reached by the innovative project.","","N","Y","Documentation of target population reached, as designated in the project plan.",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1421726.52,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,n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["4_121775403.1.5","4_121775403",5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.5","1.13","Development of behavioral health crisis stabilization services as alternatives to hospitalization.","1.13.1","Develop and implement crisis stabilization services to address the identified gaps in the current community crisis system",1,1800853.6,"I-101",null,"Utilization of Crisis Stabilization/Urgent Care Center",1,"I-101.1",null,"Increase in utilization of Crisis Stabilization/Urgent Care Center","Spohn is targeting an increase of 750 additional encounters with BH/SA patients in the Behavioral Health Center from baseline established in DY3 (estimated 2750 encounters in DY5).","Numeric",2750,"","","N","Y",null,"Crisis center claims data, encounters and clinical record data.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1800853.6,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.5","1.13","Development of behavioral health crisis stabilization services as alternatives to hospitalization.","1.13.1","Develop and implement crisis stabilization services to address the identified gaps in the current community crisis system",1,1800853.6,"I-101",null,"Utilization of Crisis Stabilization/Urgent Care Center",1,"I-101.1",null,"Increase in utilization of Crisis Stabilization/Urgent Care Center","Spohn is targeting an increase of 750 additional encounters with BH/SA patients in the Behavioral Health Center from baseline established in DY3 (estimated 2750 encounters in DY5).","Numeric",2750,"","","N","Y",null,"Crisis center claims data, encounters and clinical record data.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1800853.6,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.6","4_121775403",5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.6","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1421726.52,"I-23","Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2), during which there were 0 PMHNP students available to provide these services in the clinic.","At Spohn community clinics, the PMHNP students will provide 1,100 encounters, thus increasing the accessibility to specialist psychiatric services.","Numeric",1100,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinical hours logs",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,710863.26,"I-32","Recruit/hire more trainees/graduates to TSC positions in the Performing Provider's facilities or practices","Recruit more students to the PMHNP program",1,"I-32.1","Percent change in number of graduates/trainees accepting positions in the Performing Provider's facilities or practices over baseline","number of students enrolled in PMHNP program","10% increase in number of students enrolled in PMHNP program","Percentage",0.1,"","","N","N","Documentation, such as HR documents compared to class lists","Program documentation, class/cohort lists",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,710863.26,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.6","1.9","Expand Specialty Care Capacity","1.9.1","Expand high impact specialty care capacity in most impacted medical specialties",2,1421726.52,"I-23","Increase specialty care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2), during which there were 0 PMHNP students available to provide these services in the clinic.","At Spohn community clinics, the PMHNP students will provide 1,100 encounters, thus increasing the accessibility to specialist psychiatric services.","Numeric",1100,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinical hours logs",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,710863.26,"I-32","Recruit/hire more trainees/graduates to TSC positions in the Performing Provider's facilities or practices","Recruit more students to the PMHNP program",1,"I-32.1","Percent change in number of graduates/trainees accepting positions in the Performing Provider's facilities or practices over baseline","number of students enrolled in PMHNP program","10% increase in number of students enrolled in PMHNP program","Percentage",0.1,"","","N","N","Documentation, such as HR documents compared to class lists","Program documentation, class/cohort lists",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,710863.26,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.1.7","4_121775403",5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.7","1.2","Increase Training of Primary Care Workforce","1.2.1","Update primary care training programs to include training on the medical home and chronic care models, disease registry use for population health management, patient panel management, oral health, and other identified training needs and/or quality/performance improvement",2,1137381.22,"I-11","Increase primary care training and/or rotations",null,1,"I-11.6","Improvement in trainee knowledge assessment scores",null,"Spohn's family medicine residents will achieve a 5% improvement in knowledge assessment scores after receiving training in the medical home model and/or chronic disease registry use. Numerator: sum of differences in pre and post training assessment scores. Denominator: number of graduates from training program.","Percentage",0.05,"Sum of differences in pre and post training assessment","Number of graduates from training program.",null,null,"Knowledge assessment tool","Knowledge assessment tool",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568690.61,"P-101",null,"Expand positive primary care exposure for residents/trainees",1,"P-101.1",null,"Train trainees in the medical home model, chronic Care Model and/or disease registry use; have primary care trainees participate in medical homes by managing panels","The 36 Family Practice Residents will manage patient panels at the clinic, providing a medical home to those patients. Spohn estimates this will result in 4600 additional patient encounters during DY5.","Numeric",4600,"","","N","Y",null,"Documentation of family medicine resident",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568690.61,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.1.7","1.2","Increase Training of Primary Care Workforce","1.2.1","Update primary care training programs to include training on the medical home and chronic care models, disease registry use for population health management, patient panel management, oral health, and other identified training needs and/or quality/performance improvement",2,1137381.22,"I-11","Increase primary care training and/or rotations",null,1,"I-11.6","Improvement in trainee knowledge assessment scores",null,"Spohn's family medicine residents will achieve a 5% improvement in knowledge assessment scores after receiving training in the medical home model and/or chronic disease registry use. Numerator: sum of differences in pre and post training assessment scores. Denominator: number of graduates from training program.","Percentage",0.05,"Sum of differences in pre and post training assessment","Number of graduates from training program.",null,null,"Knowledge assessment tool","Knowledge assessment tool",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568690.61,"P-101",null,"Expand positive primary care exposure for residents/trainees",1,"P-101.1",null,"Train trainees in the medical home model, chronic Care Model and/or disease registry use; have primary care trainees participate in medical homes by managing panels","The 36 Family Practice Residents will manage patient panels at the clinic, providing a medical home to those patients. Spohn estimates this will result in 4600 additional patient encounters during DY5.","Numeric",4600,"","","N","Y",null,"Documentation of family medicine resident",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568690.61,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121785303.1.100","4_121785303",5,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.100","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.2","Implement remote patient monitoring programs for diagnosis and/or management of care. Providers should demonstrate that they are exceeding the requirements of the EHR incentive program.",2,6914,"I-101",null,"Increase the number of individuals having their glucose monitored by the remote continuous glucose monitoring system",1,"I-101.1",null,"Number of persons having glucose monitored","Goal: 100 patients enrolled in glucose monitoring program in DY5.","Numeric",100,"","",null,"Y",null,"EHR, medical records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,3457,"P-10","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions. This data should be collected with simple, interim measurement systems, and should be based on self-reported data and sampling that is sufficient for the purposes of improvement.",null,1,"P-10.1","Number of new ideas, practices, tools, or solutions tested by each provider.",null,"Goal: Quartlerly Documentation of the tested ideas, practices, tools, and/or solutions introduced during each quarter. Gonzales will review 1 new idea, practice, tool, or solution each quarter, and produce total of 4 quarterly reports","Numeric",4,"","",null,"N","Brief description of the idea, practice, tool, or solution tested by each provider each week. Could be summarized at quarterly intervals",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,3457,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.100","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.2","Implement remote patient monitoring programs for diagnosis and/or management of care. Providers should demonstrate that they are exceeding the requirements of the EHR incentive program.",2,6914,"I-101",null,"Increase the number of individuals having their glucose monitored by the remote continuous glucose monitoring system",1,"I-101.1",null,"Number of persons having glucose monitored","Goal: 100 patients enrolled in glucose monitoring program in DY5.","Numeric",100,"","",null,"Y",null,"EHR, medical records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,3457,"P-10","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions. This data should be collected with simple, interim measurement systems, and should be based on self-reported data and sampling that is sufficient for the purposes of improvement.",null,1,"P-10.1","Number of new ideas, practices, tools, or solutions tested by each provider.",null,"Goal: Quartlerly Documentation of the tested ideas, practices, tools, and/or solutions introduced during each quarter. Gonzales will review 1 new idea, practice, tool, or solution each quarter, and produce total of 4 quarterly reports","Numeric",4,"","",null,"N","Brief description of the idea, practice, tool, or solution tested by each provider each week. 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["4_121785303.1.1","4_121785303",5,"1",4,"121785303","Gonzales County Hospital District DBA Memorial Hos","121785303.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,105123,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"680 over pre-DSRIP baseline of 1618 (total of 2298 encounters in DY5)","Numeric",680,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,52561.5,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Increase number of hours from 32 to 36 hours per week.","Numeric",36,"","","N","N","Clinic 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County Hospital District DBA Memorial Hos","121785303.1.1","1.1","Expand Primary Care Capacity","1.1.2","Expand existing primary care capacity",2,105123,"I-12","Increase primary care clinic volume of visits and evidence of improved access for patients seeking services.",null,1,"I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.",null,"680 over pre-DSRIP baseline of 1618 (total of 2298 encounters in DY5)","Numeric",680,"","","N","Y","Registry, EHR, claims or other Performing Provider source","Clinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,52561.5,"P-4","Expand the hours of a primary care clinic, including evening and/or weekend hours",null,1,"P-4.1","Increased number of hours at primary care clinic over baseline",null,"Increase number of hours from 32 to 36 hours per week.","Numeric",36,"","","N","N","Clinic 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["4_132812205.1.4","4_132812205",5,"1",4,"132812205","Driscoll Children's Hospital","132812205.1.4","1.7","Introduce, Expand, or Enhance Telemedicine/Telehealth","1.7.1","Implement telemedicine program to provide or expand specialist referral services in an area identified as needed to the region.",3,933300,"I-12","Increase number of telemedicine visits for each specialty identified as high need",null,1,"I-12.1","Number of telemedicine visits",null,"Increase the number of patient visits in the Driscoll service area from the baseline of 264 to provide 373 additional visits (encounters) in DY5.","Numeric",373,"Number of visits in which patients are seen using telemedicine services for each type of medical or surgical subspecialty provided by specified timeframe (e.g. one year) and geographic area in a RHP or for individual provider.","Number of patients referred to medical specialties","N","Y","EHR or electronic referral processing system; encounter records from telemedicine program",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,311100,"P-103",null,"Increase accessibility for telemedicine services",1,"P-103.1",null,"Increase the number of telemedicine/telehealth hours of operation.","Increase the number of patient access hours in the Driscoll service area by 75% from the baseline for an additional 248 hours.","Percentage",0.75,"","","N","N",null,"Documentation of operational hours/contracted hours",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,311100,"P-104",null,"Task Force leads quality improvement initiative for expanding children’s telemedicine/telehealth services in the Driscoll service area.",2,"P-104.1",null,"Documentation of Quality Improvement meetings held twice per year","2 QI Meetings held","Numeric",2,"","","N","N",null,"Meeting records","P-104.2",null,"Documentation of Task Force meetings, findings and/or action plan to further improve access to  telemedicine/telehealth services,","Documentation in Task Force meeting minutes of project findings and action plan to further improve access to  telemedicine/telehealth services","Yes/No",null,"","","N","N",null,"Hospital meeting 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[{"$f":"\"\" & CELL(\"address\",$F$7) & \":\" & CELL(\"address\",$F$1005)","v":"$F$7:$F$1005"},"Cells to look at:",{"$f":"\"\" & CELL(\"address\",$E$1) & \":\" & CELL(\"address\",$ASA$1)","v":"$E$1:$ASA$1"},"To Hide ---->",0,0,0,0,0,0,0,0,0,0,{"$f":"IF(O$2>$C$2,1,IF(O$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(O$2-1))),1,0))","v":0},{"$f":"IF(P$2>$C$2,1,IF(P$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(P$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(CB$2>$C$2,1,IF(CB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(CB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(EN$2>$C$2,1,IF(EN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(EN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(GZ$2>$C$2,1,IF(GZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(GZ$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(JL$2>$C$2,1,IF(JL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(JL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LX$2>$C$2,1,IF(LX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(LX$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(OJ$2>$C$2,1,IF(OJ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(OJ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,{"$f":"IF(QV$2>$C$2,1,IF(QV$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(QV$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(TH$2>$C$2,1,IF(TH$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(TH$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(VT$2>$C$2,1,IF(VT$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(VT$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(YF$2>$C$2,1,IF(YF$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(YF$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AAR$2>$C$2,1,IF(AAR$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AAR$2-1))),1,0))","v":1},1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ADD$2>$C$2,1,IF(ADD$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ADD$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AFP$2>$C$2,1,IF(AFP$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AFP$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AIB$2>$C$2,1,IF(AIB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AIB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AKN$2>$C$2,1,IF(AKN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AKN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AMZ$2>$C$2,1,IF(AMZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AMZ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(APL$2>$C$2,1,IF(APL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(APL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ARX$2>$C$2,1,IF(ARX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ARX$2-1))),1,0))","v":1},1,1,1]
[{"$f":"\"\" & CELL(\"address\",$H$7) & \":\" & CELL(\"address\",$H$1005)","v":"$H$7:$H$1005"},"Max Milestones:",{"$f":"MAX($M$7:$M$1005)","v":9},"Milestone --->",0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(LEFT(P$5)=\"M\",O2+1,O2)","v":1},{"$f":"IF(LEFT(Q$5)=\"M\",P2+1,P2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LEFT(CC$5)=\"M\",CB2+1,CB2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,{"$f":"IF(LEFT(EO$5)=\"M\",EN2+1,EN2)","v":2},2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(HA$5)=\"M\",GZ2+1,GZ2)","v":3},3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(JM$5)=\"M\",JL2+1,JL2)","v":3},3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,{"$f":"IF(LEFT(LY$5)=\"M\",LX2+1,LX2)","v":4},4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,{"$f":"IF(LEFT(OK$5)=\"M\",OJ2+1,OJ2)","v":5},5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,{"$f":"IF(LEFT(QW$5)=\"M\",QV2+1,QV2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,{"$f":"IF(LEFT(TI$5)=\"M\",TH2+1,TH2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,{"$f":"IF(LEFT(VU$5)=\"M\",VT2+1,VT2)","v":7},7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(YG$5)=\"M\",YF2+1,YF2)","v":8},8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(AAS$5)=\"M\",AAR2+1,AAR2)","v":8},8,8,8,8,8,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,{"$f":"IF(LEFT(ADE$5)=\"M\",ADD2+1,ADD2)","v":9},9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,{"$f":"IF(LEFT(AFQ$5)=\"M\",AFP2+1,AFP2)","v":10},10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AIC$5)=\"M\",AIB2+1,AIB2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AKO$5)=\"M\",AKN2+1,AKN2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,{"$f":"IF(LEFT(ANA$5)=\"M\",AMZ2+1,AMZ2)","v":12},12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(APM$5)=\"M\",APL2+1,APL2)","v":13},13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(ARY$5)=\"M\",ARX2+1,ARX2)","v":13},13,13]
[null,null,null,"Metric --->",0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0]
[{"$f":"\"RHP \" & RHP & \" Category 2 - DY2\"","v":"RHP 4 Category 2 - DY2"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #1",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #5",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #8",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #9",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #10",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #11",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #12",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #13"]
["Unique Identifier","RHP_TPI","DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY2","Project DSRIP Allocation in DY2","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #1 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #2 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #3 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #4 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #5 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #6 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #7 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #8 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #9 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #10 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #11 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #12 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #13 DSRIP\n(DY2)",null,"DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY2","Project DSRIP Allocation in DY2","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #1 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #2 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #3 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #4 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #5 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #6 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #7 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #8 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #9 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #10 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #11 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #12 DSRIP\n(DY2)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY2)","Metric #1 Description (DY2)","Metric #1 Provider Manual Desc\n(if needed)\n(DY2)","Metric #1 Baseline/Goal\n(DY2)","Metric #1 Type\n(DY2)","Metric #1 Numeric Goal\n(if needed)\n(DY2)","Metric #1 Numerator\n(DY2)","Metric #1 Denominator\n(DY2)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #1 QPI? (Yes/No)\n(DY2)","Metric #1 Data Source (DY2)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 (DY2)","Metric #2 Description (DY2)","Metric #2 Provider Manual Desc\n(if needed)\n(DY2)","Metric #2 Baseline/Goal\n(DY2)","Metric #2 Type\n(DY2)","Metric #2 Numeric Goal\n(if needed)\n(DY2)","Metric #2 Numerator\n(DY2)","Metric #2 Denominator\n(DY2)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #2 QPI? (Yes/No)\n(DY2)","Metric #2 Data Source (DY2)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 (DY2)","Metric #3 Description (DY2)","Metric #3 Provider Manual Desc\n(if needed)\n(DY2)","Metric #3 Baseline/Goal\n(DY2)","Metric #3 Type\n(DY2)","Metric #3 Numeric Goal\n(if needed)\n(DY2)","Metric #3 Numerator\n(DY2)","Metric #3 Denominator\n(DY2)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #3 QPI? (Yes/No)\n(DY2)","Metric #3 Data Source (DY2)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 (DY2)","Metric #4 Description (DY2)","Metric #4 Provider Manual Desc\n(if needed)\n(DY2)","Metric #4 Baseline/Goal\n(DY2)","Metric #4 Type\n(DY2)","Metric #4 Numeric Goal\n(if needed)\n(DY2)","Metric #4 Numerator\n(DY2)","Metric #4 Denominator\n(DY2)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #4 QPI? (Yes/No)\n(DY2)","Metric #4 Data Source (DY2)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 (DY2)","Metric #5 Description (DY2)","Metric #5 Provider Manual Desc\n(if needed)\n(DY2)","Metric #5 Baseline/Goal\n(DY2)","Metric #5 Type\n(DY2)","Metric #5 Numeric Goal\n(if needed)\n(DY2)","Metric #5 Numerator\n(DY2)","Metric #5 Denominator\n(DY2)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #5 QPI? (Yes/No)\n(DY2)","Metric #5 Data Source (DY2)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 (DY2)","Metric #6 Description (DY2)","Metric #6 Provider Manual Desc\n(if needed)\n(DY2)","Metric #6 Baseline/Goal\n(DY2)","Metric #6 Type\n(DY2)","Metric #6 Numeric Goal\n(if needed)\n(DY2)","Metric #6 Numerator\n(DY2)","Metric #6 Denominator\n(DY2)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #6 QPI? (Yes/No)\n(DY2)","Metric #6 Data Source (DY2)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 (DY2)","Metric #7 Description (DY2)","Metric #7 Provider Manual Desc\n(if needed)\n(DY2)","Metric #7 Baseline/Goal\n(DY2)","Metric #7 Type\n(DY2)","Metric #7 Numeric Goal\n(if needed)\n(DY2)","Metric #7 Numerator\n(DY2)","Metric #7 Denominator\n(DY2)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY2)","Metric #7 QPI? (Yes/No)\n(DY2)","Metric #7 Data Source (DY2)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY2)","Milestone #13 DSRIP\n(DY2)"]
[{"$f":"IF(E7=\"\",\"\",\"\" & E7 & \"_\" & H7)","v":"4_020811801.2.1"},{"$f":"IF($E7=\"\",\"\",\"\"&$E7&\"_\"&$F7)","v":"4_020811801"},2,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.1","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,174845.88,"P-1","Target specific workflows, processes and/or clinical areas to improve",null,1,"P-1.1","Performing Provider review and prioritization of areas or processes to improve upon",null,"Implement an\nearly warning system (MEWS) for\nsepsis on medical/surgical\ninpatient units in order to\nstreamline the process for responding to sepsis and to\nimprove patient outcomes.","Yes/No",null,"","",null,null,"TBD by Performing Provider","Hospital quality\ndocumentation, sepsis dashboards",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,87422.94,"P-7","Implement a rapid improvement project using a proven methodology",null,1,"P-7.1","Rapid improvement cycle",null,"Implement a 90-\nday rapid cycle improvement plan\nfor Sepsis.","Yes/No",null,"","",null,null,"ocumentation of rapid improvement project such as idea\nsheets, attendance sheets, daily reports of progress made, final report out. 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Spohn Hospital Beeville","020811801.2.1","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,174845.88,"P-1","Target specific workflows, processes and/or clinical areas to improve",null,1,"P-1.1","Performing Provider review and prioritization of areas or processes to improve upon",null,"Implement an\nearly warning system (MEWS) for\nsepsis on medical/surgical\ninpatient units in order to\nstreamline the process for responding to sepsis and to\nimprove patient outcomes.","Yes/No",null,"","",null,null,"TBD by Performing Provider","Hospital quality\ndocumentation, sepsis dashboards",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,87422.94,"P-7","Implement a rapid improvement project using a proven methodology",null,1,"P-7.1","Rapid improvement cycle",null,"Implement a 90-\nday rapid cycle improvement plan\nfor Sepsis.","Yes/No",null,"","",null,null,"ocumentation of rapid improvement project such as idea\nsheets, attendance sheets, daily reports of progress made, final report out. 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[{"$f":"IF(E8=\"\",\"\",\"\" & E8 & \"_\" & H8)","v":"4_020811801.2.2"},{"$f":"IF($E8=\"\",\"\",\"\"&$E8&\"_\"&$F8)","v":"4_020811801"},2,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.2","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,111265.56,"P-101",null,"Identify shortcuts\nand work-arounds to improve\nefficiencies w BMV processes",1,"P-101.1",null,"Evaluate, modify\nBMV processes to eliminate\nidentified work-arounds.","Review BMV\nprocesses 6 months postimplementation\nto identify workarounds.","Yes/No",null,"","",null,null,null,"Staff input, variance\nreports, medication error\ninvestigations",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,55632.78,"P-1","Implement/expand a medication management program and/or system",null,1,"P-1.1","Program elements","Program\ndocumentation for people, processes\nand technology","Implementation of\nBMV at all CSHB","Yes/No",null,"","",null,null,"Written medication management plan including workflow for 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Go-Live","Yes/No",null,"","",null,null,"Written medication management plan including workflow for providers","Implementation plan\nwith team, infrastructure and\nprocesses documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,55632.78,"P-7","Implement Computerized Provider Order Entry (CPOE) to allow providers to enter medical orders directly via computer, replacing the more traditional paper, verbal, telephone, and fax methods",null,1,"P-7.1","create a system to implement CPOE",null,"CPOE implemented.. Transition at least\n50% of physician orders to\nelectronic order entry","Yes/No",null,"","",null,null,"documentation of plan","Patient medical\nrecords and EMRs, Hospital\ninformatics utilization 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["4_020811801.2.4","4_020811801",2,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.4","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,238426.21,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Implement Care\nTransition standardization in\nSpohn's Beeville Facility, meaning\nconsistent standards for eligibility,\nprocesses for patient\ncoordination, and provider\ntraining- with a focus on CHF and\ndiabetes patients","Yes/No",null,"","",null,null,"Policies and procedures of care transitions program 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l,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.4","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,238426.21,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Implement Care\nTransition standardization in\nSpohn's Beeville Facility, meaning\nconsistent standards for eligibility,\nprocesses for patient\ncoordination, and provider\ntraining- with a focus on CHF and\ndiabetes patients","Yes/No",null,"","",null,null,"Policies and procedures of care transitions program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,238426.21,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020811801.2.5","4_020811801",2,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,238426.21,"P-4","Data matching is performed identifying service utilization patterns of people with co-occurring disorders and analysis conducted to identify over and under utilization patterns",null,1,"P-4.1","Data analysis report produced",null,"Spohn will develop\na system to identify patients with\nco-diagnoses of CHF &/or Diabetes\nwith BH/Depression using its\navailable medical data and will\nproduce written analysis of the\navailable data","Yes/No",null,"","",null,null,"Written report",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,119213.105,"P-5","case managers and disease care managers are identified",null,1,"P-5.1","Number of staff identified with the capacity to support the targeted population",null,"Identify and engage\nthe equivalent of three (3) care\ncoordinators to manage targeted\npatients","Numeric",3,"","",null,null,"Staff rosters and documents of 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Spohn Hospital Beeville","020811801.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,238426.21,"P-4","Data matching is performed identifying service utilization patterns of people with co-occurring disorders and analysis conducted to identify over and under utilization patterns",null,1,"P-4.1","Data analysis report produced",null,"Spohn will develop\na system to identify patients with\nco-diagnoses of CHF &/or Diabetes\nwith BH/Depression using its\navailable medical data and will\nproduce written analysis of the\navailable data","Yes/No",null,"","",null,null,"Written report",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,119213.105,"P-5","case managers and disease care managers are identified",null,1,"P-5.1","Number of staff identified with the capacity to support the targeted population",null,"Identify and engage\nthe equivalent of three (3) care\ncoordinators to manage targeted\npatients","Numeric",3,"","",null,null,"Staff rosters and documents of 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["4_020973601.2.1","4_020973601",2,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.1","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",3,1146512,"P-1","Develop or implement best practices or evidence-based protocols (such as Partnership for Patients)follow-up care instructions",null,1,"P-1.1","Care transitions protocols",null,"Baseline: No protocols currently\nin place\nGoal: Submission of protocols","Yes/No",null,"","",null,null,"Submission of protocols, Care transitions program materials","Approved protocols",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,382170.66666666669,"P-3","Establish a process for hospital-based case managers to follow up with identified patients hospitalized related to the top chronic conditions to provide standardized discharge instructions and patient education",null,1,"P-3.1","Care transitions protocols",null,"Baseline: No protocols currently\nin place\nGoal: Submission of protocols","Yes/No",null,"","",null,null,"Care transitions program materials","Approved protocols",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,382170.66666666669,"P-5","Using a validated risk assessment tool, create a patient identification system",null,1,"P-5.1","Patient stratification system",null,"Baseline: No stratification system\nin place\nGoal: Development of\nstratification system","Yes/No",null,"","",null,null,"Submission of risk assessment tool and patient stratification report and description of provider utilization of report findings","Stratification system",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,382170.66666666669,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.1","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",3,1146512,"P-1","Develop or implement best practices or evidence-based protocols (such as Partnership for Patients)follow-up care instructions",null,1,"P-1.1","Care transitions protocols",null,"Baseline: No protocols currently\nin place\nGoal: Submission of protocols","Yes/No",null,"","",null,null,"Submission of protocols, Care transitions program materials","Approved protocols",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,382170.66666666669,"P-3","Establish a process for hospital-based case managers to follow up with identified patients hospitalized related to the top chronic conditions to provide standardized discharge instructions and patient education",null,1,"P-3.1","Care transitions protocols",null,"Baseline: No protocols currently\nin place\nGoal: Submission of protocols","Yes/No",null,"","",null,null,"Care transitions program materials","Approved protocols",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,382170.66666666669,"P-5","Using a validated risk assessment tool, create a patient identification system",null,1,"P-5.1","Patient stratification system",null,"Baseline: No stratification system\nin place\nGoal: Development of\nstratification system","Yes/No",null,"","",null,null,"Submission of risk assessment tool and patient stratification report and description of provider utilization of report findings","Stratification system",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,382170.66666666669,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.2.2","4_020973601",2,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.2","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",3,1082817,"P-1","Target specific workflows, processes and/or clinical areas to improve",null,1,"P-1.1","Performing Provider review and prioritization of areas or processes to improve upon",null,"Baseline: N/A\nGoal: Submission of performing\nprovider report","Yes/No",null,"","",null,null,"TBD by Performing Provider","Committee minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,360939,"P-2","Identify/target metric to measure impact of process improvement methodology and establish baseline",null,1,"P-2.1","Performing Provider identification of impact metrics and baseline",null,"Baseline: N/A\nGoal: Submission of analysis\nfindings/summary and\nidentification of target area","Yes/No",null,"","",null,null,"TBD by Performing Provider","Analysis/committee reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,360939,"P-3","Compare and analyze clinical/quality data, and identify at least one area for improvement","Identify /target\nmetric to measure impact of process\nimprovement methodology and\nestablish baseline - sepsis",1,"P-3.1","Analysis and identification of target area","Compare and analyze\nclinical/quality data, and identify at\nleast one area for improvement","Analysis and identification\nof target area","Yes/No",null,"","",null,null,"Analysis","Analysis/committee reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,360939,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.2","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",3,1082817,"P-1","Target specific workflows, processes and/or clinical areas to improve",null,1,"P-1.1","Performing Provider review and prioritization of areas or processes to improve upon",null,"Baseline: N/A\nGoal: Submission of performing\nprovider report","Yes/No",null,"","",null,null,"TBD by Performing Provider","Committee minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,360939,"P-2","Identify/target metric to measure impact of process improvement methodology and establish baseline",null,1,"P-2.1","Performing Provider identification of impact metrics and baseline",null,"Baseline: N/A\nGoal: Submission of analysis\nfindings/summary and\nidentification of target area","Yes/No",null,"","",null,null,"TBD by Performing Provider","Analysis/committee reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,360939,"P-3","Compare and analyze clinical/quality data, and identify at least one area for improvement","Identify /target\nmetric to measure impact of process\nimprovement methodology and\nestablish baseline - sepsis",1,"P-3.1","Analysis and identification of target area","Compare and analyze\nclinical/quality data, and identify at\nleast one area for improvement","Analysis and identification\nof target area","Yes/No",null,"","",null,null,"Analysis","Analysis/committee reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,360939,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_080368601.2.1","4_080368601",2,"2",4,"080368601","Coastal Plains Community MHMR Center","080368601.2.1","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",9,3147490,"I-101",null,"Preventable Admissions and Readmissions",1,"I-101.1",null,".25% Decrease in preventable admissions and readmissions to psychiatric and other inpatient facilities;","Through navigation and education services 125/500 served will report using outpatient primary care/psychiatric services instead of Emergency Room to address non-emergency health needs.","Percentage",0.25,"","",null,null,null,"Admission, quarterly and exit questionnaire completed by patient with navigator. Project Data; Claims/ encounter and clinical record data other hospitals",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"I-8","Integrated Services",null,1,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","(a) BH/PC Services: Number of\nIndividuals receiving both physical\nand behavioral health care at the\nestablished locations.","Baseline: 0 people receiving\nBH/PC services; 0 people receiving\nBH/SA services\nGoal: (a) 500 people served in\nboth BH and Primary Care services","Numeric",500,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites",null,null,"Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"I-9","Coordination of Care",null,1,"I-9.1","X% of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Number of individuals with a treatment plan developed and\nimplemented with primary care and\nBH expertise","Baseline: 0\nGoal: 125people will have integrated\ntreatment plans developed and\nimplemented due to high health,\nmental health","Numeric",125,"Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise","Number of individuals receiving services at project sites",null,null,"Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-101",null,"Establish a baseline\nfor measuring improvement in noshow\nappointments",1,"P-101.1",null,"“no shows” for\nbehavioral and physical health\nappointments.","Baseline:  Number of \"no-shows\" for behavioral and physical health appointments post navigator implementation is not available.   Goal: Establish a baseline for behavioral and physical health appointments.","Yes/No",null,"","",null,null,null,"Project Data, Medical Records, Claims and Encounter Data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-102",null,"Establish a baseline\nfor measuring increase in positive\nresults of standardized health\nmetrics.",1,"P-102.1",null,"Establish standarized health metrics through testing/recording of blood pressure, cholesterol levels, BMI and A1C of people served","Baseline: Current health metrics for persons served through integrated health are not available.  Goal:  Develop standardized health metrics.","Yes/No",null,"","",null,null,null,"Project Data;\nMedical Records; Claims and\nEncounter Data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-103",null,"Develop integrated sites reflected in the number of locations and providers participating in the integration project in order to provide a \"one-stop shopping\" approach to behavioral and physical health care.",1,"P-103.1",null,"Develop provider agreements and integrate number of Substance Abuse Providers into behavioral (mental) health settings.","Baseline:  Currently 0 agreements and 0 Substance Abuse Providers are integrated into the mental health clinics to have comprehensive behavioral health care settings.  Goal:  at least 0.75 FTE will be integrated into 1 clinic in DY 2.","Numeric",0.75,"","",null,null,null,"Contract(s)/Service Agreement(s) with COADA and other SA Providers developed",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-104",null,"Behavioral Health Services are integrated to provide both Mental Health and Substance Abuse Services.",1,"P-104.1",null,"Number of individuals receiving both mental health and substance abuse services at a single location to meet co-occurring behavioral health needs.","Baseline:  Currently 0 people receive integrated mental health and substance abuse services through one service site, with integrated treatment/recovery plans.  Goal:  To provide 60 people with substance abuse services at a single location to address co-occurring behavioral health needs.","Numeric",60,"","",null,null,null,"Claims and encounters data; medical records.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-5","Develop integrated sites reflected in the number of locations and providers participating in the integration project",null,2,"P-5.1","Number of agreements signed for the provision of integrated services",null,"Baseline: No service agreements\nGoal: 2 Service agreements - 1\nw/FQHC and 1 w/COADA-CB","Numeric",2,"","",null,null,"Project data",null,"P-5.2","Number of primary care providers newly located in behavioral health settings",null,"Baseline: No primary care or\nsubstance abuse providers located\nin behavioral health clinics\nGoal: (a) FQHC will provide primary health care staffing sufficient for 3 BH clinics as per agreement.  This will include 0.2 FTE per clinic of the following: Primary Care (PA/APN) provider, LVN and Clerk .","Yes/No",null,"","",null,null,"Project data","Project Data\nCoastal Plains will provide 1 FTE\nnavigator per clinic",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-7","Evaluate and continuously improve integration of primary and behavioral health services",null,1,"P-7.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles",null,"Baseline: no quality improvement\nplan in place\nGoal: Quality Improvement Plan\ndeveloped with preliminary\noutcome measures.","Yes/No",null,"","",null,null,"Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"080368601","Coastal Plains Community MHMR Center","080368601.2.1","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",9,3147490,"I-101",null,"Preventable Admissions and Readmissions",1,"I-101.1",null,".25% Decrease in preventable admissions and readmissions to psychiatric and other inpatient facilities;","Through navigation and education services 125/500 served will report using outpatient primary care/psychiatric services instead of Emergency Room to address non-emergency health needs.","Percentage",0.25,"","",null,null,null,"Admission, quarterly and exit questionnaire completed by patient with navigator. Project Data; Claims/ encounter and clinical record data other hospitals",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"I-8","Integrated Services",null,1,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","(a) BH/PC Services: Number of\nIndividuals receiving both physical\nand behavioral health care at the\nestablished locations.","Baseline: 0 people receiving\nBH/PC services; 0 people receiving\nBH/SA services\nGoal: (a) 500 people served in\nboth BH and Primary Care services","Numeric",500,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites",null,null,"Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"I-9","Coordination of Care",null,1,"I-9.1","X% of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Number of individuals with a treatment plan developed and\nimplemented with primary care and\nBH expertise","Baseline: 0\nGoal: 125people will have integrated\ntreatment plans developed and\nimplemented due to high health,\nmental health","Numeric",125,"Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise","Number of individuals receiving services at project sites",null,null,"Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-101",null,"Establish a baseline\nfor measuring improvement in noshow\nappointments",1,"P-101.1",null,"“no shows” for\nbehavioral and physical health\nappointments.","Baseline:  Number of \"no-shows\" for behavioral and physical health appointments post navigator implementation is not available.   Goal: Establish a baseline for behavioral and physical health appointments.","Yes/No",null,"","",null,null,null,"Project Data, Medical Records, Claims and Encounter Data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-102",null,"Establish a baseline\nfor measuring increase in positive\nresults of standardized health\nmetrics.",1,"P-102.1",null,"Establish standarized health metrics through testing/recording of blood pressure, cholesterol levels, BMI and A1C of people served","Baseline: Current health metrics for persons served through integrated health are not available.  Goal:  Develop standardized health metrics.","Yes/No",null,"","",null,null,null,"Project Data;\nMedical Records; Claims and\nEncounter Data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-103",null,"Develop integrated sites reflected in the number of locations and providers participating in the integration project in order to provide a \"one-stop shopping\" approach to behavioral and physical health care.",1,"P-103.1",null,"Develop provider agreements and integrate number of Substance Abuse Providers into behavioral (mental) health settings.","Baseline:  Currently 0 agreements and 0 Substance Abuse Providers are integrated into the mental health clinics to have comprehensive behavioral health care settings.  Goal:  at least 0.75 FTE will be integrated into 1 clinic in DY 2.","Numeric",0.75,"","",null,null,null,"Contract(s)/Service Agreement(s) with COADA and other SA Providers developed",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-104",null,"Behavioral Health Services are integrated to provide both Mental Health and Substance Abuse Services.",1,"P-104.1",null,"Number of individuals receiving both mental health and substance abuse services at a single location to meet co-occurring behavioral health needs.","Baseline:  Currently 0 people receive integrated mental health and substance abuse services through one service site, with integrated treatment/recovery plans.  Goal:  To provide 60 people with substance abuse services at a single location to address co-occurring behavioral health needs.","Numeric",60,"","",null,null,null,"Claims and encounters data; medical records.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-5","Develop integrated sites reflected in the number of locations and providers participating in the integration project",null,2,"P-5.1","Number of agreements signed for the provision of integrated services",null,"Baseline: No service agreements\nGoal: 2 Service agreements - 1\nw/FQHC and 1 w/COADA-CB","Numeric",2,"","",null,null,"Project data",null,"P-5.2","Number of primary care providers newly located in behavioral health settings",null,"Baseline: No primary care or\nsubstance abuse providers located\nin behavioral health clinics\nGoal: (a) FQHC will provide primary health care staffing sufficient for 3 BH clinics as per agreement.  This will include 0.2 FTE per clinic of the following: Primary Care (PA/APN) provider, LVN and Clerk .","Yes/No",null,"","",null,null,"Project data","Project Data\nCoastal Plains will provide 1 FTE\nnavigator per clinic",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,"P-7","Evaluate and continuously improve integration of primary and behavioral health services",null,1,"P-7.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles",null,"Baseline: no quality improvement\nplan in place\nGoal: Quality Improvement Plan\ndeveloped with preliminary\noutcome measures.","Yes/No",null,"","",null,null,"Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,349721.11111111112,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.2.1","4_094118902",2,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.1","2.2","Expand Chronic Care Management Models","2.2.1","Redesign the outpatient delivery system to coordinate care for patients with chronic diseases",1,523069,"P-1","Expand the Chronic Care Model to primary care clinics",null,1,"P-1.1","Increase number of primary care clinics using the Chronic Care model",null,"Baseline 0 clinics in\ntargeted areas. Goal Two of the\nplanned 5 clinics open by end of year\nand will institute interdisciplinary\nchronic care approach for 245\npatients","Numeric",2,"Number of primary care clinics using the Chronic Care model","Total number of primary care clinics",null,null,"Documentation of practice management","Performing Provider\nevidence of innovational 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Hospital (Victoria of Tx)","094118902.2.1","2.2","Expand Chronic Care Management Models","2.2.1","Redesign the outpatient delivery system to coordinate care for patients with chronic diseases",1,523069,"P-1","Expand the Chronic Care Model to primary care clinics",null,1,"P-1.1","Increase number of primary care clinics using the Chronic Care model",null,"Baseline 0 clinics in\ntargeted areas. Goal Two of the\nplanned 5 clinics open by end of year\nand will institute interdisciplinary\nchronic care approach for 245\npatients","Numeric",2,"Number of primary care clinics using the Chronic Care model","Total number of primary care clinics",null,null,"Documentation of practice management","Performing Provider\nevidence of innovational 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["4_094118902.2.2","4_094118902",2,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.2","2.7","Implement Evidence-based Disease Prevention Programs","2.7.4","Implement innovative evidence-based strategies to reduce low birth weight and preterm birth.",1,387769,"P-1","Development of innovative evidence-based project for targeted population",null,1,"P-1.1","Document innovational strategy and plan",null,"Completed plan. DY 2 clinics/ Four\nadditional clinics will be established\nin Goliad, Jackson, Lavaca, and\nRefugio Counties as well as expansion\nVictoria County.","Yes/No",null,"","",null,null,"Performing Provider evidence of innovational plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,387769,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.2","2.7","Implement Evidence-based Disease Prevention Programs","2.7.4","Implement innovative evidence-based strategies to reduce low birth weight and preterm birth.",1,387769,"P-1","Development of innovative evidence-based project for targeted population",null,1,"P-1.1","Document innovational strategy and plan",null,"Completed plan. DY 2 clinics/ Four\nadditional clinics will be established\nin Goliad, Jackson, Lavaca, and\nRefugio Counties as well as expansion\nVictoria County.","Yes/No",null,"","",null,null,"Performing Provider evidence of innovational 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["4_094222902.2.1","4_094222902",2,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.1","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,134398.39000000001,"P-102",null,"Identify shortcuts\nand work-arounds to improve\nefficiencies w BMV processes",1,"P-102.1",null,"Evaluate, modify\nBMV processes to eliminate\nidentified work-arounds.","Review BMV\nprocesses 6 months postimplementation\nto identify workarounds.","Yes/No",null,"","",null,null,null,"Staff input, variance\nreports, medication error\ninvestigations",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,67199.195000000007,"P-1","Implement/expand a medication management program and/or system",null,1,"P-1.1","Program elements","Program\ndocumentation for people, processes\nand technology","Implementation of\nBMV at CSHA","Yes/No",null,"","",null,null,"Written medication management plan including workflow for 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Spohn Hospital Alice","094222902.2.1","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,134398.39000000001,"P-102",null,"Identify shortcuts\nand work-arounds to improve\nefficiencies w BMV processes",1,"P-102.1",null,"Evaluate, modify\nBMV processes to eliminate\nidentified work-arounds.","Review BMV\nprocesses 6 months postimplementation\nto identify workarounds.","Yes/No",null,"","",null,null,null,"Staff input, variance\nreports, medication error\ninvestigations",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,67199.195000000007,"P-1","Implement/expand a medication management program and/or system",null,1,"P-1.1","Program elements","Program\ndocumentation for people, processes\nand technology","Implementation of\nBMV at CSHA","Yes/No",null,"","",null,null,"Written medication management plan including workflow for 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["4_094222902.2.2","4_094222902",2,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.2","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,134398.39000000001,"P-1","Implement/expand a medication management program and/or system",null,1,"P-1.1","Program elements","Program elements\nto include document of program,\npeople and technologies required to\nimplement system","Implementation\nteam and Infrastructure in place\nfor CPOM/Med Mgmt. Go-Live","Yes/No",null,"","",null,null,"Written medication management plan including workflow for providers","Implementation plan\nwith team, infrastructure and\nprocesses documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,67199.195000000007,"P-7","Implement Computerized Provider Order Entry (CPOE) to allow providers to enter medical orders directly via computer, replacing the more traditional paper, verbal, telephone, and fax methods",null,1,"P-7.1","create a system to implement CPOE",null,"Implemented CPOE. Transition 50% of\nphysician orders to electronic order\nentry","Yes/No",null,"","",null,null,"documentation of plan","Patient medical\nrecords and EMRs, Hospital\ninformatics utilization 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Spohn Hospital Alice","094222902.2.2","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,134398.39000000001,"P-1","Implement/expand a medication management program and/or system",null,1,"P-1.1","Program elements","Program elements\nto include document of program,\npeople and technologies required to\nimplement system","Implementation\nteam and Infrastructure in place\nfor CPOM/Med Mgmt. Go-Live","Yes/No",null,"","",null,null,"Written medication management plan including workflow for providers","Implementation plan\nwith team, infrastructure and\nprocesses documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,67199.195000000007,"P-7","Implement Computerized Provider Order Entry (CPOE) to allow providers to enter medical orders directly via computer, replacing the more traditional paper, verbal, telephone, and fax methods",null,1,"P-7.1","create a system to implement CPOE",null,"Implemented CPOE. Transition 50% of\nphysician orders to electronic order\nentry","Yes/No",null,"","",null,null,"documentation of plan","Patient medical\nrecords and EMRs, Hospital\ninformatics utilization 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["4_094222902.2.3","4_094222902",2,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.3","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,211197.47,"P-1","Target specific workflows, processes and/or clinical areas to improve",null,1,"P-1.1","Performing Provider review and prioritization of areas or processes to improve upon","Identify and\nprioritize processes to improve","Implement an\nearly warning system (MEWS) for\nsepsis on medical/surgical\ninpatient units in order to\nstreamline the process for responding to sepsis and to\nimprove patient outcomes.","Yes/No",null,"","",null,null,"TBD by Performing Provider","Hospital quality\ndocumentation, sepsis dashboards",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,105598.735,"P-7","Implement a rapid improvement project using a proven methodology",null,1,"P-7.1","Rapid improvement cycle",null,"Implement a 90-\nday rapid cycle improvement plan\nfor Sepsis.","Yes/No",null,"","",null,null,"ocumentation of rapid improvement project such as idea\nsheets, attendance sheets, daily reports of progress made, final report out. Or documentation of materials produced by the improvement event such as new standard 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Spohn Hospital Alice","094222902.2.3","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,211197.47,"P-1","Target specific workflows, processes and/or clinical areas to improve",null,1,"P-1.1","Performing Provider review and prioritization of areas or processes to improve upon","Identify and\nprioritize processes to improve","Implement an\nearly warning system (MEWS) for\nsepsis on medical/surgical\ninpatient units in order to\nstreamline the process for responding to sepsis and to\nimprove patient outcomes.","Yes/No",null,"","",null,null,"TBD by Performing Provider","Hospital quality\ndocumentation, sepsis dashboards",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,105598.735,"P-7","Implement a rapid improvement project using a proven methodology",null,1,"P-7.1","Rapid improvement cycle",null,"Implement a 90-\nday rapid cycle improvement plan\nfor Sepsis.","Yes/No",null,"","",null,null,"ocumentation of rapid improvement project such as idea\nsheets, attendance sheets, daily reports of progress made, final report out. Or documentation of materials produced by the improvement event such as new standard workflows",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,105598.735,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.2.4","4_094222902",2,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.4","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,307195.5,"P-4","Data matching is performed identifying service utilization patterns of people with co-occurring disorders and analysis conducted to identify over and under utilization patterns",null,1,"P-4.1","Data analysis report produced",null,"Spohn will develop\na system to identify patients with\nco-diagnoses of CHF &/or Diabetes\nwith BH/Depression using its\navailable medical data and will\nproduce written analysis of the\navailable data","Yes/No",null,"","",null,null,"Written report",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153597.75,"P-5","case managers and disease care managers are identified",null,1,"P-5.1","Number of staff identified with the capacity to support the targeted population",null,"Identify and engage\nthe equivalent of three (3) care\ncoordinators to manage targeted\npatients","Numeric",3,"","",null,null,"Staff rosters and documents of 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Spohn Hospital Alice","094222902.2.4","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,307195.5,"P-4","Data matching is performed identifying service utilization patterns of people with co-occurring disorders and analysis conducted to identify over and under utilization patterns",null,1,"P-4.1","Data analysis report produced",null,"Spohn will develop\na system to identify patients with\nco-diagnoses of CHF &/or Diabetes\nwith BH/Depression using its\navailable medical data and will\nproduce written analysis of the\navailable data","Yes/No",null,"","",null,null,"Written report",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153597.75,"P-5","case managers and disease care managers are identified",null,1,"P-5.1","Number of staff identified with the capacity to support the targeted population",null,"Identify and engage\nthe equivalent of three (3) care\ncoordinators to manage targeted\npatients","Numeric",3,"","",null,null,"Staff rosters and documents of 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["4_094222902.2.5","4_094222902",2,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.5","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,287996.55,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Care Transition\nstandardization in Spohn's Alice\nFacility, meaning consistent\nstandards for eligibility, processes\nfor patient coordination, and\nprovider training - with a focus on\nCHF and diabetes patients","Yes/No",null,"","",null,null,"Policies and procedures of care transitions program 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Spohn Hospital Alice","094222902.2.5","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,287996.55,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Care Transition\nstandardization in Spohn's Alice\nFacility, meaning consistent\nstandards for eligibility, processes\nfor patient coordination, and\nprovider training - with a focus on\nCHF and diabetes patients","Yes/No",null,"","",null,null,"Policies and procedures of care transitions program 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["4_094222902.2.6","4_094222902",2,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.6","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",2,287996.55,"P-101",null,"Hire personnel to support\nthe project.",1,"P-101.1",null,"Number of\npersonnel hired","Recruit and retain\nat least one LMHP to provide care\non a full-time basis through one or\nmore of Spohn's FHCs","Numeric",1,"","",null,null,null,"Documentation of\nhire/contract",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,143998.27499999999,"P-2","Identify existing clinics or other community-based settings where integration could be supported",null,1,"P-2.1","Discussions/Interviews with community healthcare providers, city and county governments, charities, faith-based organizations and other community based helping organizations",null,"Identify a site for\nphysical/behavioral care\nintegration, which may be the\nRobstown FHC or another location\nin the Alice community","Yes/No",null,"","",null,null,"Information from persons interviewed","Needs assessment,\nED admission data by zip codes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,143998.27499999999,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.6","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",2,287996.55,"P-101",null,"Hire personnel to support\nthe project.",1,"P-101.1",null,"Number of\npersonnel hired","Recruit and retain\nat least one LMHP to provide care\non a full-time basis through one or\nmore of Spohn's FHCs","Numeric",1,"","",null,null,null,"Documentation of\nhire/contract",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,143998.27499999999,"P-2","Identify existing clinics or other community-based settings where integration could be supported",null,1,"P-2.1","Discussions/Interviews with community healthcare providers, city and county governments, charities, faith-based organizations and other community based helping organizations",null,"Identify a site for\nphysical/behavioral care\nintegration, which may be the\nRobstown FHC or another location\nin the Alice community","Yes/No",null,"","",null,null,"Information from persons interviewed","Needs assessment,\nED admission data by zip codes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,143998.27499999999,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.10","4_121775403",2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.10","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",2,1724240.29,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Implement Care Transition standardization in Spohn's Corpus Christi Facilities, meaning consistent standards for eligibility, processes for patient coordination, and provider training - with a focus on CHF and diabetes patients","Yes/No",null,"","",null,null,"Policies and procedures of care transitions program materials","Care Transitions Policies, Procedures, Protocols",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,862120.14500000002,"P-7","Develop a staffing and implementation plan to accomplish the goals/objectives of the care transitions program",null,1,"P-7.1","Documentation of the staffing plan",null,"Complete staffing and implementation plan for expansion by diagnosis and by site which addresses the additional staffing and resources necessary for successful implementation, necessary training, and other institutional changes required:\n• CHF and Diabetes Care Transitions at all three Corpus facilities","Yes/No",null,"","",null,null,"Staffing and implementation plan","Staffing and operational plan for Care Transition expansion",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,862120.14500000002,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.10","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",2,1724240.29,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Implement Care Transition standardization in Spohn's Corpus Christi Facilities, meaning consistent standards for eligibility, processes for patient coordination, and provider training - with a focus on CHF and diabetes patients","Yes/No",null,"","",null,null,"Policies and procedures of care transitions program materials","Care Transitions Policies, Procedures, Protocols",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,862120.14500000002,"P-7","Develop a staffing and implementation plan to accomplish the goals/objectives of the care transitions program",null,1,"P-7.1","Documentation of the staffing plan",null,"Complete staffing and implementation plan for expansion by diagnosis and by site which addresses the additional staffing and resources necessary for successful implementation, necessary training, and other institutional changes required:\n• CHF and Diabetes Care Transitions at all three Corpus facilities","Yes/No",null,"","",null,null,"Staffing and implementation plan","Staffing and operational plan for Care Transition expansion",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,862120.14500000002,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.11","4_121775403",2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.11","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.1","Design, develop, and implement a program of continuous, rapid process improvement that will address issues of safety, quality, and efficiency.",3,3395264,"P-11","Number of trainings conducted by designated trainee/process improvement champions",null,1,"P-11.1","Trained by the trainee/champion trainings",null,"CSHS champions will provide 85% of the training sessions","Percentage",0.85,"","",null,null,"Training program curriculum, educational materials, attendance lists, or other materials","Training class schedules, instructor assignments, session attendance logs",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1131754.6666666667,"P-2","Identify/target metric to measure impact of process improvement methodology and establish baseline",null,1,"P-2.1","Performing Provider identification of impact metrics and baseline",null,"Spohn will work with HPI to identify a measure  indicative of improved efficiency and safety in care provided to patients, and develop specific protocols to obtain and track this measure in each of Spohn's six hospital facilities and establish baseline","Yes/No",null,"","",null,null,"TBD by Performing Provider","Performing provider report identifying measure of improvement, and comprehensive plan to address safety/inefficiency issues",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1131754.6666666667,"P-8","Train providers/staff in process improvement",null,1,"P-8.1","Number of providers/staff trained",null,"20% of active mid-level/physician providers on staff and 50% of associates in Spohn facilities trained in safety/efficiency protocols \nphysician providers on staff\nand 50% of associates at CSHS trained in safety/efficiency\nprotocols","Yes/No",null,"Number of providers/staff trained","Total number of providers/staff",null,null,null,"Curriculum and/or training schedules and documentation of provider participation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1131754.6666666667,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.11","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.1","Design, develop, and implement a program of continuous, rapid process improvement that will address issues of safety, quality, and efficiency.",3,3395264,"P-11","Number of trainings conducted by designated trainee/process improvement champions",null,1,"P-11.1","Trained by the trainee/champion trainings",null,"CSHS champions will provide 85% of the training sessions","Percentage",0.85,"","",null,null,"Training program curriculum, educational materials, attendance lists, or other materials","Training class schedules, instructor assignments, session attendance logs",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1131754.6666666667,"P-2","Identify/target metric to measure impact of process improvement methodology and establish baseline",null,1,"P-2.1","Performing Provider identification of impact metrics and baseline",null,"Spohn will work with HPI to identify a measure  indicative of improved efficiency and safety in care provided to patients, and develop specific protocols to obtain and track this measure in each of Spohn's six hospital facilities and establish baseline","Yes/No",null,"","",null,null,"TBD by Performing Provider","Performing provider report identifying measure of improvement, and comprehensive plan to address safety/inefficiency issues",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1131754.6666666667,"P-8","Train providers/staff in process improvement",null,1,"P-8.1","Number of providers/staff trained",null,"20% of active mid-level/physician providers on staff and 50% of associates in Spohn facilities trained in safety/efficiency protocols \nphysician providers on staff\nand 50% of associates at CSHS trained in safety/efficiency\nprotocols","Yes/No",null,"Number of providers/staff trained","Total number of providers/staff",null,null,null,"Curriculum and/or training schedules and documentation of provider participation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1131754.6666666667,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.1","4_121775403",2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.1","2.6","Implement Evidence-based Health Promotion Programs","2.6.1","Engage in population-based campaigns or programs to promote healthy lifestyles using evidence-based methodologies including social media and text messaging in an identified population.",2,1839189.65,"P-2","Development of evidence-based projects for targeted population based on distilling the needs assessment and determining priority of interventions for the community","Development of Diabetes cellphone application pilot",1,"P-2.1","Document innovational strategy and plan","Documentation evidencing Diabetes Manager strategy and plan","Baseline of 100 eligible clients with diabetes Type 2 and an established relationship with a PCP. Draft document evidencing strategy and plan.","Yes/No",null,"","",null,null,"Performing Provider evidence of innovational plan","Project Plan documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,919594.82499999995,"P-3","Implement, document and test an evidence-based innovative project for targeted population","Implement, document and test Diabetes Manager pilot",1,"P-3.1","Document implementation strategy and testing outcomes",null,"Baseline of 100 eligible clients. Draft document evidencing strategy and plan.","Yes/No",null,"","",null,null,"Performing Provider contract or other documentation of\nimplementation TBD by Performing Provider","Application reports and project results",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,919594.82499999995,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.1","2.6","Implement Evidence-based Health Promotion Programs","2.6.1","Engage in population-based campaigns or programs to promote healthy lifestyles using evidence-based methodologies including social media and text messaging in an identified population.",2,1839189.65,"P-2","Development of evidence-based projects for targeted population based on distilling the needs assessment and determining priority of interventions for the community","Development of Diabetes cellphone application pilot",1,"P-2.1","Document innovational strategy and plan","Documentation evidencing Diabetes Manager strategy and plan","Baseline of 100 eligible clients with diabetes Type 2 and an established relationship with a PCP. Draft document evidencing strategy and plan.","Yes/No",null,"","",null,null,"Performing Provider evidence of innovational plan","Project Plan documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,919594.82499999995,"P-3","Implement, document and test an evidence-based innovative project for targeted population","Implement, document and test Diabetes Manager pilot",1,"P-3.1","Document implementation strategy and testing outcomes",null,"Baseline of 100 eligible clients. Draft document evidencing strategy and plan.","Yes/No",null,"","",null,null,"Performing Provider contract or other documentation of\nimplementation TBD by Performing Provider","Application reports and project 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["4_121775403.2.2","4_121775403",2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.2","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",1,1379392.23,"P-5","Using a validated risk assessment tool, create a patient identification system",null,1,"P-5.1","Patient stratification system",null,"Spohn will develop a system to analyze key drivers of 30-day hospital readmissions (using chart review) and a method for identifying patients going forward who are at risk of needing acute care services within 30-60 days of discharge.","Yes/No",null,"","",null,null,"Submission of risk assessment tool and patient stratification report and description of provider utilization of report findings",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1379392.23,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.2","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",1,1379392.23,"P-5","Using a validated risk assessment tool, create a patient identification system",null,1,"P-5.1","Patient stratification system",null,"Spohn will develop a system to analyze key drivers of 30-day hospital readmissions (using chart review) and a method for identifying patients going forward who are at risk of needing acute care services within 30-60 days of discharge.","Yes/No",null,"","",null,null,"Submission of risk assessment tool and patient stratification report and description of provider utilization of report findings",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1379392.23,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.4","4_121775403",2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.4","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",2,1839189.65,"P-101",null,"Hire personnel to support\nthe project.",1,"P-101.1",null,"Number of\npersonnel hired","Recruit and retain\nat least one LMHP to provide care\non a full-time basis through one or\nmore of Spohn's FHCs","Numeric",1,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,919594.82499999995,"P-2","Identify existing clinics or other community-based settings where integration could be supported",null,1,"P-2.1","Discussions/Interviews with community healthcare providers, city and county governments, charities, faith-based organizations and other community based helping organizations",null,"Identify a site for\nphysical/behavioral care\nintegration, which may be the\nRobstown FHC or another location\nin the Corpus Christi community","Yes/No",null,"","",null,null,"Information from persons interviewed","Needs assessment,\nED admission data by zip 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Health System dba Spohn Memorial Hospital","121775403.2.4","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",2,1839189.65,"P-101",null,"Hire personnel to support\nthe project.",1,"P-101.1",null,"Number of\npersonnel hired","Recruit and retain\nat least one LMHP to provide care\non a full-time basis through one or\nmore of Spohn's FHCs","Numeric",1,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,919594.82499999995,"P-2","Identify existing clinics or other community-based settings where integration could be supported",null,1,"P-2.1","Discussions/Interviews with community healthcare providers, city and county governments, charities, faith-based organizations and other community based helping organizations",null,"Identify a site for\nphysical/behavioral care\nintegration, which may be the\nRobstown FHC or another location\nin the Corpus Christi community","Yes/No",null,"","",null,null,"Information from persons interviewed","Needs assessment,\nED admission data by zip 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["4_121775403.2.5","4_121775403",2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,1494341.59,"P-4","Data matching is performed identifying service utilization patterns of people with co-occurring disorders and analysis conducted to identify over and under utilization patterns",null,1,"P-4.1","Data analysis report produced",null,"Spohn will develop a system to identify patients with co-diagnoses of CHF &/or Diabetes with BH/Depression using its available medical data and will produce written analysis of the available data","Yes/No",null,"","",null,null,"Written report",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,747170.79500000004,"P-5","case managers and disease care managers are identified",null,1,"P-5.1","Number of staff identified with the capacity to support the targeted population",null,"Identify and engage\nthe equivalent of three (3) care\ncoordinators to manage targeted\npatients","Numeric",3,"","",null,null,"Staff rosters and documents of caseloads",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,747170.79500000004,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,1494341.59,"P-4","Data matching is performed identifying service utilization patterns of people with co-occurring disorders and analysis conducted to identify over and under utilization patterns",null,1,"P-4.1","Data analysis report produced",null,"Spohn will develop a system to identify patients with co-diagnoses of CHF &/or Diabetes with BH/Depression using its available medical data and will produce written analysis of the available data","Yes/No",null,"","",null,null,"Written report",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,747170.79500000004,"P-5","case managers and disease care managers are identified",null,1,"P-5.1","Number of staff identified with the capacity to support the targeted population",null,"Identify and engage\nthe equivalent of three (3) care\ncoordinators to manage targeted\npatients","Numeric",3,"","",null,null,"Staff rosters and documents of 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["4_121775403.2.6","4_121775403",2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.6","2.1","Enhance/Expand Medical Homes","2.1.1","Develop, implement, and evaluate action plans to enhance/eliminate gaps in the development of various aspects of PCMH standards.",1,1839189.65,"P-101",null,"Utilize gap analysis methodology to measure readiness and feasible steps to achieve NCQA PCMH status in the Hector P Garcia clinic.",1,"P-101.1",null,"Documentation of gaps in Hector P Garcia readiness and  steps required to achieve PCMH status","Baseline Gap Analysis and Feasibility Study completed for Hector P Garcia clinic","Yes/No",null,"","",null,null,null,"Gap Analysis/Feasibility 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ll,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.6","2.1","Enhance/Expand Medical Homes","2.1.1","Develop, implement, and evaluate action plans to enhance/eliminate gaps in the development of various aspects of PCMH standards.",1,1839189.65,"P-101",null,"Utilize gap analysis methodology to measure readiness and feasible steps to achieve NCQA PCMH status in the Hector P Garcia clinic.",1,"P-101.1",null,"Documentation of gaps in Hector P Garcia readiness and  steps required to achieve PCMH status","Baseline Gap Analysis and Feasibility Study completed for Hector P Garcia clinic","Yes/No",null,"","",null,null,null,"Gap Analysis/Feasibility documents",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1839189.65,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.7","4_121775403",2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.7","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,804645.47,"P-103",null,"Identify shortcuts\nand work-arounds to improve\nefficiencies w BMV processes",1,"P-103.1",null,"Evaluate, modify\nBMV processes to eliminate\nidentified work-arounds.","Review BMV\nprocesses 6 months postimplementation\nto identify workarounds.","Yes/No",null,"","",null,null,null,"Staff input, variance\nreports, medication error\ninvestigations",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,402322.73499999999,"P-1","Implement/expand a medication management program and/or system",null,1,"P-1.1","Program elements","Program\ndocumentation for people, processes\nand technology","Implementation of\nBMV at all three Corpus Christi\nfacilities","Numeric",3,"","",null,null,"Written medication management plan including workflow for 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["4_121775403.2.8","4_121775403",2,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.8","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,804645.47,"P-1","Implement/expand a medication management program and/or system",null,1,"P-1.1","Program elements",null,"Implementation\nteam and Infrastructure in place\nfor CPOM/Med Mgmt. Go-Live","Yes/No",null,"","",null,null,"Written medication management plan including workflow for providers","Implementation plan\nwith team, infrastructure and\nprocesses documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,402322.73499999999,"P-7","Implement Computerized Provider Order Entry (CPOE) to allow providers to enter medical orders directly via computer, replacing the more traditional paper, verbal, telephone, and fax methods",null,1,"P-7.1","create a system to implement CPOE",null,"Implemented CPOE. 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Health System dba Spohn Memorial Hospital","121775403.2.8","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,804645.47,"P-1","Implement/expand a medication management program and/or system",null,1,"P-1.1","Program elements",null,"Implementation\nteam and Infrastructure in place\nfor CPOM/Med Mgmt. Go-Live","Yes/No",null,"","",null,null,"Written medication management plan including workflow for providers","Implementation plan\nwith team, infrastructure and\nprocesses documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,402322.73499999999,"P-7","Implement Computerized Provider Order Entry (CPOE) to allow providers to enter medical orders directly via computer, replacing the more traditional paper, verbal, telephone, and fax methods",null,1,"P-7.1","create a system to implement CPOE",null,"Implemented CPOE. Transition at least\n50% of physician orders to\nelectronic order entry (expected to\nimpact nearly 200,000 patient\nencounters)","Yes/No",null,"","",null,null,"documentation of plan","Patient medical\nrecords and EMRs, Hospital\ninformatics utilization 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["4_132812205.2.3","4_132812205",2,"2",4,"132812205","Driscoll Children's Hospital","132812205.2.3","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",6,921828,"P-101",null,"Plan and Establish baseline clinic hours for High Risk Follow-up clinic",1,"P-101.1",null,"Documentation of operational hours.","Baseline: At the beginning of DY2, High Risk Infant Follow-up Program did not exist; therefore, baseline for hours is zero. Goal: Develop the operational hours for the program.","Yes/No",null,"","",null,null,null,"Outreach council\nimplementation plan.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-102",null,"Plan and\nEstablish baseline for the number of\nBayley Infant Neurodevelopmental\nassessment exams.",1,"P-102.1",null,"Documentation of\nthe estimated assessment exams to\nbe performed during DY2.","Baseline: At the beginning of DY2,\nHigh Risk Infant Follow-up Program\ndid not exist; therefore, baseline\nfor assessment exams is zero.\nGoal: Develop the High Risk Infant\nFollow-up Program with assessment exams to be performed\nduring a patient's visit. Estimate\nestablishing a baseline of 10 Bayley\nassessment exams","Yes/No",null,"","",null,null,null,"Claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-103",null,"Appoint an\ninterdisciplinary Task Force to\nprovide oversight for\nImplement/Expand Care Transition\nPrograms specific to the High Risk\nInfant Follow-up Program.",1,"P-103.1",null,"Documentation\nof Task Force establishment.","Participate in all semi-annual\nQuality Improvement meetings.","Yes/No",null,"","",null,null,null,"Hospital/health plan\nrecord",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-104",null,"Plan and\nEstablish baseline for the number of\npatient visits.",1,"P-104.1",null,"Documentation of\nthe estimated assessment exams to\nbe performed during DY2.","Baseline: At the beginning of DY2,\nHigh Risk Infant Follow-up Program\ndid not exist; therefore, baseline\nfor patient visits is zero.\nGoal: Develop an estimated\nnumber of the patient visits in the\nHigh Risk Infant Follow-up\nProgram.","Yes/No",null,"","",null,null,null,"Claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Submission and implementation of protocols","Yes/No",null,"","",null,null,"Policies and procedures of care transitions program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-7","Develop a staffing and implementation plan to accomplish the goals/objectives of the care transitions program",null,1,"P-7.1","Documentation of the staffing plan",null,"Create staffing and implementation plan","Yes/No",null,"","",null,null,"Staffing and implementation plan","Completed Staffing and\nimplementation plan.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,2,"2",4,"132812205","Driscoll Children's Hospital","132812205.2.3","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",6,921828,"P-101",null,"Plan and Establish baseline clinic hours for High Risk Follow-up clinic",1,"P-101.1",null,"Documentation of operational hours.","Baseline: At the beginning of DY2, High Risk Infant Follow-up Program did not exist; therefore, baseline for hours is zero. Goal: Develop the operational hours for the program.","Yes/No",null,"","",null,null,null,"Outreach council\nimplementation plan.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-102",null,"Plan and\nEstablish baseline for the number of\nBayley Infant Neurodevelopmental\nassessment exams.",1,"P-102.1",null,"Documentation of\nthe estimated assessment exams to\nbe performed during DY2.","Baseline: At the beginning of DY2,\nHigh Risk Infant Follow-up Program\ndid not exist; therefore, baseline\nfor assessment exams is zero.\nGoal: Develop the High Risk Infant\nFollow-up Program with assessment exams to be performed\nduring a patient's visit. Estimate\nestablishing a baseline of 10 Bayley\nassessment exams","Yes/No",null,"","",null,null,null,"Claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-103",null,"Appoint an\ninterdisciplinary Task Force to\nprovide oversight for\nImplement/Expand Care Transition\nPrograms specific to the High Risk\nInfant Follow-up Program.",1,"P-103.1",null,"Documentation\nof Task Force establishment.","Participate in all semi-annual\nQuality Improvement meetings.","Yes/No",null,"","",null,null,null,"Hospital/health plan\nrecord",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-104",null,"Plan and\nEstablish baseline for the number of\npatient visits.",1,"P-104.1",null,"Documentation of\nthe estimated assessment exams to\nbe performed during DY2.","Baseline: At the beginning of DY2,\nHigh Risk Infant Follow-up Program\ndid not exist; therefore, baseline\nfor patient visits is zero.\nGoal: Develop an estimated\nnumber of the patient visits in the\nHigh Risk Infant Follow-up\nProgram.","Yes/No",null,"","",null,null,null,"Claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Submission and implementation of protocols","Yes/No",null,"","",null,null,"Policies and procedures of care transitions program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,"P-7","Develop a staffing and implementation plan to accomplish the goals/objectives of the care transitions program",null,1,"P-7.1","Documentation of the staffing plan",null,"Create staffing and implementation plan","Yes/No",null,"","",null,null,"Staffing and implementation plan","Completed Staffing and\nimplementation plan.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,153638,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
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[{"$f":"\"\" & CELL(\"address\",$F$7) & \":\" & CELL(\"address\",$F$1005)","v":"$F$7:$F$1005"},"Cells to look at:",{"$f":"\"\" & CELL(\"address\",$E$1) & \":\" & CELL(\"address\",$ASA$1)","v":"$E$1:$ASA$1"},"To Hide ---->",0,0,0,0,0,0,0,0,0,0,{"$f":"IF(O$2>$C$2,1,IF(O$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(O$2-1))),1,0))","v":0},{"$f":"IF(P$2>$C$2,1,IF(P$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(P$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(CB$2>$C$2,1,IF(CB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(CB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(EN$2>$C$2,1,IF(EN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(EN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(GZ$2>$C$2,1,IF(GZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(GZ$2-1))),1,0))","v":0},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(JL$2>$C$2,1,IF(JL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(JL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LX$2>$C$2,1,IF(LX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(LX$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(OJ$2>$C$2,1,IF(OJ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(OJ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,{"$f":"IF(QV$2>$C$2,1,IF(QV$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(QV$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(TH$2>$C$2,1,IF(TH$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(TH$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(VT$2>$C$2,1,IF(VT$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(VT$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,{"$f":"IF(YF$2>$C$2,1,IF(YF$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(YF$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AAR$2>$C$2,1,IF(AAR$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AAR$2-1))),1,0))","v":1},1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ADD$2>$C$2,1,IF(ADD$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ADD$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AFP$2>$C$2,1,IF(AFP$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AFP$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,1,1,1,1,1,1,1,{"$f":"IF(AIB$2>$C$2,1,IF(AIB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AIB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AKN$2>$C$2,1,IF(AKN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AKN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AMZ$2>$C$2,1,IF(AMZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AMZ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(APL$2>$C$2,1,IF(APL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(APL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ARX$2>$C$2,1,IF(ARX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ARX$2-1))),1,0))","v":1},1,1,1]
[{"$f":"\"\" & CELL(\"address\",$H$7) & \":\" & CELL(\"address\",$H$1005)","v":"$H$7:$H$1005"},"Max Milestones:",{"$f":"MAX($M$7:$M$1005)","v":10},"Milestone --->",0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(LEFT(P$5)=\"M\",O2+1,O2)","v":1},{"$f":"IF(LEFT(Q$5)=\"M\",P2+1,P2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LEFT(CC$5)=\"M\",CB2+1,CB2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,{"$f":"IF(LEFT(EO$5)=\"M\",EN2+1,EN2)","v":2},2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(HA$5)=\"M\",GZ2+1,GZ2)","v":3},3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(JM$5)=\"M\",JL2+1,JL2)","v":3},3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,{"$f":"IF(LEFT(LY$5)=\"M\",LX2+1,LX2)","v":4},4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,{"$f":"IF(LEFT(OK$5)=\"M\",OJ2+1,OJ2)","v":5},5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,{"$f":"IF(LEFT(QW$5)=\"M\",QV2+1,QV2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,{"$f":"IF(LEFT(TI$5)=\"M\",TH2+1,TH2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,{"$f":"IF(LEFT(VU$5)=\"M\",VT2+1,VT2)","v":7},7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(YG$5)=\"M\",YF2+1,YF2)","v":8},8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(AAS$5)=\"M\",AAR2+1,AAR2)","v":8},8,8,8,8,8,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,{"$f":"IF(LEFT(ADE$5)=\"M\",ADD2+1,ADD2)","v":9},9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,{"$f":"IF(LEFT(AFQ$5)=\"M\",AFP2+1,AFP2)","v":10},10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AIC$5)=\"M\",AIB2+1,AIB2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AKO$5)=\"M\",AKN2+1,AKN2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,{"$f":"IF(LEFT(ANA$5)=\"M\",AMZ2+1,AMZ2)","v":12},12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(APM$5)=\"M\",APL2+1,APL2)","v":13},13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(ARY$5)=\"M\",ARX2+1,ARX2)","v":13},13,13]
[null,null,null,"Metric --->",0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0]
[{"$f":"\"RHP \" & RHP & \" Category 2 - DY3\"","v":"RHP 4 Category 2 - DY3"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #1",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #5",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #8",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #9",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #10",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #11",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #12",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #13"]
["Unique Identifier","RHP_TPI","DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY3","Project DSRIP Allocation in DY3","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #1 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #2 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #3 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #4 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #5 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #6 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #7 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #8 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #9 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #10 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #11 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #12 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #13 DSRIP\n(DY3)",null,"DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY3","Project DSRIP Allocation in DY3","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #1 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #2 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #3 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #4 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #5 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #6 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #7 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #8 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #9 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #10 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #11 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #12 DSRIP\n(DY3)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY3)","Metric #1 Description (DY3)","Metric #1 Provider Manual Desc\n(if needed)\n(DY3)","Metric #1 Baseline/Goal\n(DY3)","Metric #1 Type\n(DY3)","Metric #1 Numeric Goal\n(if needed)\n(DY3)","Metric #1 Numerator\n(DY3)","Metric #1 Denominator\n(DY3)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #1 QPI? (Yes/No)\n(DY3)","Metric #1 Data Source (DY3)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 (DY3)","Metric #2 Description (DY3)","Metric #2 Provider Manual Desc\n(if needed)\n(DY3)","Metric #2 Baseline/Goal\n(DY3)","Metric #2 Type\n(DY3)","Metric #2 Numeric Goal\n(if needed)\n(DY3)","Metric #2 Numerator\n(DY3)","Metric #2 Denominator\n(DY3)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #2 QPI? (Yes/No)\n(DY3)","Metric #2 Data Source (DY3)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 (DY3)","Metric #3 Description (DY3)","Metric #3 Provider Manual Desc\n(if needed)\n(DY3)","Metric #3 Baseline/Goal\n(DY3)","Metric #3 Type\n(DY3)","Metric #3 Numeric Goal\n(if needed)\n(DY3)","Metric #3 Numerator\n(DY3)","Metric #3 Denominator\n(DY3)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #3 QPI? (Yes/No)\n(DY3)","Metric #3 Data Source (DY3)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 (DY3)","Metric #4 Description (DY3)","Metric #4 Provider Manual Desc\n(if needed)\n(DY3)","Metric #4 Baseline/Goal\n(DY3)","Metric #4 Type\n(DY3)","Metric #4 Numeric Goal\n(if needed)\n(DY3)","Metric #4 Numerator\n(DY3)","Metric #4 Denominator\n(DY3)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #4 QPI? (Yes/No)\n(DY3)","Metric #4 Data Source (DY3)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 (DY3)","Metric #5 Description (DY3)","Metric #5 Provider Manual Desc\n(if needed)\n(DY3)","Metric #5 Baseline/Goal\n(DY3)","Metric #5 Type\n(DY3)","Metric #5 Numeric Goal\n(if needed)\n(DY3)","Metric #5 Numerator\n(DY3)","Metric #5 Denominator\n(DY3)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #5 QPI? (Yes/No)\n(DY3)","Metric #5 Data Source (DY3)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 (DY3)","Metric #6 Description (DY3)","Metric #6 Provider Manual Desc\n(if needed)\n(DY3)","Metric #6 Baseline/Goal\n(DY3)","Metric #6 Type\n(DY3)","Metric #6 Numeric Goal\n(if needed)\n(DY3)","Metric #6 Numerator\n(DY3)","Metric #6 Denominator\n(DY3)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #6 QPI? (Yes/No)\n(DY3)","Metric #6 Data Source (DY3)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 (DY3)","Metric #7 Description (DY3)","Metric #7 Provider Manual Desc\n(if needed)\n(DY3)","Metric #7 Baseline/Goal\n(DY3)","Metric #7 Type\n(DY3)","Metric #7 Numeric Goal\n(if needed)\n(DY3)","Metric #7 Numerator\n(DY3)","Metric #7 Denominator\n(DY3)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY3)","Metric #7 QPI? (Yes/No)\n(DY3)","Metric #7 Data Source (DY3)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY3)","Milestone #13 DSRIP\n(DY3)"]
[{"$f":"IF(E7=\"\",\"\",\"\" & E7 & \"_\" & H7)","v":"4_020811801.2.1"},{"$f":"IF($E7=\"\",\"\",\"\"&$E7&\"_\"&$F7)","v":"4_020811801"},3,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.1","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",3,178825.75,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","5% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 150 additional screenings). QPI impact of 150 individuals.","Numeric",150,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,59608.583333333336,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn with evidence that suggests severe sepsis and/or septic shock","55% (estimate 44) of patients with suggestion of sepsis will have a lactate level drawn","Percentage",0.55000000000000004,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing Provider","EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,59608.583333333336,"P-8","Train providers/staff in process improvement",null,1,"P-8.1","Number of providers/staff trained",null,"Train all hospital midlevel staff in using the Sepsis Screening Tool system and the processes that flow from identifying a case of sepsis. Goal: 100% trained.","Percentage",1,"Number of providers/staff trained","Total number of providers/staff","N","N",null,"Documentation of training materials",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,59608.583333333336,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.1","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",3,178825.75,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","5% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 150 additional screenings). QPI impact of 150 individuals.","Numeric",150,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,59608.583333333336,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn with evidence that suggests severe sepsis and/or septic shock","55% (estimate 44) of patients with suggestion of sepsis will have a lactate level drawn","Percentage",0.55000000000000004,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing Provider","EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,59608.583333333336,"P-8","Train providers/staff in process improvement",null,1,"P-8.1","Number of providers/staff trained",null,"Train all hospital midlevel staff in using the Sepsis Screening Tool system and the processes that flow from identifying a case of sepsis. Goal: 100% trained.","Percentage",1,"Number of providers/staff trained","Total number of providers/staff","N","N",null,"Documentation of training materials",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,59608.583333333336,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
[{"$f":"IF(E8=\"\",\"\",\"\" & E8 & \"_\" & H8)","v":"4_020811801.2.2"},{"$f":"IF($E8=\"\",\"\",\"\"&$E8&\"_\"&$F8)","v":"4_020811801"},3,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.2","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,113798.21,"I-101",null,"Implement electronic medication reconciliation at the point of care",1,"I-101.1",null,"Increase the number of patients that receive electronic medication reconciliation at the point of care","25% use of electronic medication reconciliation for inpatients of the facility, 403 individuals.","Numeric",403,"","","N","Y",null,"EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56899.105000000003,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 12 new ideas, practices, tools, or solutions tested by each provider","Numeric",12,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and 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Spohn Hospital Beeville","020811801.2.2","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,113798.21,"I-101",null,"Implement electronic medication reconciliation at the point of care",1,"I-101.1",null,"Increase the number of patients that receive electronic medication reconciliation at the point of care","25% use of electronic medication reconciliation for inpatients of the facility, 403 individuals.","Numeric",403,"","","N","Y",null,"EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56899.105000000003,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 12 new ideas, practices, tools, or solutions tested by each provider","Numeric",12,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56899.105000000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020811801.2.3","4_020811801",3,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.3","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,113798.21,"I-101",null,"CPOE utilization measure",1,"I-101.1",null,"Increase the number of computerized provider order entries","60% of orders in the acute care setting are entered electronically, 967 encounters.","Numeric",967,"","","N","Y",null,"EMR reports, hospital informatics reports and audits documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56899.105000000003,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 200 new ideas, practices, tools, or solutions tested by each provider","Numeric",200,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56899.105000000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.3","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,113798.21,"I-101",null,"CPOE utilization measure",1,"I-101.1",null,"Increase the number of computerized provider order entries","60% of orders in the acute care setting are entered electronically, 967 encounters.","Numeric",967,"","","N","Y",null,"EMR reports, hospital informatics reports and audits documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56899.105000000003,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 200 new ideas, practices, tools, or solutions tested by each provider","Numeric",200,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56899.105000000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020811801.2.4","4_020811801",3,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.4","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,243853.3,"P-10","Participate in at least bi-weekly interactions (meetings, conference calls, or webinars) with other providers and the RHP",null,1,"P-10.1","Number of bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in",null,"Establish open lines of communications to share learning experiences during 1st year after expansion with other RHP 4 providers - schedule interactions on a regular basis. Goal: 26 bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in","Numeric",26,"","","N","N","Documentation of weekly or bi-weekly phone meetings, conference calls, or webinars including agendas for phone calls, slides from webinars, and/or meeting notes",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,243853.3,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.4","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,243853.3,"P-10","Participate in at least bi-weekly interactions (meetings, conference calls, or webinars) with other providers and the RHP",null,1,"P-10.1","Number of bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in",null,"Establish open lines of communications to share learning experiences during 1st year after expansion with other RHP 4 providers - schedule interactions on a regular basis. Goal: 26 bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in","Numeric",26,"","","N","N","Documentation of weekly or bi-weekly phone meetings, conference calls, or webinars including agendas for phone calls, slides from webinars, and/or meeting notes",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,243853.3,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020811801.2.5","4_020811801",3,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,243853.3,"P-6","Care coordination protocols are developed",null,1,"P-6.1","Written protocols are easily available to staff",null,"Spohn will identify and define practice guidelines and processes for coordination of care between services in a written manual for providers","Yes/No",null,"","","N","N","Written protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,121926.65,"P-8","Staff members are trained in care coordination protocols and practice guidelines for disorders identified in the data matching",null,1,"P-8.1","Percent of staff receiving training",null,"80% off FHC and hospital staff identified in target areas will receive training in screening/care coordination for patients with targeted dual diagnoses","Percentage",0.8,"","","N","N","Training records","Training materials and attendance 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Spohn Hospital Beeville","020811801.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,243853.3,"P-6","Care coordination protocols are developed",null,1,"P-6.1","Written protocols are easily available to staff",null,"Spohn will identify and define practice guidelines and processes for coordination of care between services in a written manual for providers","Yes/No",null,"","","N","N","Written protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,121926.65,"P-8","Staff members are trained in care coordination protocols and practice guidelines for disorders identified in the data matching",null,1,"P-8.1","Percent of staff receiving training",null,"80% off FHC and hospital staff identified in target areas will receive training in screening/care coordination for patients with targeted dual diagnoses","Percentage",0.8,"","","N","N","Training records","Training materials and attendance 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["4_020973601.2.1","4_020973601",3,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.1","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",3,1124503,"I-10","Identify the top chronic conditions (e.g., heart attack, heart failure and pneumonia) and other patient characteristics (e.g., medical home assignment and demographics such as age) or socioeconomic factors (e.g., homelessness) that are common causes of avoidable readmissions",null,1,"I-10.1","Identification and report of those conditions, socioeconomic factors, or other patient characteristics resulting in highest rates of re-admissions",null,"Baseline: No comprehensive report currently is available. Goal: List by frequency of most prevalent chronic conditions, patient factor or other socioeconomic factors in patient\npanel resulting in highest readmission rates.","Yes/No",null,"","","N","N","Registry or EHR report/analysis",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,"I-11","Improve the percentage of patients in defined population receiving standardized care according to the approved clinical protocols and care transitions policies",null,1,"I-11.1","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines","Number of patients receiving care according to care transitions policies/guidelines/protocols","250 patients receiving care according to care transitions policies/guidelines/protocols","Numeric",250,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines","Number of patients discharged or eligible for care transition services","N","Y","Registry or EHR report/analysis","Nursing documentation/ Case Management documentation in the electronic health record.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Baseline: No protocols currently in place. Goal: Implementation of protocols on all nursing units","Yes/No",null,"","","N","N","Policies and procedures of care transitions program materials","Education/training program, roll out schedule, post go-live reviews",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.1","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",3,1124503,"I-10","Identify the top chronic conditions (e.g., heart attack, heart failure and pneumonia) and other patient characteristics (e.g., medical home assignment and demographics such as age) or socioeconomic factors (e.g., homelessness) that are common causes of avoidable readmissions",null,1,"I-10.1","Identification and report of those conditions, socioeconomic factors, or other patient characteristics resulting in highest rates of re-admissions",null,"Baseline: No comprehensive report currently is available. Goal: List by frequency of most prevalent chronic conditions, patient factor or other socioeconomic factors in patient\npanel resulting in highest readmission rates.","Yes/No",null,"","","N","N","Registry or EHR report/analysis",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,"I-11","Improve the percentage of patients in defined population receiving standardized care according to the approved clinical protocols and care transitions policies",null,1,"I-11.1","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines","Number of patients receiving care according to care transitions policies/guidelines/protocols","250 patients receiving care according to care transitions policies/guidelines/protocols","Numeric",250,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines","Number of patients discharged or eligible for care transition services","N","Y","Registry or EHR report/analysis","Nursing documentation/ Case Management documentation in the electronic health record.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Baseline: No protocols currently in place. Goal: Implementation of protocols on all nursing units","Yes/No",null,"","","N","N","Policies and procedures of care transitions program materials","Education/training program, roll out schedule, post go-live reviews",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,374834.33333333331,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.2.2","4_020973601",3,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.2","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",3,1062030,"I-13","Progress toward target/goal",null,2,"I-13.1","Number or percent of all clinical cases that meet target/goal","% of cases follow PI recommended process changes","Baseline: N/A Goal: 20 % of cases follow PI recommended process changes","Percentage",0.2,"Number of relevant clinical cases at target","Total number of relevant clinical cases","N","N","TBD by Performing Provider (e.g., quality dashboard)",null,"I-13.1","Number or percent of all clinical cases that meet target/goal","Number of cases complying with use of sepsis bundles/timely diagnosis","80 cases complying with use of sepsis bundles/timely diagnosis","Numeric",80,"Number of relevant clinical cases at target","Total number of relevant clinical cases","N","Y","TBD by Performing Provider (e.g., quality dashboard)","Nursing documentation in the electronic health record.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,354010,"P-4","Define operational procedures needed to improve overall efficiencies in care management",null,1,"P-4.1","Report on at least two new operational procedures needed to improve overall efficiencies in care management",null,"Baseline: N/A. Goal: Submission of analysis findings/summary.","Yes/No",null,"","","N","N","Performing Provider report","Report/analysis/committee minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,354010,"P-6","Implement a program to improve efficiencies and/or reduce program variation",null,1,"P-6.1","Performance improvement events",null,"Baseline: N/A. Goal: Adoption of program on all nursing units.","Numeric",1,"","","N","N","TBD by Performing Provider","Education/training program, roll out schedule, post go-live reviews",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,354010,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.2","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",3,1062030,"I-13","Progress toward target/goal",null,2,"I-13.1","Number or percent of all clinical cases that meet target/goal","% of cases follow PI recommended process changes","Baseline: N/A Goal: 20 % of cases follow PI recommended process changes","Percentage",0.2,"Number of relevant clinical cases at target","Total number of relevant clinical cases","N","N","TBD by Performing Provider (e.g., quality dashboard)",null,"I-13.1","Number or percent of all clinical cases that meet target/goal","Number of cases complying with use of sepsis bundles/timely diagnosis","80 cases complying with use of sepsis bundles/timely diagnosis","Numeric",80,"Number of relevant clinical cases at target","Total number of relevant clinical cases","N","Y","TBD by Performing Provider (e.g., quality dashboard)","Nursing documentation in the electronic health record.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,354010,"P-4","Define operational procedures needed to improve overall efficiencies in care management",null,1,"P-4.1","Report on at least two new operational procedures needed to improve overall efficiencies in care management",null,"Baseline: N/A. Goal: Submission of analysis findings/summary.","Yes/No",null,"","","N","N","Performing Provider report","Report/analysis/committee minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,354010,"P-6","Implement a program to improve efficiencies and/or reduce program variation",null,1,"P-6.1","Performance improvement events",null,"Baseline: N/A. Goal: Adoption of program on all nursing units.","Numeric",1,"","","N","N","TBD by Performing Provider","Education/training program, roll out schedule, post go-live reviews",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,354010,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_080368601.2.1","4_080368601",3,"2",4,"080368601","Coastal Plains Community MHMR Center","080368601.2.1","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",10,3240000,"I-101",null,"Preventable Admissions and Readmissions",1,"I-101.1",null,".5% Decrease in preventable admissions and readmissions to psychiatric and other inpatient facilities;","Through navigation and education services 250/1000 served will report using outpatient primary care/psychiatric services instead of Emergency Room to address non-emergency health needs.","Percentage",0.01,"","","N","N",null,"Admission, quarterly and exit questionnaire completed by patient with navigator. Project Data; Claims/ encounter and clinical record data other hospitals",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-102",null,"Medical home provides population health management by identifying and reaching out to patients who need to be brought in for preventative and ongoing care.",1,"I-102.1",null,"Number of patients receiving preventative services as indicated by standards of care (e.g. Dental services)","125 people in collaborative services will receive preventative health services.","Numeric",125,"","","N","N",null,"Registry or other documentation as designated by performing provider.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-10","No-Show Appointments",null,1,"I-10.1","X% decrease the \"no shows\" for behavioral and physical health appointments.",null,"2 % decrease over DY2 through navigation and case management (total of 2.5% decrease)","Percentage",0.02,"Number of appointments for behavioral or physical health services that were not kept in the project sites","Number of scheduled appointments for behavioral and physical health services in the project site","N","N","Project Data; Clinic Registry Data; Claims and Encounter Data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-11","Health Metrics",null,1,"I-11.1","X% Increase in Positive Results of Standardized Health Metrics",null,"10% increase in positive results of a health metrics over DY2 baseline","Percentage",0.1,"The number of people receiving services at project sites with positive results on standardized health metrics","The number of people receiving services at project sites","N","N","Project Data; Medical Records; Claims and Encounter Data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-12","Improved Consumer satisfaction with Integrated Services",null,1,"I-12.1","X% of People report satisfaction with integrated services","75% of People report satisfaction with integrated services","75% of patients with integrated services","Percentage",0.75,"The number of individuals receiving integrated services that have expressed satisfaction with services","The number of individuals receiving integrated services","N","N",null,"Completed consumer satisfaction surveys",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-8","Integrated Services",null,1,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","(a) Number of Individuals receiving both physical and behavioral health care at the established locations; (b) Number of individuals receiving substance abuse and BH services at the established location.","Baseline/Goal: (a) 1000 People service in both BH and Primary Care services (b) 195 People served in both BH and SA services.","Numeric",1000,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-9","Coordination of Care",null,1,"I-9.1","X% of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Number of Individuals with a treatment plan developed and implemented with primary care and BH expertise","250 out of 1000 patients will have integrated treatment plans developed and implemented due to high health, mental health and/or substance abuse needs. Numerator: Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise. Denominator: Number of individuals receiving services at project sites. Goal: 25% of individuals with treatment plans developed and implemented with primary care and behavioral health expertise.","Percentage",0.25,"Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise","Number of individuals receiving services at project sites","N","N","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-5","Develop integrated sites reflected in the number of locations and providers participating in the integration project",null,1,"P-5.2","Number of primary care providers newly located in behavioral health settings",null,"(a) FQHC will provide primary health care staffing sufficient for 1 additional BH clinic as per agreement. This will include at least 0.2 FTE per clinic of the following: primary care provider, LVN and clerk. A total of 4 clinics will be integrated by FY 3 end with patient access to CACOST health clinics in each county 5 days a week. (b) SA Provider (COADA-CB or other DSHS approved SA provider(s) will provide sufficient staffing with at least 0.75 FTE LCDC per clinic .into 2 BH clinics as per agreement (total 3 clinics). Coastal Plains will provide 1 FTE navigator per clinic. Total of 7.05 FTE (0.2 FTE X4 clinics, .75 FTE x 3 clinics, and 1 Navigator X 4  clinics)","Numeric",7.05,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-6","Develop integrated behavioral health and primary care services within colocated sites",null,1,"P-6.1","Number of providers achieving Level 4 of interaction","4 clinics will achieve Level 4 of interaction (close collaboration in a partially integrated system)","purchase and implementation of ERS to share data between programs. Goal: 1 providers achieving Level 4 of interaction. 4 clinics will achieve Level 4 interaction by one (1) provider (CACOST)","Numeric",1,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-7","Evaluate and continuously improve integration of primary and behavioral health services",null,1,"P-7.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles",null,"Quality Improvement Plan reviewed quarterly","Yes/No",null,"","","N","N","Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"080368601","Coastal Plains Community MHMR Center","080368601.2.1","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",10,3240000,"I-101",null,"Preventable Admissions and Readmissions",1,"I-101.1",null,".5% Decrease in preventable admissions and readmissions to psychiatric and other inpatient facilities;","Through navigation and education services 250/1000 served will report using outpatient primary care/psychiatric services instead of Emergency Room to address non-emergency health needs.","Percentage",0.01,"","","N","N",null,"Admission, quarterly and exit questionnaire completed by patient with navigator. Project Data; Claims/ encounter and clinical record data other hospitals",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-102",null,"Medical home provides population health management by identifying and reaching out to patients who need to be brought in for preventative and ongoing care.",1,"I-102.1",null,"Number of patients receiving preventative services as indicated by standards of care (e.g. Dental services)","125 people in collaborative services will receive preventative health services.","Numeric",125,"","","N","N",null,"Registry or other documentation as designated by performing provider.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-10","No-Show Appointments",null,1,"I-10.1","X% decrease the \"no shows\" for behavioral and physical health appointments.",null,"2 % decrease over DY2 through navigation and case management (total of 2.5% decrease)","Percentage",0.02,"Number of appointments for behavioral or physical health services that were not kept in the project sites","Number of scheduled appointments for behavioral and physical health services in the project site","N","N","Project Data; Clinic Registry Data; Claims and Encounter Data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-11","Health Metrics",null,1,"I-11.1","X% Increase in Positive Results of Standardized Health Metrics",null,"10% increase in positive results of a health metrics over DY2 baseline","Percentage",0.1,"The number of people receiving services at project sites with positive results on standardized health metrics","The number of people receiving services at project sites","N","N","Project Data; Medical Records; Claims and Encounter Data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-12","Improved Consumer satisfaction with Integrated Services",null,1,"I-12.1","X% of People report satisfaction with integrated services","75% of People report satisfaction with integrated services","75% of patients with integrated services","Percentage",0.75,"The number of individuals receiving integrated services that have expressed satisfaction with services","The number of individuals receiving integrated services","N","N",null,"Completed consumer satisfaction surveys",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-8","Integrated Services",null,1,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","(a) Number of Individuals receiving both physical and behavioral health care at the established locations; (b) Number of individuals receiving substance abuse and BH services at the established location.","Baseline/Goal: (a) 1000 People service in both BH and Primary Care services (b) 195 People served in both BH and SA services.","Numeric",1000,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-9","Coordination of Care",null,1,"I-9.1","X% of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Number of Individuals with a treatment plan developed and implemented with primary care and BH expertise","250 out of 1000 patients will have integrated treatment plans developed and implemented due to high health, mental health and/or substance abuse needs. Numerator: Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise. Denominator: Number of individuals receiving services at project sites. Goal: 25% of individuals with treatment plans developed and implemented with primary care and behavioral health expertise.","Percentage",0.25,"Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise","Number of individuals receiving services at project sites","N","N","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-5","Develop integrated sites reflected in the number of locations and providers participating in the integration project",null,1,"P-5.2","Number of primary care providers newly located in behavioral health settings",null,"(a) FQHC will provide primary health care staffing sufficient for 1 additional BH clinic as per agreement. This will include at least 0.2 FTE per clinic of the following: primary care provider, LVN and clerk. A total of 4 clinics will be integrated by FY 3 end with patient access to CACOST health clinics in each county 5 days a week. (b) SA Provider (COADA-CB or other DSHS approved SA provider(s) will provide sufficient staffing with at least 0.75 FTE LCDC per clinic .into 2 BH clinics as per agreement (total 3 clinics). Coastal Plains will provide 1 FTE navigator per clinic. Total of 7.05 FTE (0.2 FTE X4 clinics, .75 FTE x 3 clinics, and 1 Navigator X 4  clinics)","Numeric",7.05,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-6","Develop integrated behavioral health and primary care services within colocated sites",null,1,"P-6.1","Number of providers achieving Level 4 of interaction","4 clinics will achieve Level 4 of interaction (close collaboration in a partially integrated system)","purchase and implementation of ERS to share data between programs. Goal: 1 providers achieving Level 4 of interaction. 4 clinics will achieve Level 4 interaction by one (1) provider (CACOST)","Numeric",1,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-7","Evaluate and continuously improve integration of primary and behavioral health services",null,1,"P-7.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles",null,"Quality Improvement Plan reviewed quarterly","Yes/No",null,"","","N","N","Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.2.1","4_094118902",3,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.1","2.2","Expand Chronic Care Management Models","2.2.1","Redesign the outpatient delivery system to coordinate care for patients with chronic diseases",1,718994,"P-1","Expand the Chronic Care Model to primary care clinics",null,1,"P-1.1","Increase number of primary care clinics using the Chronic Care model",null,"Baseline: Two clinics opened & model in place; Goal 5 clinics open and chronic care model in place. Patients served 320.","Numeric",320,"Number of primary care clinics using the Chronic Care model","Total number of primary care clinics","N","Y","Documentation of practice 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Hospital (Victoria of Tx)","094118902.2.1","2.2","Expand Chronic Care Management Models","2.2.1","Redesign the outpatient delivery system to coordinate care for patients with chronic diseases",1,718994,"P-1","Expand the Chronic Care Model to primary care clinics",null,1,"P-1.1","Increase number of primary care clinics using the Chronic Care model",null,"Baseline: Two clinics opened & model in place; Goal 5 clinics open and chronic care model in place. Patients served 320.","Numeric",320,"Number of primary care clinics using the Chronic Care model","Total number of primary care clinics","N","Y","Documentation of practice 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["4_094118902.2.2","4_094118902",3,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.2","2.7","Implement Evidence-based Disease Prevention Programs","2.7.4","Implement innovative evidence-based strategies to reduce low birth weight and preterm birth.",2,343369,"I-5","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model",null,1,"I-5.1","TBD by Performing Provider based on milestone described above","Increase number of patients who will receive early prenatal care in maternity clinics by 30 in all clinics combined.","Pre-DSRIP baseline: 125. Goal: 55 patients over pre-DSRIP baseline in DY3. ","Numeric",55,"Number of individuals of target population reached by the innovative project","Number of individuals in the target population","N","Y","Documentation of target population reached, as designated in the project plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,171684.5,"P-4","Execution of evaluation process for project innovation",null,1,"P-4.1","Document evaluative process, tools and analytics","2 Rapid Cycle Improvement events lead by hospital Quality Department staff","0/2 Rapid Cycle Improvement events lead by hospital Quality Department staff","Numeric",2,"","","N","N","Performing Provider contract or other documentation of\nimplementation TBD by Performing Provider","Meeting 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Hospital (Victoria of Tx)","094118902.2.2","2.7","Implement Evidence-based Disease Prevention Programs","2.7.4","Implement innovative evidence-based strategies to reduce low birth weight and preterm birth.",2,343369,"I-5","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model",null,1,"I-5.1","TBD by Performing Provider based on milestone described above","Increase number of patients who will receive early prenatal care in maternity clinics by 30 in all clinics combined.","Pre-DSRIP baseline: 125. Goal: 55 patients over pre-DSRIP baseline in DY3. ","Numeric",55,"Number of individuals of target population reached by the innovative project","Number of individuals in the target population","N","Y","Documentation of target population reached, as designated in the project plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,171684.5,"P-4","Execution of evaluation process for project innovation",null,1,"P-4.1","Document evaluative process, tools and analytics","2 Rapid Cycle Improvement events lead by hospital Quality Department staff","0/2 Rapid Cycle Improvement events lead by hospital Quality Department staff","Numeric",2,"","","N","N","Performing Provider contract or other documentation of\nimplementation TBD by Performing Provider","Meeting 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["4_094222902.2.1","4_094222902",3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.1","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,137457.59,"I-101",null,"Implement electronic medication reconciliation at the point of care",1,"I-101.1",null,"Increase the number of patients that receive electronic medication reconciliation at the point of care","10% (298 patients) use of electronic medication reconciliation for inpatients of the facility","Numeric",298,"","","N","Y",null,"EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68728.794999999998,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 12 new ideas, practices, tools, or solutions tested by each provider","Numeric",12,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68728.794999999998,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.1","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,137457.59,"I-101",null,"Implement electronic medication reconciliation at the point of care",1,"I-101.1",null,"Increase the number of patients that receive electronic medication reconciliation at the point of care","10% (298 patients) use of electronic medication reconciliation for inpatients of the facility","Numeric",298,"","","N","Y",null,"EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68728.794999999998,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 12 new ideas, practices, tools, or solutions tested by each provider","Numeric",12,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68728.794999999998,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.2.2","4_094222902",3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.2","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,137457.59,"I-101",null,"CPOE utilization measure",1,"I-101.1",null,"Increase the number of computerized provider order entries","60% of orders in the acute care setting are entered electronically, 1,786 encounters.","Numeric",1786,"","","N","Y",null,"EMR reports, hospital informatics reports and audits documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68728.794999999998,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 200 new ideas, practices, tools, or solutions tested by each provider","Numeric",200,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68728.794999999998,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.2","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,137457.59,"I-101",null,"CPOE utilization measure",1,"I-101.1",null,"Increase the number of computerized provider order entries","60% of orders in the acute care setting are entered electronically, 1,786 encounters.","Numeric",1786,"","","N","Y",null,"EMR reports, hospital informatics reports and audits documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68728.794999999998,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 200 new ideas, practices, tools, or solutions tested by each provider","Numeric",200,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68728.794999999998,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.2.3","4_094222902",3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.3","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",3,216004.78,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","5% increase in use on patients admitted to medical/surgical units over DY2 baseline, 195 individuals.","Numeric",195,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72001.593333333338,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn with evidence that suggests severe sepsis and/or septic shock","55% (estimate 83) of patients with suggestion of sepsis will have a lactate level drawn","Percentage",0.55000000000000004,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing Provider","EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72001.593333333338,"P-8","Train providers/staff in process improvement",null,1,"P-8.1","Number of providers/staff trained",null,"Train all hospital midlevel staff in using the Sepsis Screening Tool system and the processes that flow from identifying a case of sepsis. Goal: 100% trained.","Percentage",1,"Number of providers/staff trained","Total number of providers/staff","N","N",null,"Documentation of training materials",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72001.593333333338,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.3","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",3,216004.78,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","5% increase in use on patients admitted to medical/surgical units over DY2 baseline, 195 individuals.","Numeric",195,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72001.593333333338,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn with evidence that suggests severe sepsis and/or septic shock","55% (estimate 83) of patients with suggestion of sepsis will have a lactate level drawn","Percentage",0.55000000000000004,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing Provider","EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72001.593333333338,"P-8","Train providers/staff in process improvement",null,1,"P-8.1","Number of providers/staff trained",null,"Train all hospital midlevel staff in using the Sepsis Screening Tool system and the processes that flow from identifying a case of sepsis. Goal: 100% trained.","Percentage",1,"Number of providers/staff trained","Total number of providers/staff","N","N",null,"Documentation of training materials",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72001.593333333338,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.2.4","4_094222902",3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.4","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,314189,"P-6","Care coordination protocols are developed",null,1,"P-6.1","Written protocols are easily available to staff",null,"Spohn will identify and define practice guidelines and processes for coordination of care between services in a written manual for providers","Yes/No",null,"","","N","N","Written protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,157094.5,"P-8","Staff members are trained in care coordination protocols and practice guidelines for disorders identified in the data matching",null,1,"P-8.1","Percent of staff receiving training",null,"80% off FHC and hospital staff identified in target areas will receive training in screening/care coordination for patients with targeted dual diagnoses","Percentage",0.8,"","","N","N","Training records","Training materials and attendance records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,157094.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.4","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,314189,"P-6","Care coordination protocols are developed",null,1,"P-6.1","Written protocols are easily available to staff",null,"Spohn will identify and define practice guidelines and processes for coordination of care between services in a written manual for providers","Yes/No",null,"","","N","N","Written protocols",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,157094.5,"P-8","Staff members are trained in care coordination protocols and practice guidelines for disorders identified in the data matching",null,1,"P-8.1","Percent of staff receiving training",null,"80% off FHC and hospital staff identified in target areas will receive training in screening/care coordination for patients with targeted dual diagnoses","Percentage",0.8,"","","N","N","Training records","Training materials and attendance records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,157094.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.2.5","4_094222902",3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.5","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,294551.96999999997,"P-10","Participate in at least bi-weekly interactions (meetings, conference calls, or webinars) with other providers and the RHP",null,1,"P-10.1","Number of bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in",null,"Establish open lines of communications to share learning experiences during 1st year after expansion with other RHP 4 providers - schedule interactions on a regular basis. Goal: 26 bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in","Numeric",26,"","","N","N","Documentation of weekly or bi-weekly phone meetings, conference calls, or webinars including agendas for phone calls, slides from webinars, and/or meeting 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l,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.5","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,294551.96999999997,"P-10","Participate in at least bi-weekly interactions (meetings, conference calls, or webinars) with other providers and the RHP",null,1,"P-10.1","Number of bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in",null,"Establish open lines of communications to share learning experiences during 1st year after expansion with other RHP 4 providers - schedule interactions on a regular basis. Goal: 26 bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in","Numeric",26,"","","N","N","Documentation of weekly or bi-weekly phone meetings, conference calls, or webinars including agendas for phone calls, slides from webinars, and/or meeting notes",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,294551.96999999997,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",nul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["4_094222902.2.6","4_094222902",3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.6","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",1,294551.96999999997,"P-3","Develop and implement a set of standards to be used for integrated services to ensure effective information sharing, proper handling of referrals of behavioral health clients to physical health providers and vice versa",null,1,"P-3.3","Number of referrals which follow the established standards",null,"Establish guidelines for screening and referrals between services and effect at least 25 referrals to the LMHP in the FHC - also address practical requirements for implementing the integration program, such as legal agreements","Numeric",25,"","","N","N","Surveys of providers to determine the degree and quality of information sharing; Review of referral data and survey results","Referral system documentation and documentation of Spohn’s established protocol and standards for behavioral health integration",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,294551.96999999997,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.6","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",1,294551.96999999997,"P-3","Develop and implement a set of standards to be used for integrated services to ensure effective information sharing, proper handling of referrals of behavioral health clients to physical health providers and vice versa",null,1,"P-3.3","Number of referrals which follow the established standards",null,"Establish guidelines for screening and referrals between services and effect at least 25 referrals to the LMHP in the FHC - also address practical requirements for implementing the integration program, such as legal agreements","Numeric",25,"","","N","N","Surveys of providers to determine the degree and quality of information sharing; Review of referral data and survey results","Referral system documentation and documentation of Spohn’s established protocol and standards for behavioral health integration",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,294551.96999999997,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.10","4_121775403",3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.10","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",2,1763487.71,"I-14","Implement standard care transition processes in specified patient populations",null,1,"I-14.1","Measure adherence to processes",null,"Currently, only Nueces Charity chronically ill patients served at Memorial are targeted by the Care Transitions program. The goal for this year is full implementation of care transitions at Memorial for patients with CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes across all Medicaid, self-pay and charity eligible patients. Spohn will provide 5 encounters for patients enrolled in Care Transitions, and will provide an additional 5 follow-up calls and/or visits per month over 18 months for patients requiring additional follow-up care (approximately 90% of enrollees) by enrolling them in the Care Partners program. During DY3, Spohn expects to enroll at least 800 patients into Care Transitions at its Memorial campus, resulting in at least 4,000 encounters. Additionally, although this cannot be a measured metric during DY3, Spohn expects at least 600 of those patients to move into the Care Partners program, resulting in additional 54,000 encounters over the subsequent 18 months.","Numeric",800,"Number of patients in defined population receiving care according to standard protocol","Number of population patients discharged","N","Y","Hospital administrative data and the patient medical record","Care Transitions documentation, community outreach documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,881743.85499999998,"P-10","Participate in at least bi-weekly interactions (meetings, conference calls, or webinars) with other providers and the RHP",null,1,"P-10.1","Number of bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in",null,"Establish open lines of communications to share learning experiences during 1st year after expansion with other RHP 4 providers - schedule interactions on a regular basis. Goal: 26 bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in","Numeric",26,"","","N","N","Documentation of weekly or bi-weekly phone meetings, conference calls, or webinars including agendas for phone calls, slides from webinars, and/or meeting notes","Meeting minutes/agenda, lessons learned, documented challenges",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,881743.85499999998,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.10","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",2,1763487.71,"I-14","Implement standard care transition processes in specified patient populations",null,1,"I-14.1","Measure adherence to processes",null,"Currently, only Nueces Charity chronically ill patients served at Memorial are targeted by the Care Transitions program. The goal for this year is full implementation of care transitions at Memorial for patients with CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes across all Medicaid, self-pay and charity eligible patients. Spohn will provide 5 encounters for patients enrolled in Care Transitions, and will provide an additional 5 follow-up calls and/or visits per month over 18 months for patients requiring additional follow-up care (approximately 90% of enrollees) by enrolling them in the Care Partners program. During DY3, Spohn expects to enroll at least 800 patients into Care Transitions at its Memorial campus, resulting in at least 4,000 encounters. Additionally, although this cannot be a measured metric during DY3, Spohn expects at least 600 of those patients to move into the Care Partners program, resulting in additional 54,000 encounters over the subsequent 18 months.","Numeric",800,"Number of patients in defined population receiving care according to standard protocol","Number of population patients discharged","N","Y","Hospital administrative data and the patient medical record","Care Transitions documentation, community outreach documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,881743.85499999998,"P-10","Participate in at least bi-weekly interactions (meetings, conference calls, or webinars) with other providers and the RHP",null,1,"P-10.1","Number of bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in",null,"Establish open lines of communications to share learning experiences during 1st year after expansion with other RHP 4 providers - schedule interactions on a regular basis. Goal: 26 bi-weekly meetings, conference calls, or webinars organized by the RHP that the provider participated in","Numeric",26,"","","N","N","Documentation of weekly or bi-weekly phone meetings, conference calls, or webinars including agendas for phone calls, slides from webinars, and/or meeting notes","Meeting minutes/agenda, lessons learned, documented 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["4_121775403.2.11","4_121775403",3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.11","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.1","Design, develop, and implement a program of continuous, rapid process improvement that will address issues of safety, quality, and efficiency.",3,3598857,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented during DY2","Currently, Spohn experiences 9.8 Serious Safety Event per 10,000 patient days. Spohn's goal is to measure improvement in this domain in order to determine the success of the protocols in improving the efficiency, cost, and safety of providing inpatient hospital care. Spohn expects a 15% improvement from baseline by the end of DY3 (8.33/10,000; thus, 39 fewer patients impacted by a SSE in DY3)","Numeric",39,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider","EMR, financial reports, risk variance reports, patient safety committee documentation and summary of lessons learned",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1199619,"P-10","Develop a quality dashboard that will quantify and determine the quality of care provided",null,1,"P-10.1","Submission of quality dashboard development, utilization and results",null,"Develop and implement an integrated system for measuring adherence to and effectiveness of safety and efficiency protocols","Yes/No",null,"","","N","N","Dashboard software, policies and procedures for use and sample dashboard report","documentation system, reports generated",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1199619,"P-8","Train providers/staff in process improvement",null,1,"P-8.1","Number of providers/staff trained",null,"Currently, only hospital staff in leadership positions have received training. Spohn's goal is for 40% of active mid-level/physician providers on staff and 95% of associates at CSHS to be trained in safety/efficiency protocols","Yes/No",null,"Number of providers/staff trained","Total number of providers/staff","N","N",null,"Curriculum and/or training schedules and documentation of provider participation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1199619,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.11","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.1","Design, develop, and implement a program of continuous, rapid process improvement that will address issues of safety, quality, and efficiency.",3,3598857,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented during DY2","Currently, Spohn experiences 9.8 Serious Safety Event per 10,000 patient days. Spohn's goal is to measure improvement in this domain in order to determine the success of the protocols in improving the efficiency, cost, and safety of providing inpatient hospital care. Spohn expects a 15% improvement from baseline by the end of DY3 (8.33/10,000; thus, 39 fewer patients impacted by a SSE in DY3)","Numeric",39,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider","EMR, financial reports, risk variance reports, patient safety committee documentation and summary of lessons learned",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1199619,"P-10","Develop a quality dashboard that will quantify and determine the quality of care provided",null,1,"P-10.1","Submission of quality dashboard development, utilization and results",null,"Develop and implement an integrated system for measuring adherence to and effectiveness of safety and efficiency protocols","Yes/No",null,"","","N","N","Dashboard software, policies and procedures for use and sample dashboard report","documentation system, reports generated",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1199619,"P-8","Train providers/staff in process improvement",null,1,"P-8.1","Number of providers/staff trained",null,"Currently, only hospital staff in leadership positions have received training. Spohn's goal is for 40% of active mid-level/physician providers on staff and 95% of associates at CSHS to be trained in safety/efficiency protocols","Yes/No",null,"Number of providers/staff trained","Total number of providers/staff","N","N",null,"Curriculum and/or training schedules and documentation of provider participation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1199619,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.1","4_121775403",3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.1","2.6","Implement Evidence-based Health Promotion Programs","2.6.1","Engage in population-based campaigns or programs to promote healthy lifestyles using evidence-based methodologies including social media and text messaging in an identified population.",1,1881053.55,"P-5","Execution of evaluation process for project innovation",null,1,"P-5.1","Document evaluative process, tools and analytics",null,"Evaluate the success of the pilot program, the value and quantity of data obtained and disseminated, and what conclusions result from analysis of the relevant data","Yes/No",null,"","","N","N","Performing Provider contract or other documentation of implementation TBD by Performing Provider","Evaluation report",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1881053.55,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.1","2.6","Implement Evidence-based Health Promotion Programs","2.6.1","Engage in population-based campaigns or programs to promote healthy lifestyles using evidence-based methodologies including social media and text messaging in an identified population.",1,1881053.55,"P-5","Execution of evaluation process for project innovation",null,1,"P-5.1","Document evaluative process, tools and analytics",null,"Evaluate the success of the pilot program, the value and quantity of data obtained and disseminated, and what conclusions result from analysis of the relevant data","Yes/No",null,"","","N","N","Performing Provider contract or other documentation of implementation TBD by Performing Provider","Evaluation report",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1881053.55,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.2","4_121775403",3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.2","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",3,1410790.17,"P-12","Participate in face-to-face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP",null,1,"P-12.1","Participate in semi-annual face-to-face meetings or seminars organized by the RHP",null,"To meet twice per year with other providers in the Region to discuss cost containment best practices, key challenges, and related issues. Through this milestone Spohn will accomplish core component g) for this project option.","Numeric",2,"","","N","N","Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes","Meeting notes, slides, or agenda.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,470263.38999999996,"P-1","Develop or implement best practices or evidence-based protocols (such as Partnership for Patients)follow-up care instructions",null,1,"P-1.1","Care transitions protocols",null,"Spohn will develop a protocol for operating under the hospitalist model, which will explain the responsibilities for communication with patients, discharge instructions, and continuity of care post-discharge for the multidisciplinary teams spearheaded by the hospitalists. Through this metric, Spohn will achieve core component a) of this project option.","Yes/No",null,"","","N","N","Submission of protocols, Care transitions program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,470263.38999999996,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Implement the hospitalist model in Spohn's inpatient facilities in order to improve care transitions from inpatient status to post-discharge. This will include creating multi-disciplinary teams assigned to non-critical patients who are admitted unassigned, and creating a seamless transition to post-discharge care. Hospitalists will be responsible for providing post-discharge treatment to patients identified as needing follow up care (prescriptions, check-ups, dressing changes, etc.) who cannot obtain an appointment at Spohn's clinics sooner than 30-60 days from discharge. Hospitalists and multi-disciplinary teams will be responsible for identifying patients prior to discharge who are at risk of needing acute care  within 30-60 days from discharge using the patient's history and an assessment of their condition and support system at the time of discharge. Finally, as part of implementing standardized care transitions, Spohn will integrate its hospital and clinic information systems to enable continuity of care for discharged patients. Through this metric, Spohn will accomplish core components d), e), and f) for this project option.","Yes/No",null,"","","N","N","Policies and procedures of care transitions program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,470263.38999999996,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.2","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",3,1410790.17,"P-12","Participate in face-to-face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP",null,1,"P-12.1","Participate in semi-annual face-to-face meetings or seminars organized by the RHP",null,"To meet twice per year with other providers in the Region to discuss cost containment best practices, key challenges, and related issues. Through this milestone Spohn will accomplish core component g) for this project option.","Numeric",2,"","","N","N","Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes","Meeting notes, slides, or agenda.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,470263.38999999996,"P-1","Develop or implement best practices or evidence-based protocols (such as Partnership for Patients)follow-up care instructions",null,1,"P-1.1","Care transitions protocols",null,"Spohn will develop a protocol for operating under the hospitalist model, which will explain the responsibilities for communication with patients, discharge instructions, and continuity of care post-discharge for the multidisciplinary teams spearheaded by the hospitalists. Through this metric, Spohn will achieve core component a) of this project option.","Yes/No",null,"","","N","N","Submission of protocols, Care transitions program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,470263.38999999996,"P-2","Implement standardized care transition processes",null,1,"P-2.1","Care transitions policies and procedures",null,"Implement the hospitalist model in Spohn's inpatient facilities in order to improve care transitions from inpatient status to post-discharge. This will include creating multi-disciplinary teams assigned to non-critical patients who are admitted unassigned, and creating a seamless transition to post-discharge care. Hospitalists will be responsible for providing post-discharge treatment to patients identified as needing follow up care (prescriptions, check-ups, dressing changes, etc.) who cannot obtain an appointment at Spohn's clinics sooner than 30-60 days from discharge. Hospitalists and multi-disciplinary teams will be responsible for identifying patients prior to discharge who are at risk of needing acute care  within 30-60 days from discharge using the patient's history and an assessment of their condition and support system at the time of discharge. Finally, as part of implementing standardized care transitions, Spohn will integrate its hospital and clinic information systems to enable continuity of care for discharged patients. Through this metric, Spohn will accomplish core components d), e), and f) for this project option.","Yes/No",null,"","","N","N","Policies and procedures of care transitions program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,470263.38999999996,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.4","4_121775403",3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.4","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",1,1881053.55,"P-3","Develop and implement a set of standards to be used for integrated services to ensure effective information sharing, proper handling of referrals of behavioral health clients to physical health providers and vice versa",null,1,"P-3.3","Number of referrals which follow the established standards",null,"Establish guidelines for screening and referrals between services and effect at least 25 referrals to the LMHP in the FHC - also address practical requirements for implementing the integration program, such as legal agreements","Numeric",25,"","","N","N","Surveys of providers to determine the degree and quality of information sharing; Review of referral data and survey results","Referral system documentation and documentation of Spohn’s established protocol and standards for behavioral health integration",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1881053.55,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.4","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",1,1881053.55,"P-3","Develop and implement a set of standards to be used for integrated services to ensure effective information sharing, proper handling of referrals of behavioral health clients to physical health providers and vice versa",null,1,"P-3.3","Number of referrals which follow the established standards",null,"Establish guidelines for screening and referrals between services and effect at least 25 referrals to the LMHP in the FHC - also address practical requirements for implementing the integration program, such as legal agreements","Numeric",25,"","","N","N","Surveys of providers to determine the degree and quality of information sharing; Review of referral data and survey results","Referral system documentation and documentation of Spohn’s established protocol and standards for behavioral health integration",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1881053.55,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.5","4_121775403",3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,1528356.01,"P-6","Care coordination protocols are developed",null,1,"P-6.1","Written protocols are easily available to staff",null,"Spohn will identify and define practice guidelines and processes for coordination of care between services in a written manual for providers","Yes/No",null,"","","N","N","Written protocols","Written protocols, standards, policies and procedures",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,764178.005,"P-8","Staff members are trained in care coordination protocols and practice guidelines for disorders identified in the data matching",null,1,"P-8.1","Percent of staff receiving training",null,"80% off FHC and hospital staff identified in target areas will receive training in screening/care coordination for patients with targeted dual diagnoses","Percentage",0.8,"","","N","N","Training records","Training materials and attendance records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,764178.005,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,1528356.01,"P-6","Care coordination protocols are developed",null,1,"P-6.1","Written protocols are easily available to staff",null,"Spohn will identify and define practice guidelines and processes for coordination of care between services in a written manual for providers","Yes/No",null,"","","N","N","Written protocols","Written protocols, standards, policies and procedures",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,764178.005,"P-8","Staff members are trained in care coordination protocols and practice guidelines for disorders identified in the data matching",null,1,"P-8.1","Percent of staff receiving training",null,"80% off FHC and hospital staff identified in target areas will receive training in screening/care coordination for patients with targeted dual diagnoses","Percentage",0.8,"","","N","N","Training records","Training materials and attendance records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,764178.005,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.6","4_121775403",3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.6","2.1","Enhance/Expand Medical Homes","2.1.1","Develop, implement, and evaluate action plans to enhance/eliminate gaps in the development of various aspects of PCMH standards.",2,1881053.55,"P-8","Develop or utilize evidence based training materials for medical homes based upon the model change concepts",null,1,"P-8.1","Documentation of staff training materials",null,"Spohn will select evidence-based curriculum to train stakeholders and develop plan for completing training with necessary stakeholders","Yes/No",null,"","","N","N","Training materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,940526.77500000002,"P-9","Train medical home personnel on PCMH change concepts",null,1,"P-9.1","Number of medical home personnel trained",null,"Medical Home education to 85% of Hector P Garcia clinic staff.","Percentage",0.85,"Number of personnel trained on PCMH change concepts","total number of personnel","N","N","Training records and HR 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Health System dba Spohn Memorial Hospital","121775403.2.6","2.1","Enhance/Expand Medical Homes","2.1.1","Develop, implement, and evaluate action plans to enhance/eliminate gaps in the development of various aspects of PCMH standards.",2,1881053.55,"P-8","Develop or utilize evidence based training materials for medical homes based upon the model change concepts",null,1,"P-8.1","Documentation of staff training materials",null,"Spohn will select evidence-based curriculum to train stakeholders and develop plan for completing training with necessary stakeholders","Yes/No",null,"","","N","N","Training materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,940526.77500000002,"P-9","Train medical home personnel on PCMH change concepts",null,1,"P-9.1","Number of medical home personnel trained",null,"Medical Home education to 85% of Hector P Garcia clinic staff.","Percentage",0.85,"Number of personnel trained on PCMH change concepts","total number of personnel","N","N","Training records and HR 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["4_121775403.2.7","4_121775403",3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.7","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,822960.93,"I-13","Implement electronic medication reconciliation at the point of care",null,1,"I-13.1","Increase the number of patients that receive electronic medication reconciliation at the point of care",null,"At least 98% use of electronic medication reconciliation for inpatients in Spohn's 3 Corpus facilities, impacting 26,000 individuals.","Numeric",26000,"Number of patients in panel size/population size that receive electronic medication reconciliation at the point of care","Number of patients in panel size/population size","N","Y","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,411480.46500000003,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 12 new ideas, practices, tools, or solutions tested","Numeric",12,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,411480.46500000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.7","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",2,822960.93,"I-13","Implement electronic medication reconciliation at the point of care",null,1,"I-13.1","Increase the number of patients that receive electronic medication reconciliation at the point of care",null,"At least 98% use of electronic medication reconciliation for inpatients in Spohn's 3 Corpus facilities, impacting 26,000 individuals.","Numeric",26000,"Number of patients in panel size/population size that receive electronic medication reconciliation at the point of care","Number of patients in panel size/population size","N","Y","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,411480.46500000003,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 12 new ideas, practices, tools, or solutions tested","Numeric",12,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,411480.46500000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.8","4_121775403",3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.8","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,822960.93,"I-18","CPOE utilization measure",null,1,"I-18.1","Increase the number of computerized provider order entries",null,"60% of orders in the acute care setting are entered electronically, 15,500 encounters.","Numeric",15600,"Number of entry orders per patient","Total number of patients in the system","N","Y","electronic health record, computerized provider order entry (CPOE) platform",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,411480.46500000003,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 200 new ideas, practices, tools, or solutions tested by each provider","Numeric",200,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,411480.46500000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,3,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.8","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,822960.93,"I-18","CPOE utilization measure",null,1,"I-18.1","Increase the number of computerized provider order entries",null,"60% of orders in the acute care setting are entered electronically, 15,500 encounters.","Numeric",15600,"Number of entry orders per patient","Total number of patients in the system","N","Y","electronic health record, computerized provider order entry (CPOE) platform",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,411480.46500000003,"P-9","Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions",null,1,"P-9.1","Number of new ideas, practices, tools, or solutions tested by each provider",null,"Provide open, continuous communication among implementation team and end users/direct providers to facilitate continuous improvement. Goal: 200 new ideas, practices, tools, or solutions tested by each provider","Numeric",200,"","","N","N","Brief description of the idea, practice, tool, or solution tested by each provider each week","FAQs, Up-to-Date posting of issues with resolutions, cataloguing of ideas, tools and solutions",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,411480.46500000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_132812205.2.3","4_132812205",3,"2",4,"132812205","Driscoll Children's Hospital","132812205.2.3","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",5,1000000,"I-101",null,"Implement standard care transition processes in specified patient populations.",1,"I-101.1",null,"Increase the number of patient visits seen in the High Risk Infant Follow-up Program","Increase the number of patient visits seen in the High Risk Infant Follow-up by 5% above the baseline of zero visits (estimated 25 visits)  for 1 additional visit","Numeric",26,"","","N","N",null,"Hospital administrative data and the patient medical record.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,200000,"I-102",null,"Provide Bayley Infant Neurodevelopment assessment exams to targeted patients.",1,"I-102.1",null,"Increase Bayley Infant Neurodevelopment assessment exams in the Driscoll Service area.","Increase the number of Bayley Infant Neurodevelopment assessment exams by 5% above the baseline estimate of 10 exams, for one additional exam.","Percentage",0.05,"","","N","N",null,"Claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,200000,"I-103",null,"Increase patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"I-103.1",null,"Increase the number of individual patients seen in the High Risk Program","Increase the number of individuals served to 32 (baseline is zero)","Numeric",32,"","","N","Y",null,"Hospital records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,200000,"P-105",null,"Provide patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"P-105.1",null,"Increase patient accessibility to the High Risk Infant Follow-up Program through increased hours.","Increase the number of program hours by 5% above the baseline, for an additional 10 hours.","Percentage",0.05,"","","N","N",null,"Documentation of operational 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[{"$f":"\"\" & CELL(\"address\",$F$7) & \":\" & CELL(\"address\",$F$1005)","v":"$F$7:$F$1005"},"Cells to look at:",{"$f":"\"\" & CELL(\"address\",$E$1) & \":\" & CELL(\"address\",$ASA$1)","v":"$E$1:$ASA$1"},"To Hide ---->",0,0,0,0,0,0,0,0,0,0,{"$f":"IF(O$2>$C$2,1,IF(O$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(O$2-1))),1,0))","v":0},{"$f":"IF(P$2>$C$2,1,IF(P$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(P$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(CB$2>$C$2,1,IF(CB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(CB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(EN$2>$C$2,1,IF(EN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(EN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(GZ$2>$C$2,1,IF(GZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(GZ$2-1))),1,0))","v":0},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(JL$2>$C$2,1,IF(JL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(JL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LX$2>$C$2,1,IF(LX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(LX$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(OJ$2>$C$2,1,IF(OJ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(OJ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,{"$f":"IF(QV$2>$C$2,1,IF(QV$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(QV$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(TH$2>$C$2,1,IF(TH$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(TH$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(VT$2>$C$2,1,IF(VT$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(VT$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,{"$f":"IF(YF$2>$C$2,1,IF(YF$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(YF$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AAR$2>$C$2,1,IF(AAR$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AAR$2-1))),1,0))","v":1},1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ADD$2>$C$2,1,IF(ADD$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ADD$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AFP$2>$C$2,1,IF(AFP$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AFP$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,1,1,1,1,1,1,1,{"$f":"IF(AIB$2>$C$2,1,IF(AIB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AIB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AKN$2>$C$2,1,IF(AKN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AKN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AMZ$2>$C$2,1,IF(AMZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AMZ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(APL$2>$C$2,1,IF(APL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(APL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ARX$2>$C$2,1,IF(ARX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ARX$2-1))),1,0))","v":1},1,1,1]
[{"$f":"\"\" & CELL(\"address\",$H$7) & \":\" & CELL(\"address\",$H$1005)","v":"$H$7:$H$1005"},"Max Milestones:",{"$f":"MAX($M$7:$M$1005)","v":10},"Milestone --->",0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(LEFT(P$5)=\"M\",O2+1,O2)","v":1},{"$f":"IF(LEFT(Q$5)=\"M\",P2+1,P2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LEFT(CC$5)=\"M\",CB2+1,CB2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,{"$f":"IF(LEFT(EO$5)=\"M\",EN2+1,EN2)","v":2},2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(HA$5)=\"M\",GZ2+1,GZ2)","v":3},3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(JM$5)=\"M\",JL2+1,JL2)","v":3},3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,{"$f":"IF(LEFT(LY$5)=\"M\",LX2+1,LX2)","v":4},4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,{"$f":"IF(LEFT(OK$5)=\"M\",OJ2+1,OJ2)","v":5},5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,{"$f":"IF(LEFT(QW$5)=\"M\",QV2+1,QV2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,{"$f":"IF(LEFT(TI$5)=\"M\",TH2+1,TH2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,{"$f":"IF(LEFT(VU$5)=\"M\",VT2+1,VT2)","v":7},7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(YG$5)=\"M\",YF2+1,YF2)","v":8},8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(AAS$5)=\"M\",AAR2+1,AAR2)","v":8},8,8,8,8,8,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,{"$f":"IF(LEFT(ADE$5)=\"M\",ADD2+1,ADD2)","v":9},9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,{"$f":"IF(LEFT(AFQ$5)=\"M\",AFP2+1,AFP2)","v":10},10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AIC$5)=\"M\",AIB2+1,AIB2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AKO$5)=\"M\",AKN2+1,AKN2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,{"$f":"IF(LEFT(ANA$5)=\"M\",AMZ2+1,AMZ2)","v":12},12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(APM$5)=\"M\",APL2+1,APL2)","v":13},13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(ARY$5)=\"M\",ARX2+1,ARX2)","v":13},13,13]
[null,null,null,"Metric --->",0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0]
[{"$f":"\"RHP \" & RHP & \" Category 2 - DY4\"","v":"RHP 4 Category 2 - DY4"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #1",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #5",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #8",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #9",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #10",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #11",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #12",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #13"]
["Unique Identifier","RHP_TPI","DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY4","Project DSRIP Allocation in DY4","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #1 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #2 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #3 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #4 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #5 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #6 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #7 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #8 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #9 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #10 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #11 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #12 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #13 DSRIP\n(DY4)",null,"DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY4","Project DSRIP Allocation in DY4","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #1 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #2 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #3 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #4 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #5 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #6 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #7 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #8 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #9 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #10 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #11 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #12 DSRIP\n(DY4)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY4)","Metric #1 Description (DY4)","Metric #1 Provider Manual Desc\n(if needed)\n(DY4)","Metric #1 Baseline/Goal\n(DY4)","Metric #1 Type\n(DY4)","Metric #1 Numeric Goal\n(if needed)\n(DY4)","Metric #1 Numerator\n(DY4)","Metric #1 Denominator\n(DY4)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #1 QPI? (Yes/No)\n(DY4)","Metric #1 Data Source (DY4)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 (DY4)","Metric #2 Description (DY4)","Metric #2 Provider Manual Desc\n(if needed)\n(DY4)","Metric #2 Baseline/Goal\n(DY4)","Metric #2 Type\n(DY4)","Metric #2 Numeric Goal\n(if needed)\n(DY4)","Metric #2 Numerator\n(DY4)","Metric #2 Denominator\n(DY4)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #2 QPI? (Yes/No)\n(DY4)","Metric #2 Data Source (DY4)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 (DY4)","Metric #3 Description (DY4)","Metric #3 Provider Manual Desc\n(if needed)\n(DY4)","Metric #3 Baseline/Goal\n(DY4)","Metric #3 Type\n(DY4)","Metric #3 Numeric Goal\n(if needed)\n(DY4)","Metric #3 Numerator\n(DY4)","Metric #3 Denominator\n(DY4)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #3 QPI? (Yes/No)\n(DY4)","Metric #3 Data Source (DY4)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 (DY4)","Metric #4 Description (DY4)","Metric #4 Provider Manual Desc\n(if needed)\n(DY4)","Metric #4 Baseline/Goal\n(DY4)","Metric #4 Type\n(DY4)","Metric #4 Numeric Goal\n(if needed)\n(DY4)","Metric #4 Numerator\n(DY4)","Metric #4 Denominator\n(DY4)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #4 QPI? (Yes/No)\n(DY4)","Metric #4 Data Source (DY4)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 (DY4)","Metric #5 Description (DY4)","Metric #5 Provider Manual Desc\n(if needed)\n(DY4)","Metric #5 Baseline/Goal\n(DY4)","Metric #5 Type\n(DY4)","Metric #5 Numeric Goal\n(if needed)\n(DY4)","Metric #5 Numerator\n(DY4)","Metric #5 Denominator\n(DY4)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #5 QPI? (Yes/No)\n(DY4)","Metric #5 Data Source (DY4)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 (DY4)","Metric #6 Description (DY4)","Metric #6 Provider Manual Desc\n(if needed)\n(DY4)","Metric #6 Baseline/Goal\n(DY4)","Metric #6 Type\n(DY4)","Metric #6 Numeric Goal\n(if needed)\n(DY4)","Metric #6 Numerator\n(DY4)","Metric #6 Denominator\n(DY4)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #6 QPI? (Yes/No)\n(DY4)","Metric #6 Data Source (DY4)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 (DY4)","Metric #7 Description (DY4)","Metric #7 Provider Manual Desc\n(if needed)\n(DY4)","Metric #7 Baseline/Goal\n(DY4)","Metric #7 Type\n(DY4)","Metric #7 Numeric Goal\n(if needed)\n(DY4)","Metric #7 Numerator\n(DY4)","Metric #7 Denominator\n(DY4)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY4)","Metric #7 QPI? (Yes/No)\n(DY4)","Metric #7 Data Source (DY4)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY4)","Milestone #13 DSRIP\n(DY4)"]
[{"$f":"IF(E7=\"\",\"\",\"\" & E7 & \"_\" & H7)","v":"4_020811801.2.1"},{"$f":"IF($E7=\"\",\"\",\"\"&$E7&\"_\"&$F7)","v":"4_020811801"},4,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.1","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,178548.5,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","10% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 300 additional screenings). DY4 impact of 300 individuals.","Numeric",300,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,89274.25,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn with evidence that suggests severe sepsis and/or septic shock","75% (estimate 60) of patients with suggestion of severe sepsis will have lactate level drawn","Percentage",0.75,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing Provider","EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,89274.25,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.1","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,178548.5,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","10% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 300 additional screenings). DY4 impact of 300 individuals.","Numeric",300,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,89274.25,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn with evidence that suggests severe sepsis and/or septic shock","75% (estimate 60) of patients with suggestion of severe sepsis will have lactate level drawn","Percentage",0.75,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing 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[{"$f":"IF(E8=\"\",\"\",\"\" & E8 & \"_\" & H8)","v":"4_020811801.2.2"},{"$f":"IF($E8=\"\",\"\",\"\"&$E8&\"_\"&$F8)","v":"4_020811801"},4,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.2","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,113621.77,"I-102",null,"Provide reconciliation of medications at discharge",1,"I-102.1",null,"Increase number or percent of identified patients that have medications reconciled as a standard part of the discharge process","90% compliance with medication reconciliation upon discharge (expected to impact 1,129 patients [individuals] 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["4_020811801.2.3","4_020811801",4,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.3","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,113621.77,"I-101",null,"CPOE utilization measure",1,"I-101.1",null,"Increase the number of computerized provider order entries","75% of orders in the acute care setting are entered electronically, 1,209 encounters in DY4.","Numeric",1209,"","","N","Y",null,"EMR reports, hospital informatics reports and audits documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56810.885000000002,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"30% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.3,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56810.885000000002,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.3","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,113621.77,"I-101",null,"CPOE utilization measure",1,"I-101.1",null,"Increase the number of computerized provider order entries","75% of orders in the acute care setting are entered electronically, 1,209 encounters in DY4.","Numeric",1209,"","","N","Y",null,"EMR reports, hospital informatics reports and audits documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56810.885000000002,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"30% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.3,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,56810.885000000002,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020811801.2.4","4_020811801",4,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.4","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,243475.23,"I-101",null,"Implement standard care transition processes in specified patient populations",1,"I-101.1",null,"Measure adherence to processes","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia, and diabetes care transitions program at facility for all (approximately 20) Medicaid, self pay and charity patients (individuals).","Numeric",20,"","","N","Y",null,"Care Transitions documentation, community outreach documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,243475.23,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null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Spohn Hospital Beeville","020811801.2.4","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,243475.23,"I-101",null,"Implement standard care transition processes in specified patient populations",1,"I-101.1",null,"Measure adherence to processes","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia, and diabetes care transitions program at facility for all (approximately 20) Medicaid, self pay and charity patients (individuals).","Numeric",20,"","","N","Y",null,"Care Transitions documentation, community outreach 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["4_020811801.2.5","4_020811801",4,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,243475.23,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null,"20% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment (Spohn), 28 individuals.","Numeric",28,"","","N","Y","Internal quality review documents","Care transitions 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Spohn Hospital Beeville","020811801.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,243475.23,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null,"20% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment (Spohn), 28 individuals.","Numeric",28,"","","N","Y","Internal quality review documents","Care transitions 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["4_020973601.2.1","4_020973601",4,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.1","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",1,1202956,"I-11","Improve the percentage of patients in defined population receiving standardized care according to the approved clinical protocols and care transitions policies","Improve access to standardized care according to the approved clinical protocols and care transitions policies",1,"I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies - choose from top two conditions from the report completed in I-10.1.","Baseline: 0.  Goal: 600 patients (individuals) in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies in DY4.","Numeric",600,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines. ","","N","Y","Registry or EHR 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,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.1","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",1,1202956,"I-11","Improve the percentage of patients in defined population receiving standardized care according to the approved clinical protocols and care transitions policies","Improve access to standardized care according to the approved clinical protocols and care transitions policies",1,"I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies - choose from top two conditions from the report completed in I-10.1.","Baseline: 0.  Goal: 600 patients (individuals) in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies in DY4.","Numeric",600,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines. ","","N","Y","Registry or EHR 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["4_020973601.2.2","4_020973601",4,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.2","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,1136125,"I-13","Progress toward target/goal",null,1,"I-13.1","Number or percent of all clinical cases that meet target/goal",null,"Goal: Based on current volumes estimate, the patient impact to be approximately 195 cases follow PI recommended process changes. DY4 impact of 195 encounters.","Numeric",195,"Number of relevant clinical cases at target","Total number of relevant clinical cases","N","Y","TBD by Performing Provider (e.g., quality dashboard)",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568062.5,"P-12","Report findings and learnings",null,1,"P-12.1","Final report/report summary","Submission of\nreport that outlines preliminary\nfindings and learning from sepsis PI\nprogram","Baseline: N/A. Goal: Submission of report","Yes/No",null,"","","N","N","All data sources used for the process improvement events","Quality data, committee minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568062.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.2","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,1136125,"I-13","Progress toward target/goal",null,1,"I-13.1","Number or percent of all clinical cases that meet target/goal",null,"Goal: Based on current volumes estimate, the patient impact to be approximately 195 cases follow PI recommended process changes. DY4 impact of 195 encounters.","Numeric",195,"Number of relevant clinical cases at target","Total number of relevant clinical cases","N","Y","TBD by Performing Provider (e.g., quality dashboard)",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568062.5,"P-12","Report findings and learnings",null,1,"P-12.1","Final report/report summary","Submission of\nreport that outlines preliminary\nfindings and learning from sepsis PI\nprogram","Baseline: N/A. Goal: Submission of report","Yes/No",null,"","","N","N","All data sources used for the process improvement events","Quality data, committee minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,568062.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_080368601.2.1","4_080368601",4,"2",4,"080368601","Coastal Plains Community MHMR Center","080368601.2.1","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",10,3240000,"I-101",null,"Preventable Admissions and Readmissions",1,"I-101.1",null,"Decrease in preventable admissions and readmissions to psychiatric and other inpatient facilities","Goal: 25% of individuals served will report using outpatient primary care/psychiatric services instead of Emergency Room to address non-emergency health needs.","Percentage",0.25,"","","N","N",null,"Admission, quarterly and exit questionnaire completed by patient with navigator. Project Data; Claims/ encounter and clinical record data other hospitals",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-102",null,"Medical home provides population health management by identifying and reaching out to patients who need to be brought in for preventative and ongoing care.",1,"I-102.1",null,"Number of patients receiving preventative services as indicated by standards of care (e.g. Dental services)","250 people in collaborative services will receive preventative health services.","Numeric",250,"","","N","N",null,"Registry or other documentation as designated by performing provider.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-10","No-Show Appointments",null,1,"I-10.1","X% decrease the \"no shows\" for behavioral and physical health appointments.",null,"2 % decrease from DY3 through navigation and case management (total of 4.5% decrease)","Percentage",0.02,"Number of appointments for behavioral or physical health services that were not kept in the project sites","Number of scheduled appointments for behavioral and physical health services in the project site","N","N","Project Data; Clinic Registry Data; Claims and Encounter Data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-12","Improved Consumer satisfaction with Integrated Services",null,1,"I-12.1","X% of People report satisfaction with integrated services","80% of People report satisfaction with integrated services","80% patients with integrated services","Percentage",0.8,"The number of individuals receiving integrated services that have expressed satisfaction with services","The number of individuals receiving integrated services","N","N",null,"Completed consumer satisfaction surveys",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-8","Integrated Services",null,2,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both physical and behavioral health care at the established locations","Baseline: 0.  Goal: 700 individuals receive both BH and Primary Care services in DY4.","Numeric",700,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both behavioral health and substance abuse services at the established locations","Baseline: 0.  Goal: 100 individuals receive both BH and substance abuse services in DY4.","Numeric",100,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-9","Coordination of Care",null,1,"I-9.1","X% of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Percentage of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Numerator: Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise. Denominator: Number of individuals receiving services at project sites. Goal: 25% of individuals with treatment plans developed and implemented with primary care and behavioral health expertise.","Percentage",0.25,"Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise","Number of individuals receiving services at project sites","N","N","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-10","Participate in face-to-face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP",null,1,"P-10.1","Participate in semi-annual face-to-face meetings or seminars organized by the RHP",null,"Goal:  Participate in 2 face-to-face meetings or seminars organized by the RHP.","Numeric",2,"","","N","N","Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-5","Develop integrated sites reflected in the number of locations and providers participating in the integration project",null,1,"P-5.2","Number of primary care providers newly located in behavioral health settings",null,"Baseline/Goal: (a) FQHC will provide primary health care staffing sufficient for 1 additional BH clinic as per agreement. This will include at least 0.2 FTE per clinic of the following: primary care provider (PA/APN), LVN and clerk. (1 additional clinic in DY4, total of 5 integrated clinics by FY 4 end) with access to CACAST health clinics 5 days a week (b) SA Provider (COADA-CB)\nor other DSHS approved SA provider(s) will provide sufficient staffing into 1 BH clinic as per agreement.(1 additional clinic in DY4, total 4 clinics) for each clinic to have at least 0.75 FTE. Total of 9.0 FTE (0.2 FTE X 5 clinics, .75 FTE x 4 clinics, and 1 Navigator X 5  clinics).","Numeric",9,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-6","Develop integrated behavioral health and primary care services within colocated sites",null,1,"P-6.1","Number of providers achieving Level 4 of interaction","5 clinics will achieve Level 4 of interaction (close collaboration in a partially integrated system)","5 clinics will achieve Level 4 interaction by one (1) provider (CACOST)","Numeric",1,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-7","Evaluate and continuously improve integration of primary and behavioral health services",null,1,"P-7.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles",null,"Quality Improvement Plan reviewed quarterly","Yes/No",null,"","","N","N","Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"080368601","Coastal Plains Community MHMR Center","080368601.2.1","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",10,3240000,"I-101",null,"Preventable Admissions and Readmissions",1,"I-101.1",null,"Decrease in preventable admissions and readmissions to psychiatric and other inpatient facilities","Goal: 25% of individuals served will report using outpatient primary care/psychiatric services instead of Emergency Room to address non-emergency health needs.","Percentage",0.25,"","","N","N",null,"Admission, quarterly and exit questionnaire completed by patient with navigator. Project Data; Claims/ encounter and clinical record data other hospitals",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-102",null,"Medical home provides population health management by identifying and reaching out to patients who need to be brought in for preventative and ongoing care.",1,"I-102.1",null,"Number of patients receiving preventative services as indicated by standards of care (e.g. Dental services)","250 people in collaborative services will receive preventative health services.","Numeric",250,"","","N","N",null,"Registry or other documentation as designated by performing provider.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-10","No-Show Appointments",null,1,"I-10.1","X% decrease the \"no shows\" for behavioral and physical health appointments.",null,"2 % decrease from DY3 through navigation and case management (total of 4.5% decrease)","Percentage",0.02,"Number of appointments for behavioral or physical health services that were not kept in the project sites","Number of scheduled appointments for behavioral and physical health services in the project site","N","N","Project Data; Clinic Registry Data; Claims and Encounter Data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-12","Improved Consumer satisfaction with Integrated Services",null,1,"I-12.1","X% of People report satisfaction with integrated services","80% of People report satisfaction with integrated services","80% patients with integrated services","Percentage",0.8,"The number of individuals receiving integrated services that have expressed satisfaction with services","The number of individuals receiving integrated services","N","N",null,"Completed consumer satisfaction surveys",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-8","Integrated Services",null,2,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both physical and behavioral health care at the established locations","Baseline: 0.  Goal: 700 individuals receive both BH and Primary Care services in DY4.","Numeric",700,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both behavioral health and substance abuse services at the established locations","Baseline: 0.  Goal: 100 individuals receive both BH and substance abuse services in DY4.","Numeric",100,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"I-9","Coordination of Care",null,1,"I-9.1","X% of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Percentage of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Numerator: Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise. Denominator: Number of individuals receiving services at project sites. Goal: 25% of individuals with treatment plans developed and implemented with primary care and behavioral health expertise.","Percentage",0.25,"Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise","Number of individuals receiving services at project sites","N","N","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-10","Participate in face-to-face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP",null,1,"P-10.1","Participate in semi-annual face-to-face meetings or seminars organized by the RHP",null,"Goal:  Participate in 2 face-to-face meetings or seminars organized by the RHP.","Numeric",2,"","","N","N","Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-5","Develop integrated sites reflected in the number of locations and providers participating in the integration project",null,1,"P-5.2","Number of primary care providers newly located in behavioral health settings",null,"Baseline/Goal: (a) FQHC will provide primary health care staffing sufficient for 1 additional BH clinic as per agreement. This will include at least 0.2 FTE per clinic of the following: primary care provider (PA/APN), LVN and clerk. (1 additional clinic in DY4, total of 5 integrated clinics by FY 4 end) with access to CACAST health clinics 5 days a week (b) SA Provider (COADA-CB)\nor other DSHS approved SA provider(s) will provide sufficient staffing into 1 BH clinic as per agreement.(1 additional clinic in DY4, total 4 clinics) for each clinic to have at least 0.75 FTE. Total of 9.0 FTE (0.2 FTE X 5 clinics, .75 FTE x 4 clinics, and 1 Navigator X 5  clinics).","Numeric",9,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-6","Develop integrated behavioral health and primary care services within colocated sites",null,1,"P-6.1","Number of providers achieving Level 4 of interaction","5 clinics will achieve Level 4 of interaction (close collaboration in a partially integrated system)","5 clinics will achieve Level 4 interaction by one (1) provider (CACOST)","Numeric",1,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,"P-7","Evaluate and continuously improve integration of primary and behavioral health services",null,1,"P-7.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles",null,"Quality Improvement Plan reviewed quarterly","Yes/No",null,"","","N","N","Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,324000,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.2.1","4_094118902",4,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.1","2.2","Expand Chronic Care Management Models","2.2.1","Redesign the outpatient delivery system to coordinate care for patients with chronic diseases",1,740564,"I-17","Apply the Chronic Care Model to targeted chronic diseases, which are prevalent locally",null,1,"I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC",null,"Baseline is 320 patients and this will increase to 330 patients (individuals) in DY4.","Numeric",330,"","","N","Y","Registry","Registry, Provider Records, program enrollment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,740564,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.1","2.2","Expand Chronic Care Management Models","2.2.1","Redesign the outpatient delivery system to coordinate care for patients with chronic diseases",1,740564,"I-17","Apply the Chronic Care Model to targeted chronic diseases, which are prevalent locally",null,1,"I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC",null,"Baseline is 320 patients and this will increase to 330 patients (individuals) in DY4.","Numeric",330,"","","N","Y","Registry","Registry, Provider Records, program enrollment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,740564,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.2.2","4_094118902",4,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.2","2.7","Implement Evidence-based Disease Prevention Programs","2.7.4","Implement innovative evidence-based strategies to reduce low birth weight and preterm birth.",2,353670,"I-5","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model",null,1,"I-5.1","TBD by Performing Provider based on milestone described above","Increase enrollment by 30 additional women to 210 clients of the target population all clinics combined.","Increase number of patients receiving care to 210 individuals. DY4 QPI goal of 85 individuals above pre-DSRIP baseline of 125.","Numeric",85,"Number of individuals of target population reached by the innovative project","Number of individuals in the target population","N","Y","Documentation of target population reached, as designated in the project plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,176835,"P-4","Execution of evaluation process for project innovation",null,1,"P-4.1","Document evaluative process, tools and analytics","Additional 2 Rapid Cycle Improvement events lead by hospital Quality Department staff",41674,"Numeric",2,"","","N","N","Performing Provider contract or other documentation of\nimplementation TBD by Performing Provider","Meeting 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Hospital (Victoria of Tx)","094118902.2.2","2.7","Implement Evidence-based Disease Prevention Programs","2.7.4","Implement innovative evidence-based strategies to reduce low birth weight and preterm birth.",2,353670,"I-5","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model",null,1,"I-5.1","TBD by Performing Provider based on milestone described above","Increase enrollment by 30 additional women to 210 clients of the target population all clinics combined.","Increase number of patients receiving care to 210 individuals. DY4 QPI goal of 85 individuals above pre-DSRIP baseline of 125.","Numeric",85,"Number of individuals of target population reached by the innovative project","Number of individuals in the target population","N","Y","Documentation of target population reached, as designated in the project plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,176835,"P-4","Execution of evaluation process for project innovation",null,1,"P-4.1","Document evaluative process, tools and analytics","Additional 2 Rapid Cycle Improvement events lead by hospital Quality Department staff",41674,"Numeric",2,"","","N","N","Performing Provider contract or other documentation of\nimplementation TBD by Performing Provider","Meeting 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["4_094222902.2.1","4_094222902",4,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.1","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,137244.47,"I-102",null,"Provide reconciliation of medications at discharge",1,"I-102.1",null,"Increase number or percent of identified patients that have medications reconciled as a standard part of the discharge process","50% compliance with medication reconciliation upon discharge (expected to impact 1,250 MCD/UI patients [individuals] 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l,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.1","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,137244.47,"I-102",null,"Provide reconciliation of medications at discharge",1,"I-102.1",null,"Increase number or percent of identified patients that have medications reconciled as a standard part of the discharge process","50% compliance with medication reconciliation upon discharge (expected to impact 1,250 MCD/UI patients [individuals] 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["4_094222902.2.2","4_094222902",4,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.2","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,137244.47,"I-101",null,"CPOE utilization measure",1,"I-101.1",null,"Increase the number of computerized provider order entries","75% of orders in the acute care setting are entered electronically, 2,232 encounters in DY4.","Numeric",2232,"","","N","Y",null,"EMR reports, hospital informatics reports and audits documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68622.235000000001,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"30% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.3,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68622.235000000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.2","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,137244.47,"I-101",null,"CPOE utilization measure",1,"I-101.1",null,"Increase the number of computerized provider order entries","75% of orders in the acute care setting are entered electronically, 2,232 encounters in DY4.","Numeric",2232,"","","N","Y",null,"EMR reports, hospital informatics reports and audits documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68622.235000000001,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"30% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.3,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,68622.235000000001,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094222902.2.3","4_094222902",4,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.3","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,215669.89,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","10% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 390 additional screenings) in DY4. DY4 impact of 390 individuals.","Numeric",390,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,107834.94500000001,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn with evidence that suggests severe sepsis and/or septic shock","75% (estimate 113) of patients with suggestion of severe sepsis will have lactate level drawn","Percentage",0.75,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing 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Spohn Hospital Alice","094222902.2.4","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,313702,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null,"20% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment (Spohn), 58 patients (individuals).","Numeric",58,"","","N","Y","Internal quality review documents","Care transitions 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["4_094222902.2.5","4_094222902",4,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.5","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,294095.3,"I-101",null,"Implement standard care transition processes in specified patient populations",1,"I-101.1",null,"Measure adherence to processes","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes care transitions program at South facility for all (estimate 50) Medicaid, self-pay and charity patients (individuals).","Numeric",50,"","","N","Y",null,"Care Transitions documentation, community outreach 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Spohn Hospital Alice","094222902.2.5","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,294095.3,"I-101",null,"Implement standard care transition processes in specified patient populations",1,"I-101.1",null,"Measure adherence to processes","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes care transitions program at South facility for all (estimate 50) Medicaid, self-pay and charity patients (individuals).","Numeric",50,"","","N","Y",null,"Care Transitions documentation, community outreach 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["4_094222902.2.6","4_094222902",4,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.6","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",2,294095.3,"I-101",null,"Integrated Services",1,"I-101.1",null,"Number of individuals receiving both physical and behavioral health care at the established locations","Spohn seeks to provide integrated screenings/care to 30% of its Freer patients (approximately 113/ 375 patients [individuals]).","Numeric",113,"","","N","Y",null,"Referral system\ndocumentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,147047.65,"P-7","Evaluate and continuously improve integration of primary and behavioral health services",null,1,"P-7.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles","PDSA and PIP for service integration","Identification and resolution of shortcuts/work-arounds due to inefficient referral system","Yes/No",null,"","","N","N","Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement","Referral system documentation, quality and PI 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Spohn Hospital Alice","094222902.2.6","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",2,294095.3,"I-101",null,"Integrated Services",1,"I-101.1",null,"Number of individuals receiving both physical and behavioral health care at the established locations","Spohn seeks to provide integrated screenings/care to 30% of its Freer patients (approximately 113/ 375 patients [individuals]).","Numeric",113,"","","N","Y",null,"Referral system\ndocumentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,147047.65,"P-7","Evaluate and continuously improve integration of primary and 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["4_121775403.2.10","4_121775403",4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.10","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,1760753.62,"I-14","Implement standard care transition processes in specified patient populations",null,1,"I-14.1","Measure adherence to processes",null,"Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes care transitions program at the Shoreline campus for all Medicaid, self-pay and charity patients. Spohn will provide 5 encounters for patients enrolled in Care Transitions, and will provide an additional 5 follow-up calls and/or visits per month over 18 months for patients requiring additional follow-up care (approximately 90% of enrollees) by enrolling them in the Care Partners program. During DY4, Spohn expects to enroll at least 400 additional patients into Care Transitions at the Memorial and Shoreline campuses, resulting in at least 2,000 encounters across Spohn's Corpus Christi facilites (Memorial, Shoreline, and South). Additionally, although this cannot be a measured metric during DY4, Spohn expects 300 of those patients to move into the Care Partners program, resulting in additional 27,000 encounters over the subsequent 18 months. DY4 impact of 1200 individuals enrolled across Spohn's Corpus Christi facilites (Memorial, Shoreline, and South).","Numeric",1200,"Number of patients in defined population receiving care according to standard protocol","Number of population patients discharged","N","Y","Hospital administrative data and the patient medical record","Care Transitions documentation, community outreach 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l,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.10","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,1760753.62,"I-14","Implement standard care transition processes in specified patient populations",null,1,"I-14.1","Measure adherence to processes",null,"Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes care transitions program at the Shoreline campus for all Medicaid, self-pay and charity patients. Spohn will provide 5 encounters for patients enrolled in Care Transitions, and will provide an additional 5 follow-up calls and/or visits per month over 18 months for patients requiring additional follow-up care (approximately 90% of enrollees) by enrolling them in the Care Partners program. During DY4, Spohn expects to enroll at least 400 additional patients into Care Transitions at the Memorial and Shoreline campuses, resulting in at least 2,000 encounters across Spohn's Corpus Christi facilites (Memorial, Shoreline, and South). Additionally, although this cannot be a measured metric during DY4, Spohn expects 300 of those patients to move into the Care Partners program, resulting in additional 27,000 encounters over the subsequent 18 months. DY4 impact of 1200 individuals enrolled across Spohn's Corpus Christi facilites (Memorial, Shoreline, and South).","Numeric",1200,"Number of patients in defined population receiving care according to standard protocol","Number of population patients discharged","N","Y","Hospital administrative data and the patient medical record","Care Transitions documentation, community outreach documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1760753.62,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.11","4_121775403",4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.11","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.1","Design, develop, and implement a program of continuous, rapid process improvement that will address issues of safety, quality, and efficiency.",3,2092083,"I-14","Measure efficiency and/or cost",null,2,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented through this project.","Baseline: In DY2, Spohn experienced 8.03 Serious Safety Events per 10,000 adjusted patient days. Spohn's goal is to measure improvement in this domain in order to determine the success of the protocols in improving the efficiency, cost, and safety of providing inpatient hospital care. Spohn expects an improvement of 30% from baseline by the end of DY4 (5.83/10,000) or 72 individuals.","Numeric",72,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider",null,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented through this project.","Spohn will measure its rate of Precursor Safety Events experienced by patients, in order to measure the efficacy of its Safety & Reliability initiative. The Precursor Safety Event rate will include Category D and E medication errors, and hospital-acquired Pressure Ulcers Stage II. Baseline: In DY2, Spohn experienced 166 Precursor events, for a rate of 5.6/10,000 adjusted patient days. Spohn expects a 5% decrease from baseline of Precursor Safety Events, impacting 8 patients [individuals].","Numeric",8,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider","Precursor Safety Event data will be obtained from hospital financial and quality reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,697361,"P-12","Report findings and learnings","Report findings and learnings (core requirements (d), (f))",1,"P-12.1","Final report/report summary",null,"Analyze data concerning the results of the new safety and efficiency protocols, and determine best practices and key challenges, and areas for continued improvement","Yes/No",null,"","","N","N","All data sources used for the process improvement events",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,697361,"P-6","Implement a program to improve efficiencies and/or reduce program variation",null,1,"P-6.1","Performance improvement events","Number of performance improvement events.","CSHS will implement the following two protocols across the six facilities to promote safety and efficiency: Apparent Cause Analysis (ACA)/Root Cause Analysis (RCA) and Rapid Chain of Command","Yes/No",null,"","","N","N","TBD by Performing Provider",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,697361,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.11","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.1","Design, develop, and implement a program of continuous, rapid process improvement that will address issues of safety, quality, and efficiency.",3,2092083,"I-14","Measure efficiency and/or cost",null,2,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented through this project.","Baseline: In DY2, Spohn experienced 8.03 Serious Safety Events per 10,000 adjusted patient days. Spohn's goal is to measure improvement in this domain in order to determine the success of the protocols in improving the efficiency, cost, and safety of providing inpatient hospital care. Spohn expects an improvement of 30% from baseline by the end of DY4 (5.83/10,000) or 72 individuals.","Numeric",72,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider",null,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented through this project.","Spohn will measure its rate of Precursor Safety Events experienced by patients, in order to measure the efficacy of its Safety & Reliability initiative. The Precursor Safety Event rate will include Category D and E medication errors, and hospital-acquired Pressure Ulcers Stage II. Baseline: In DY2, Spohn experienced 166 Precursor events, for a rate of 5.6/10,000 adjusted patient days. Spohn expects a 5% decrease from baseline of Precursor Safety Events, impacting 8 patients [individuals].","Numeric",8,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider","Precursor Safety Event data will be obtained from hospital financial and quality reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,697361,"P-12","Report findings and learnings","Report findings and learnings (core requirements (d), (f))",1,"P-12.1","Final report/report summary",null,"Analyze data concerning the results of the new safety and efficiency protocols, and determine best practices and key challenges, and areas for continued improvement","Yes/No",null,"","","N","N","All data sources used for the process improvement events",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,697361,"P-6","Implement a program to improve efficiencies and/or reduce program variation",null,1,"P-6.1","Performance improvement events","Number of performance improvement events.","CSHS will implement the following two protocols across the six facilities to promote safety and efficiency: Apparent Cause Analysis (ACA)/Root Cause Analysis (RCA) and Rapid Chain of Command","Yes/No",null,"","","N","N","TBD by Performing Provider",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,697361,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.1","4_121775403",4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.1","2.6","Implement Evidence-based Health Promotion Programs","2.6.1","Engage in population-based campaigns or programs to promote healthy lifestyles using evidence-based methodologies including social media and text messaging in an identified population.",1,1878137.19,"I-6","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model","Percent of diabetic clients receiving Diabetes cell phone application",1,"I-6.1","TBD by Performing Provider based on measure described above","Percent of eligible indigent, Medicaid and self-pay patients participating in Diabetes cell phone application.","25% of eligible clinic patients (diabetes Type 2) will participate in the Diabetes cell phone application (approximately 1000 enrollees [individuals], 4000 biometric screenings).","Numeric",1000,"Total number of patients in defined population who received innovative intervention.","Total number of patients in defined population","N","Y","Patient records","Provider, hospital and clinic 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Health System dba Spohn Memorial Hospital","121775403.2.1","2.6","Implement Evidence-based Health Promotion Programs","2.6.1","Engage in population-based campaigns or programs to promote healthy lifestyles using evidence-based methodologies including social media and text messaging in an identified population.",1,1878137.19,"I-6","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model","Percent of diabetic clients receiving Diabetes cell phone application",1,"I-6.1","TBD by Performing Provider based on measure described above","Percent of eligible indigent, Medicaid and self-pay patients participating in Diabetes cell phone application.","25% of eligible clinic patients (diabetes Type 2) will participate in the Diabetes cell phone application (approximately 1000 enrollees [individuals], 4000 biometric screenings).","Numeric",1000,"Total number of patients in defined population who received innovative 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["4_121775403.2.2","4_121775403",4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.2","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",1,1408602.89,"I-11","Improve the percentage of patients in defined population receiving standardized care according to the approved clinical protocols and care transitions policies",null,1,"I-11.1","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines",null,"Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines. Goal of 2,000 encounters.","Numeric",2000,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines","Number of patients discharged or eligible for care transition services","N","Y","Registry or EHR 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ull,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.2","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",1,1408602.89,"I-11","Improve the percentage of patients in defined population receiving standardized care according to the approved clinical protocols and care transitions policies",null,1,"I-11.1","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines",null,"Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines. Goal of 2,000 encounters.","Numeric",2000,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines","Number of patients discharged or eligible for care transition services","N","Y","Registry or EHR 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Health System dba Spohn Memorial Hospital","121775403.2.4","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",2,1878137.19,"I-8","Integrated Services",null,1,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations",null,"Spohn seeks to provide integrated screenings/care to 15% of its Robstown patients (approximately 315/2100 patients [individuals])","Numeric",315,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records","Referral system 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["4_121775403.2.5","4_121775403",4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,1525986.47,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null,"10% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment (expected to impact approximately 120 Medicaid/uninsured patients for BH referral), after screening all patients with CHF or diabetes for behavioral health issues (expected to impact approximately 700 Medicaid/uninsured patients who will receive BH screening), 1,707 individuals.","Numeric",1707,"","","N","Y","Internal quality review documents","Care transitions registry",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,762993.23499999999,"P-101",null,"Assess efficacy of process in place and recommend process improvements to implement if any",1,"P-101.1",null,"Identify opportunities to improve on the redesign methodology, as documented in the assessment document","Baseline/goal: analyze the effectiveness and quality improvement resulting from this project","Yes/No",null,"","","N","N",null,"documentation of 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Health System dba Spohn Memorial Hospital","121775403.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,1525986.47,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null,"10% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment (expected to impact approximately 120 Medicaid/uninsured patients for BH referral), after screening all patients with CHF or diabetes for behavioral health issues (expected to impact approximately 700 Medicaid/uninsured patients who will receive BH screening), 1,707 individuals.","Numeric",1707,"","","N","Y","Internal quality review documents","Care transitions registry",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,762993.23499999999,"P-101",null,"Assess efficacy of process in place and recommend process improvements to implement if any",1,"P-101.1",null,"Identify opportunities to improve on the redesign methodology, as documented in the assessment document","Baseline/goal: analyze the effectiveness and quality improvement resulting from this project","Yes/No",null,"","","N","N",null,"documentation of 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["4_121775403.2.6","4_121775403",4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.6","2.1","Enhance/Expand Medical Homes","2.1.1","Develop, implement, and evaluate action plans to enhance/eliminate gaps in the development of various aspects of PCMH standards.",4,1878137.19,"I-12","Based on criteria, improve the number of eligible patients that are assigned to the medical homes",null,1,"I-12.1","Number or percent of eligible patients assigned to medical homes",null,"Currently, the HP Garcia Clinic does not use the medical home model. During this first year of implementation, Spohn will assign at least 2000 Medicaid/uninsured eligible patients (individuals) of the clinic into medical homes, with eligible patients being all patients with at least 2 primary care visits in the last 24 months or with at least 3 visits to the ED in the last 24 months.","Numeric",2000,"Number of eligible patients assigned to a medical home","Number of eligible patients assigned to a medical home","N","Y","Practice management system, EHR, or other documentation as designated by Performing Provider","EHR, clinic registry",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,469534.29749999999,"I-14","Patient access to medical home",null,1,"I-14.1","Third Next-Available Appointment",null,"Achieve 10% average decrease in number of days to 3rd next-available appointment in the Hector P Garcia community clinic, from baseline (estimated to be 20 days). This improvement will impact the current 6,640 Medicaid/ uninsured patients by allowing them easier access to primary care appointments, as well as new Medicaid/ uninsured patients the clinic is able to treat.","Percentage",0.1,"","","N","N","Practice management or scheduling systems","Central scheduling",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,469534.29749999999,"P-12","Participate in at least bi-weekly interactions with other providers and the RHP to promote collaborative learning around shared or similar projects",null,1,"P-12.2","Share challenges and solutions successfully during this bi-weekly interaction",null,"Discuss best practices, key challenges, and ideas for improvement regarding the Medical Home transition","Yes/No",null,"","","N","N","Catalogue of challenges, solutions, tests, and progress shared by the participating provider during each bi-weekly interaction","QI Plan – catalog of challenges, solutions, tests and progress.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,469534.29749999999,"P-1","Implement the medical home model in primary care clinics",null,1,"P-1.1","Increase number of primary care clinics using medical home model",null,"[Core Component 2.1.1.d.] Implement Medical Home transition using P-D-S-A method for quality improvement (QI) in the Hector P Garcia community clinic (where Spohn physician-residents provide care). Numerator: Number of primary care clinics where Spohn provides care using medical home model. Denominator: Total number of primary care clinics where Spohn provides care (which is 5 clinics). Goal: 20% of primary care clinics where Spohn provides care using medical home model.","Percentage",0.2,"Number of primary care clinics using medical home model","Total number of primary care clinics","N","N",null,"Implementation plan documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,469534.29749999999,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.6","2.1","Enhance/Expand Medical Homes","2.1.1","Develop, implement, and evaluate action plans to enhance/eliminate gaps in the development of various aspects of PCMH standards.",4,1878137.19,"I-12","Based on criteria, improve the number of eligible patients that are assigned to the medical homes",null,1,"I-12.1","Number or percent of eligible patients assigned to medical homes",null,"Currently, the HP Garcia Clinic does not use the medical home model. During this first year of implementation, Spohn will assign at least 2000 Medicaid/uninsured eligible patients (individuals) of the clinic into medical homes, with eligible patients being all patients with at least 2 primary care visits in the last 24 months or with at least 3 visits to the ED in the last 24 months.","Numeric",2000,"Number of eligible patients assigned to a medical home","Number of eligible patients assigned to a medical home","N","Y","Practice management system, EHR, or other documentation as designated by Performing Provider","EHR, clinic registry",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,469534.29749999999,"I-14","Patient access to medical home",null,1,"I-14.1","Third Next-Available Appointment",null,"Achieve 10% average decrease in number of days to 3rd next-available appointment in the Hector P Garcia community clinic, from baseline (estimated to be 20 days). This improvement will impact the current 6,640 Medicaid/ uninsured patients by allowing them easier access to primary care appointments, as well as new Medicaid/ uninsured patients the clinic is able to treat.","Percentage",0.1,"","","N","N","Practice management or scheduling systems","Central scheduling",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,469534.29749999999,"P-12","Participate in at least bi-weekly interactions with other providers and the RHP to promote collaborative learning around shared or similar projects",null,1,"P-12.2","Share challenges and solutions successfully during this bi-weekly interaction",null,"Discuss best practices, key challenges, and ideas for improvement regarding the Medical Home transition","Yes/No",null,"","","N","N","Catalogue of challenges, solutions, tests, and progress shared by the participating provider during each bi-weekly interaction","QI Plan – catalog of challenges, solutions, tests and progress.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,469534.29749999999,"P-1","Implement the medical home model in primary care clinics",null,1,"P-1.1","Increase number of primary care clinics using medical home model",null,"[Core Component 2.1.1.d.] Implement Medical Home transition using P-D-S-A method for quality improvement (QI) in the Hector P Garcia community clinic (where Spohn physician-residents provide care). Numerator: Number of primary care clinics where Spohn provides care using medical home model. Denominator: Total number of primary care clinics where Spohn provides care (which is 5 clinics). Goal: 20% of primary care clinics where Spohn provides care using medical home model.","Percentage",0.2,"Number of primary care clinics using medical home model","Total number of primary care clinics","N","N",null,"Implementation plan documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,469534.29749999999,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.7","4_121775403",4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.7","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,821685.02,"I-14","Provide reconciliation of medications at discharge",null,1,"I-14.1","Increase number or percent of identified patients that have medications reconciled as a standard part of the discharge process","Increase the percent of identified patients \nthat have medications reconciled as a standard part of the discharge process","75% compliance with medication reconciliation upon discharge (expected to impact 26,250 patients [individuals] annually).","Numeric",26250,"Number of targeted patients with medications reconciled (targeted TBD by Performing Provider) when discharged from a hospitalization","Total number of targeted patients hospitalized during a specific time period.","N","Y","Discharge paperwork from paper or electronic health record.","EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,821685.02,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.7","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,821685.02,"I-14","Provide reconciliation of medications at discharge",null,1,"I-14.1","Increase number or percent of identified patients that have medications reconciled as a standard part of the discharge process","Increase the percent of identified patients \nthat have medications reconciled as a standard part of the discharge process","75% compliance with medication reconciliation upon discharge (expected to impact 26,250 patients [individuals] annually).","Numeric",26250,"Number of targeted patients with medications reconciled (targeted TBD by Performing Provider) when discharged from a hospitalization","Total number of targeted patients hospitalized during a specific time period.","N","Y","Discharge paperwork from paper or electronic health 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,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.8","4_121775403",4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.8","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,821685.02,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"50% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.5,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,410842.51,"I-18","CPOE utilization measure",null,1,"I-18.1","Increase the number of computerized provider order entries",null,"75% of orders in the acute care setting are entered electronically, 19,500 encounters in DY4.","Numeric",19500,"Number of entry orders per patient","Total number of patients in the system","N","Y","electronic health record, computerized provider order entry (CPOE) platform",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,410842.51,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.8","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,821685.02,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"50% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.5,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,410842.51,"I-18","CPOE utilization measure",null,1,"I-18.1","Increase the number of computerized provider order entries",null,"75% of orders in the acute care setting are entered electronically, 19,500 encounters in DY4.","Numeric",19500,"Number of entry orders per patient","Total number of patients in the system","N","Y","electronic health record, computerized provider order entry (CPOE) platform",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,410842.51,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_132812205.2.3","4_132812205",4,"2",4,"132812205","Driscoll Children's Hospital","132812205.2.3","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",5,1012500,"I-101",null,"Implement standard care transition processes in specified patient populations.",1,"I-101.1",null,"Increase the number of patient visits seen in the High Risk Infant Follow-up Program","Baseline: 0.  Goal: Provide 240 patient visits through the High Risk Infant Follow-up Program in DY4.","Numeric",240,"","","N","N",null,"Hospital administrative data and the patient medical record.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,"I-102",null,"Provide Bayley Infant Neurodevelopment assessment exams to targeted patients.",1,"I-102.1",null,"Increase Bayley Infant Neurodevelopment assessment exams in the Driscoll Service area.","Baseline: 0.  Goal: Perform 240 Bayley Infant Neurodevelopment Assessment Exams in DY4.","Numeric",240,"","","N","N",null,"Claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,"I-103",null,"Increase patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"I-103.1",null,"Increase the number of individual patients seen in the High Risk Program","Pre-DSRIP Baseline: 0 individuals served.  Goal: Serve an additional 125 individuals in DY4.","Numeric",125,"","","N","Y",null,"Hospital records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,"P-105",null,"Provide patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"P-105.1",null,"Increase patient accessibility to the High Risk Infant Follow-up Program through increased hours.","Increase the number of program hours by 10% above the baseline (actual baseline is zero) for an additional 19 hours.","Percentage",0.1,"","","N","N",null,"Documentation of operational hours.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,"P-106",null,"Task Force continues to provide oversight for Implement/Expand Care Transition Programs specific to the High Risk Infant Follow-up Program. (CQI)",1,"P-106.1",null,"Documentation of Quality Improvement meetings held twice per year.","Participate in all semi-annual Quality Improvement meetings.","Numeric",2,"","","N","N",null,"Hospital/health plan record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,4,"2",4,"132812205","Driscoll Children's Hospital","132812205.2.3","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",5,1012500,"I-101",null,"Implement standard care transition processes in specified patient populations.",1,"I-101.1",null,"Increase the number of patient visits seen in the High Risk Infant Follow-up Program","Baseline: 0.  Goal: Provide 240 patient visits through the High Risk Infant Follow-up Program in DY4.","Numeric",240,"","","N","N",null,"Hospital administrative data and the patient medical record.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,"I-102",null,"Provide Bayley Infant Neurodevelopment assessment exams to targeted patients.",1,"I-102.1",null,"Increase Bayley Infant Neurodevelopment assessment exams in the Driscoll Service area.","Baseline: 0.  Goal: Perform 240 Bayley Infant Neurodevelopment Assessment Exams in DY4.","Numeric",240,"","","N","N",null,"Claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,"I-103",null,"Increase patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"I-103.1",null,"Increase the number of individual patients seen in the High Risk Program","Pre-DSRIP Baseline: 0 individuals served.  Goal: Serve an additional 125 individuals in DY4.","Numeric",125,"","","N","Y",null,"Hospital records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,"P-105",null,"Provide patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"P-105.1",null,"Increase patient accessibility to the High Risk Infant Follow-up Program through increased hours.","Increase the number of program hours by 10% above the baseline (actual baseline is zero) for an additional 19 hours.","Percentage",0.1,"","","N","N",null,"Documentation of operational hours.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,"P-106",null,"Task Force continues to provide oversight for Implement/Expand Care Transition Programs specific to the High Risk Infant Follow-up Program. (CQI)",1,"P-106.1",null,"Documentation of Quality Improvement meetings held twice per year.","Participate in all semi-annual Quality Improvement meetings.","Numeric",2,"","","N","N",null,"Hospital/health plan record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,202500,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
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[{"$f":"\"\" & CELL(\"address\",$F$7) & \":\" & CELL(\"address\",$F$1005)","v":"$F$7:$F$1005"},"Cells to look at:",{"$f":"\"\" & CELL(\"address\",$E$1) & \":\" & CELL(\"address\",$ASA$1)","v":"$E$1:$ASA$1"},"To Hide ---->",0,0,0,0,0,0,0,0,0,0,{"$f":"IF(O$2>$C$2,1,IF(O$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(O$2-1))),1,0))","v":0},{"$f":"IF(P$2>$C$2,1,IF(P$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(P$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(CB$2>$C$2,1,IF(CB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(CB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(EN$2>$C$2,1,IF(EN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(EN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(GZ$2>$C$2,1,IF(GZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(GZ$2-1))),1,0))","v":0},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(JL$2>$C$2,1,IF(JL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(JL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LX$2>$C$2,1,IF(LX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(LX$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(OJ$2>$C$2,1,IF(OJ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(OJ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,{"$f":"IF(QV$2>$C$2,1,IF(QV$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(QV$2-1))),1,0))","v":0},0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(TH$2>$C$2,1,IF(TH$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(TH$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(VT$2>$C$2,1,IF(VT$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(VT$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,{"$f":"IF(YF$2>$C$2,1,IF(YF$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(YF$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AAR$2>$C$2,1,IF(AAR$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AAR$2-1))),1,0))","v":1},1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ADD$2>$C$2,1,IF(ADD$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ADD$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AFP$2>$C$2,1,IF(AFP$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AFP$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,0,1,1,1,1,1,1,1,{"$f":"IF(AIB$2>$C$2,1,IF(AIB$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AIB$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AKN$2>$C$2,1,IF(AKN$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AKN$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(AMZ$2>$C$2,1,IF(AMZ$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(AMZ$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(APL$2>$C$2,1,IF(APL$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(APL$2-1))),1,0))","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(ARX$2>$C$2,1,IF(ARX$3>MAX(OFFSET($R$7:$R$1005,0,COUNTA($R$6:$DB$6)*(ARX$2-1))),1,0))","v":1},1,1,1]
[{"$f":"\"\" & CELL(\"address\",$H$7) & \":\" & CELL(\"address\",$H$1005)","v":"$H$7:$H$1005"},"Max Milestones:",{"$f":"MAX($M$7:$M$1005)","v":10},"Milestone --->",0,0,0,0,0,0,0,0,0,0,1,{"$f":"IF(LEFT(P$5)=\"M\",O2+1,O2)","v":1},{"$f":"IF(LEFT(Q$5)=\"M\",P2+1,P2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,{"$f":"IF(LEFT(CC$5)=\"M\",CB2+1,CB2)","v":1},1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,{"$f":"IF(LEFT(EO$5)=\"M\",EN2+1,EN2)","v":2},2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(HA$5)=\"M\",GZ2+1,GZ2)","v":3},3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,{"$f":"IF(LEFT(JM$5)=\"M\",JL2+1,JL2)","v":3},3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,{"$f":"IF(LEFT(LY$5)=\"M\",LX2+1,LX2)","v":4},4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,{"$f":"IF(LEFT(OK$5)=\"M\",OJ2+1,OJ2)","v":5},5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,{"$f":"IF(LEFT(QW$5)=\"M\",QV2+1,QV2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,{"$f":"IF(LEFT(TI$5)=\"M\",TH2+1,TH2)","v":6},6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,{"$f":"IF(LEFT(VU$5)=\"M\",VT2+1,VT2)","v":7},7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(YG$5)=\"M\",YF2+1,YF2)","v":8},8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,{"$f":"IF(LEFT(AAS$5)=\"M\",AAR2+1,AAR2)","v":8},8,8,8,8,8,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,{"$f":"IF(LEFT(ADE$5)=\"M\",ADD2+1,ADD2)","v":9},9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,{"$f":"IF(LEFT(AFQ$5)=\"M\",AFP2+1,AFP2)","v":10},10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AIC$5)=\"M\",AIB2+1,AIB2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,{"$f":"IF(LEFT(AKO$5)=\"M\",AKN2+1,AKN2)","v":11},11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,{"$f":"IF(LEFT(ANA$5)=\"M\",AMZ2+1,AMZ2)","v":12},12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(APM$5)=\"M\",APL2+1,APL2)","v":13},13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,{"$f":"IF(LEFT(ARY$5)=\"M\",ARX2+1,ARX2)","v":13},13,13]
[null,null,null,"Metric --->",0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0,0,0,0,0,1,1,1,1,1,1,1,1,1,1,1,1,2,2,2,2,2,2,2,2,2,2,2,2,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,6,6,6,6,6,6,6,6,6,6,6,6,7,7,7,7,7,7,7,7,7,7,7,7,0]
[{"$f":"\"RHP \" & RHP & \" Category 2 - DY5\"","v":"RHP 4 Category 2 - DY5"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #1",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #3",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #5",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #8",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #9",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #10",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #11",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #12",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Milestone #13"]
["Unique Identifier","RHP_TPI","DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY5","Project DSRIP Allocation in DY5","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #1 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #2 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #3 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #4 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #5 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #6 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #7 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #8 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #9 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #10 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #11 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #12 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #13 DSRIP\n(DY5)",null,"DY Indicator","Category(1 or 2) Indicator","RHP","TPI","Provider Name","Project ID","Project Area","Project Area Title","Project Area Option #","Project Area Option Title","# of Milestones in DY5","Project DSRIP Allocation in DY5","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #1","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #1 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #2","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #2 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #3","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #3 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #4","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #4 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #5","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #5 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #6","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #6 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #7","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #7 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #8","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #8 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #9","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #9 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #10","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #10 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #11","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #11 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #12","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #12 DSRIP\n(DY5)","Milestone #","Milestone Desc","Milestone Provider Manual Desc (If needed)","Number of Metrics\nMilestone #13","Metric #1 (DY5)","Metric #1 Description (DY5)","Metric #1 Provider Manual Desc\n(if needed)\n(DY5)","Metric #1 Baseline/Goal\n(DY5)","Metric #1 Type\n(DY5)","Metric #1 Numeric Goal\n(if needed)\n(DY5)","Metric #1 Numerator\n(DY5)","Metric #1 Denominator\n(DY5)","Metric #1 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #1 QPI? (Yes/No)\n(DY5)","Metric #1 Data Source (DY5)","Metric #1 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 (DY5)","Metric #2 Description (DY5)","Metric #2 Provider Manual Desc\n(if needed)\n(DY5)","Metric #2 Baseline/Goal\n(DY5)","Metric #2 Type\n(DY5)","Metric #2 Numeric Goal\n(if needed)\n(DY5)","Metric #2 Numerator\n(DY5)","Metric #2 Denominator\n(DY5)","Metric #2 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #2 QPI? (Yes/No)\n(DY5)","Metric #2 Data Source (DY5)","Metric #2 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 (DY5)","Metric #3 Description (DY5)","Metric #3 Provider Manual Desc\n(if needed)\n(DY5)","Metric #3 Baseline/Goal\n(DY5)","Metric #3 Type\n(DY5)","Metric #3 Numeric Goal\n(if needed)\n(DY5)","Metric #3 Numerator\n(DY5)","Metric #3 Denominator\n(DY5)","Metric #3 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #3 QPI? (Yes/No)\n(DY5)","Metric #3 Data Source (DY5)","Metric #3 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 (DY5)","Metric #4 Description (DY5)","Metric #4 Provider Manual Desc\n(if needed)\n(DY5)","Metric #4 Baseline/Goal\n(DY5)","Metric #4 Type\n(DY5)","Metric #4 Numeric Goal\n(if needed)\n(DY5)","Metric #4 Numerator\n(DY5)","Metric #4 Denominator\n(DY5)","Metric #4 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #4 QPI? (Yes/No)\n(DY5)","Metric #4 Data Source (DY5)","Metric #4 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 (DY5)","Metric #5 Description (DY5)","Metric #5 Provider Manual Desc\n(if needed)\n(DY5)","Metric #5 Baseline/Goal\n(DY5)","Metric #5 Type\n(DY5)","Metric #5 Numeric Goal\n(if needed)\n(DY5)","Metric #5 Numerator\n(DY5)","Metric #5 Denominator\n(DY5)","Metric #5 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #5 QPI? (Yes/No)\n(DY5)","Metric #5 Data Source (DY5)","Metric #5 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 (DY5)","Metric #6 Description (DY5)","Metric #6 Provider Manual Desc\n(if needed)\n(DY5)","Metric #6 Baseline/Goal\n(DY5)","Metric #6 Type\n(DY5)","Metric #6 Numeric Goal\n(if needed)\n(DY5)","Metric #6 Numerator\n(DY5)","Metric #6 Denominator\n(DY5)","Metric #6 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #6 QPI? (Yes/No)\n(DY5)","Metric #6 Data Source (DY5)","Metric #6 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 (DY5)","Metric #7 Description (DY5)","Metric #7 Provider Manual Desc\n(if needed)\n(DY5)","Metric #7 Baseline/Goal\n(DY5)","Metric #7 Type\n(DY5)","Metric #7 Numeric Goal\n(if needed)\n(DY5)","Metric #7 Numerator\n(DY5)","Metric #7 Denominator\n(DY5)","Metric #7 Medicaid/Indigent Required (Yes/No)\n(DY5)","Metric #7 QPI? (Yes/No)\n(DY5)","Metric #7 Data Source (DY5)","Metric #7 Data Source Provider Manual Desc\n(if needed)\n(DY5)","Milestone #13 DSRIP\n(DY5)"]
[{"$f":"IF(E7=\"\",\"\",\"\" & E7 & \"_\" & H7)","v":"4_020811801.2.1"},{"$f":"IF($E7=\"\",\"\",\"\"&$E7&\"_\"&$F7)","v":"4_020811801"},5,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.1","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,144169.60000000001,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","15% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 1397 additional screenings). DY5 impact of 1397 individuals.","Numeric",1397,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72084.800000000003,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn with evidence that suggests severe sepsis and/or septic shock","95% (estimate 81) of patients with suggestion of severe sepsis will have lactate level drawn","Percentage",0.95,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing Provider","EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72084.800000000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.1","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,144169.60000000001,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","15% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 1397 additional screenings). DY5 impact of 1397 individuals.","Numeric",1397,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72084.800000000003,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn with evidence that suggests severe sepsis and/or septic shock","95% (estimate 81) of patients with suggestion of severe sepsis will have lactate level drawn","Percentage",0.95,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing Provider","EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,72084.800000000003,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
[{"$f":"IF(E8=\"\",\"\",\"\" & E8 & \"_\" & H8)","v":"4_020811801.2.2"},{"$f":"IF($E8=\"\",\"\",\"\"&$E8&\"_\"&$F8)","v":"4_020811801"},5,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.2","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,91744.29,"I-103",null,"Increase number of patients that receive consultation by clinical pharmacists, prior to discharge in the in-patient setting and upon refilling a new prescription in the outpatient setting.",1,"I-103.1",null,"Number of patients receiving consultation by clinical pharmacists","Currently, an estimated 161 inpatients in the facility receive consultation from the clinical pharmacists upon discharge. Spohn will increase the total number of inpatients receiving consultations to 484 inpatients (individuals) by the end of DY5 (an estimated increase of 323 patient consults).","Numeric",484,"","","N","Y",null,"Patient 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null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.2","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,91744.29,"I-103",null,"Increase number of patients that receive consultation by clinical pharmacists, prior to discharge in the in-patient setting and upon refilling a new prescription in the outpatient setting.",1,"I-103.1",null,"Number of patients receiving consultation by clinical pharmacists","Currently, an estimated 161 inpatients in the facility receive consultation from the clinical pharmacists upon discharge. Spohn will increase the total number of inpatients receiving consultations to 484 inpatients (individuals) by the end of DY5 (an estimated increase of 323 patient consults).","Numeric",484,"","","N","Y",null,"Patient EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,91744.29,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020811801.2.3","4_020811801",5,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.3","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,91744.29,"I-102",null,"Increase the number of patient visits for which a medication is prescribed that have medication reconciliation and prescription generation performed electronically",1,"I-102.1",null,"Number of patient visits at which a medication was prescribed that had medication reconciliation and prescription generation performed electronically","60% (7,109) of prescriptions written in ED are submitted electronically. DY5 impact of 7,109 encounters.","Numeric",7109,"","","N","Y",null,"Electronic health record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,45872.144999999997,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"60% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.6,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,45872.144999999997,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.3","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,91744.29,"I-102",null,"Increase the number of patient visits for which a medication is prescribed that have medication reconciliation and prescription generation performed electronically",1,"I-102.1",null,"Number of patient visits at which a medication was prescribed that had medication reconciliation and prescription generation performed electronically","60% (7,109) of prescriptions written in ED are submitted electronically. DY5 impact of 7,109 encounters.","Numeric",7109,"","","N","Y",null,"Electronic health record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,45872.144999999997,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"60% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.6,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health 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["4_020811801.2.4","4_020811801",5,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.4","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,196594.91,"I-101",null,"Implement standard care transition processes in specified patient populations",1,"I-101.1",null,"Measure adherence to processes","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia, and diabetes care transitions program at campus for all (approximately 50) Medicaid, self pay and charity patients (individuals).","Numeric",50,"","","N","Y",null,"Care Transitions documentation, community outreach 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Spohn Hospital Beeville","020811801.2.4","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,196594.91,"I-101",null,"Implement standard care transition processes in specified patient populations",1,"I-101.1",null,"Measure adherence to processes","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia, and diabetes care transitions program at campus for all (approximately 50) Medicaid, self pay and charity patients (individuals).","Numeric",50,"","","N","Y",null,"Care Transitions documentation, community outreach 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["4_020811801.2.5","4_020811801",5,"2",4,"020811801","Christus Spohn Hospital Beeville","020811801.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",1,196594.91,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null,"40% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment, 56 patients (individuals) in DY5.","Numeric",56,"","","N","Y","Internal quality review documents","Care Transitions 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Goal: 1,200 patients (individuals) in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies in DY5.","Numeric",1200,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines. 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Christi Medical Center","020973601.2.1","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",1,1188692,"I-11","Improve the percentage of patients in defined population receiving standardized care according to the approved clinical protocols and care transitions policies","Improve access to standardized care according to the approved clinical protocols and care transitions policies",1,"I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies - choose from top two conditions from the report completed in I-10.1.","Baseline: 0.  Goal: 1,200 patients (individuals) in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies in DY5.","Numeric",1200,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines. ","","N","Y","Registry or EHR 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,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_020973601.2.2","4_020973601",5,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.2","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,1122654,"I-13","Progress toward target/goal",null,1,"I-13.1","Number or percent of all clinical cases that meet target/goal",null,"Based on current volumes estimate, the patient impact to be approximately 277 cases follow PI recommended process changes. DY5 impact of 277 encounters.","Numeric",277,"Number of relevant clinical cases at target","Total number of relevant clinical cases","N","Y","TBD by Performing Provider (e.g., quality dashboard)",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,561327,"P-12","Report findings and learnings",null,1,"P-12.1","Final report/report summary","Submission of report that outlines preliminary findings and learning from sepsis PI program","Baseline: N/A\nGoal: Submission of report beyond DY4 report","Yes/No",null,"","","N","N","All data sources used for the process improvement events","Quality data, committee minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,561327,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"020973601","Corpus Christi Medical Center","020973601.2.2","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,1122654,"I-13","Progress toward target/goal",null,1,"I-13.1","Number or percent of all clinical cases that meet target/goal",null,"Based on current volumes estimate, the patient impact to be approximately 277 cases follow PI recommended process changes. DY5 impact of 277 encounters.","Numeric",277,"Number of relevant clinical cases at target","Total number of relevant clinical cases","N","Y","TBD by Performing Provider (e.g., quality dashboard)",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,561327,"P-12","Report findings and learnings",null,1,"P-12.1","Final report/report summary","Submission of report that outlines preliminary findings and learning from sepsis PI program","Baseline: N/A\nGoal: Submission of report beyond DY4 report","Yes/No",null,"","","N","N","All data sources used for the process improvement events","Quality data, committee minutes",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,561327,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_080368601.2.1","4_080368601",5,"2",4,"080368601","Coastal Plains Community MHMR Center","080368601.2.1","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",10,2955200,"I-101",null,"Preventable Admissions and Readmissions",1,"I-101.1",null,"Decrease in preventable admissions and readmissions to psychiatric and other inpatient facilities","Goal:  30% of individuals served will report using outpatient primary care/psychiatric services instead of Emergency Room to address non-emergency health needs.","Percentage",0.3,"","","N","N",null,"Admission, quarterly and exit questionnaire completed by patient with navigator. Project Data; Claims/ encounter and clinical record data other hospitals",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-102",null,"Medical home provides population health management by identifying and reaching out to patients who need to be brought in for preventative and ongoing care.",1,"I-102.1",null,"Number of patients receiving preventative services as indicated by standards of care (e.g. Dental services)","467.5  people in collaborative services will receive preventative health services.","Numeric",467.5,"","","N","N",null,"Registry or other documentation as designated by performing provider.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-10","No-Show Appointments",null,1,"I-10.1","X% decrease the \"no shows\" for behavioral and physical health appointments.",null,"2 % decrease from DY4 through navigation and case management (total of 6.5% decrease)","Percentage",0.02,"Number of appointments for behavioral or physical health services that were not kept in the project sites","Number of scheduled appointments for behavioral and physical health services in the project site","N","N","Project Data; Clinic Registry Data; Claims and Encounter Data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-12","Improved Consumer satisfaction with Integrated Services",null,1,"I-12.1","X% of People report satisfaction with integrated services","85% of People report satisfaction with integrated services","85% patients with integrated services","Percentage",0.85,"The number of individuals receiving integrated services that have expressed satisfaction with services","The number of individuals receiving integrated services","N","N",null,"Completed consumer satisfaction surveys",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-8","Integrated Services",null,2,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both physical and behavioral health care at the established locations","Baseline: 0.  Goal: 956 individuals receive both BH and Primary Care services in DY5.","Numeric",956,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both behavioral health and substance abuse services at the established locations","Baseline: 0.  Goal: 150 individuals receive both BH and substance abuse services in DY5.","Numeric",150,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-9","Coordination of Care",null,1,"I-9.1","X% of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Percentage of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Numerator: Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise. Denominator: Number of individuals receiving services at project sites. Goal: 30% of individuals with treatment plans developed and implemented with primary care and behavioral health expertise.","Percentage",0.3,"Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise","Number of individuals receiving services at project sites","N","N","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"P-10","Participate in face-to-face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP",null,1,"P-10.1","Participate in semi-annual face-to-face meetings or seminars organized by the RHP",null,"Goal:  Participate in 2 face-to-face meetings or seminars organized by the RHP.","Numeric",2,"","","N","N","Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"P-5","Develop integrated sites reflected in the number of locations and providers participating in the integration project",null,1,"P-5.2","Number of primary care providers newly located in behavioral health settings",null,"(a) FQHC will continue to provide Primary Health care staffing sufficient for the 5 BH clinics as per agreement. Through this agreement there will be at least 0.2 FTE per clinic, A\nprimary care provider (PA/APN), LVN and Clerk with access to CACOST health clinic 5 days a week (0 additional clinics in DY5). (b) SA Provider (COADA-CB) or other DSHS approved SA provider will provide sufficient staffing (at least 0.75 FTE LCDC per clinic) into 1 additional BH clinic as per agreement. (1 additional clinic in DY5, total = 5 clinics).Coastal Plains will provide 1 FTE navigator per clinic, to total 5 navigators. Total of 9.75 FTE (0.2 FTE X 5 clinics, .75 FTE x 5 clinics, and 1 Navigator X 5  clinics).","Numeric",9.75,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"P-6","Develop integrated behavioral health and primary care services within colocated sites",null,1,"P-6.2","Number of providers achieving Level 5 of interaction","5 clinics will achieve Level 5 of interaction (close collaboration in a partially integrated system)","4 clinics will achieve Level 5 interaction by one (1) provider (CACOST).","Numeric",1,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"P-7","Evaluate and continuously improve integration of primary and behavioral health services",null,1,"P-7.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles",null,"Quality Improvement plan reviewed quarterly","Yes/No",null,"","","N","N","Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"080368601","Coastal Plains Community MHMR Center","080368601.2.1","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",10,2955200,"I-101",null,"Preventable Admissions and Readmissions",1,"I-101.1",null,"Decrease in preventable admissions and readmissions to psychiatric and other inpatient facilities","Goal:  30% of individuals served will report using outpatient primary care/psychiatric services instead of Emergency Room to address non-emergency health needs.","Percentage",0.3,"","","N","N",null,"Admission, quarterly and exit questionnaire completed by patient with navigator. Project Data; Claims/ encounter and clinical record data other hospitals",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-102",null,"Medical home provides population health management by identifying and reaching out to patients who need to be brought in for preventative and ongoing care.",1,"I-102.1",null,"Number of patients receiving preventative services as indicated by standards of care (e.g. Dental services)","467.5  people in collaborative services will receive preventative health services.","Numeric",467.5,"","","N","N",null,"Registry or other documentation as designated by performing provider.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-10","No-Show Appointments",null,1,"I-10.1","X% decrease the \"no shows\" for behavioral and physical health appointments.",null,"2 % decrease from DY4 through navigation and case management (total of 6.5% decrease)","Percentage",0.02,"Number of appointments for behavioral or physical health services that were not kept in the project sites","Number of scheduled appointments for behavioral and physical health services in the project site","N","N","Project Data; Clinic Registry Data; Claims and Encounter Data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-12","Improved Consumer satisfaction with Integrated Services",null,1,"I-12.1","X% of People report satisfaction with integrated services","85% of People report satisfaction with integrated services","85% patients with integrated services","Percentage",0.85,"The number of individuals receiving integrated services that have expressed satisfaction with services","The number of individuals receiving integrated services","N","N",null,"Completed consumer satisfaction surveys",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-8","Integrated Services",null,2,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both physical and behavioral health care at the established locations","Baseline: 0.  Goal: 956 individuals receive both BH and Primary Care services in DY5.","Numeric",956,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both behavioral health and substance abuse services at the established locations","Baseline: 0.  Goal: 150 individuals receive both BH and substance abuse services in DY5.","Numeric",150,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"I-9","Coordination of Care",null,1,"I-9.1","X% of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Percentage of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","Numerator: Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise. Denominator: Number of individuals receiving services at project sites. Goal: 30% of individuals with treatment plans developed and implemented with primary care and behavioral health expertise.","Percentage",0.3,"Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise","Number of individuals receiving services at project sites","N","N","Project data; claims and encounter data; medical records",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"P-10","Participate in face-to-face learning (i.e. meetings or seminars) at least twice per year with other providers and the RHP",null,1,"P-10.1","Participate in semi-annual face-to-face meetings or seminars organized by the RHP",null,"Goal:  Participate in 2 face-to-face meetings or seminars organized by the RHP.","Numeric",2,"","","N","N","Documentation of semiannual meetings including meeting agendas, slides from presentations, and/or meeting notes",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"P-5","Develop integrated sites reflected in the number of locations and providers participating in the integration project",null,1,"P-5.2","Number of primary care providers newly located in behavioral health settings",null,"(a) FQHC will continue to provide Primary Health care staffing sufficient for the 5 BH clinics as per agreement. Through this agreement there will be at least 0.2 FTE per clinic, A\nprimary care provider (PA/APN), LVN and Clerk with access to CACOST health clinic 5 days a week (0 additional clinics in DY5). (b) SA Provider (COADA-CB) or other DSHS approved SA provider will provide sufficient staffing (at least 0.75 FTE LCDC per clinic) into 1 additional BH clinic as per agreement. (1 additional clinic in DY5, total = 5 clinics).Coastal Plains will provide 1 FTE navigator per clinic, to total 5 navigators. Total of 9.75 FTE (0.2 FTE X 5 clinics, .75 FTE x 5 clinics, and 1 Navigator X 5  clinics).","Numeric",9.75,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"P-6","Develop integrated behavioral health and primary care services within colocated sites",null,1,"P-6.2","Number of providers achieving Level 5 of interaction","5 clinics will achieve Level 5 of interaction (close collaboration in a partially integrated system)","4 clinics will achieve Level 5 interaction by one (1) provider (CACOST).","Numeric",1,"","","N","N","Project data",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,"P-7","Evaluate and continuously improve integration of primary and behavioral health services",null,1,"P-7.1","Project planning and implementation documentation demonstrates plan, do, study act quality improvement cycles",null,"Quality Improvement plan reviewed quarterly","Yes/No",null,"","","N","N","Project reports include examples of how real-time data is used for rapid-cycle improvement to guide continuous quality improvement",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,295520,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.2.1","4_094118902",5,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.1","2.2","Expand Chronic Care Management Models","2.2.1","Redesign the outpatient delivery system to coordinate care for patients with chronic diseases",1,755125,"I-17","Apply the Chronic Care Model to targeted chronic diseases, which are prevalent locally",null,1,"I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC",null,"Data Baseline is 330 patients and this will increase to 340 patients (individuals) in DY5.","Numeric",340,"","","N","Y","Registry","Registry, Provider Records, program enrollment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,755125,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.1","2.2","Expand Chronic Care Management Models","2.2.1","Redesign the outpatient delivery system to coordinate care for patients with chronic diseases",1,755125,"I-17","Apply the Chronic Care Model to targeted chronic diseases, which are prevalent locally",null,1,"I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC",null,"Data Baseline is 330 patients and this will increase to 340 patients (individuals) in DY5.","Numeric",340,"","","N","Y","Registry","Registry, Provider Records, program enrollment records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,755125,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_094118902.2.2","4_094118902",5,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.2","2.7","Implement Evidence-based Disease Prevention Programs","2.7.4","Implement innovative evidence-based strategies to reduce low birth weight and preterm birth.",2,360441,"I-5","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model",null,1,"I-5.1","TBD by Performing Provider based on milestone described above","Increase enrollment to 240 clients all clinics combined.","Increase number of patients receiving care to 240 individuals in DY5. DY5 QPI goal of 115 individuals above pre-DSRIP baseline of 125.","Numeric",115,"Number of individuals of target population reached by the innovative project","Number of individuals in the target population","N","Y","Documentation of target population reached, as designated in the project plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,180220.5,"P-4","Execution of evaluation process for project innovation",null,1,"P-4.1","Document evaluative process, tools and analytics","Additional 2 Rapid Cycle Improvement events lead by hospital Quality Department staff",41735,"Numeric",2,"","","N","N","Performing Provider contract or other documentation of\nimplementation TBD by Performing Provider","Meeting Notes/Results",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,180220.5,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"094118902","DeTar Hospital (Victoria of Tx)","094118902.2.2","2.7","Implement Evidence-based Disease Prevention Programs","2.7.4","Implement innovative evidence-based strategies to reduce low birth weight and preterm birth.",2,360441,"I-5","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model",null,1,"I-5.1","TBD by Performing Provider based on milestone described above","Increase enrollment to 240 clients all clinics combined.","Increase number of patients receiving care to 240 individuals in DY5. DY5 QPI goal of 115 individuals above pre-DSRIP baseline of 125.","Numeric",115,"Number of individuals of target population reached by the innovative project","Number of individuals in the target population","N","Y","Documentation of target population reached, as designated in the project plan",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,180220.5,"P-4","Execution of evaluation process for project innovation",null,1,"P-4.1","Document evaluative process, tools and analytics","Additional 2 Rapid Cycle Improvement events lead by hospital Quality Department staff",41735,"Numeric",2,"","","N","N","Performing Provider contract or other documentation of\nimplementation TBD by Performing Provider","Meeting 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["4_094222902.2.1","4_094222902",5,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.1","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,110818.52,"I-103",null,"Increase number of patients that receive consultation by clinical pharmacists, prior to discharge in the in-patient setting and upon refilling a new prescription in the outpatient setting.",1,"I-103.1",null,"Number of patients receiving consultation by clinical pharmacists","Currently, an estimated 70% (2080 discharges) of discharges in the facility receive consultation from the clinical pharmacists upon discharge. Spohn will increase that percentage by 10% to achieve an 80% total number of inpatients receiving consultations (or 2380 discharges; 300 additional discharges) from clinical pharmacists upon discharge by the end of DY5. DY5 impact of 300 individuals.","Numeric",300,"","","N","Y",null,"Patient EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,110818.52,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.1","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,110818.52,"I-103",null,"Increase number of patients that receive consultation by clinical pharmacists, prior to discharge in the in-patient setting and upon refilling a new prescription in the outpatient setting.",1,"I-103.1",null,"Number of patients receiving consultation by clinical pharmacists","Currently, an estimated 70% (2080 discharges) of discharges in the facility receive consultation from the clinical pharmacists upon discharge. Spohn will increase that percentage by 10% to achieve an 80% total number of inpatients receiving consultations (or 2380 discharges; 300 additional discharges) from clinical pharmacists upon discharge by the end of DY5. DY5 impact of 300 individuals.","Numeric",300,"","","N","Y",null,"Patient 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["4_094222902.2.2","4_094222902",5,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.2","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,110818.52,"I-102",null,"Increase the number of patient visits for which a medication is prescribed that have medication reconciliation and prescription generation performed electronically",1,"I-102.1",null,"Number of patient visits at which a medication was prescribed that had medication reconciliation and prescription generation performed electronically","60% of prescriptions written in ED are submitted electronically, 10,611 encounters.","Numeric",10611,"","","N","Y",null,"Electronic health record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,55409.26,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"60% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.6,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health 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Spohn Hospital Alice","094222902.2.2","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,110818.52,"I-102",null,"Increase the number of patient visits for which a medication is prescribed that have medication reconciliation and prescription generation performed electronically",1,"I-102.1",null,"Number of patient visits at which a medication was prescribed that had medication reconciliation and prescription generation performed electronically","60% of prescriptions written in ED are submitted electronically, 10,611 encounters.","Numeric",10611,"","","N","Y",null,"Electronic health record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,55409.26,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"60% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.6,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health 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["4_094222902.2.3","4_094222902",5,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.3","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,174143.39,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","15% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 585 additional screenings) in DY5. DY5 impact of 585 individuals.","Numeric",585,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,87071.695000000007,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn upon evidence that suggests severe sepsis and/or septic shock","95% (estimate 143) of patients with suggestion of severe sepsis will have lactate level drawn","Percentage",0.95,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing 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Spohn Hospital Alice","094222902.2.3","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.11","Project Option: Sepsis",2,174143.39,"I-101",null,"Increase use of electronic Sepsis Screening Tool by nursing staff",1,"I-101.1",null,"Increase use of electronic Sepsis Screening Tool by nursing staff on patients admitted to medical/surgical units","15% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 585 additional screenings) in DY5. DY5 impact of 585 individuals.","Numeric",585,"","","N","Y",null,"Hospital EMR reports",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,87071.695000000007,"I-14","Measure efficiency and/or cost",null,1,"I-14.1","TBD by Performing Provider","Percentage of patients who had lactate drawn upon evidence that suggests severe sepsis and/or septic shock","95% (estimate 143) of patients with suggestion of severe sepsis will have lactate level drawn","Percentage",0.95,"TBD by Performing Provider","TBD by Performing Provider","N","N","TBD by Performing 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["4_094222902.2.4","4_094222902",5,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.4","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",1,253299,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null,"40% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment, 92 patients (individuals).","Numeric",92,"","","N","Y","Internal quality review documents","Care Transitions 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ll,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.4","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",1,253299,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null,"40% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment, 92 patients (individuals).","Numeric",92,"","","N","Y","Internal quality review documents","Care Transitions 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["4_094222902.2.5","4_094222902",5,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.5","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,237468.25,"I-101",null,"Implement standard care transition processes in specified patient populations",1,"I-101.1",null,"Measure adherence to processes","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes care transitions program at campus for all Medicaid, self-pay and charity patients, estimated 50 patients (individuals) in DY5.","Numeric",50,"","","N","Y",null,"Care Transitions documentation, community outreach 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Spohn Hospital Alice","094222902.2.5","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,237468.25,"I-101",null,"Implement standard care transition processes in specified patient populations",1,"I-101.1",null,"Measure adherence to processes","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes care transitions program at campus for all Medicaid, self-pay and charity patients, estimated 50 patients (individuals) in DY5.","Numeric",50,"","","N","Y",null,"Care Transitions documentation, community outreach 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["4_094222902.2.6","4_094222902",5,"2",4,"094222902","Christus Spohn Hospital Alice","094222902.2.6","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",1,237468.25,"I-101",null,"Integrated Services",1,"I-101.1",null,"Number of individuals receiving both physical and behavioral health care at the established locations","Spohn seeks to provide integrated /screenings care to 40% of its Freer patients (approximately 150/ 375 patients [individuals]).","Numeric",150,"","","N","Y",null,"Referral system 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Spohn Hospital Alice","094222902.2.6","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",1,237468.25,"I-101",null,"Integrated Services",1,"I-101.1",null,"Number of individuals receiving both physical and behavioral health care at the established locations","Spohn seeks to provide integrated /screenings care to 40% of its Freer patients (approximately 150/ 375 patients [individuals]).","Numeric",150,"","","N","Y",null,"Referral system 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["4_121775403.2.10","4_121775403",5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.10","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,1421726.52,"I-14","Implement standard care transition processes in specified patient populations","Implement standardized care transition program for the CHF and diabetes population at South campus.",1,"I-14.1","Measure adherence to processes",null,"Goal: Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes care transitions program at the South campus for all Medicaid, self-pay and charity patients. Spohn will provide 5 encounters for patients enrolled in Care Transitions, and will provide an additional 5 follow-up calls and/or visits per month over 18 months for patients requiring additional follow-up care (approximately 90% of enrollees) by enrolling them in the Care Partners program. During DY5, Spohn expects to enroll at least 400 additional patients into Care Transitions at Spohn's Corpus Christi facilities, resulting in at least 2,000 encounters across Spohn's Corpus Christi facilities (Memorial, Shoreline, and South). Additionally, although this cannot be a measured metric during DY5, Spohn expects 320 of those patients to move into the Care Partners program, resulting in additional 28,800 encounters over the subsequent 18 months. 1,600 patients (individuals) enrolled in DY5 across all campuses.","Numeric",1600,"Number of patients in defined population receiving care according to standard protocol","Number of population patients discharged","N","Y","Hospital administrative data and the patient medical record","Care Transitions documentation, community outreach documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1421726.52,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.10","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",1,1421726.52,"I-14","Implement standard care transition processes in specified patient populations","Implement standardized care transition program for the CHF and diabetes population at South campus.",1,"I-14.1","Measure adherence to processes",null,"Goal: Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia and diabetes care transitions program at the South campus for all Medicaid, self-pay and charity patients. Spohn will provide 5 encounters for patients enrolled in Care Transitions, and will provide an additional 5 follow-up calls and/or visits per month over 18 months for patients requiring additional follow-up care (approximately 90% of enrollees) by enrolling them in the Care Partners program. During DY5, Spohn expects to enroll at least 400 additional patients into Care Transitions at Spohn's Corpus Christi facilities, resulting in at least 2,000 encounters across Spohn's Corpus Christi facilities (Memorial, Shoreline, and South). Additionally, although this cannot be a measured metric during DY5, Spohn expects 320 of those patients to move into the Care Partners program, resulting in additional 28,800 encounters over the subsequent 18 months. 1,600 patients (individuals) enrolled in DY5 across all campuses.","Numeric",1600,"Number of patients in defined population receiving care according to standard protocol","Number of population patients discharged","N","Y","Hospital administrative data and the patient medical record","Care Transitions documentation, community outreach 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["4_121775403.2.11","4_121775403",5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.11","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.1","Design, develop, and implement a program of continuous, rapid process improvement that will address issues of safety, quality, and efficiency.",2,1796500,"I-14","Measure efficiency and/or cost",null,2,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented through this project.","Baseline: In DY2, Spohn experienced 8.03 Serious Safety Events per 10,000 patient days. Spohn's goal is to measure improvement in this domain in order to determine the success of the protocols in improving the efficiency, cost, and safety of providing inpatient hospital care. Spohn expects an improvement of 35% from baseline by the end of DY5 (5.41/10,000) or 84 individuals.","Numeric",84,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider",null,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented through this project.","Spohn will measure its rate of Precursor Safety Events experienced by patients, in order to measure the efficacy of its Safety & Reliability initiative. The Precursor Safety Event rate will include Category D and E medication errors, and hospital-acquired Pressure Ulcers Stage II. Baseline:  In DY2, Spohn experienced 166 Precursor events, for a rate of 5.6/10,000 adjusted patient days. Spohn expects a 10% decrease from baseline of Precursor Safety Events, impacting 16 patients (individuals).","Numeric",16,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider","Precursor Safety Event data will be obtained from hospital financial and quality reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,898250,"I-15","Increase the number of process improvement champions",null,1,"I-15.1","Number of designated quality champions",null,"1 champion in at least 80% of the units among all 6 facilities of the CSHS.","Percentage",0.8,"","","N","N","HR, or training curriculum or other program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,898250,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.11","2.8","Apply Process Improvement Methodology to Improve Quality/Efficiency","2.8.1","Design, develop, and implement a program of continuous, rapid process improvement that will address issues of safety, quality, and efficiency.",2,1796500,"I-14","Measure efficiency and/or cost",null,2,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented through this project.","Baseline: In DY2, Spohn experienced 8.03 Serious Safety Events per 10,000 patient days. Spohn's goal is to measure improvement in this domain in order to determine the success of the protocols in improving the efficiency, cost, and safety of providing inpatient hospital care. Spohn expects an improvement of 35% from baseline by the end of DY5 (5.41/10,000) or 84 individuals.","Numeric",84,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider",null,"I-14.1","TBD by Performing Provider","Measure efficiency and cost savings tied to safety protocols implemented through this project.","Spohn will measure its rate of Precursor Safety Events experienced by patients, in order to measure the efficacy of its Safety & Reliability initiative. The Precursor Safety Event rate will include Category D and E medication errors, and hospital-acquired Pressure Ulcers Stage II. Baseline:  In DY2, Spohn experienced 166 Precursor events, for a rate of 5.6/10,000 adjusted patient days. Spohn expects a 10% decrease from baseline of Precursor Safety Events, impacting 16 patients (individuals).","Numeric",16,"TBD by Performing Provider","TBD by Performing Provider","N","Y","TBD by Performing Provider","Precursor Safety Event data will be obtained from hospital financial and quality reports.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,898250,"I-15","Increase the number of process improvement champions",null,1,"I-15.1","Number of designated quality champions",null,"1 champion in at least 80% of the units among all 6 facilities of the CSHS.","Percentage",0.8,"","","N","N","HR, or training curriculum or other program materials",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,898250,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.1","4_121775403",5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.1","2.6","Implement Evidence-based Health Promotion Programs","2.6.1","Engage in population-based campaigns or programs to promote healthy lifestyles using evidence-based methodologies including social media and text messaging in an identified population.",1,1516508.29,"I-6","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model","Percent of diabetic clients receiving Diabetes cellphone application",1,"I-6.1","TBD by Performing Provider based on measure described above","Percent of eligible indigent, Medicaid and self-pay patients participating in Diabetes cell phone application","50% of eligible patients (diabetes Type 2) will participate in the Diabetes cell phone application (approximately 2000 enrollees, 8000 biometric screenings). DY5 impact of 1000 enrollees (individuals).","Numeric",1000,"Total number of patients in defined population who received innovative intervention.","Total number of patients in defined population","N","Y","Patient records","Provider, hospital and\nclinic 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Health System dba Spohn Memorial Hospital","121775403.2.1","2.6","Implement Evidence-based Health Promotion Programs","2.6.1","Engage in population-based campaigns or programs to promote healthy lifestyles using evidence-based methodologies including social media and text messaging in an identified population.",1,1516508.29,"I-6","Identify X number or percent of patients in defined population receiving innovative intervention consistent with evidence-based model","Percent of diabetic clients receiving Diabetes cellphone application",1,"I-6.1","TBD by Performing Provider based on measure described above","Percent of eligible indigent, Medicaid and self-pay patients participating in Diabetes cell phone application","50% of eligible patients (diabetes Type 2) will participate in the Diabetes cell phone application (approximately 2000 enrollees, 8000 biometric screenings). DY5 impact of 1000 enrollees (individuals).","Numeric",1000,"Total number of patients in defined population who received innovative intervention.","Total number of patients in defined population","N","Y","Patient records","Provider, hospital and\nclinic records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1516508.29,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null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["4_121775403.2.2","4_121775403",5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.2","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",1,1137381.22,"I-11","Improve the percentage of patients in defined population receiving standardized care according to the approved clinical protocols and care transitions policies",null,1,"I-11.1","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines",null,"Assign at least 3000 unassigned inpatient admissions during DY5 to a hospitalist and multi-disciplinary team of providers, who will provide care pre- and post-discharge according to Spohn's hospitalist care transitions protocol. DY5 impact of 3,000 encounters.","Numeric",3000,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines","Number of patients discharged or eligible for care transition services","N","Y","Registry or EHR report/analysis",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1137381.22,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.2","2.12","Implement/Expand Care Transitions Programs","2.12.1","Develop, implement, and evaluate standardized clinical protocols and evidence-based care delivery model to improve care transitions",1,1137381.22,"I-11","Improve the percentage of patients in defined population receiving standardized care according to the approved clinical protocols and care transitions policies",null,1,"I-11.1","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines",null,"Assign at least 3000 unassigned inpatient admissions during DY5 to a hospitalist and multi-disciplinary team of providers, who will provide care pre- and post-discharge according to Spohn's hospitalist care transitions protocol. DY5 impact of 3,000 encounters.","Numeric",3000,"Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines","Number of patients discharged or eligible for care transition services","N","Y","Registry or EHR 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ull,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.4","4_121775403",5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.4","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",1,1516508.29,"I-8","Integrated Services",null,1,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations",null,"Spohn seeks to provide integrated /screenings care to 25% of its Robstown patients (approximately 525/2100 patients [individuals]).","Numeric",525,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records","Referral system 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l,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.4","2.15","Integrate Primary and Behavioral Health Care Services","2.15.1","Design, implement, and evaluate projects that provide integrated primary and behavioral health care services.",1,1516508.29,"I-8","Integrated Services",null,1,"I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations",null,"Spohn seeks to provide integrated /screenings care to 25% of its Robstown patients (approximately 525/2100 patients [individuals]).","Numeric",525,"Number of individuals receiving both physical and behavioral health care in project sites","Number of individuals receiving services in project sites","N","Y","Project data; claims and encounter data; medical records","Referral system documentation",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,1516508.29,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,nul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["4_121775403.2.5","4_121775403",5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,1232162.99,"I-101",null,"Medicaid and low income uninsured impact ",1,"I-101.1",null,"Number of Medicaid and low-income uninsured individuals receiving access to  specialty services","During DY5, Spohn will screen 700 Medicaid/uninsured individuals in its hospital emergency departments and/or family health clinics who are diagnosed with CHF or diabetes for behavioral health issues. These 700 patients will also be counted as part of Spohn's other DY5 milestone for this project (Milestone 1, I-22). Of the 700 Medicaid/uninsured individuals Spohn screens, Spohn will refer 240 Medicaid/uninsured individuals for behavioral health services. ","Numeric",700,"","","Y","N",null,"Relevant records from Spohn's Care Transitions Registry reflecting screenings and referrals performed on Medicaid/uninsured CHF and Diabetic patients, or other internal tracking resources reflecting Spohn's screenings and referrals administered to this population.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,616081.495,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null," During DY5, Spohn will screen 1,707 individuals in its Corpus Christi hospital emergency departments and/or family health clinics who are diagnosed with CHF or diabetes for behavioral health issues to achieve its QPI. This number may include commercial, Medicare, Medicaid, uninsured, and charity patients. (Note: percentage calculation was removed from the goal based on MSLC recommendations from MPA).","Numeric",1707,"","","N","Y","Internal quality review documents","Relevant records from Spohn's Care Transitions Registry reflecting screenings performed on CHF and Diabetic patients, or other internal tracking resources reflecting Spohn's screenings administered to this population.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,616081.495,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.5","2.19","Develop Care Management Function that integrates primary and behavioral health needs of individuals","2.19.1","Design, implement, and evaluate care management programs and that integrate primary and behavioral health needs of individual patients",2,1232162.99,"I-101",null,"Medicaid and low income uninsured impact ",1,"I-101.1",null,"Number of Medicaid and low-income uninsured individuals receiving access to  specialty services","During DY5, Spohn will screen 700 Medicaid/uninsured individuals in its hospital emergency departments and/or family health clinics who are diagnosed with CHF or diabetes for behavioral health issues. These 700 patients will also be counted as part of Spohn's other DY5 milestone for this project (Milestone 1, I-22). Of the 700 Medicaid/uninsured individuals Spohn screens, Spohn will refer 240 Medicaid/uninsured individuals for behavioral health services. ","Numeric",700,"","","Y","N",null,"Relevant records from Spohn's Care Transitions Registry reflecting screenings and referrals performed on Medicaid/uninsured CHF and Diabetic patients, or other internal tracking resources reflecting Spohn's screenings and referrals administered to this population.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,616081.495,"I-22","Increase use of specialty care in line with professionally accepted practice guidelines",null,1,"I-22.1","X% increase/decrease use of specialty care according to practice guidelines",null," During DY5, Spohn will screen 1,707 individuals in its Corpus Christi hospital emergency departments and/or family health clinics who are diagnosed with CHF or diabetes for behavioral health issues to achieve its QPI. This number may include commercial, Medicare, Medicaid, uninsured, and charity patients. (Note: percentage calculation was removed from the goal based on MSLC recommendations from MPA).","Numeric",1707,"","","N","Y","Internal quality review documents","Relevant records from Spohn's Care Transitions Registry reflecting screenings performed on CHF and Diabetic patients, or other internal tracking resources reflecting Spohn's screenings administered to this population.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,616081.495,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.6","4_121775403",5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.6","2.1","Enhance/Expand Medical Homes","2.1.1","Develop, implement, and evaluate action plans to enhance/eliminate gaps in the development of various aspects of PCMH standards.",3,1516508.29,"I-12","Based on criteria, improve the number of eligible patients that are assigned to the medical homes",null,1,"I-12.1","Number or percent of eligible patients assigned to medical homes",null,"During DY5, Spohn will place at least 2000 additional eligible patients of the clinic into medical homes, with eligible patients being all patients with at least 2 primary care visits in the last 24 months or with at least 3 visits to the ED in the last 24 months. DY5 impact of 2,000 individuals.","Numeric",2000,"Number of eligible patients assigned to a medical home","Number of eligible patients assigned to a medical home","N","Y","Practice management system, EHR, or other documentation as designated by Performing Provider","EHR, clinic registry",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,505502.76333333337,"I-14","Patient access to medical home",null,1,"I-14.1","Third Next-Available Appointment",null,"Achieve 10% average decrease in number of days to 3rd next-available appointment in the Hector P Garcia community clinic, from DY4 when the medical home model was initially implemented. This improvement will impact the current 6,640 Medicaid/uninsured patients by allowing them easier access to primary care appointments, as well as new Medicaid/uninsured patients the clinic is able to treat.","Percentage",0.1,"","","N","N","Practice management or scheduling systems","Central scheduling",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,505502.76333333337,"I-18","Obtain medical home recognition by a nationally recognized agency",null,1,"I-18.1","Medical home recognition/accreditation",null,"Currently the Hector P Garcia clinic is not accredited as a medical home. Spohn intends to obtain accreditation for Hector P Garcia from NCQA. Numerator: number of sites or clinics where Spohn provides care receiving recognition/accreditation. Denominator: total number of sites or clinics where Spohn provides care eligible for recognition/accreditation (which is 5). Goal: 20% of sites receive accreditation.","Percentage",0.2,"Number of sites or clinics receiving recognition/accreditation","total number of sites or clinics eligible for recognition/accreditation","N","N","Documentation of recognition/accreditation from nationally recognized agency (e.g., NCQA)",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,505502.76333333337,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.6","2.1","Enhance/Expand Medical Homes","2.1.1","Develop, implement, and evaluate action plans to enhance/eliminate gaps in the development of various aspects of PCMH standards.",3,1516508.29,"I-12","Based on criteria, improve the number of eligible patients that are assigned to the medical homes",null,1,"I-12.1","Number or percent of eligible patients assigned to medical homes",null,"During DY5, Spohn will place at least 2000 additional eligible patients of the clinic into medical homes, with eligible patients being all patients with at least 2 primary care visits in the last 24 months or with at least 3 visits to the ED in the last 24 months. DY5 impact of 2,000 individuals.","Numeric",2000,"Number of eligible patients assigned to a medical home","Number of eligible patients assigned to a medical home","N","Y","Practice management system, EHR, or other documentation as designated by Performing Provider","EHR, clinic registry",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,505502.76333333337,"I-14","Patient access to medical home",null,1,"I-14.1","Third Next-Available Appointment",null,"Achieve 10% average decrease in number of days to 3rd next-available appointment in the Hector P Garcia community clinic, from DY4 when the medical home model was initially implemented. This improvement will impact the current 6,640 Medicaid/uninsured patients by allowing them easier access to primary care appointments, as well as new Medicaid/uninsured patients the clinic is able to treat.","Percentage",0.1,"","","N","N","Practice management or scheduling systems","Central scheduling",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,505502.76333333337,"I-18","Obtain medical home recognition by a nationally recognized agency",null,1,"I-18.1","Medical home recognition/accreditation",null,"Currently the Hector P Garcia clinic is not accredited as a medical home. Spohn intends to obtain accreditation for Hector P Garcia from NCQA. Numerator: number of sites or clinics where Spohn provides care receiving recognition/accreditation. Denominator: total number of sites or clinics where Spohn provides care eligible for recognition/accreditation (which is 5). Goal: 20% of sites receive accreditation.","Percentage",0.2,"Number of sites or clinics receiving recognition/accreditation","total number of sites or clinics eligible for recognition/accreditation","N","N","Documentation of recognition/accreditation from nationally recognized agency (e.g., NCQA)",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,505502.76333333337,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.7","4_121775403",5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.7","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,663472.38,"I-15","Increase number or percent of patients that receive consultation by clinical pharmacists , prior to discharge in the in-patient setting and upon refilling a new prescription in the outpatient setting",null,1,"I-15.1","X% of patients receiving consultation by clinical pharmacists",null,"Currently, an estimated 22% (or 1 in 5) of inpatients in Spohn's Corpus facilities receive consultation from the clinical pharmacists upon discharge. Spohn will increase that percentage by 11% to achieve a 33% total number of inpatients receiving consultations (or 1 in 3) from clinical pharmacists upon discharge by the end of DY5, 8,580 individuals.","Numeric",8580,"Number of targeted patients covered by clinical pharmacists (targeted TBD by Performing Provider)","Total number of targeted patients","N","Y","Paper or Electronic health record indicating patient is assigned to a clinical pharmacist. Appointment records for clinical pharmacy.","Patient EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,663472.38,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.7","2.11","Conduct Medication Management","2.11.1","Implement interventions that put in place the teams, technology, and processes to avoid medication errors",1,663472.38,"I-15","Increase number or percent of patients that receive consultation by clinical pharmacists , prior to discharge in the in-patient setting and upon refilling a new prescription in the outpatient setting",null,1,"I-15.1","X% of patients receiving consultation by clinical pharmacists",null,"Currently, an estimated 22% (or 1 in 5) of inpatients in Spohn's Corpus facilities receive consultation from the clinical pharmacists upon discharge. Spohn will increase that percentage by 11% to achieve a 33% total number of inpatients receiving consultations (or 1 in 3) from clinical pharmacists upon discharge by the end of DY5, 8,580 individuals.","Numeric",8580,"Number of targeted patients covered by clinical pharmacists (targeted TBD by Performing Provider)","Total number of targeted patients","N","Y","Paper or Electronic health record indicating patient is assigned to a clinical pharmacist. Appointment records for clinical pharmacy.","Patient EMR",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,663472.38,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_121775403.2.8","4_121775403",5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.8","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,663472.38,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"60% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.6,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,331736.19,"I-17","Increase the number of patient visits for which a medication is prescribed that have medication reconciliation and prescription generation performed electronically",null,1,"I-17.1","Percent of patient visits at which a medication was prescribed that had medication reconciliation and prescription generation performed electronically",null,"60% of prescriptions written in ED are submitted electronically, 54,600 encounters in DY5.","Numeric",54600,"Number of patient visits for which a medication is prescribed have medication reconciliation and prescription generation performed electronically","Total number of eligible patient visits","N","Y","Electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,331736.19,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"121775403","Spohn Health System dba Spohn Memorial Hospital","121775403.2.8","2.11","Conduct Medication Management","2.11.2","Evidence-based interventions that put in place the teams, technology and processes to avoid medication errors. This project option could include one or more of the following components:",2,663472.38,"I-12","Implement electronic prescription writing at the point of care",null,1,"I-12.1","Increase the number of new and refill prescriptions written and generated electronically",null,"60% of prescriptions written for inpatients upon discharge and/or refilled thereafter are generated electronically","Percentage",0.6,"Number of new and refill prescriptions written and generated electronically","Number of new and refill prescriptions written in a specific time period","N","N","Paper or electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,331736.19,"I-17","Increase the number of patient visits for which a medication is prescribed that have medication reconciliation and prescription generation performed electronically",null,1,"I-17.1","Percent of patient visits at which a medication was prescribed that had medication reconciliation and prescription generation performed electronically",null,"60% of prescriptions written in ED are submitted electronically, 54,600 encounters in DY5.","Numeric",54600,"Number of patient visits for which a medication is prescribed have medication reconciliation and prescription generation performed electronically","Total number of eligible patient visits","N","Y","Electronic health record",null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,331736.19,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0]
["4_132812205.2.3","4_132812205",5,"2",4,"132812205","Driscoll Children's Hospital","132812205.2.3","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",5,990865,"I-101",null,"Implement standard care transition processes in specified patient populations.",1,"I-101.1",null,"Increase the number of patient visits seen in the High Risk Infant Follow-up Program","Baseline: 0.  Goal: Provide 280 patient visits through the High Risk Infant Follow-up Program in DY5.","Numeric",280,"","","N","N",null,"Hospital administrative data and the patient medical record.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,198173,"I-102",null,"Provide Bayley Infant Neurodevelopment assessment exams to targeted patients.",1,"I-102.1",null,"Increase Bayley Infant Neurodevelopment assessment exams in the Driscoll Service area.","Baseline: 0.  Goal: Perform 280 Bayley Infant Neurodevelopment Assessment Exams in DY5.","Numeric",280,"","","N","N",null,"Claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,198173,"I-103",null,"Increase patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"I-103.1",null,"Increase the number of individual patients seen in the High Risk Program","Pre-DSRIP Baseline: 0 individuals served.  Goal: Serve an additional 150 individuals in DY5.","Numeric",150,"","","N","Y",null,"Hospital records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,198173,"P-105",null,"Provide patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"P-105.1",null,"Increase the number of High Risk Infant Follow-up Program hours","Increase the number of program hours by 15% above baseline for an additional 29 hours.","Percentage",0.15,"","","N","N",null,"Documentation of operational hours.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,198173,"P-106",null,"Task Force continues to provide oversight for Implement/Expand Care Transition Programs specific to the High Risk Infant Follow-up Program. (CQI)",1,"P-106.1",null,"Documentation of Quality Improvement Meetings held twice per year.","Participate in all semi-annual Quality Improvement meetings.","Numeric",2,"","","N","N",null,"Hospital/health plan record",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,198173,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,null,null,0,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,0,null,5,"2",4,"132812205","Driscoll Children's Hospital","132812205.2.3","2.12","Implement/Expand Care Transitions Programs","2.12.2","Implement one or more pilot intervention(s) in care transitions targeting one or more patient care units or a defined patient population. Examples of interventions include, but are not limited to, implementation of:",5,990865,"I-101",null,"Implement standard care transition processes in specified patient populations.",1,"I-101.1",null,"Increase the number of patient visits seen in the High Risk Infant Follow-up Program","Baseline: 0.  Goal: Provide 280 patient visits through the High Risk Infant Follow-up Program in DY5.","Numeric",280,"","","N","N",null,"Hospital administrative data and the patient medical record.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,198173,"I-102",null,"Provide Bayley Infant Neurodevelopment assessment exams to targeted patients.",1,"I-102.1",null,"Increase Bayley Infant Neurodevelopment assessment exams in the Driscoll Service area.","Baseline: 0.  Goal: Perform 280 Bayley Infant Neurodevelopment Assessment Exams in DY5.","Numeric",280,"","","N","N",null,"Claims data",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,198173,"I-103",null,"Increase patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"I-103.1",null,"Increase the number of individual patients seen in the High Risk Program","Pre-DSRIP Baseline: 0 individuals served.  Goal: Serve an additional 150 individuals in DY5.","Numeric",150,"","","N","Y",null,"Hospital records",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,198173,"P-105",null,"Provide patient accessibility to the High Risk Infant Follow-up Program in the Driscoll Service area.",1,"P-105.1",null,"Increase the number of High Risk Infant Follow-up Program hours","Increase the number of program hours by 15% above baseline for an additional 29 hours.","Percentage",0.15,"","","N","N",null,"Documentation of operational hours.",null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,null,null,null,null,null,null,"","",null,null,null,null,198173,"P-106",null,"Task Force continues to provide oversight for Implement/Expand Care Transition Programs specific to the High Risk Infant Follow-up Program. 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{"sheet":"Cat_RHP_TPI_Proj List","index":12,"n_rows":6002,"n_cols":19,"rows_kept":6002,"cut":false,"hidden":true,"merged":[[0,9,0,10],[0,12,0,13]]}
["List of all Project IDs by Category, RHP, and TPI:",null,null,null,null,null,null,null,null,"Category 1:",null,null,"Category 2:"]
["*** If you change a TPI Number or Project ID in one of the 'Detail' worksheet, make the same change in this worksheet as well  ***"]
["*** Be Careful when dealing with a TPI Number with a '0' as the first digit; many times excel will automatically remove this '0'.  Insert an apostrophe (') before the 0 to fix this issue ***"]
[null,"Category Indicator","RHP","TPI","Project ID",null,"RHP_Category_TPI","RHP_Category_TPI_Project ID",null,{"$f":"\"RHP \" & RHP &\" Category \" & Category1 & \" TPI Index\"","v":"RHP 4 Category 1 TPI Index"},{"$f":"\"RHP \" & RHP &\" Category \" & Category1 & \" TPI \" & Cat1_TPINumber & \" Index\"","v":"RHP 4 Category 1 TPI  Index"},null,{"$f":"\"RHP \" & RHP &\" Category \" & Category2 & \" TPI Index\"","v":"RHP 4 Category 2 TPI Index"},{"$f":"\"RHP \" & RHP &\" Category \" & Category2 & \" TPI \" & Cat2_TPINumber & \" Index\"","v":"RHP 4 Category 2 TPI  Index"},null,"Category Indicator","RHP","TPI","Project ID"]
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[null,{"$f":"IF('Project Dropdown List'!B1982=\"\",\"\",'Project Dropdown List'!B1982)","v":""},{"$f":"IF('Project Dropdown List'!C1982=\"\",\"\",'Project Dropdown List'!C1982)","v":""},{"$f":"IF('Project Dropdown List'!D1982=\"\",\"\",'Project Dropdown List'!D1982)","v":""},{"$f":"IF('Project Dropdown List'!E1982=\"\",\"\",'Project Dropdown List'!E1982)","v":""},null,"","",null,{"$f":"IF(OR($B1982<>Category1,$C1982<>RHP),J1981,IF(COUNTIF(G$5:G1982,G1982)>1,J1981,J1981+1))","v":18},{"$f":"IF(OR($B1982<>Category1,$C1982<>RHP,$D1982<>Cat1_TPINumber),K1981,IF(COUNTIF(H$5:H1982,H1982)>1,K1981,K1981+1))","v":0},null,{"$f":"IF(OR($B1982<>Category2,$C1982<>RHP),M1981,IF(COUNTIF(G$5:G1982,G1982)>1,M1981,M1981+1))","v":14},{"$f":"IF(OR($B1982<>Category2,$C1982<>RHP,$D1982<>Cat2_TPINumber),N1981,IF(COUNTIF(H$5:H1982,H1982)>1,N1981,N1981+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1983=\"\",\"\",'Project Dropdown List'!B1983)","v":""},{"$f":"IF('Project Dropdown List'!C1983=\"\",\"\",'Project Dropdown List'!C1983)","v":""},{"$f":"IF('Project Dropdown List'!D1983=\"\",\"\",'Project Dropdown List'!D1983)","v":""},{"$f":"IF('Project Dropdown List'!E1983=\"\",\"\",'Project Dropdown List'!E1983)","v":""},null,"","",null,{"$f":"IF(OR($B1983<>Category1,$C1983<>RHP),J1982,IF(COUNTIF(G$5:G1983,G1983)>1,J1982,J1982+1))","v":18},{"$f":"IF(OR($B1983<>Category1,$C1983<>RHP,$D1983<>Cat1_TPINumber),K1982,IF(COUNTIF(H$5:H1983,H1983)>1,K1982,K1982+1))","v":0},null,{"$f":"IF(OR($B1983<>Category2,$C1983<>RHP),M1982,IF(COUNTIF(G$5:G1983,G1983)>1,M1982,M1982+1))","v":14},{"$f":"IF(OR($B1983<>Category2,$C1983<>RHP,$D1983<>Cat2_TPINumber),N1982,IF(COUNTIF(H$5:H1983,H1983)>1,N1982,N1982+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1984=\"\",\"\",'Project Dropdown List'!B1984)","v":""},{"$f":"IF('Project Dropdown List'!C1984=\"\",\"\",'Project Dropdown List'!C1984)","v":""},{"$f":"IF('Project Dropdown List'!D1984=\"\",\"\",'Project Dropdown List'!D1984)","v":""},{"$f":"IF('Project Dropdown List'!E1984=\"\",\"\",'Project Dropdown List'!E1984)","v":""},null,"","",null,{"$f":"IF(OR($B1984<>Category1,$C1984<>RHP),J1983,IF(COUNTIF(G$5:G1984,G1984)>1,J1983,J1983+1))","v":18},{"$f":"IF(OR($B1984<>Category1,$C1984<>RHP,$D1984<>Cat1_TPINumber),K1983,IF(COUNTIF(H$5:H1984,H1984)>1,K1983,K1983+1))","v":0},null,{"$f":"IF(OR($B1984<>Category2,$C1984<>RHP),M1983,IF(COUNTIF(G$5:G1984,G1984)>1,M1983,M1983+1))","v":14},{"$f":"IF(OR($B1984<>Category2,$C1984<>RHP,$D1984<>Cat2_TPINumber),N1983,IF(COUNTIF(H$5:H1984,H1984)>1,N1983,N1983+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1985=\"\",\"\",'Project Dropdown List'!B1985)","v":""},{"$f":"IF('Project Dropdown List'!C1985=\"\",\"\",'Project Dropdown List'!C1985)","v":""},{"$f":"IF('Project Dropdown List'!D1985=\"\",\"\",'Project Dropdown List'!D1985)","v":""},{"$f":"IF('Project Dropdown List'!E1985=\"\",\"\",'Project Dropdown List'!E1985)","v":""},null,"","",null,{"$f":"IF(OR($B1985<>Category1,$C1985<>RHP),J1984,IF(COUNTIF(G$5:G1985,G1985)>1,J1984,J1984+1))","v":18},{"$f":"IF(OR($B1985<>Category1,$C1985<>RHP,$D1985<>Cat1_TPINumber),K1984,IF(COUNTIF(H$5:H1985,H1985)>1,K1984,K1984+1))","v":0},null,{"$f":"IF(OR($B1985<>Category2,$C1985<>RHP),M1984,IF(COUNTIF(G$5:G1985,G1985)>1,M1984,M1984+1))","v":14},{"$f":"IF(OR($B1985<>Category2,$C1985<>RHP,$D1985<>Cat2_TPINumber),N1984,IF(COUNTIF(H$5:H1985,H1985)>1,N1984,N1984+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1986=\"\",\"\",'Project Dropdown List'!B1986)","v":""},{"$f":"IF('Project Dropdown List'!C1986=\"\",\"\",'Project Dropdown List'!C1986)","v":""},{"$f":"IF('Project Dropdown List'!D1986=\"\",\"\",'Project Dropdown List'!D1986)","v":""},{"$f":"IF('Project Dropdown List'!E1986=\"\",\"\",'Project Dropdown List'!E1986)","v":""},null,"","",null,{"$f":"IF(OR($B1986<>Category1,$C1986<>RHP),J1985,IF(COUNTIF(G$5:G1986,G1986)>1,J1985,J1985+1))","v":18},{"$f":"IF(OR($B1986<>Category1,$C1986<>RHP,$D1986<>Cat1_TPINumber),K1985,IF(COUNTIF(H$5:H1986,H1986)>1,K1985,K1985+1))","v":0},null,{"$f":"IF(OR($B1986<>Category2,$C1986<>RHP),M1985,IF(COUNTIF(G$5:G1986,G1986)>1,M1985,M1985+1))","v":14},{"$f":"IF(OR($B1986<>Category2,$C1986<>RHP,$D1986<>Cat2_TPINumber),N1985,IF(COUNTIF(H$5:H1986,H1986)>1,N1985,N1985+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1987=\"\",\"\",'Project Dropdown List'!B1987)","v":""},{"$f":"IF('Project Dropdown List'!C1987=\"\",\"\",'Project Dropdown List'!C1987)","v":""},{"$f":"IF('Project Dropdown List'!D1987=\"\",\"\",'Project Dropdown List'!D1987)","v":""},{"$f":"IF('Project Dropdown List'!E1987=\"\",\"\",'Project Dropdown List'!E1987)","v":""},null,"","",null,{"$f":"IF(OR($B1987<>Category1,$C1987<>RHP),J1986,IF(COUNTIF(G$5:G1987,G1987)>1,J1986,J1986+1))","v":18},{"$f":"IF(OR($B1987<>Category1,$C1987<>RHP,$D1987<>Cat1_TPINumber),K1986,IF(COUNTIF(H$5:H1987,H1987)>1,K1986,K1986+1))","v":0},null,{"$f":"IF(OR($B1987<>Category2,$C1987<>RHP),M1986,IF(COUNTIF(G$5:G1987,G1987)>1,M1986,M1986+1))","v":14},{"$f":"IF(OR($B1987<>Category2,$C1987<>RHP,$D1987<>Cat2_TPINumber),N1986,IF(COUNTIF(H$5:H1987,H1987)>1,N1986,N1986+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1988=\"\",\"\",'Project Dropdown List'!B1988)","v":""},{"$f":"IF('Project Dropdown List'!C1988=\"\",\"\",'Project Dropdown List'!C1988)","v":""},{"$f":"IF('Project Dropdown List'!D1988=\"\",\"\",'Project Dropdown List'!D1988)","v":""},{"$f":"IF('Project Dropdown List'!E1988=\"\",\"\",'Project Dropdown List'!E1988)","v":""},null,"","",null,{"$f":"IF(OR($B1988<>Category1,$C1988<>RHP),J1987,IF(COUNTIF(G$5:G1988,G1988)>1,J1987,J1987+1))","v":18},{"$f":"IF(OR($B1988<>Category1,$C1988<>RHP,$D1988<>Cat1_TPINumber),K1987,IF(COUNTIF(H$5:H1988,H1988)>1,K1987,K1987+1))","v":0},null,{"$f":"IF(OR($B1988<>Category2,$C1988<>RHP),M1987,IF(COUNTIF(G$5:G1988,G1988)>1,M1987,M1987+1))","v":14},{"$f":"IF(OR($B1988<>Category2,$C1988<>RHP,$D1988<>Cat2_TPINumber),N1987,IF(COUNTIF(H$5:H1988,H1988)>1,N1987,N1987+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1989=\"\",\"\",'Project Dropdown List'!B1989)","v":""},{"$f":"IF('Project Dropdown List'!C1989=\"\",\"\",'Project Dropdown List'!C1989)","v":""},{"$f":"IF('Project Dropdown List'!D1989=\"\",\"\",'Project Dropdown List'!D1989)","v":""},{"$f":"IF('Project Dropdown List'!E1989=\"\",\"\",'Project Dropdown List'!E1989)","v":""},null,"","",null,{"$f":"IF(OR($B1989<>Category1,$C1989<>RHP),J1988,IF(COUNTIF(G$5:G1989,G1989)>1,J1988,J1988+1))","v":18},{"$f":"IF(OR($B1989<>Category1,$C1989<>RHP,$D1989<>Cat1_TPINumber),K1988,IF(COUNTIF(H$5:H1989,H1989)>1,K1988,K1988+1))","v":0},null,{"$f":"IF(OR($B1989<>Category2,$C1989<>RHP),M1988,IF(COUNTIF(G$5:G1989,G1989)>1,M1988,M1988+1))","v":14},{"$f":"IF(OR($B1989<>Category2,$C1989<>RHP,$D1989<>Cat2_TPINumber),N1988,IF(COUNTIF(H$5:H1989,H1989)>1,N1988,N1988+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1990=\"\",\"\",'Project Dropdown List'!B1990)","v":""},{"$f":"IF('Project Dropdown List'!C1990=\"\",\"\",'Project Dropdown List'!C1990)","v":""},{"$f":"IF('Project Dropdown List'!D1990=\"\",\"\",'Project Dropdown List'!D1990)","v":""},{"$f":"IF('Project Dropdown List'!E1990=\"\",\"\",'Project Dropdown List'!E1990)","v":""},null,{"$f":"IF($B1990=\"\",\"\",\"\" & $C1990 & \"_\" & $B1990 & \"_\" & $D1990 & \"\")","v":""},{"$f":"IF($B1990=\"\",\"\",\"\" & $C1990 & \"_\" & $B1990 & \"_\" & $D1990 &\"_\" & $E1990 & \"\")","v":""},null,{"$f":"IF(OR($B1990<>Category1,$C1990<>RHP),J1989,IF(COUNTIF(G$5:G1990,G1990)>1,J1989,J1989+1))","v":18},{"$f":"IF(OR($B1990<>Category1,$C1990<>RHP,$D1990<>Cat1_TPINumber),K1989,IF(COUNTIF(H$5:H1990,H1990)>1,K1989,K1989+1))","v":0},null,{"$f":"IF(OR($B1990<>Category2,$C1990<>RHP),M1989,IF(COUNTIF(G$5:G1990,G1990)>1,M1989,M1989+1))","v":14},{"$f":"IF(OR($B1990<>Category2,$C1990<>RHP,$D1990<>Cat2_TPINumber),N1989,IF(COUNTIF(H$5:H1990,H1990)>1,N1989,N1989+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1991=\"\",\"\",'Project Dropdown List'!B1991)","v":""},{"$f":"IF('Project Dropdown List'!C1991=\"\",\"\",'Project Dropdown List'!C1991)","v":""},{"$f":"IF('Project Dropdown List'!D1991=\"\",\"\",'Project Dropdown List'!D1991)","v":""},{"$f":"IF('Project Dropdown List'!E1991=\"\",\"\",'Project Dropdown List'!E1991)","v":""},null,"","",null,{"$f":"IF(OR($B1991<>Category1,$C1991<>RHP),J1990,IF(COUNTIF(G$5:G1991,G1991)>1,J1990,J1990+1))","v":18},{"$f":"IF(OR($B1991<>Category1,$C1991<>RHP,$D1991<>Cat1_TPINumber),K1990,IF(COUNTIF(H$5:H1991,H1991)>1,K1990,K1990+1))","v":0},null,{"$f":"IF(OR($B1991<>Category2,$C1991<>RHP),M1990,IF(COUNTIF(G$5:G1991,G1991)>1,M1990,M1990+1))","v":14},{"$f":"IF(OR($B1991<>Category2,$C1991<>RHP,$D1991<>Cat2_TPINumber),N1990,IF(COUNTIF(H$5:H1991,H1991)>1,N1990,N1990+1))","v":0}]
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[null,{"$f":"IF('Project Dropdown List'!B1995=\"\",\"\",'Project Dropdown List'!B1995)","v":""},{"$f":"IF('Project Dropdown List'!C1995=\"\",\"\",'Project Dropdown List'!C1995)","v":""},{"$f":"IF('Project Dropdown List'!D1995=\"\",\"\",'Project Dropdown List'!D1995)","v":""},{"$f":"IF('Project Dropdown List'!E1995=\"\",\"\",'Project Dropdown List'!E1995)","v":""},null,"","",null,{"$f":"IF(OR($B1995<>Category1,$C1995<>RHP),J1994,IF(COUNTIF(G$5:G1995,G1995)>1,J1994,J1994+1))","v":18},{"$f":"IF(OR($B1995<>Category1,$C1995<>RHP,$D1995<>Cat1_TPINumber),K1994,IF(COUNTIF(H$5:H1995,H1995)>1,K1994,K1994+1))","v":0},null,{"$f":"IF(OR($B1995<>Category2,$C1995<>RHP),M1994,IF(COUNTIF(G$5:G1995,G1995)>1,M1994,M1994+1))","v":14},{"$f":"IF(OR($B1995<>Category2,$C1995<>RHP,$D1995<>Cat2_TPINumber),N1994,IF(COUNTIF(H$5:H1995,H1995)>1,N1994,N1994+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1996=\"\",\"\",'Project Dropdown List'!B1996)","v":""},{"$f":"IF('Project Dropdown List'!C1996=\"\",\"\",'Project Dropdown List'!C1996)","v":""},{"$f":"IF('Project Dropdown List'!D1996=\"\",\"\",'Project Dropdown List'!D1996)","v":""},{"$f":"IF('Project Dropdown List'!E1996=\"\",\"\",'Project Dropdown List'!E1996)","v":""},null,"","",null,{"$f":"IF(OR($B1996<>Category1,$C1996<>RHP),J1995,IF(COUNTIF(G$5:G1996,G1996)>1,J1995,J1995+1))","v":18},{"$f":"IF(OR($B1996<>Category1,$C1996<>RHP,$D1996<>Cat1_TPINumber),K1995,IF(COUNTIF(H$5:H1996,H1996)>1,K1995,K1995+1))","v":0},null,{"$f":"IF(OR($B1996<>Category2,$C1996<>RHP),M1995,IF(COUNTIF(G$5:G1996,G1996)>1,M1995,M1995+1))","v":14},{"$f":"IF(OR($B1996<>Category2,$C1996<>RHP,$D1996<>Cat2_TPINumber),N1995,IF(COUNTIF(H$5:H1996,H1996)>1,N1995,N1995+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1997=\"\",\"\",'Project Dropdown List'!B1997)","v":""},{"$f":"IF('Project Dropdown List'!C1997=\"\",\"\",'Project Dropdown List'!C1997)","v":""},{"$f":"IF('Project Dropdown List'!D1997=\"\",\"\",'Project Dropdown List'!D1997)","v":""},{"$f":"IF('Project Dropdown List'!E1997=\"\",\"\",'Project Dropdown List'!E1997)","v":""},null,"","",null,{"$f":"IF(OR($B1997<>Category1,$C1997<>RHP),J1996,IF(COUNTIF(G$5:G1997,G1997)>1,J1996,J1996+1))","v":18},{"$f":"IF(OR($B1997<>Category1,$C1997<>RHP,$D1997<>Cat1_TPINumber),K1996,IF(COUNTIF(H$5:H1997,H1997)>1,K1996,K1996+1))","v":0},null,{"$f":"IF(OR($B1997<>Category2,$C1997<>RHP),M1996,IF(COUNTIF(G$5:G1997,G1997)>1,M1996,M1996+1))","v":14},{"$f":"IF(OR($B1997<>Category2,$C1997<>RHP,$D1997<>Cat2_TPINumber),N1996,IF(COUNTIF(H$5:H1997,H1997)>1,N1996,N1996+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1998=\"\",\"\",'Project Dropdown List'!B1998)","v":""},{"$f":"IF('Project Dropdown List'!C1998=\"\",\"\",'Project Dropdown List'!C1998)","v":""},{"$f":"IF('Project Dropdown List'!D1998=\"\",\"\",'Project Dropdown List'!D1998)","v":""},{"$f":"IF('Project Dropdown List'!E1998=\"\",\"\",'Project Dropdown List'!E1998)","v":""},null,"","",null,{"$f":"IF(OR($B1998<>Category1,$C1998<>RHP),J1997,IF(COUNTIF(G$5:G1998,G1998)>1,J1997,J1997+1))","v":18},{"$f":"IF(OR($B1998<>Category1,$C1998<>RHP,$D1998<>Cat1_TPINumber),K1997,IF(COUNTIF(H$5:H1998,H1998)>1,K1997,K1997+1))","v":0},null,{"$f":"IF(OR($B1998<>Category2,$C1998<>RHP),M1997,IF(COUNTIF(G$5:G1998,G1998)>1,M1997,M1997+1))","v":14},{"$f":"IF(OR($B1998<>Category2,$C1998<>RHP,$D1998<>Cat2_TPINumber),N1997,IF(COUNTIF(H$5:H1998,H1998)>1,N1997,N1997+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B1999=\"\",\"\",'Project Dropdown List'!B1999)","v":""},{"$f":"IF('Project Dropdown List'!C1999=\"\",\"\",'Project Dropdown List'!C1999)","v":""},{"$f":"IF('Project Dropdown List'!D1999=\"\",\"\",'Project Dropdown List'!D1999)","v":""},{"$f":"IF('Project Dropdown List'!E1999=\"\",\"\",'Project Dropdown List'!E1999)","v":""},null,"","",null,{"$f":"IF(OR($B1999<>Category1,$C1999<>RHP),J1998,IF(COUNTIF(G$5:G1999,G1999)>1,J1998,J1998+1))","v":18},{"$f":"IF(OR($B1999<>Category1,$C1999<>RHP,$D1999<>Cat1_TPINumber),K1998,IF(COUNTIF(H$5:H1999,H1999)>1,K1998,K1998+1))","v":0},null,{"$f":"IF(OR($B1999<>Category2,$C1999<>RHP),M1998,IF(COUNTIF(G$5:G1999,G1999)>1,M1998,M1998+1))","v":14},{"$f":"IF(OR($B1999<>Category2,$C1999<>RHP,$D1999<>Cat2_TPINumber),N1998,IF(COUNTIF(H$5:H1999,H1999)>1,N1998,N1998+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2000=\"\",\"\",'Project Dropdown List'!B2000)","v":""},{"$f":"IF('Project Dropdown List'!C2000=\"\",\"\",'Project Dropdown List'!C2000)","v":""},{"$f":"IF('Project Dropdown List'!D2000=\"\",\"\",'Project Dropdown List'!D2000)","v":""},{"$f":"IF('Project Dropdown List'!E2000=\"\",\"\",'Project Dropdown List'!E2000)","v":""},null,"","",null,{"$f":"IF(OR($B2000<>Category1,$C2000<>RHP),J1999,IF(COUNTIF(G$5:G2000,G2000)>1,J1999,J1999+1))","v":18},{"$f":"IF(OR($B2000<>Category1,$C2000<>RHP,$D2000<>Cat1_TPINumber),K1999,IF(COUNTIF(H$5:H2000,H2000)>1,K1999,K1999+1))","v":0},null,{"$f":"IF(OR($B2000<>Category2,$C2000<>RHP),M1999,IF(COUNTIF(G$5:G2000,G2000)>1,M1999,M1999+1))","v":14},{"$f":"IF(OR($B2000<>Category2,$C2000<>RHP,$D2000<>Cat2_TPINumber),N1999,IF(COUNTIF(H$5:H2000,H2000)>1,N1999,N1999+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2001=\"\",\"\",'Project Dropdown List'!B2001)","v":""},{"$f":"IF('Project Dropdown List'!C2001=\"\",\"\",'Project Dropdown List'!C2001)","v":""},{"$f":"IF('Project Dropdown List'!D2001=\"\",\"\",'Project Dropdown List'!D2001)","v":""},{"$f":"IF('Project Dropdown List'!E2001=\"\",\"\",'Project Dropdown List'!E2001)","v":""},null,"","",null,{"$f":"IF(OR($B2001<>Category1,$C2001<>RHP),J2000,IF(COUNTIF(G$5:G2001,G2001)>1,J2000,J2000+1))","v":18},{"$f":"IF(OR($B2001<>Category1,$C2001<>RHP,$D2001<>Cat1_TPINumber),K2000,IF(COUNTIF(H$5:H2001,H2001)>1,K2000,K2000+1))","v":0},null,{"$f":"IF(OR($B2001<>Category2,$C2001<>RHP),M2000,IF(COUNTIF(G$5:G2001,G2001)>1,M2000,M2000+1))","v":14},{"$f":"IF(OR($B2001<>Category2,$C2001<>RHP,$D2001<>Cat2_TPINumber),N2000,IF(COUNTIF(H$5:H2001,H2001)>1,N2000,N2000+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2002=\"\",\"\",'Project Dropdown List'!B2002)","v":""},{"$f":"IF('Project Dropdown List'!C2002=\"\",\"\",'Project Dropdown List'!C2002)","v":""},{"$f":"IF('Project Dropdown List'!D2002=\"\",\"\",'Project Dropdown List'!D2002)","v":""},{"$f":"IF('Project Dropdown List'!E2002=\"\",\"\",'Project Dropdown List'!E2002)","v":""},null,"","",null,{"$f":"IF(OR($B2002<>Category1,$C2002<>RHP),J2001,IF(COUNTIF(G$5:G2002,G2002)>1,J2001,J2001+1))","v":18},{"$f":"IF(OR($B2002<>Category1,$C2002<>RHP,$D2002<>Cat1_TPINumber),K2001,IF(COUNTIF(H$5:H2002,H2002)>1,K2001,K2001+1))","v":0},null,{"$f":"IF(OR($B2002<>Category2,$C2002<>RHP),M2001,IF(COUNTIF(G$5:G2002,G2002)>1,M2001,M2001+1))","v":14},{"$f":"IF(OR($B2002<>Category2,$C2002<>RHP,$D2002<>Cat2_TPINumber),N2001,IF(COUNTIF(H$5:H2002,H2002)>1,N2001,N2001+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2003=\"\",\"\",'Project Dropdown List'!B2003)","v":""},{"$f":"IF('Project Dropdown List'!C2003=\"\",\"\",'Project Dropdown List'!C2003)","v":""},{"$f":"IF('Project Dropdown List'!D2003=\"\",\"\",'Project Dropdown List'!D2003)","v":""},{"$f":"IF('Project Dropdown List'!E2003=\"\",\"\",'Project Dropdown List'!E2003)","v":""},null,"","",null,{"$f":"IF(OR($B2003<>Category1,$C2003<>RHP),J2002,IF(COUNTIF(G$5:G2003,G2003)>1,J2002,J2002+1))","v":18},{"$f":"IF(OR($B2003<>Category1,$C2003<>RHP,$D2003<>Cat1_TPINumber),K2002,IF(COUNTIF(H$5:H2003,H2003)>1,K2002,K2002+1))","v":0},null,{"$f":"IF(OR($B2003<>Category2,$C2003<>RHP),M2002,IF(COUNTIF(G$5:G2003,G2003)>1,M2002,M2002+1))","v":14},{"$f":"IF(OR($B2003<>Category2,$C2003<>RHP,$D2003<>Cat2_TPINumber),N2002,IF(COUNTIF(H$5:H2003,H2003)>1,N2002,N2002+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2004=\"\",\"\",'Project Dropdown List'!B2004)","v":""},{"$f":"IF('Project Dropdown List'!C2004=\"\",\"\",'Project Dropdown List'!C2004)","v":""},{"$f":"IF('Project Dropdown List'!D2004=\"\",\"\",'Project Dropdown List'!D2004)","v":""},{"$f":"IF('Project Dropdown List'!E2004=\"\",\"\",'Project Dropdown List'!E2004)","v":""},null,"","",null,{"$f":"IF(OR($B2004<>Category1,$C2004<>RHP),J2003,IF(COUNTIF(G$5:G2004,G2004)>1,J2003,J2003+1))","v":18},{"$f":"IF(OR($B2004<>Category1,$C2004<>RHP,$D2004<>Cat1_TPINumber),K2003,IF(COUNTIF(H$5:H2004,H2004)>1,K2003,K2003+1))","v":0},null,{"$f":"IF(OR($B2004<>Category2,$C2004<>RHP),M2003,IF(COUNTIF(G$5:G2004,G2004)>1,M2003,M2003+1))","v":14},{"$f":"IF(OR($B2004<>Category2,$C2004<>RHP,$D2004<>Cat2_TPINumber),N2003,IF(COUNTIF(H$5:H2004,H2004)>1,N2003,N2003+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2005=\"\",\"\",'Project Dropdown List'!B2005)","v":""},{"$f":"IF('Project Dropdown List'!C2005=\"\",\"\",'Project Dropdown List'!C2005)","v":""},{"$f":"IF('Project Dropdown List'!D2005=\"\",\"\",'Project Dropdown List'!D2005)","v":""},{"$f":"IF('Project Dropdown List'!E2005=\"\",\"\",'Project Dropdown List'!E2005)","v":""},null,"","",null,{"$f":"IF(OR($B2005<>Category1,$C2005<>RHP),J2004,IF(COUNTIF(G$5:G2005,G2005)>1,J2004,J2004+1))","v":18},{"$f":"IF(OR($B2005<>Category1,$C2005<>RHP,$D2005<>Cat1_TPINumber),K2004,IF(COUNTIF(H$5:H2005,H2005)>1,K2004,K2004+1))","v":0},null,{"$f":"IF(OR($B2005<>Category2,$C2005<>RHP),M2004,IF(COUNTIF(G$5:G2005,G2005)>1,M2004,M2004+1))","v":14},{"$f":"IF(OR($B2005<>Category2,$C2005<>RHP,$D2005<>Cat2_TPINumber),N2004,IF(COUNTIF(H$5:H2005,H2005)>1,N2004,N2004+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2006=\"\",\"\",'Project Dropdown List'!B2006)","v":""},{"$f":"IF('Project Dropdown List'!C2006=\"\",\"\",'Project Dropdown List'!C2006)","v":""},{"$f":"IF('Project Dropdown List'!D2006=\"\",\"\",'Project Dropdown List'!D2006)","v":""},{"$f":"IF('Project Dropdown List'!E2006=\"\",\"\",'Project Dropdown List'!E2006)","v":""},null,"","",null,{"$f":"IF(OR($B2006<>Category1,$C2006<>RHP),J2005,IF(COUNTIF(G$5:G2006,G2006)>1,J2005,J2005+1))","v":18},{"$f":"IF(OR($B2006<>Category1,$C2006<>RHP,$D2006<>Cat1_TPINumber),K2005,IF(COUNTIF(H$5:H2006,H2006)>1,K2005,K2005+1))","v":0},null,{"$f":"IF(OR($B2006<>Category2,$C2006<>RHP),M2005,IF(COUNTIF(G$5:G2006,G2006)>1,M2005,M2005+1))","v":14},{"$f":"IF(OR($B2006<>Category2,$C2006<>RHP,$D2006<>Cat2_TPINumber),N2005,IF(COUNTIF(H$5:H2006,H2006)>1,N2005,N2005+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2007=\"\",\"\",'Project Dropdown List'!B2007)","v":""},{"$f":"IF('Project Dropdown List'!C2007=\"\",\"\",'Project Dropdown List'!C2007)","v":""},{"$f":"IF('Project Dropdown List'!D2007=\"\",\"\",'Project Dropdown List'!D2007)","v":""},{"$f":"IF('Project Dropdown List'!E2007=\"\",\"\",'Project Dropdown List'!E2007)","v":""},null,"","",null,{"$f":"IF(OR($B2007<>Category1,$C2007<>RHP),J2006,IF(COUNTIF(G$5:G2007,G2007)>1,J2006,J2006+1))","v":18},{"$f":"IF(OR($B2007<>Category1,$C2007<>RHP,$D2007<>Cat1_TPINumber),K2006,IF(COUNTIF(H$5:H2007,H2007)>1,K2006,K2006+1))","v":0},null,{"$f":"IF(OR($B2007<>Category2,$C2007<>RHP),M2006,IF(COUNTIF(G$5:G2007,G2007)>1,M2006,M2006+1))","v":14},{"$f":"IF(OR($B2007<>Category2,$C2007<>RHP,$D2007<>Cat2_TPINumber),N2006,IF(COUNTIF(H$5:H2007,H2007)>1,N2006,N2006+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2008=\"\",\"\",'Project Dropdown List'!B2008)","v":""},{"$f":"IF('Project Dropdown List'!C2008=\"\",\"\",'Project Dropdown List'!C2008)","v":""},{"$f":"IF('Project Dropdown List'!D2008=\"\",\"\",'Project Dropdown List'!D2008)","v":""},{"$f":"IF('Project Dropdown List'!E2008=\"\",\"\",'Project Dropdown List'!E2008)","v":""},null,"","",null,{"$f":"IF(OR($B2008<>Category1,$C2008<>RHP),J2007,IF(COUNTIF(G$5:G2008,G2008)>1,J2007,J2007+1))","v":18},{"$f":"IF(OR($B2008<>Category1,$C2008<>RHP,$D2008<>Cat1_TPINumber),K2007,IF(COUNTIF(H$5:H2008,H2008)>1,K2007,K2007+1))","v":0},null,{"$f":"IF(OR($B2008<>Category2,$C2008<>RHP),M2007,IF(COUNTIF(G$5:G2008,G2008)>1,M2007,M2007+1))","v":14},{"$f":"IF(OR($B2008<>Category2,$C2008<>RHP,$D2008<>Cat2_TPINumber),N2007,IF(COUNTIF(H$5:H2008,H2008)>1,N2007,N2007+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2009=\"\",\"\",'Project Dropdown List'!B2009)","v":""},{"$f":"IF('Project Dropdown List'!C2009=\"\",\"\",'Project Dropdown List'!C2009)","v":""},{"$f":"IF('Project Dropdown List'!D2009=\"\",\"\",'Project Dropdown List'!D2009)","v":""},{"$f":"IF('Project Dropdown List'!E2009=\"\",\"\",'Project Dropdown List'!E2009)","v":""},null,"","",null,{"$f":"IF(OR($B2009<>Category1,$C2009<>RHP),J2008,IF(COUNTIF(G$5:G2009,G2009)>1,J2008,J2008+1))","v":18},{"$f":"IF(OR($B2009<>Category1,$C2009<>RHP,$D2009<>Cat1_TPINumber),K2008,IF(COUNTIF(H$5:H2009,H2009)>1,K2008,K2008+1))","v":0},null,{"$f":"IF(OR($B2009<>Category2,$C2009<>RHP),M2008,IF(COUNTIF(G$5:G2009,G2009)>1,M2008,M2008+1))","v":14},{"$f":"IF(OR($B2009<>Category2,$C2009<>RHP,$D2009<>Cat2_TPINumber),N2008,IF(COUNTIF(H$5:H2009,H2009)>1,N2008,N2008+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2010=\"\",\"\",'Project Dropdown List'!B2010)","v":""},{"$f":"IF('Project Dropdown List'!C2010=\"\",\"\",'Project Dropdown List'!C2010)","v":""},{"$f":"IF('Project Dropdown List'!D2010=\"\",\"\",'Project Dropdown List'!D2010)","v":""},{"$f":"IF('Project Dropdown List'!E2010=\"\",\"\",'Project Dropdown List'!E2010)","v":""},null,"","",null,{"$f":"IF(OR($B2010<>Category1,$C2010<>RHP),J2009,IF(COUNTIF(G$5:G2010,G2010)>1,J2009,J2009+1))","v":18},{"$f":"IF(OR($B2010<>Category1,$C2010<>RHP,$D2010<>Cat1_TPINumber),K2009,IF(COUNTIF(H$5:H2010,H2010)>1,K2009,K2009+1))","v":0},null,{"$f":"IF(OR($B2010<>Category2,$C2010<>RHP),M2009,IF(COUNTIF(G$5:G2010,G2010)>1,M2009,M2009+1))","v":14},{"$f":"IF(OR($B2010<>Category2,$C2010<>RHP,$D2010<>Cat2_TPINumber),N2009,IF(COUNTIF(H$5:H2010,H2010)>1,N2009,N2009+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2011=\"\",\"\",'Project Dropdown List'!B2011)","v":""},{"$f":"IF('Project Dropdown List'!C2011=\"\",\"\",'Project Dropdown List'!C2011)","v":""},{"$f":"IF('Project Dropdown List'!D2011=\"\",\"\",'Project Dropdown List'!D2011)","v":""},{"$f":"IF('Project Dropdown List'!E2011=\"\",\"\",'Project Dropdown List'!E2011)","v":""},null,"","",null,{"$f":"IF(OR($B2011<>Category1,$C2011<>RHP),J2010,IF(COUNTIF(G$5:G2011,G2011)>1,J2010,J2010+1))","v":18},{"$f":"IF(OR($B2011<>Category1,$C2011<>RHP,$D2011<>Cat1_TPINumber),K2010,IF(COUNTIF(H$5:H2011,H2011)>1,K2010,K2010+1))","v":0},null,{"$f":"IF(OR($B2011<>Category2,$C2011<>RHP),M2010,IF(COUNTIF(G$5:G2011,G2011)>1,M2010,M2010+1))","v":14},{"$f":"IF(OR($B2011<>Category2,$C2011<>RHP,$D2011<>Cat2_TPINumber),N2010,IF(COUNTIF(H$5:H2011,H2011)>1,N2010,N2010+1))","v":0}]
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[null,{"$f":"IF('Project Dropdown List'!B2017=\"\",\"\",'Project Dropdown List'!B2017)","v":""},{"$f":"IF('Project Dropdown List'!C2017=\"\",\"\",'Project Dropdown List'!C2017)","v":""},{"$f":"IF('Project Dropdown List'!D2017=\"\",\"\",'Project Dropdown List'!D2017)","v":""},{"$f":"IF('Project Dropdown List'!E2017=\"\",\"\",'Project Dropdown List'!E2017)","v":""},null,"","",null,{"$f":"IF(OR($B2017<>Category1,$C2017<>RHP),J2016,IF(COUNTIF(G$5:G2017,G2017)>1,J2016,J2016+1))","v":18},{"$f":"IF(OR($B2017<>Category1,$C2017<>RHP,$D2017<>Cat1_TPINumber),K2016,IF(COUNTIF(H$5:H2017,H2017)>1,K2016,K2016+1))","v":0},null,{"$f":"IF(OR($B2017<>Category2,$C2017<>RHP),M2016,IF(COUNTIF(G$5:G2017,G2017)>1,M2016,M2016+1))","v":14},{"$f":"IF(OR($B2017<>Category2,$C2017<>RHP,$D2017<>Cat2_TPINumber),N2016,IF(COUNTIF(H$5:H2017,H2017)>1,N2016,N2016+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2018=\"\",\"\",'Project Dropdown List'!B2018)","v":""},{"$f":"IF('Project Dropdown List'!C2018=\"\",\"\",'Project Dropdown List'!C2018)","v":""},{"$f":"IF('Project Dropdown List'!D2018=\"\",\"\",'Project Dropdown List'!D2018)","v":""},{"$f":"IF('Project Dropdown List'!E2018=\"\",\"\",'Project Dropdown List'!E2018)","v":""},null,"","",null,{"$f":"IF(OR($B2018<>Category1,$C2018<>RHP),J2017,IF(COUNTIF(G$5:G2018,G2018)>1,J2017,J2017+1))","v":18},{"$f":"IF(OR($B2018<>Category1,$C2018<>RHP,$D2018<>Cat1_TPINumber),K2017,IF(COUNTIF(H$5:H2018,H2018)>1,K2017,K2017+1))","v":0},null,{"$f":"IF(OR($B2018<>Category2,$C2018<>RHP),M2017,IF(COUNTIF(G$5:G2018,G2018)>1,M2017,M2017+1))","v":14},{"$f":"IF(OR($B2018<>Category2,$C2018<>RHP,$D2018<>Cat2_TPINumber),N2017,IF(COUNTIF(H$5:H2018,H2018)>1,N2017,N2017+1))","v":0}]
[null,{"$f":"IF('Project Dropdown List'!B2019=\"\",\"\",'Project Dropdown List'!B2019)","v":""},{"$f":"IF('Project Dropdown List'!C2019=\"\",\"\",'Project Dropdown List'!C2019)","v":""},{"$f":"IF('Project Dropdown List'!D2019=\"\",\"\",'Project Dropdown List'!D2019)","v":""},{"$f":"IF('Project Dropdown List'!E2019=\"\",\"\",'Project Dropdown List'!E2019)","v":""},null,"","",null,{"$f":"IF(OR($B2019<>Category1,$C2019<>RHP),J2018,IF(COUNTIF(G$5:G2019,G2019)>1,J2018,J2018+1))","v":18},{"$f":"IF(OR($B2019<>Category1,$C2019<>RHP,$D2019<>Cat1_TPINumber),K2018,IF(COUNTIF(H$5:H2019,H2019)>1,K2018,K2018+1))","v":0},null,{"$f":"IF(OR($B2019<>Category2,$C2019<>RHP),M2018,IF(COUNTIF(G$5:G2019,G2019)>1,M2018,M2018+1))","v":14},{"$f":"IF(OR($B2019<>Category2,$C2019<>RHP,$D2019<>Cat2_TPINumber),N2018,IF(COUNTIF(H$5:H2019,H2019)>1,N2018,N2018+1))","v":0}]
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{"sheet":"DY3-5 QPI Summary","index":13,"n_rows":1493,"n_cols":112,"rows_kept":562,"cut":true,"hidden":true,"merged":[[3,8,3,25]],"bounds":{"rows_first":250,"rows_last":62,"rows_between":250,"halvings":3}}
[null,null,null,"DY3-5 QPI Summary"]
[null,null,null,null,null,null,null,"Demostration Year",3,3,3,3,3,3,4,4,4,4,4,4,5,5,5,5,5,5,"All","All",3,3,4,4,5,5,"All",3,3,4,4,5,5,"All",3,3,4,4,5,5,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5]
[null,null,null,null,null,null,null,"Provider Response?","N","Y","N","Y","N","Y","N","Y","N","Y","N","Y","N","Y","N","Y","N","Y","N","Y","N","Y","N","Y","N","Y","Y","N","Y","N","Y","N","Y","Y","N","Y","N","Y","N","Y","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N","N"]
[null,null,null,null,null,null,null,null,"Medicaid/Low Income Uninsured %",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"QPI Metric #1",null,null,null,null,null,null,"QPI Metric #2",null,null,null,null,null,null,"QPI Metric #3",null,null,null,null,null,null,"DY3 QPI Metric #1",null,null,null,null,null,null,"DY3 QPI Metric #2",null,null,null,null,null,null,"DY3 QPI Metric #3",null,null,null,null,null,null,"DY4 QPI Metric #1",null,null,null,null,null,null,"DY4 QPI Metric #2",null,null,null,null,null,null,"DY4 QPI Metric #3",null,null,null,null,null,null,"DY5 QPI Metric #1",null,null,null,null,null,null,"DY5 QPI Metric #2",null,null,null,null,null,null,"DY5 QPI Metric #3"]
[null,null,"RHP_Project ID","TPI","Project ID","RHP","Project Area","Provider Name","DY3 % Medicaid Intend to Serve Goal","DY3 % Medicaid Intend to Serve Actual","DY3 % Low-Income Uninsured Intend to Serve Goal","DY3 % Low-Income Uninsured Intend to Serve Actual","DY3 Combined Total Goal (% Medicaid and Low-Income Uninsured)","DY3 Combined Total Actual (% Medicaid and Low-Income Uninsured)","DY4 % Medicaid Intend to Serve Goal","DY4 % Medicaid Intend to Serve Actual","DY4 % Low-Income Uninsured Intend to Serve Goal","DY4 % Low-Income Uninsured Intend to Serve Actual","DY4 Combined Total Goal (% Medicaid and Low-Income Uninsured)","DY4 Combined Total Actual (% Medicaid and Low-Income Uninsured)","DY5 % Medicaid Intend to Serve Goal","DY5 % Medicaid Intend to Serve Actual","DY5 % Low-Income Uninsured Intend to Serve Goal","DY5 % Low-Income Uninsured Intend to Serve Actual","DY5 Combined Total Goal (% Medicaid and Low-Income Uninsured)","DY5 Combined Total Actual (% Medicaid and Low-Income Uninsured)","QPI Grouping","Pre-DSRIP Baseline 1","DY3 QPI Goal 1","DY3 Achievement 1","DY4 QPI Goal 1","DY4 Achievement 1","DY5 QPI Goal 1","DY5 Achievement 1","Pre-DSRIP Baseline 2","DY3 QPI Goal 2","DY3 Achievement 2","DY4 QPI Goal 2","DY4 Achievement 2","DY5 QPI Goal 2","DY5 Achievement 2","Pre-DSRIP Baseline 3","DY3 QPI Goal 3","DY3 Achievement 3","DY4 QPI Goal 3","DY4 Achievement 3","DY5 QPI Goal 3","DY5 Achievement 3","Metric  1 ID (DY3)","Metric 1 Description (DY3)","Metric 1 Provider Manual Desc, if needed (DY3)","Metric 1 QPI Subset [Y/N] (DY3)","Metric 1 Baseline/ Goal (DY3)","Metric 1 Numeric Goal (DY3)","Metric 1 Medicaid/ Indigent Required (DY3)","Metric  2 ID (DY3)","Metric 2 Description (DY3)","Metric 2 Provider Manual Desc, if needed (DY3)","Metric 2 QPI Subset [Y/N] (DY3)","Metric 2 Baseline/Goal (DY3)","Metric 2 Numeric Goal (DY3)","Metric 2 Medicaid/ Indigent Required (DY3)","Metric  3 ID (DY3)","Metric 3 Description (DY3)","Metric 3 Provider Manual Desc, if needed (DY3)","Metric 3 QPI Subset [Y/N] (DY3)","Metric 3 Baseline/Goal (DY3)","Metric 3 Numeric Goal (DY3)","Metric 3 Medicaid/ Indigent Required (DY3)","Metric  1 ID (DY4)","Metric 1 Description (DY4)","Metric 1 Provider Manual Desc, if needed (DY4)","Metric 1 QPI Subset [Y/N] (DY4)","Metric 1 Baseline/ Goal (DY4)","Metric 1 Numeric Goal (DY4)","Metric 1 Medicaid/ Indigent Required (DY4)","Metric  2 ID (DY4)","Metric 2 Description (DY4)","Metric 2 Provider Manual Desc, if needed (DY4)","Metric 2 QPI Subset [Y/N] (DY4)","Metric 2 Baseline/Goal (DY4)","Metric 2 Numeric Goal (DY4)","Metric 2 Medicaid/ Indigent Required (DY4)","Metric  3 ID (DY4)","Metric 3 Description (DY4)","Metric 3 Provider Manual Desc, if needed (DY4)","Metric 3 QPI Subset [Y/N] (DY4)","Metric 3 Baseline/Goal (DY4)","Metric 3 Numeric Goal (DY4)","Metric 3 Medicaid/ Indigent Required (DY4)","Metric  1 ID (DY5)","Metric 1 Description (DY5)","Metric 1 Provider Manual Desc, if needed (DY5)","Metric 1 QPI Subset [Y/N] (DY5)","Metric 1 Baseline/ Goal (DY5)","Metric 1 Numeric Goal (DY5)","Metric 1 Medicaid/ Indigent Required (DY5)","Metric  2 ID (DY5)","Metric 2 Description (DY5)","Metric 2 Provider Manual Desc, if needed (DY5)","Metric 2 QPI Subset [Y/N] (DY5)","Metric 2 Baseline/Goal (DY5)","Metric 2 Numeric Goal (DY5)","Metric 2 Medicaid/ Indigent Required (DY5)","Metric  3 ID (DY5)","Metric 3 Description (DY5)","Metric 3 Provider Manual Desc, if needed (DY5)","Metric 3 QPI Subset [Y/N] (DY5)","Metric 3 Baseline/Goal (DY5)","Metric 3 Numeric Goal (DY5)","Metric 3 Medicaid/ Indigent Required (DY5)","Withdrawn?"]
[null,null,{"$f":"\"\"&IF(LEN($F6)=5,RIGHT($F6,1),RIGHT($F6,2))&\"_\"&E6","v":"1_017624002.1.1"},"017624002","017624002.1.1","RHP 1","1.1","East Texas Medical Center - Quitman",0.13,0.20780000000000001,7.0000000000000007E-2,7.2499999999999995E-2,0.2,0.28029999999999999,0.13,0.261165321823982,7.0000000000000007E-2,6.7367235879151804E-2,0.2,0.32853255770313383,0.13,"NA",7.0000000000000007E-2,"NA",0.2,"NA","Encounters",21134,1180,1180,2350,182,2820,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 13% [1,880] over baseline of approx 14,000 visits in the Quitman, Mineola & Van RHC’s, 1180 encounters",1180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 17% [2,350 encounters] over baseline of approx 14,000 visits in the Quitman, Minneola & Van RHC’s. ",2350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 20% [2,820 encounters] over baseline of approx 14,000 visits in the Quitman, Minneola & Van RHC’s.",2820,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,{"$f":"\"\"&IF(LEN($F7)=5,RIGHT($F7,1),RIGHT($F7,2))&\"_\"&E7","v":"1_020812601.1.1"},"020812601","020812601.1.1","RHP 1","1.9","East Texas Medical Center",0.05,0.05,0.05,0.05,0.1,0.1,0.05,1.9E-3,0.05,6.1000000000000004E-3,0.1,8.0000000000000002E-3,0.05,"NA",0.05,"NA",0.1,"NA","Encounters",0,1880,2046,2350,2630,2820,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Documentation of baseline number of visits.","N","Establish a baseline for specialty clinic volume – Estimated at 1880 clinic visits per year – Endocrinology. 1880 encounters",1880,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","25% (470) increase in endocrinology clinic visits over a baseline of 1880. DY4 impact of 2350 encounters. ",2350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","50% (940) increase in endocrinology clinic visits over a baseline of 1880. DY5 impact of 2820 encounters. ",2820,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_020812601.1.2","020812601","020812601.1.2","RHP 1","1.9","East Texas Medical Center",0.13,0.13,7.0000000000000007E-2,7.0000000000000007E-2,0.2,0.2,0.13,1.2200000000000001E-2,7.0000000000000007E-2,1.2200000000000001E-2,0.2,2.4400000000000002E-2,0.13,"NA",7.0000000000000007E-2,"NA",0.2,"NA","Encounters",0,1500,3031,1330,4352,3361,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Establish a baseline for specialty clinic volume – number of visits.","N","Establish a baseline for specialty clinic volume. Estimated at 1500 clinic visits per year across all coverage locations. 1500 encounters.",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline: 0. Goal: 1330 encounters in DY4",1330,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline: 0. Goal: 3361 encounters in DY5.",3361,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_020812601.2.1","020812601","020812601.2.1","RHP 1","2.9","East Texas Medical Center",0.115,4.07E-2,0.115,6.7500000000000004E-2,0.23,0.1082,0.115,"NA",0.115,"NA",0.23,"NA",0.115,"NA",0.115,"NA",0.23,"NA","Individuals",0,550,349,1100,"NA",1652,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without a primary care provider who were referred to a primary care provider in the ED Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.","N","Refer 5% [550 individuals] out of a baseline of 11,017 non‐urgent patients",550,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without\na primary care provider who were\nreferred to a primary care provider in\nthe ED\nNumerator: Number non‐urgent ED\npatients without a PCP documented in\ntheir medical record that receive\n(documented) referral to a PCP.\nDenominator: Non‐urgent ED patients\nwithout a PCP documented in their\nmedical record.","N","Refer 10% [1,100 individuals] out of a baseline of 11,017 non‐urgent patients.",1100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without\na primary care provider who were\nreferred to a primary care provider in\nthe ED\nNumerator: Number non‐urgent ED\npatients without a PCP documented in\ntheir medical record that receive\n(documented) referral to a PCP.\nDenominator: Non‐urgent ED patients\nwithout a PCP documented in their\nmedical record.","N","Refer 15% [1,652 individuals] out of a baseline of 11,017 of non‐urgent patients.",1652,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_020812601.2.2","020812601","020812601.2.2","RHP 1","2.12","East Texas Medical Center",0.115,0.115,0.115,0.115,0.23,0.23,0.115,"NA",0.115,"NA",0.23,"NA",0.115,"NA",0.115,"NA",0.23,"NA","Individuals",0,532,0,585,"NA",638,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines. Numerator: Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines. Denominator: Number of patients discharged or eligible for care transition services.","N","Establish a baseline for patients in target population who receive transition protocol. We estimate that baseline to be 532 ETMC patients who have CHF.",532,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","10% (53 patients) increase in number of patients who receive the protocol over a baseline of 532. DY4 impact of 585 individuals. ",585,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","20% (106 patients) increase in number of patients who receive the protocol over a baseline of 532. DY5 impact of 638 individuals. ",638,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_020812601.2.3","020812601","020812601.2.3","RHP 1","2.4","East Texas Medical Center",0.125,0.125,0.125,0.125,0.25,0.25,0.125,6.8400000000000002E-2,0.125,0.13159999999999999,0.25,0.2,0.125,"NA",0.125,"NA",0.25,"NA","Individuals",0,2000,2262,2200,7958,2262,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals who are positively impacted by improvements","N","2000 Individuals",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals who are positively impacted by improvements","N","DY4 impact of 2,200 individuals. ",2200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals who are positively impacted by improvements","N","DY5 impact of 2262 individuals. ",2262,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_084434201.1.1","084434201","084434201.1.1","RHP 1","1.11","Texoma Community Center",0,"NA",0,"NA",0,"NA",0.51,0,0.2,1,0.71,1,0.51,"NA",0.2,"NA",0.71,"NA","Encounters",0,"NA","NA",130,171,163,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.1","NA","Increased number of encounters provided to adolescent and adult patients with a new episode of AOD dependence who initiate treatment through outpatient telemedicine or telehealth visits within 14 days of the diagnosis and who initiated treatment will have two or more additional services (encounters) within 30 days of the initial visit","N","130 encounters",130,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.1","NA","Increased number of encounters provided to adolescent and adult patients with a new episode of AOD dependence who initiate treatment through outpatient telemedicine or telehealth visits within 14 days of the diagnosis and who initiated treatment will have two or more additional services (encounters) within 30 days of the initial visit","N","DY5 impact of 163 encounters. ",163,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_084434201.1.2","084434201","084434201.1.2","RHP 1","1.12","Texoma Community Center",0.51,0,0.2,0.88900000000000001,0.71,0.88900000000000001,0.51,0,0.2,1,0.71,1,0.51,"NA",0.2,"NA",0.71,"NA","Individuals",0,5,18,10,79,23,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","Increased number of new community based sites where behavioral health services are delivered and number of patients being served. a. Number of patients served at these new community‐based sites","N","Baseline: No community based site and Zero patients served Goal: 1 new community based site and 5 Patients being served. 5 individuals.",5,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Increased number of patients and interns receiving TCC substance abuse community behavioral healthcare services.","N","Numerator:  Number receiving Substance Abuse services from new clinic after expansion.  Denominator:  Number of people receiving Substance Abuse services in the previous year.  Baseline: 5 patients receiving services; zero interns receiving supervision Goal: 300% over previous year  (10 new patients (individuals) receiving substance abuse services after access expansion); 2 interns receiving supervision after expansion. ",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Numerator:  Number receiving Substance Abuse services from new clinic after expansion.  Denominator:  Number of people receiving Substance Abuse services in the previous year.  Baseline: 15 patients receiving services; 2 interns receiving supervision Goal: 23 new patients (individuals) receiving substance abuse services after access expansion); 3 interns receiving supervision after expansion.",23,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_084434201.1.3","084434201","084434201.1.3","RHP 1","1.12","Texoma Community Center",0.51,2.5999999999999999E-2,0.2,0.47399999999999998,0.71,0.5,0.51,0,0.2,1,0.71,1,0.51,"NA",0.2,"NA",0.71,"NA","Individuals",0,10,38,15,79,46,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","Number of patients receiving counseling services in new community based setting","N","Baseline: 3 sites/zero patients Goal: 4 sites/ 10 patients served at new site. 10 individuals",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients utilizing TCC counseling community behavioral healthcare services.","N","Number receiving counseling services from new center after expansion. Baseline: 10 patients receiving counseling services at new center. Goal: 15 new patients (individuals) receiving counseling services at new counseling site.",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients receiving TCC counseling community behavioral healthcare services.","N","Number receiving counseling services from new center after expansion. Baseline: 25 patients receiving counseling services at new center. Goal:46 new patients (individuals) receiving counseling services at new counseling site.",46,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_084434201.1.4","084434201","084434201.1.4","RHP 1","1.10","Texoma Community Center",0.51,0,0.2,1,0.71,1,0.51,0,0.2,1,0.71,1,0.51,"NA",0.2,"NA",0.71,"NA","Individuals",0,12,40,17,26,21,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","Demonstrate how quality reports are used to drive rapid-cycle performance improvement","NA","N","Out of 85 assessments to be given to patients, 15% (12 patients) will show improved scores as tracked by QI reports.",12,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","Demonstrate how quality reports are used to drive rapid-cycle performance improvement.","NA","N","Out of 85 assessments to be given to patients, 20% (17 patients (individuals)) will show improved scores as tracked by QI reports. ",17,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","Demonstrate how quality reports are used to drive rapid-cycle performance improvement.","NA","N","Out of 85 assessments to be given to patients, 25% (21 patients (individuals)) will show improved scores as tracked by QI reports. ",21,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_084434201.2.1","084434201","084434201.2.1","RHP 1","2.19","Texoma Community Center",0.51,0,0.2,1,0.71,1,0.51,0.19400000000000001,0.2,0.80500000000000005,0.71,0.99900000000000011,0.51,"NA",0.2,"NA",0.71,"NA","Individuals",0,20,21,35,36,52,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Increased number of patients with chronic disease who receive appropriate disease specific instructions ","N","Baseline: 0 patients. Goal: 20 new patients with chronic disease who receive appropriate disease specific instructions, establishing a baseline for DY4 and 5.",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-25.1","Increased number of patients with chronic disease who receive appropriate disease specific instructions ","NA","N","Numerator: Number of patients receiving appropriate disease specific instructions.  Denominator: previous year patients receiving appropriate disease specific instructions.    Baseline: 20 patients. Goal: 275% over previous year (35 new patients (individuals) with chronic disease who receive appropriate disease specific instructions).",35,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-25.1","NA","Increased number of patients with chronic disease who receive appropriate disease specific instructions ","N","Numerator: Number of patients receiving appropriate disease specific instructions.  Denominator: previous year patients receiving appropriate disease specific instructions.    Baseline: 55 patients. Goal: 190% over previous year (52 new patients (individuals) with chronic disease who receive appropriate disease specific instructions).",52,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_084434201.2.2","084434201","084434201.2.2","RHP 1","2.13","Texoma Community Center",0.51,0,0.2,0.98399999999999999,0.71,0.98399999999999999,0.51,2.8000000000000001E-2,0.2,0.97099999999999997,0.71,0.999,0.51,"NA",0.2,"NA",0.71,"NA","Individuals",0,8,56,20,173,64,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","Increase number of targeted individuals served","N","Baseline: Zero served with comprehensive services Goal: 8 individuals",8,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline: 0 served with comprehensive services Goal: 20 individuals served. ",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline: 0 served with comprehensive services Goal: 64 individuals served.",64,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094095902.2.1","094095902","094095902.2.1","RHP 1","2.9","Good Shepherd Medical Center",0.31,0.378,0.34,0.22420000000000001,0.65,0.60220000000000007,0.31,"NA",0.34,"NA",0.65,"NA",0.31,"NA",0.34,"NA",0.65,"NA","Individuals",1543,550,1705,550,"NA",1705,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","NA","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED","N","550 individuals served. 10% - Numerator: Number of ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator. Denominator: ED patients without a PCP documented in their medical record.",550,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED","N","10% Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED. Goal is to serve 550 individuals Numerator: Number ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator. Denominator: ED patients without a PCP documented in their medical record.",550,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","NA","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED","N","DY5 impact of 1,705 individuals. ",1705,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094108002.1.1","094108002","094108002.1.1","RHP 1","1.1","Mother Frances Hospital",0.08,0.36,0.03,7.0000000000000007E-2,0.11,0.43,0.08,0.1472,0.03,3.44E-2,0.11,0.18159999999999998,0.08,"NA",0.03,"NA",0.11,"NA","Encounters",392730,12000,42348,16000,11746,43348,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 0 patient visits Goal:12,000 patient encounters",12000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline/Goal: 0 – All new providers, 9/30/12. Goal: 16,000 patient visits (encounters) over baseline or 4,000 over DY3. ",16000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline/Goal: 9/30/12. Goal: 43,348 patient visits (encounters) over baseline.",43348,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094108002.1.2","094108002","094108002.1.2","RHP 1","1.9","Mother Frances Hospital",0.08,7.0000000000000007E-2,0.03,0.04,0.11,0.11000000000000001,0.08,6.7100000000000007E-2,0.03,4.4999999999999998E-2,0.11,0.11210000000000001,0.08,"NA",0.03,"NA",0.11,"NA","Encounters",82768,11413,11945,15579,10075,18999,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline: Number of visits from 9/30/12. Goal: Increase by 11,413 encounters in DY3.",11413,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline: Number of visits from 9/30/12. Goal: Increase by an additional 15,579. 15% Medicaid and Low Income Uninsured.",15579,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2) a. Total number of visits for reporting period.","N","Baseline: Number of visits reported in DY4.  Goal: 18,999 encounters for the year. Averaging 11% Medicaid/ Indigent",18999,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094108002.1.3","094108002","094108002.1.3","RHP 1","1.7","Mother Frances Hospital",0.45,0.47,0,0,0.45,0.47,0.45,0.46,0,0,0.45,0.46,0.45,"NA",0,"NA",0.45,"NA","Encounters",719,175,175,225,-41,250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Documentation of the number of consults delivered by each specialty","NA","N","Baseline:0‐ New service Goal: 175 telemedicine patient encounters.",175,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","Baseline: 0 – new visits Goal: 225 encounters in DY4. The transfer rate is 85% of those requiring consults. As of DY 2 we were transferring 100%. Numerator: Number of visits in which patients are seen using telemedicine services for each type of medical or surgical subspecialty provided by a specified timeline (e.g. one year) and geographic area in a RHP or for individual provider. Denominator: Number of patients referred to medical specialties.",225,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","Baseline: New visits 0 Goal: 250 telemedicine patient visits (encounters); documentation provided. Transfer rate goal is lowered to 75% of those requiring consults. Numerator: Number of visits in which patients are seen using telemedicine services for each type of medical or surgical subspecialty provided by a specified timeline (e.g. one year) and geographic area in a RHP or for individual provider. Denominator: Number of patients referred to medical specialties.",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094108002.2.1","094108002","094108002.2.1","RHP 1","2.1","Mother Frances Hospital",0.08,4.87E-2,0.03,5.0299999999999997E-2,0.11,9.9000000000000005E-2,0.08,3.1399999999999997E-2,0.03,2.1000000000000001E-2,0.11,5.2400000000000002E-2,0.08,"NA",0.03,"NA",0.11,"NA","Individuals",0,30070,30213,31050,33822,31300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-7.1","Tracking medical home patients","Number of unique individuals receiving care","N","BASELIINE:  0 patients at new high risk clinic –  0 patients at TC-Douglas under new rules; TC-Douglas – 30,250  unique patients\nGOAL:  Track / number of unique new patients receiving care  to the high risk medical home clinic and to the TC-Douglas Medical Home\nHigh Risk Clinic goal:  450 unique new patients; New total is 30,700 unique patients\n",30070,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-7.1","Tracking medical home patients","Number of unique individuals receiving care","N","BASELIINE:  0 patients at new high risk clinic –  0 patients at TC-Douglas under new rules; GOAL:  Track a/ number of unique  new patients receiving care to the high risk medical home clinic and to the TC-Douglas Medical Home; High Risk Clinic goal:  100 unique new patients – total for clinic in DY4 is 550; TC-Douglas – 250 new unique patients-total for clinic in DY4 is 30,500 new unique patients; New total (DY4 QPI) is 31.050 unique patients (individuals)",31050,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-7.1","Tracking medical home patients","Number of unique individuals receiving care","N","BASELIINE:  0 patients at new high risk clinic –  0 patients at TC-Douglas under new rules; GOAL:  Track /count number of unique  new patients receiving care to the high risk medical home clinic and to the TC-Douglas Medical Home; High Risk Clinic goal:  50 unique new patients – total for clinic in DY5 is 600; TC-Douglas – 200 new unique patients-total for clinic in DY5 is 30700 new unique patients; Resulting in (DY5 QPI) 31,300 unique patients (individuals) being counted/tracked within TC Douglas for the project.",31300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094108002.2.100","094108002","094108002.2.100","RHP 1","2.10","Mother Frances Hospital",0,"NA",0,"NA",0,"NA",0.09,0.08,0.02,1.7999999999999999E-2,0.11,9.8000000000000004E-2,0.09,"NA",0.02,"NA",0.11,"NA","Encounters",816,"NA","NA",897,129,937,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.3","Improved access to palliative care services ","NA","N","Baseline: 816 consults between October 2012 - September 2013; DY4 Goal: 897 inpatient or outpatient consults ",897,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.3","Improved access to palliative care services ","NA","N","DY5 Goal: 937 inpatient or outpatient consults ",937,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094108002.2.2","094108002","094108002.2.2","RHP 1","2.9","Mother Frances Hospital",0.04,5.8999999999999997E-2,0.02,8.3000000000000004E-2,0.06,0.14200000000000002,0.04,6.7699999999999996E-2,0.02,6.7000000000000002E-3,0.06,7.4399999999999994E-2,0.04,"NA",0.02,"NA",0.06,"NA","Individuals",0,200,255,225,292,280,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","Increase in the number or percent of targeted patients enrolled in the program a. Numerator: Number of targeted patients enrolled in the program b. Denominator: Total number of targeted patients identified","N","Baseline: 0‐ new program, no patients enrolled. Goal: Enroll 200 individuals.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Baseline: Patients enrolled in DY3. Goal: Enroll 225 new patients (individuals). ",225,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Baseline: Patients enrolled in DY4. Goal: Enroll 280 new patients (individuals).",280,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094108002.2.3","094108002","094108002.2.3","RHP 1","2.12","Mother Frances Hospital",0.12,0.12,0.08,0.12,0.2,0.24,0.12,0.16,0.08,0.1111,0.2,0.27110000000000001,0.12,"NA",0.08,"NA",0.2,"NA","Individuals",0,200,203,225,225,250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes","Measure adherence to processes a. Numerator: Number of patients in defined (10/1/2013 – 9/30/2014) Year 4 (10/1/2014 – 9/30/2015) Year 5 (10/1/2015 – 9/30/2016) population receiving care according to standard protocol b. Denominator: Number of population patients discharged","N","Baseline: New process, 0 patients in program Goal: 200 individuals in the program - 33% Numerator: Number of patients in defined population receiving care according to standard protocol. Denominator: Number of population patients discharged.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes","NA","N","Baseline: New patients over DY3 Goal: 225 new patients (individuals) in the program. 50% Numerator: Number of patients in defined population receiving care according to standard protocol. Denominator: Number of population patients discharged.",225,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes","NA","N","Baseline: 225 patients in DY4 Goal: 250 new patients (individuals) in the program. 60% Numerator: Number of patients in defined population receiving care according to standard protocol. Denominator: Number of population patients discharged.",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094127002.1.1","094127002","094127002.1.1","RHP 1","1.1","East Texas Medical Center - Carthage",0.25,0.3543,0.05,5.3499999999999999E-2,0.3,0.4078,0.25,0.32999573318162401,0.05,5.3534347887924903E-2,0.3,0.38353008106954889,0.25,"NA",0.05,"NA",0.3,"NA","Encounters",36212,1838,12500,3677,-1057,14338,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 5% over baseline of 36,768 visits. 1838 encounters.",1838,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 10% over baseline of 36,768 visits. DY4 impact of 3677 encounters. ",3677,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits over baseline of 36,768 visits. DY5 goal is 14,338 encounters. ",14338,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094127002.2.1","094127002","094127002.2.1","RHP 1","2.9","East Texas Medical Center - Carthage",0.125,0.20150000000000001,0.125,0.19550000000000001,0.25,0.39700000000000002,0.125,0.125,0.125,0.125,0.25,0.25,0.125,"NA",0.125,"NA",0.25,"NA","Individuals",0,515,1256,1033,748,1550,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without a primary care provider who were referred to a primary care provider in the ED Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.","N","Refer 5% [515 individuals] out of a baseline of 10,331 non‐urgent patients",515,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program. ","NA","N","Refer 10% [1,033 individuals] out of a baseline of 10,331 non‐urgent patients.",1033,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Refer 15% [1,550 individuals] out of a baseline of 10,331 non‐urgent patients. ",1550,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094190802.1.1","094190802","094190802.1.1","RHP 1","1.1","East Texas Medical Center - Fairfield",0.15,0.16800000000000001,0.05,5.5100000000000003E-2,0.2,0.22310000000000002,0.15,0.14497027786737901,0.05,5.0919312474079499E-2,0.2,0.1958895903414585,0.15,"NA",0.05,"NA",0.2,"NA","Encounters",17938,713,2987,1070,3763,3344,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 4% over baseline of 17,834 visits. 713 encounters",713,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 6% over baseline of 17,834 visits. DY4 impact of 1070 encounters. ",1070,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits over baseline of 17,834 visits. DY5 impact of 3,344 encounters. ",3344,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_094190802.2.1","094190802","094190802.2.1","RHP 1","2.9","East Texas Medical Center - Fairfield",0.08,0.1196,0.12,0,0.2,0.1196,0.08,0.08,0.12,0.12,0.2,0.2,0.08,"NA",0.12,"NA",0.2,"NA","Individuals",0,223,466,445,331,667,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without a primary care provider who were referred to a primary care provider in the ED Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.","N","Refer 5% [223 individuals] out of a baseline of 4,445 non‐urgent patients. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program",223,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program","NA","N","Refer 10% [445 individuals] out of a baseline of 4,445 non‐urgent patients. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program",445,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Refer 15% [667 individuals] out of a baseline of 4,445 non‐urgent patients. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program",667,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_111411803.1.100","111411803","111411803.1.100","RHP 1","1.9","ACCESS",0,"NA",0,"NA",0,"NA",0.39250000000000002,"NA",0.39250000000000002,"NA",0.78500000000000003,"NA",0.39250000000000002,"NA",0.39250000000000002,"NA",0.78500000000000003,"NA","Encounters","NA","NA","NA",712,"NA",1068,"NA","NA","NA","NA",559,"NA",839,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","Baseline: 1,780; Goal: 712 additional encounters; [During DY4 reporting provider would need to show support for additional (712) visits and the baseline of 1,780]",712,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","N","DY4 goal: out of 712 encounters, 78.5% or 559 encounters will be for Medicaid and uninsured ",559,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","DY5 QPI Goal: 1,068. (During DY5 reporting provider would need to show support for the new visits (1,068) and the baseline of 1,780) ",1068,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","N","Out of 1068 encounters, 78.5% or 839 encounters will be for Medicaid and uninsured individuals ",839,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_111411803.1.101","111411803","111411803.1.101","RHP 1","1.12","ACCESS",0,"NA",0,"NA",0,"NA",0.39250000000000002,"NA",0.39250000000000002,"NA",0.78500000000000003,"NA",0.39250000000000002,"NA",0.39250000000000002,"NA",0.78500000000000003,"NA","Individuals","NA","NA","NA",75,"NA",125,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 0 (zero); Goal ‐ 75 individuals in DY4.",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Goal ‐ 125 individuals in DY5.  ",125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_111411803.2.100","111411803","111411803.2.100","RHP 1","2.18","ACCESS",0,"NA",0,"NA",0,"NA",0.39250000000000002,"NA",0.39250000000000002,"NA",0.78500000000000003,"NA",0.39250000000000002,"NA",0.39250000000000002,"NA",0.78500000000000003,"NA","Individuals","NA","NA","NA",25,"NA",50,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.1","The number of individuals who receive peer support services ","NA","N","DY4 Goal: 25 individuals (Documentation of number of visits in target population served.  Baseline estimated at 50 visits.)",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.1","The number of individuals who receive peer support services ","NA","N","DY5 Goal:50 individuals",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_121817401.1.1","121817401","121817401.1.1","RHP 1","1.1","East Texas Medical Center Trinity",0.28000000000000003,0.50180000000000002,7.0000000000000007E-2,4.2200000000000001E-2,0.35,0.54400000000000004,0.28000000000000003,0.52999057887574597,7.0000000000000007E-2,3.8364911546111199E-2,0.35,0.56835549042185718,0.28000000000000003,"NA",7.0000000000000007E-2,"NA",0.35,"NA","Encounters",19342,913,913,1825,-236,2738,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 5% over baseline of 18,252 visits. 913 encounters",913,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 10% over baseline of 18,252 visits. DY4 impact of 1825 encounters. ",1825,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 15% over baseline of 18,252 visits. DY5 impact of 2738 encounters.",2738,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_121817401.2.1","121817401","121817401.2.1","RHP 1","2.9","East Texas Medical Center Trinity",0.15,0.13220000000000001,0.15,0.14460000000000001,0.3,0.27680000000000005,0.15,0.15,0.15,0.15,0.3,0.3,0.15,"NA",0.15,"NA",0.3,"NA","Individuals",0,336,429,672,495,1009,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without a primary care provider who were referred to a primary care provider in the ED Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.","N","Refer 5% [336 individuals] over baseline of 6,727 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",336,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program","NA","N","Refer 10% [672 individuals] over baseline of 6,727. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",672,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Refer 15% [1,009 individuals] over baseline of 6,727 non‐urgent. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",1009,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_121988304.1.1","121988304","121988304.1.1","RHP 1","1.12","Lakes Regional MHMR Center",0.35,0.35,0.6,0.6,0.95,0.95,0.35,0.15310000000000001,0.6,0.77190000000000003,0.95,0.92500000000000004,0.35,"NA",0.6,"NA",0.95,"NA","Individuals",0,190,358,228,1578,297,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","NA","N","Three counseling centers open and providing services rendered. Enhanced professional training accomplished. Target Baseline number of clients served = 190. PDSA process cycles in place to inform project development, efficiency and effectiveness. 190 individuals",190,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Expansion of population target of 20% over DY3 baseline = 228 new unique individuals served in treatment is met. Numerator: Number receiving community behavioral healthcare services from clinics after access expansion. Denominator: Number of people receiving community behavioral health services after access expansion. PDSA cycle complete with report and improvement targets. ",228,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Expansion of population target of 30% over DY4 = 297 new unique individuals in evidence-based counseling treatment is met. Numerator: Number receiving community behavioral healthcare services from clinics after access expansion. Denominator: Number of people receiving community behavioral health services after access expansion. PDSA cycle complete with report and improvement targets.",297,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_121988304.2.1","121988304","121988304.2.1","RHP 1","2.15","Lakes Regional MHMR Center",0.44,4.24E-2,0.51,0.95760000000000001,0.95,1,0.44,0.15559999999999999,0.51,0.84440000000000004,0.95,1,0.44,"NA",0.51,"NA",0.95,"NA","Individuals",0,100,118,200,347,500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of individuals receiving both physical and behavioral health care at the established locations.","NA","N","100 individuals equaling 15% of eligible individuals identified in needs assessment to  receive both physical and behavioral health care at established locations",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","200 individuals equaling  30% of eligible individuals identified in needs assessment to  receive both physical and behavioral health care within mobile clinic. Expand initial pool of SMI clients served in integrated care model. ",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","500 individuals equals 60% of eligible Individuals receiving both physical and behavioral health care at the mobile clinic.  Goals: Expand initial pool of SMI clients served in integrated care model. ",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_121988304.2.2","121988304","121988304.2.2","RHP 1","2.13","Lakes Regional MHMR Center",0.44,0.33329999999999999,0.51,0.64439999999999997,0.95,0.97770000000000001,0.44,1,0.51,0,0.95,1,0.44,"NA",0.51,"NA",0.95,"NA","Individuals",0,20,45,36,43,45,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","Number of targeted individuals enrolled / served in the project is 16 to 20.","N","20 Individuals",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","The percentage of individuals receiving specialized interventions who demonstrate improved functional status on standardized instruments (e.g. ANSA, CANS, etc.)","NA","N","Improved functional status for 40% of 36 enrollees (individuals) during program participation.",36,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","The percentage of individuals receiving specialized interventions who demonstrate improved functional status on standardized instruments (e.g. ANSA, CANS, etc.)","NA","N","Improved functional status for 50% of 45 enrollees (individuals) during program participation. ",45,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.1.1","127278302","127278302.1.1","RHP 1","1.8","University Physician Associates",0,"NA",0,"NA",0,"NA",0.18,0.15,0.03,0.5,0.21,0.65,0.18,"NA",0.03,"NA",0.21,"NA","Individuals",0,"NA","NA",518,556,543,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","NA","Number of unique individuals receiving dental services","N","518 Individuals",518,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly that have been seen by a dental provider within the past 12 months.","Number of unique individuals receiving dental services","N","DY5 impact of 543 individuals. ",543,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.1.10","127278302","127278302.1.10","RHP 1","1.11","University Physician Associates",0,"NA",0,"NA",0,"NA",0.18,0.1908,0.05,7.0000000000000007E-2,0.23,0.26080000000000003,0.18,"NA",0.05,"NA",0.23,"NA","Encounters",0,"NA","NA",645,273,677,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.1","NA","Number of Telehealth Encounters provided","N","645 Encounters",645,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.1","NA","Number of Telehealth Encounters Provided","N","DY5 impact of 677 encounters. ",677,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.1.11","127278302","127278302.1.11","RHP 1","1.1","University Physician Associates",0.37,0.55020000000000002,0.1,0.1002,0.47,0.65039999999999998,0.37,0.57199999999999995,0.1,0.1012,0.47,0.67319999999999991,0.37,"NA",0.1,"NA",0.47,"NA","Encounters",0,8600,15804,9000,18179,16304,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline established in DY2/ 10% growth in volume as compared to baseline. 8600 encounters",8600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline established in DY2/15% growth in volume as compared to baseline. DY4 impact of 9000 encounters.",9000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline established in DY2/ growth in volume as compared to baseline. DY5 impact of 16,304 encounters. ",16304,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.1.12","127278302","127278302.1.12","RHP 1","1.8","University Physician Associates",0.37,0.42909999999999998,0.1,0.52680000000000005,0.47,0.95589999999999997,0.37,0.40210000000000001,0.1,0.52059999999999995,0.47,0.92269999999999996,0.37,"NA",0.1,"NA",0.47,"NA","Individuals",0,517,522,569,751,621,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Establish baseline of the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","N","Establish a baseline of TBD. Serve 517 individuals",517,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Baseline established in DY3/10% growth in volume as compared to baseline. DY4 impact of 569 individuals.",569,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Baseline established in DY3/20% growth in volume as compared to baseline. DY5 impact of 621 individuals. ",621,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.1.13","127278302","127278302.1.13","RHP 1","1.13","University Physician Associates",0.1,0.23200000000000001,0.33,0.436,0.43,0.66800000000000004,0.1,0.19500000000000001,0.33,0.443,0.43,0.63800000000000001,0.1,"NA",0.33,"NA",0.43,"NA","Individuals",0,103,210,108,472,215,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Medicaid and low-income uninsured patients receiving crisis intervention services at PRMC crisis stabilization unit. ","N","Estimated baseline percentage goal is 15%. Numerator: Number of Medicaid and indigent people receiving community behavioral health care services from appropriate crisis alternatives. Denominator: Number of people receiving community behavioral health services from emergency departments and local mental health authority (includes crisis patients treated with safety plans which may include consultations at local law enforcement facilities/jails). QPI impact of 103 individuals.",103,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of people receiving community behavioral services","N","Number of people receiving community behavioral healthcare services from appropriate crisis alternatives. DY4 impact of 108 individuals.",108,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of people receiving community behavioral services","N","Number of people receiving community behavioral healthcare services from appropriate crisis alternatives DY5 impact of 215 individuals.",215,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.1.4","127278302","127278302.1.4","RHP 1","1.2","University Physician Associates",0,"NA",0,"NA",0,"NA",0.18,0.16,0.03,0.53,0.21,0.69000000000000006,0.18,"NA",0.03,"NA",0.21,"NA","Encounters",0,"NA","NA",255,368,510,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase number of Continuity Clinic Sessions utilizing primary care trainees.","Increase number of patient encounters (250) as a result of expanded workforce (increased number of trainees enrolled in primary care training programs)","N","Increase number of Continuity Clinic sessions Numerator: Number of Continuity Clinic sessions/patient encounters utilizing primary care trainees.  Denominator: Total number of Continuity Clinic sessions/patient encounters.  Baseline: 20 diabetes education sessions currently offered Goal: offer 17 additional sessions utilizing primary care trainees = 37 total sessions  (17/37 = 46%) Average 15 patient encounters per session.  Increase in 255 patient encounters (15 patients x 17 sessions)",255,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase number of Continuity Clinic sessions available for primary care trainees.","Increase number of patient encounters (500) as a result of expanded workforce (increased number of trainees enrolled in primary care training programs)","N","Increase number of Continuity Clinic sessions Numerator: Number of Continuity Clinic sessions/patient encounters utilizing primary care trainees.  Denominator: Total number of Continuity Clinic sessions/patient encounters.  Baseline: 20 diabetes education sessions currently offered Goal: offer 34 additional sessions utilizing primary care trainees = 54 total sessions  (34/54 = 63%) Average 15 patient encounters per session.  Increase in 510 patient encounters (15 patients x 34 sessions) in DY5. ",510,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.1.8","127278302","127278302.1.8","RHP 1","1.1","University Physician Associates",0,0.21,0.28000000000000003,0.38,0.28000000000000003,0.59,0,0.22869999999999999,0.28000000000000003,0.30280000000000001,0.28000000000000003,0.53149999999999997,0,"NA",0.28000000000000003,"NA",0.28000000000000003,"NA","Encounters",0,1843,2559,1900,3620,2659,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Number of primary care encounters provided. ","N","1843 encounters",1843,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase in total number of visits for reporting period; 3% over baseline. DY4 impact of 1,900 encounters. ",1900,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase in total number of visits for reporting period. DY5 impact of 2659 encounters. ",2659,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.1.9","127278302","127278302.1.9","RHP 1","1.9","University Physician Associates",0.18,0.1,0.03,0.04,0.21,0.14000000000000001,0.18,0.129,0.03,0.02,0.21,0.14899999999999999,0.18,"NA",0.03,"NA",0.21,"NA","Encounters",0,210,2129,2190,3479,2295,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-33.2","Number of specialty care encounters provided.","NA","N"," 210 encounters",210,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-33.2","Increased number of specialty care visits.","NA","N","Increase by 5% over baseline. DY4 impact of 2,190 encounters. ",2190,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-33.2","Increased number of specialty care visits.","NA","N","Increase by 10% over baseline. DY5 impact of 2,295 encounters.",2295,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.1","127278302","127278302.2.1","RHP 1","2.1","University Physician Associates",0,"NA",0,"NA",0,"NA",0.18,0.14000000000000001,0.03,0.08,0.21,0.22000000000000003,0.18,"NA",0.03,"NA",0.21,"NA","Individuals",0,"NA","NA",2168,9144,2272,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","Number of unique individuals receiving care in PCMH model in DY4 = 2,168",2168,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of eligible patients assigned to medical homes","NA","N","Number of unique individuals receiving care in PCMH model in DY5 = 2,272 individuals. Volume of unique preventive services in DY5 = 626.",2272,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.100","127278302","127278302.2.100","RHP 1","2.7","University Physician Associates",0.2,0.2,0.4,0.4,0.60000000000000009,0.60000000000000009,0.2,0.2,0.4,0.4,0.60000000000000009,0.60000000000000009,0.2,"NA",0.4,"NA",0.60000000000000009,"NA","Individuals",0,233,252,256,296,279,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","NA","N","Establish baseline of number of adult patients for contact testing and IGRA testing; Goal: 233 patients",233,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","DY3 Baseline: 233 patients; DY4 Goal: 256 patients.",256,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","DY5 Goal: 279 patients",279,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.13","127278302","127278302.2.13","RHP 1","2.7","University Physician Associates",0.6,0.42499999999999999,1.4999999999999999E-2,8.7499999999999994E-2,0.61499999999999999,0.51249999999999996,0.6,0.5,1.4999999999999999E-2,0.1532,0.61499999999999999,0.6532,0.6,"NA",1.4999999999999999E-2,"NA",0.61499999999999999,"NA","Individuals",0,80,82,120,124,150,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-2.1","Document implementation strategy and testing outcomes","NA","N","Measure enrollment and retention (goal is to enroll 80 and retain 40 in first year of program); Monitor BMI (goal is to maintain or reduce BMI by the end of 6 weeks). 80 Individuals",80,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.1","Increase percentage of target population reached","NA","N","Increase percentage of target population reached by 64%. 120 individuals in DY4. Numerator: number of individuals enrolled in weight management program. Denominator: Number of individuals in target population who are eligible for enrollment in program. ",120,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of program participants","N","Increase number of participants to 150 individuals in DY5.",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.14","127278302","127278302.2.14","RHP 1","2.1","University Physician Associates",0,"NA",0,"NA",0,"NA",0.12,0.14399999999999999,0.25,0.161,0.37,0.30499999999999999,0.12,"NA",0.25,"NA",0.37,"NA","Individuals",0,"NA","NA",2304,2309,3456,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of eligible patients assigned to medical homes","NA","N","Number of unique individuals receiving care in PCMH model in DY4 = 2,304",2304,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of eligible patients assigned to medical homes","NA","N","Number of unique individuals receiving care in PCMH model in DY5 = 3,456 individuals. Volume of unique preventive services in DY5 = 864.",3456,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.15","127278302","127278302.2.15","RHP 1","2.10","University Physician Associates",0.18,0.2,0.03,0.03,0.21,0.23,0.18,0.19,0.03,7.0000000000000007E-2,0.21,0.26,0.18,"NA",0.03,"NA",0.21,"NA","Encounters",0,180,276,270,404,323,"NA",0,"NA","NA",810,4811,969,"NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Goal: 100% Numerator: palliative care consults; Denominator: target number of palliative care consults. Target number of consults = 180 ",180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Increase consults by 50% over anticipated baseline (50% of 180 = 270 consults).  Numerator: number of palliative care consults; Denominator: target number of palliative care consults.  DY4 = 270 consults  (encounters)",270,"No","P-102.1","Each consult will result in a treatment plan that includes at least three services based on patient assessment.","Each consult will result in a treatment plan that includes at least three services based on patient assessment.","N","3 services x 270 consults (patients) = 810 services in DY4. Cumulative total of services per consult through DY4 is 1170 (360 in DY3 + 810 in DY4 = 1170)",810,"No","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet established   program targets","NA","N","Increase consults by 79% over anticipated DY3 baseline (79% of 180 = 323 consults) Numerator: number of palliative care consults; Denominator: target number of palliative care consults.  DY5 = 323 consults (encounters) ",323,"No","P-102.1","Each consult will result in a treatment plan that includes at least three services based on patient assessment.","Each consult will result in a treatment plan that includes at least three services based on patient assessment.","N","3 services x 323 consults/patients = 969 services in DY5. Cumulative total of services per consult through DY5 is 2139 (360 in DY3 + 810 in DY4 + 969 in DY5 = 2139)",969,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.16","127278302","127278302.2.16","RHP 1","2.2","University Physician Associates",0.18,0.6,0.03,0.15,0.21,0.75,0.18,0.54,0.03,0.11,0.21,0.65,0.18,"NA",0.03,"NA",0.21,"NA","Individuals",79,950,950,1187,704,1500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program","NA","N","Establish baseline for patients enrolled in self‐management program through mobile team encounter. Projected baseline of patients is 950 in DY3.  It is estimated that 50% of these children (475) will establish an asthma self-management goal. Numerator: Number of patients enrolled in a self-management program for a given condition. Denominator: Number of patients with given chronic condition. 950 individuals",950,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","Increase by 25% over anticipated DY3baseline (unique patients; 25%increase over baseline of 950 = 1187 patient caseload (individuals)). ",1187,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","Increase number of unique patients seen by 58% over anticipated DY3 baseline of 950 children (550 additional unique patients =1500 patients (individuals) served in DY5).",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.17","127278302","127278302.2.17","RHP 1","2.8","University Physician Associates",0,"NA",0,"NA",0,"NA",0.11,0.1086,0.11,7.0699999999999999E-2,0.22,0.17930000000000001,0.11,"NA",0.11,"NA",0.22,"NA","Individuals",0,"NA","NA",273,396,327,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.3","NA","Number of unique patients admitted to the hospital with CHF impacted by the project","N","273 Individuals",273,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.3","NA","Number of unique patients admitted to the hospital with CHF impacted by the project","N","DY5 impact of 327 individuals. ",327,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.18","127278302","127278302.2.18","RHP 1","2.15","University Physician Associates",0.18,0.18,0.03,0.03,0.21,0.21,0.18,0.22,0.03,0.12,0.21,0.33999999999999997,0.18,"NA",0.03,"NA",0.21,"NA","Individuals",0,287,319,464,520,487,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","X% of Individuals receiving both physical and behavioral health care at the established locations","N","Establish baseline of individuals seen in the project sites receive both physical and behavioral services is anticipated at 287 individuals. Numerator: Number of individuals receiving both physical and behavioral health care in project sites. Denominator: Number of individuals receiving services in project sites. ",287,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","5% of individuals seen in the project sites receive both physical and behavioral services. 464 individuals served in DY4. ",464,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","10% of individuals seen in the project sites receive both physical and behavioral services. 487 individuals served in DY5.",487,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.19","127278302","127278302.2.19","RHP 1","2.9","University Physician Associates",0,"NA",0,"NA",0,"NA",0.18,0.2,0.03,0.39,0.21,0.59000000000000008,0.18,"NA",0.03,"NA",0.21,"NA","Individuals",0,"NA","NA",400,574,500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase the number of percent of targeted patients enrolled in the program","NA","N","Number of targeted patients enrolled to the total of targeted patients identified. Increase the number of targeted patients enrolled in the program to 400 patients (individuals).",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase the number of percent of targeted patients enrolled in the program","NA","N","Number of targeted patients enrolled to the total of targeted patients identified. Increase the number of targeted patients enrolled in the program to 500 patients (individuals).",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.20","127278302","127278302.2.20","RHP 1","2.1","University Physician Associates",0.25,0.26850000000000002,0.1,0.47920000000000001,0.35,0.74770000000000003,0.25,0.5353,0.1,0.25430000000000003,0.35,0.78960000000000008,0.25,"NA",0.1,"NA",0.35,"NA","Individuals",0,300,674,315,637,689,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.3","Develop prevention services education management and outreach program","NA","N","create baseline of patients receiving preventative services. serve 300 individuals",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.2","Number of patients receiving preventive services as indicated by standards of care","NA","N","Increase number of patients receiving preventative services by 5% over DY3. DY4 impact of 315 individuals. ",315,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.2","Number of patients receiving preventive services as indicated by standards of care","NA","N","Increase number of patients receiving preventative services over DY3. DY5 impact of 689individuals. ",689,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.22","127278302","127278302.2.22","RHP 1","2.12","University Physician Associates",0.1,0.2417,0.2,0.12920000000000001,0.3,0.37090000000000001,0.1,8.5400000000000004E-2,0.2,5.3699999999999998E-2,0.3,0.1391,0.1,"NA",0.2,"NA",0.3,"NA","Individuals",58,175,182,300,352,325,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","NA","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines   ","N","Goal: 65% Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines. Numerator: Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines. Denominator: Number of patients discharged or eligible for care transition services. 175 Individuals",175,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines   ","NA","N","DY4 impact of 300 individuals.",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","NA","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines   ","N","DY5 impact of 325 individuals. ",325,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.23","127278302","127278302.2.23","RHP 1","2.13","University Physician Associates",0.1,0.14599999999999999,0.33,0.29199999999999998,0.43,0.43799999999999994,0.1,0.33329999999999999,0.33,0.66669999999999996,0.43,1,0.1,"NA",0.33,"NA",0.43,"NA","Individuals",0,41,41,43,27,46,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Number of targeted individuals enrolled/served in the project. 41 individuals",41,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","NA","Medicaid and low-income uninsured patients admitted to intensive outpatient therapy","N","DY4 impact of 43 individuals. ",43,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","NA","Medicaid and low-income uninsured patients admitted to intensive outpatient therapy","N","DY5 impact of 46 individuals. ",46,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_127278302.2.5","127278302","127278302.2.5","RHP 1","2.7","University Physician Associates",0.12,9.0499999999999997E-2,0.17,1.5299999999999999E-2,0.29000000000000004,0.10579999999999999,0.12,0.1077,0.17,0.2321,0.29000000000000004,0.33979999999999999,0.12,"NA",0.17,"NA",0.29000000000000004,"NA","Individuals",796,508,508,533,141,559,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","Document number of individuals utilizing UPA CRC screening services provided by this project","Document number of individuals utilizing UPA colorectal cancer screening and early treatment option services","N","0 / Goal: 508 individuals ",508,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.1","Increase percentage of target population reached (number of individuals screened) ","NA","N","5% over DY3 goal=533 individuals. ",533,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.1","Increase percentage of target population reached (number of individuals screened)","NA","N","Goal: 10% over DY3 goal=559 individuals. ",559,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_130612806.1.1","130612806","130612806.1.1","RHP 1","1.1","East Texas Medical Center Jacksonville",0.255,0.44579999999999997,4.4999999999999998E-2,6.1699999999999998E-2,0.3,0.50749999999999995,0.255,0.47375181774115399,4.4999999999999998E-2,4.4183228308288899E-2,0.3,0.51793504604944285,0.255,"NA",4.4999999999999998E-2,"NA",0.3,"NA","Encounters",19227,1703,22206,3406,22033,23909,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 5% over baseline of 34,061 visits. 1703 encounters",1703,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 10% over baseline of 34,061 visits. DY4 impact of 3406 encounters. ",3406,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits over baseline of 34,061 visits. DY5 impact of 23,909 encounters. ",23909,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_130612806.2.1","130612806","130612806.2.1","RHP 1","2.9","East Texas Medical Center Jacksonville",0.15,0.19900000000000001,0.15,0.1726,0.3,0.37160000000000004,0.15,0.15,0.15,0.15,0.3,0.3,0.15,"NA",0.15,"NA",0.3,"NA","Individuals",0,548,1034,1095,634,1643,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without a primary care provider who were referred to a primary care provider in the ED Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.","N","Refer 5% [548 individuals] out of a baseline of 10,950 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.  ",548,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Refer 10% [1,095 individuals] out of a baseline of 10,950 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",1095,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Refer 15% [1,643 individuals] out of a baseline of 10,950 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",1643,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_130862905.1.1","130862905","130862905.1.1","RHP 1","1.1","East Texas Medical Center - Clarksville",7.2999999999999995E-2,0.13320000000000001,7.9000000000000001E-2,7.4899999999999994E-2,0.152,0.20810000000000001,7.2999999999999995E-2,"NA",7.9000000000000001E-2,"NA",0.152,"NA",7.2999999999999995E-2,"NA",7.9000000000000001E-2,"NA",0.152,"NA","Encounters",3364,705,3568,1880,"NA",2350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 34% [705] over baseline of 2,070 visits. 705 encounters",705,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 90% [1,880 encounters] over baseline of 2,070 visits. ",1880,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 113% [2,350 encounters] over baseline of 2,070 visits. ",2350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_130862905.2.1","130862905","130862905.2.1","RHP 1","2.9","East Texas Medical Center - Clarksville",7.2999999999999995E-2,0.1799,7.9000000000000001E-2,0.24579999999999999,0.152,0.42569999999999997,7.2999999999999995E-2,"NA",7.9000000000000001E-2,"NA",0.152,"NA",7.2999999999999995E-2,"NA",7.9000000000000001E-2,"NA",0.152,"NA","Individuals",0,209,614,418,"NA",626,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without a primary care provider who were referred to a primary care provider in the ED Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.","N","Refer 5% [209 individuals] out of a baseline of 4,176 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",209,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program. ","NA","N","Refer 10% [418 individuals] out of a baseline of 4,176 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",418,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Refer 15% [626 individuals] out of a baseline of 4,176 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",626,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_131037704.1.1","131037704","131037704.1.1","RHP 1","1.1","Hopkins County Memorial Hospital",0.18,0.12,0.04,7.0000000000000007E-2,0.22,0.19,0.18,0.15049999999999999,0.04,6.5000000000000002E-2,0.22,0.2155,0.18,"NA",0.04,"NA",0.22,"NA","Encounters",26398,2800,2800,5600,7949,8400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","1400 visits incurred per PCP. 2800 encounters",2800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","2800 visits incurred per PCP over baseline. DY4 impact of 5600 encounters. ",5600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","4200 visits incurred per PCP over baseline. DY5 impact of 8400 encounters. ",8400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_131037704.1.2","131037704","131037704.1.2","RHP 1","1.1","Hopkins County Memorial Hospital",0.125,0,0.10299999999999999,1,0.22799999999999998,1,0,0,1,1,1,1,0,"NA",1,"NA",1,"NA","Encounters",0,1750,2514,2250,2425,3000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","1750 encounters over baseline",1750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","2250 visits over baseline. Total impact of 4000 encounters",2250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","3000 visits (encounters) over baseline.",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_131037704.2.1","131037704","131037704.2.1","RHP 1","2.5","Hopkins County Memorial Hospital",0,"NA",0,"NA",0,"NA",0.15,0.107,0.1,0.107,0.25,0.214,0.15,"NA",0.1,"NA",0.25,"NA","Individuals",0,"NA","NA",75,84,125,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","NA","number of unique patients experiencing improvement in cost containment","N","75 individuals",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","number of unique patients experiencing improvement in cost containment","NA","N","125 individuals served in DY5. ",125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_131037704.2.2","131037704","131037704.2.2","RHP 1","2.12","Hopkins County Memorial Hospital",0,"NA",0,"NA",0,"NA",0.05,5.8799999999999998E-2,0.05,8.2400000000000001E-2,0.1,0.14119999999999999,0.05,"NA",0.05,"NA",0.1,"NA","Individuals",0,"NA","NA",45,85,50,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","10% increase of patients who receive the transition protocol over baseline. DY4 impact of 45 individuals.",45,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","20% increase of patients who receive the transition protocol over baseline. 50 individuals served in DY5.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_131038504.1.1","131038504","131038504.1.1","RHP 1","1.1","Hunt Regional Medical Center Greenville",0.24,0.16,0.26,0.7,0.5,0.86,0.24,0.16600000000000001,0.26,0.57299999999999995,0.5,0.73899999999999999,0.24,"NA",0.26,"NA",0.5,"NA","Encounters",0,2400,4832,3600,4427,5280,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","1 provider will perform 4800 primary care visits/year. Demonstrate improvement by a 50% increase in visits over baseline or 2400 encounters per year.",2400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","1 provider will perform 4800 primary care visits/year. Demonstrate improvement by a 75% increase in visits over baseline or 3600 visits (encounters) per year. ",3600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","1 provider will perform 4800 primary care visits/year. Demonstrate increase in visits over baseline or 5,280 visits (encounters) per DY 5. ",5280,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_131038504.1.2","131038504","131038504.1.2","RHP 1","1.7","Hunt Regional Medical Center Greenville",0.12,0.43,0.15,0.36,0.27,0.79,0.12,0.27,0.15,0.22,0.27,0.49,0.12,"NA",0.15,"NA",0.27,"NA","Encounters",0,150,240,225,304,300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Increase the number of telehealth encounters in the CHF population","N","150 encounters",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Increase the number of telehealth encounters in the CHF population","NA","N","Goal = 75% where numerator: 225/Number of telehealth encounters in one year  Denominator:  300/target telehealth population.  DY4 impact of 225 encounters. ",225,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Increase the number of telehealth encounters in the CHF population","NA","N","Goal = 100% where numerator: 300/number of telehealth encounters in one year  Denominator:  300/target telehealth population.  DY5 impact of 300 encounters. ",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_131038504.1.3","131038504","131038504.1.3","RHP 1","1.10","Hunt Regional Medical Center Greenville",0.12,0.36,0.15,0.11,0.27,0.47,0.12,0.32,0.15,9.6000000000000002E-2,0.27,0.41600000000000004,0.12,"NA",0.15,"NA",0.27,"NA","Individuals",0,3000,3414,4000,4304,5000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","Demonstrate how quality reports are used to drive rapid‐cycle performance improvement.","NA","N","We will conduct PDSA cycles/performance improvement activities for 2 potentiality preventable complication measures that were designed and implemented based on the data in the reports. Impact 3000 individuals",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","Demonstrate how quality reports are used to drive rapid cycle improvement ","NA","N","Demonstrate how quality reports are used to drive rapid cycle improvement. DY4 impact of 4000 individuals. ",4000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","Demonstrate how quality reports are used to drive rapid cycle improvement ","NA","N","Demonstrate how quality reports are used to drive rapid cycle improvement. DY5 impact of 5000 individuals. ",5000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_131038504.2.1","131038504","131038504.2.1","RHP 1","2.9","Hunt Regional Medical Center Greenville",0.23799999999999999,0.26,0.318,0.56000000000000005,0.55600000000000005,0.82000000000000006,0.23799999999999999,0.23,0.318,0.56999999999999995,0.55600000000000005,0.79999999999999993,0.23799999999999999,"NA",0.318,"NA",0.55600000000000005,"NA","Individuals",0,2000,2155,2250,2276,2500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","Increase in the number or percent of targeted patients enrolled in the program a. Numerator: Number of targeted patients enrolled in the program b. Denominator: Total number of targeted patients identified","N","Target Population: ED frequent user population with the most frequent ED visits. Target patients enrolled in navigation program= 1000 Goal: Increase the number of targeted patients enrolled in the program by 50%/500patients. DY3 impact of 2000 individuals",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Target Population: ED frequent user population with the most frequent ED visits. Target patients enrolled in navigation program= 1000 Goal: Increase the number of targeted patients enrolled in the program by 75%/750patients. DY4 impact of 2,250 individuals. ",2250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","DY5 impact of 2500 individuals. ",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,{"$f":"\"\"&IF(LEN($F71)=5,RIGHT($F71,1),RIGHT($F71,2))&\"_\"&E71","v":"1_131038504.2.2"},"131038504","131038504.2.2","RHP 1","2.12","Hunt Regional Medical Center Greenville",0.12,0.19,0.15,0.2,0.27,0.39,0.12,0.20399999999999999,0.15,0.14599999999999999,0.27,0.35,0.12,"NA",0.15,"NA",0.27,"NA","Individuals",0,1450,1464,2175,2191,2465,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence-based interventions per approved clinical protocols and guidelines.  ","NA","N","Baseline: 2,886 adult medicine inpatient discharges (2011) Goal: 50% - numerator of adult medicine discharges/1,450 patients. Denominator:  Number of patients discharged or eligible for care transition services *Target population is 2,900 adult medicine patients (excluding surgical, pediatric, obstetrics, behavioral health and rehab discharges).",1450,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Baseline: 2,886 adult medicine inpatient discharges (2011) Goal: 75% of adult medicine discharges/2,175 patients (individuals) in the target population per year will receive all recommended care transition education per protocol. *Target population is 2,900 adult medicine patients (excluding surgical, pediatric, obstetrics, behavioral health and rehab discharges). ",2175,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Baseline: 2,886 adult medicine inpatient discharges (2011)Goal: 85% of adult medicine discharges/2,465 patients (individuals) in the target population per year will receive all recommended care transition education per protocol. *Target population is 2,900 adult medicine patients (excluding surgical, pediatric, obstetrics, behavioral health and rehab discharges). ",2465,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_136140407.1.1","136140407","136140407.1.1","RHP 1","1.1","East Texas Medical Center Mount Vernon",0.16500000000000001,0.19839999999999999,8.3000000000000004E-2,7.6600000000000001E-2,0.248,0.27500000000000002,0.16500000000000001,"NA",8.3000000000000004E-2,"NA",0.248,"NA",0.16500000000000001,"NA",8.3000000000000004E-2,"NA",0.248,"NA","Encounters",9974,404,3117,605,"NA",807,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 4% over baseline of 10,089 visits. 404 encounters",404,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 6% over baseline of 10,089 visits. DY4 impact of 605 encounters. ",605,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 8% over baseline of 10,089 visits. DY5 807 encounters.",807,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_136140407.2.1","136140407","136140407.2.1","RHP 1","2.9","East Texas Medical Center Mount Vernon",8.3000000000000004E-2,0.1434,0.16500000000000001,0.24349999999999999,0.248,0.38690000000000002,8.3000000000000004E-2,"NA",0.16500000000000001,"NA",0.248,"NA",8.3000000000000004E-2,"NA",0.16500000000000001,"NA",0.248,"NA","Individuals",0,103,141,205,"NA",308,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without a primary care provider who were referred to a primary care provider in the ED Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.","N","Refer 5% [103 individuals] out of a baseline of 2,055 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",103,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program","NA","N","Refer 10% [205 individuals] out of a baseline of 2,055 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",205,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Refer 15% [308 individuals] out of a baseline of 2,055 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",308,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_136367307.1.1","136367307","136367307.1.1","RHP 1","1.12","Burke Center",0.59,0.28000000000000003,0.22,0.7,0.80999999999999994,0.98,0.59,0.2,0.22,0.77,0.80999999999999994,0.97,0.59,"NA",0.22,"NA",0.80999999999999994,"NA","Individuals",548,60,112,120,138,180,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Increase the number of individuals receiving community behavioral healthcare services at new or expanded locations over the baseline reporting period by 10% (60 individuals).",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Increase the number of individuals receiving community behavioral healthcare services at new or expanded locations over the baseline reporting period by 20% (120 individuals). Numerator: Number receiving community behavioral healthcare services after access expansion. Denominator: Number of people receiving community behavioral health services after access expansion.",120,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Increase the number of individuals receiving community behavioral healthcare services at new or expanded locations over the baseline reporting period by 30% (180 individuals). Numerator: Number receiving community behavioral healthcare services after access expansion. Denominator: Number of people receiving community behavioral health services after access expansion. ",180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_137319306.1.1","137319306","137319306.1.1","RHP 1","1.1","East Texas Medical Center - Crockett",0.21299999999999999,0.37140000000000001,3.7999999999999999E-2,4.4999999999999998E-2,0.251,0.41639999999999999,0.21299999999999999,"NA",3.7999999999999999E-2,"NA",0.251,"NA",0.21299999999999999,"NA",3.7999999999999999E-2,"NA",0.251,"NA","Encounters",22126,1050,-1881,1800,"NA",2700,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 5% over baseline of 21000 visits. 1050 encounters",1050,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 21000 encounters. DY4 QPI: 1800 encounters. ",1800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 21000 encounters. DY5 QPI: 2700 encounters. ",2700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_137319306.2.1","137319306","137319306.2.1","RHP 1","2.9","East Texas Medical Center - Crockett",7.0000000000000007E-2,0.1125,0.13,0.1086,0.2,0.22110000000000002,7.0000000000000007E-2,"NA",0.13,"NA",0.2,"NA",7.0000000000000007E-2,"NA",0.13,"NA",0.2,"NA","Individuals",0,387,690,773,"NA",1315,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Percent of non‐urgent patients without a primary care provider who were referred to a primary care provider in the ED Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.","N","Refer 5% [387 individuals] out of a baseline of 7,733 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",387,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program","NA","N","Refer 10% [773 individuals] out of a baseline of 7,733 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",773,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Refer 17% [1,315 individuals] out of a baseline of 7,733 non‐urgent patients. Numerator: Number non‐urgent ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP. Denominator: Non‐urgent ED patients without a PCP documented in their medical record.",1315,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_137921608.1.1","137921608","137921608.1.1","RHP 1","1.13","Community Healthcore ",0.57999999999999996,0.15,0.26,0.74,0.84,0.89,0.57999999999999996,0.26,0.26,0.72,0.84,0.98,0.57999999999999996,"NA",0.26,"NA",0.84,"NA","Individuals",0,333,333,1100,117,1150,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of individuals served by the Crisis Response Center","N","333 individuals served over baseline of zero(of which an estimated 58% will have or be eligible for Medicaid and 26% will be classified as indigent, totaling 84% indigent or Medicaid/Medicaid eligible)",333,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of individuals served by the Crisis Response Center","N","1,100 individuals served over baseline of zero, (of which an estimated 58% will have or be eligible for Medicaid and 26% will be classified as indigent, totaling 84% indigent or Medicaid/Medicaid eligible). ",1100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of individuals served by the Crisis Response Center ","N","1,150 individuals served over baseline of zero, (of which an estimated 58% will have or be eligible for Medicaid and 26% will be classified as indigent, totaling 84% indigent or Medicaid/Medicaid eligible). ",1150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_137921608.1.3","137921608","137921608.1.3","RHP 1","1.9","Community Healthcore ",0.65,0,0.3,0,0.95,0,0.65,"NA",0.3,"NA",0.95,"NA",0.65,"NA",0.3,"NA",0.95,"NA","Encounters",0,4713,0,5278,"NA",6070,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","NA","Total number of visits for reporting period","N","4713 encounters",4713,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Total number of visits for reporting period.","N","DY4 impact of 5,278 encounters. ",5278,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Total number of visits for reporting period","NA","N","DY5 impact of 6,070 encounters. ",6070,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_137921608.1.4","137921608","137921608.1.4","RHP 1","1.13","Community Healthcore ",0.57999999999999996,0.16,0.26,0.56000000000000005,0.84,0.72000000000000008,0.57999999999999996,0.21,0.26,0.53,0.84,0.74,0.57999999999999996,"NA",0.26,"NA",0.84,"NA","Individuals",0,311,311,1027,567,1074,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of individuals served by the Crisis Response Center","N","311 individuals served over baseline of zero(of which an estimated 58% will have or be eligible for Medicaid and 26% will be classified as indigent, totaling 84% indigent or Medicaid/Medicaid eligible)",311,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of individuals served by the Crisis Response Center","N","1,027 individuals served over baseline of zero, (of which an estimated 58% will have or be eligible for Medicaid and 26% will be classified as indigent, totaling 84% indigent or Medicaid/Medicaid eligible). ",1027,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of individuals served by the Crisis Response Center","N","1,074 individuals served over baseline of zero, (of which an estimated 58% will have or be eligible for Medicaid and 26% will be classified as indigent, totaling 84% indigent or Medicaid/Medicaid eligible). ",1074,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_137921608.2.1","137921608","137921608.2.1","RHP 1","2.15","Community Healthcore ",0.65,0.71,0.3,0.28999999999999998,0.95,1,0.65,0.7,0.3,0.23,0.95,0.92999999999999994,0.65,"NA",0.3,"NA",0.95,"NA","Individuals",0,62,65,275,88,288,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Serve baseline estimate, 250 individuals annually, prorated for partial year DY3 of 62.","N","Serve baseline estimate, 250 individuals annually, prorated for partial year DY3 of 62 individuals. 12% of individuals receiving both physical and behavioral health care at the established locations - Numerator (62 prorated for partial year DY3) and 250 anticipated number served in a normal year; by the denominator (525 prorated for partial year DY3) and 1950 total anticipated served through the clinic in a normal year. ",62,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","increase by 10% individuals receiving physical and behavioral care over DY3. DY4 impact of 275 individuals. ",275,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","increase by 15% individuals receiving physical and behavioral care over DY4. DY5 impact of 288 individuals. ",288,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_138360606.2.1","138360606","138360606.2.1","RHP 1","2.6","Northeast Texas Public Health District",0.1,1.8499999999999999E-2,0.75,0.78890000000000005,0.85,0.80740000000000001,0.1,0.01,0.75,0.78,0.85,0.79,0.1,"NA",0.75,"NA",0.85,"NA","Individuals",0,250,407,263,537,419,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Document implementation strategy and testing outcomes","NA","N","Increase participants in program by 5%. 250 individuals. Implemented evidence‐based innovative project for targeted population",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached","Number of patients in defined population receiving innovative intervention consistent with evidence‐based model","N","Increase participants in program by 5%. DY4 impact of 263 individuals. ",263,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached","NA","N","To increase target population served by program, above the baseline data collected in DY2. DY5 impact of 419 individuals. ",419,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_138374715.1.1","138374715","138374715.1.1","RHP 1","1.9","East Texas Medical Center Pittsburg",0.17899999999999999,0.17899999999999999,3.2000000000000001E-2,3.2000000000000001E-2,0.21099999999999999,0.21099999999999999,0.17899999999999999,0.17899999999999999,3.2000000000000001E-2,3.2000000000000001E-2,0.21099999999999999,0.21099999999999999,0.17899999999999999,"NA",3.2000000000000001E-2,"NA",0.21099999999999999,"NA","Encounters",0,1410,261,1880,244,2350,"NA",0,1410,1575,1880,2431,2350,"NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Documentation of baseline number of general surgery visits.","N","Establish a baseline for specialty clinic volume – estimated at 1410 clinic visits per year– general surgery. DY3 impact of 1410 encounters",1410,"No","P-102.1","NA","Documentation of baseline number of orthopedic surgery visits.","N","Establish a baseline for specialty clinic volume – estimated at 1410 clinic visits per year ‐ orthopedic surgery. DY3 impact of 1410 encounters",1410,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","33% increase (470) in general surgery clinic visits, consults, and surgeries over baseline of 1410. DY4 impact of 1880 encounters. ",1880,"No","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","33% [470] increase in orthopedic surgery clinic visits, consults, and surgeries over baseline of 1410. DY4 impact of 1880 encounters. ",1880,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","66% increase (940) in general surgery clinic visits, consults, and surgeries over baseline of 1410. DY5 impact of 2350 encounters. ",2350,"No","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","66% [940] increase in orthopedic surgery clinic visits, consults, and surgeries over baseline of 1410. DY5 impact of 2350 encounters.",2350,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_138913209.1.1","138913209","138913209.1.1","RHP 1","1.1","Titus Regional Medical Center",0,"NA",0,"NA",0,"NA",0.19,0.05,0.26840000000000003,0.21,0.45839999999999997,0.26,0.19,"NA",0.26840000000000003,"NA",0.45839999999999997,"NA","Encounters","NA","NA","NA",5100,6003,6375,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 0 – New clinic service, so there are no providers, staffing or patient visits for this service as of 9/30/12. Goal: 20 Encounters Per Day at the Family Care Center. Total impact of 5100 encounters in DY4.",5100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 0 – New clinic service, so there are no providers, staffing or patient visits for this service as of 9/30/12. Goal: 25 Encounters Per Day at the Family Care Center. DY5 impact of 6375 encounters. ",6375,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_138913209.1.2","138913209","138913209.1.2","RHP 1","1.9","Titus Regional Medical Center",0.13600000000000001,0,0.1062,0,0.24220000000000003,0,0.13600000000000001,"NA",0.1062,"NA",0.24220000000000003,"NA",0.13600000000000001,"NA",0.1062,"NA",0.24220000000000003,"NA","Encounters",0,914,0,964,"NA",1010,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Documentation of baseline number of visits.","N","Establish a baseline for specialty clinic volume. Provide 914 encounters",914,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","5% increase in clinic visits over baseline, calculated as (new # ‐ baseline)/baseline. DY4 impact of 964 encounters.",964,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","10% increase in clinic visits over baseline, calculated as (new # ‐ baseline)/baseline. DY5 impact of 1010 encounters.",1010,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_138913209.1.3","138913209","138913209.1.3","RHP 1","1.9","Titus Regional Medical Center",0,"NA",0,"NA",0,"NA",0.13600000000000001,0.1799,0.1062,4.2599999999999999E-2,0.2422,0.2225,0.13600000000000001,"NA",0.1062,"NA",0.2422,"NA","Encounters",0,"NA","NA",1052,1245,1403,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of baseline number of visits.","N","Establish a baseline for specialty care encounters. Provide 1052 encounters",1052,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","10% increase in encounters over baseline, calculated as (new # ‐ baseline)/baseline Baseline defined as encounters in DY 4. DY5 impact of 1403 encounters. ",1403,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_138913209.2.1","138913209","138913209.2.1","RHP 1","2.5","Titus Regional Medical Center",0,"NA",0,"NA",0,"NA",9.4E-2,"NA",9.8299999999999998E-2,"NA",0.1923,"NA",9.4E-2,"NA",9.8299999999999998E-2,"NA",0.1923,"NA","Individuals","NA","NA","NA",2000,"NA",2250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Decrease the average total cost per case for top 10 inpatient MS DRG discharges (excluding MS DRG 795 Normal Newborn MS).","N","Decrease the average total cost per case for 2,000 individuals in DY4. ",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Decrease the average total cost per case for top 10 inpatient MS DRG discharges (excluding MS DRG 795 Normal Newborn MS).","N","Decrease the average total cost per case for 2,250 individuals in DY5. ",2250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_138913209.2.2","138913209","138913209.2.2","RHP 1","2.8","Titus Regional Medical Center",0.19,0.187,0.26840000000000003,0.254,0.45840000000000003,0.441,0.19,"NA",0.26840000000000003,"NA",0.45840000000000003,"NA",0.19,"NA",0.26840000000000003,"NA",0.45840000000000003,"NA","Encounters",0,10038,10275,10950,"NA",11895,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","TBD by Performing Provider","Decrease in patient time to provider from baseline.","N","Baseline - Emergency Room statistics from May 1, 2012 through December 31, 2012.   Goal - Decrease in patient time to provider from baseline by > 5%. 10038 encounters",10038,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","TBD by Performing Provider","Decrease in patient time to provider from baseline.","N","Baseline - Emergency Room statistics from May 1, 2012 through December 31, 2012.  Goal - Decrease in patient time to provider from baseline by > 10%. DY4 impact of 10,950 encounters. ",10950,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","TBD by Performing Provider","Decrease in patient time to provider from baseline.","N","Baseline - Emergency Room statistics from May 1, 2012 through December 31, 2012.   Goal - Decrease in patient time to provider from baseline by > 15%. DY5 impact of 11,895 encounters. ",11895,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_139173209.1.1","139173209","139173209.1.1","RHP 1","1.1","East Texas Medical Center Athens",0.23,0.32129999999999997,7.0000000000000007E-2,0.19769999999999999,0.3,0.51899999999999991,0.23,0.376235294117647,7.0000000000000007E-2,0.11858823529411799,0.3,0.494823529411765,0.23,"NA",7.0000000000000007E-2,"NA",0.3,"NA","Encounters",0,2400,3240,2592,4250,3336,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Documentation of baseline.","N","Establish a baseline of primary care clinic volume of visits. ETMC Athens estimates this to be 2,400 encounters.",2400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 8% [192] out of a baseline of 2,400 visits. DY4 impact of 2592 encounters. ",2592,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits over a baseline of 2,400. DY5 impact of 3,336 encounters. ",3336,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_139173209.1.2","139173209","139173209.1.2","RHP 1","1.1","East Texas Medical Center Athens",0.19800000000000001,0.19800000000000001,9.9000000000000005E-2,9.9000000000000005E-2,0.29699999999999999,0.29700000000000004,0.19800000000000001,0.19800000000000001,9.9000000000000005E-2,9.9000000000000005E-2,0.29699999999999999,0.29700000000000004,0.19800000000000001,"NA",9.9000000000000005E-2,"NA",0.29699999999999999,"NA","Encounters",0,7520,15557,9400,21571,17437,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Documentation of baseline number of visits. Demonstrate improvement over prior reporting period.","N","Establish baseline primary care clinic volume of visits. ETMC Athens estimates this to be 7,520 encounters.",7520,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 25% [1,880] out of a baseline of 7,520 visits. DY 4 impact of 9400 encounters. ",9400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits over a baseline of 7,520 visits. DY5 impact of 17437 encounters. ",17437,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_139173209.2.1","139173209","139173209.2.1","RHP 1","2.9","East Texas Medical Center Athens",0.15,9.4500000000000001E-2,0.15,9.5699999999999993E-2,0.3,0.19019999999999998,0.15,9.4500000000000001E-2,0.15,9.5699999999999993E-2,0.3,0.19019999999999998,0.15,"NA",0.15,"NA",0.3,"NA","Individuals",0,725,1792,1450,1577,2466,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Refer 5% [725 individuals] out of a baseline of 14,506 non‐urgent patients. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program",725,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED. Numerator: Number of new patients referred for services from Patient Navigator Program that are seen in primary care setting and empanelled to the medical home. Denominator: Number of new patients referred for services from Patient Navigator Program","Metric: increase in percent of non-urgent patients in ED referred to PCP. Numerator: Non-urgent patients medically screened out of the ED and referred to a primary care setting Denominator - total non-urgent ED patients","N","Baseline: ETMC has the need to implement a navigation program that uses ED triage protocol to shift non-urgent patients to the more appropriate clinic setting. ETMC saw approximately 35,741 emergency room visits in 2012—including 14,506 non-urgent visits (40.6%). While ETMC triages 100% of its ED patients, it currently does not screen any non-urgent patients to the more appropriate clinic setting. Goal: Refer 10% [1,450 individuals] of all non-urgent ED patients to a primary care setting. [1450 is estimated based on 10% of 14,506, which is a number of non-urgent ED patients based on 2012 data][ Based on the recommendations from MPA, the metric's goal is to show an increase in non-urgent patients in ED referred to primary care setting)",1450,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","Metric: increase in percent of non-urgent patients in ED referred to PCP. Numerator: Non-urgent patients medically screened out of the ED and referred to a primary care setting Denominator - total non-urgent ED patients","N","Baseline: ETMC has the need to implement a navigation program that uses ED triage protocol to shift non-urgent patients to the more appropriate clinic setting. ETMC saw approximately 35,741 emergency room visits in 2012—including 14,506 non-urgent visits (40.6%). While ETMC triages 100% of its ED patients, it currently does not screen any non-urgent patients to the more appropriate clinic setting. Goal: Refer 17% [2,466 individuals] of all non-urgent ED patients to a primary care setting. [2,466 is estimated based on 17% of 14,506, which is a number of non-urgent ED patients based on 2012 data] (Based on the recommendations from MPA, the metric's goal is to show an increase in non-urgent patients in ED referred to primary care setting)",2466,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_139173209.2.2","139173209","139173209.2.2","RHP 1","2.12","East Texas Medical Center Athens",0.15,0.15,0.15,0.15,0.3,0.3,0.15,7.0000000000000007E-2,0.15,0.12,0.3,0.19,0.15,"NA",0.15,"NA",0.3,"NA","Individuals",0,23,23,40,134,57,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","N","Pre-DSRIP baseline: 0. Goal: 23 patients (13%) receive care transition protocol in DY3.",23,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","N","Pre-DSRIP baseline: 0. Goal: 40 patients receive transitions protocol in DY4. [note: calculated as 23% of 173]",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","NA","Number of patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","N","Pre-DSRIP baseline: 0. Goal: 57 patients receive transitions protocol in DY5. [note: calculated as 33% of 173]",57,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_139173209.2.3","139173209","139173209.2.3","RHP 1","2.4","East Texas Medical Center Athens",0.15,0.15,0.15,0.15,0.3,0.3,0.15,0.32429999999999998,0.15,0.1024,0.3,0.42669999999999997,0.15,"NA",0.15,"NA",0.3,"NA","Individuals",0,800,800,880,1397,960,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals who are positively impacted by improvements","N","800 Individuals",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals who are positively impacted by improvements","N","DY4 impact of 880 individuals. ",880,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals who are positively impacted by improvements","N","DY5 impact of 960 individuals. ",960,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_140425362.1.1","140425362","140425362.1.1","RHP 1","1.1","Paris-Lamar County Health Department",0.05,0.08,0.9,0.9,0.95000000000000007,0.98,0.05,0.05,0.9,0.9,0.95000000000000007,0.95000000000000007,0.05,"NA",0.9,"NA",0.95000000000000007,"NA","Encounters",2541,254,394,381,1316,508,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increased visits by 10% or 254 additional encounters over baseline of 2,541 visits.",254,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increased visits by 15% or 381 additional visits (encounters) over baseline of 2,541 visits. ",381,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increased visits by 20% or 508 additional visits (encounters) over baseline of 2,541 visits. ",508,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_168447401.1.1","168447401","168447401.1.1","RHP 1","1.1","East Texas Medical Center Gilmer",0.24,0.38600000000000001,0.06,6.4500000000000002E-2,0.3,0.45050000000000001,0.24,"NA",0.06,"NA",0.3,"NA",0.24,"NA",0.06,"NA",0.3,"NA","Encounters",11545,428,-742,856,"NA",1284,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 4% over baseline of 10,704 visits. 428 encounters",428,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 8% over baseline of 10,704 visits. DY4 impact of 856 encounters.",856,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 12% over baseline of 10,704 visits. DY5 impact of 1284 encounters. ",1284,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"1_177870603.1.100","177870603","177870603.1.100","RHP 1","1.7","Red River Regional Hospital",7.4999999999999997E-2,0.25059999999999999,7.4999999999999997E-2,0.21560000000000001,0.15,0.4662,7.4999999999999997E-2,0.25059999999999999,7.4999999999999997E-2,0.21560000000000001,0.15,0.4662,7.4999999999999997E-2,"NA",7.4999999999999997E-2,"NA",0.15,"NA","Encounters",0,60,60,149,205,296,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Documentation of the number of consults delivered by each specialty","a. Submission of the documentation that describes types and volume of consultations by each specialty. The provider can include the number of patients who received diagnostic and treatment services via a specific telemedicine delivered service;","N","Establish Baseline: 60 encounters",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine/telehealth visits ","NA","N","DY4 Goal: 149 encounters.  ",149,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine/telehealth visits ","NA","N","DY5 Goal: 296 encounters. ",296,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_177870603.1.101","177870603","177870603.1.101","RHP 1","1.9","Red River Regional Hospital",0.28000000000000003,0,0.12,0,0.4,0,0.28000000000000003,0,0.12,0,0.4,0,0.28000000000000003,"NA",0.12,"NA",0.4,"NA","Encounters",0,1410,0,1880,0,900,"NA",0,564,0,752,0,360,"NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","Total number of visits for reporting period","N","Establish baseline - DY3 Goal: 1410",1410,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","Total number of Medicaid/Uninsured encounters for reporting period ","Y","Goal: 40% of total visits for Medicaid/uninsured= 564",564,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","Pre-DSRIP baseline: 0. DY4 Goal: 470 over 1410 = 1,880.",1880,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","Y","DY4 Goal: 752 encounters.",752,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","Pre-DSRIP baseline: 0. DY5 Goal: 900 encounters above pre-DSRIP baseline.",900,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","Y","DY5 Goal: 360 encounters above pre-DSRIP baseline.",360,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_177870603.1.2","177870603","177870603.1.2","RHP 1","1.1","Red River Regional Hospital",0.05,0.05,0.1,0.1,0.15,0.15000000000000002,0.05,0.05,0.1,0.1,0.15,0.15000000000000002,0.05,"NA",0.1,"NA",0.15,"NA","Encounters",620,622,1241,1880,3497,2350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Determine baseline of number of visits. ","N","Establish a baseline for primary care clinic volume. Baseline is estimated at 622 visits.",622,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 1880 encounters over baseline of 622 visits. ",1880,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 2350 (encounters) over baseline of 622 visits. ",2350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_177870603.2.2","177870603","177870603.2.2","RHP 1","2.4","Red River Regional Hospital",0.05,4.4999999999999998E-2,0.1,0.107,0.15,0.152,0.05,4.4999999999999998E-2,0.1,0.107,0.15,0.152,0.05,"NA",0.1,"NA",0.15,"NA","Individuals",126,200,253,250,-354,300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals who are positively impacted by improvements","N","200 individuals",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals who are positively impacted by improvements","N","DY4 impact of 250 individuals. ",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals who are positively impacted by improvements","N","DY5 impact of 300 individuals. ",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_177870603.2.3","177870603","177870603.2.3","RHP 1","2.13","Red River Regional Hospital",0.05,0,0.1,0,0.15,0,0.05,0,0.1,0,0.15,0,0.05,"NA",0.1,"NA",0.15,"NA","Individuals",0,50,0,25,0,60,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","The percentage of individuals receiving specialized interventions who demonstrate improved functional status on standardized instruments (e.g. ANSA, CANS, etc.)","N","Determine baseline percentage of individuals receiving specialized interventions who demonstrate improved functional status on standardized instruments. We anticipate that the initial baseline will be approximately 50 individuals.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","The percentage of individuals receiving specialized interventions who demonstrate improved functional status on standardized instruments (e.g. ANSA, CANS, etc.)","NA","N","25 individuals receiving specialized interventions demonstrate improved functional status on standardized instruments. ",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","The percentage of individuals receiving specialized interventions who demonstrate improved functional status on standardized instruments (e.g. ANSA, CANS, etc.)","NA","N","20% increase (10) individuals receiving specialized interventions over a baseline of 50 who demonstrate improved functional status on standardized instruments. DY5 impact of 60 individuals.",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_177870603.2.4","177870603","177870603.2.4","RHP 1","2.6","Red River Regional Hospital",0.05,2.24E-2,0.1,0.14799999999999999,0.15,0.1704,0.05,2.24E-2,0.1,0.14799999999999999,0.15,0.1704,0.05,"NA",0.1,"NA",0.15,"NA","Individuals",0,271,275,298,321,325,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Numerator: Total number of patients in defined population who received innovative intervention. Denominator: Total number of patients in defined population.","N","Establish a baseline for diabetic clinic patients receiving intervention. We estimate the baseline to be approximately 271 individuals.",271,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","TBD by Performing Provider based on measure described above","NA","N","10% (27) increase in diabetic clinic patients receiving intervention over a baseline of 271. DY4 impact of 298 individuals. ",298,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","TBD by Performing Provider based on measure described above","NA","N","20% (54) increase in diabetic clinic patients receiving intervention over a baseline of 271. DY5 impact of 325 individuals. ",325,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_208843701.1.1","208843701","208843701.1.1","RHP 1","1.1","East Texas Medical Center Henderson",0.12,0.41460000000000002,0.03,8.6099999999999996E-2,0.15,0.50070000000000003,0.12,0.43105823418910499,0.03,6.3619286161552893E-2,0.15,0.49467752035065787,0.12,"NA",0.03,"NA",0.15,"NA","Encounters",10999,511,2631,766,4971,2887,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 4% over baseline of 12,772 visits. 511 encounters",511,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 6% over baseline of 12,772 visits. DY4 impact of 766 encounters. ",766,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits over baseline of 12,772 visits. DY5 impact of 2887 encounters. ",2887,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_208843701.1.2","208843701","208843701.1.2","RHP 1","1.9","East Texas Medical Center Henderson",0.17499999999999999,0.17499999999999999,0.17499999999999999,0.17499999999999999,0.35,0.35,0.17499999999999999,"NA",0.17499999999999999,"NA",0.35,"NA",0.17499999999999999,"NA",0.17499999999999999,"NA",0.35,"NA","Encounters",0,1600,1017,1728,"NA",1792,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Documentation of number of visits.","N","Establish a baseline for specialty clinic volume. 1600 encounters",1600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","8% increase in clinic visits, consults, and surgeries over baseline, calculated as (new # ‐ baseline)/baseline. DY4 impact of 1728 encounters. ",1728,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","12% increase in clinic visits, consults, and surgeries over baseline, calculated as (new # ‐ baseline)/baseline. DY5 impact of 1792 encounters.",1792,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_751281410.1.1","751281410","751281410.1.1","RHP 1","1.13","Andrews Center   ",0.1,7.1999999999999995E-2,0.1,0.92600000000000005,0.2,0.998,0.1,4.24E-2,0.1,0.93759999999999999,0.2,0.98,0.1,"NA",0.1,"NA",0.2,"NA","Individuals",0,200,221,240,249,260,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Baseline % utilization of appropriate crisis alternatives. Numerator: Number of people receiving community behavioral healthcare services from appropriate crisis alternatives Denominator: Number of people receiving community behavioral health services in RHP project sites.","N","Determine actual baseline % of utilization of crisis alternatives versus estimated baseline 14.2% (200 individuals)",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives.","Increase in utilization of appropriate crisis alternatives. Numerator: Number of people receiving community behavioral healthcare services from appropriate crisis alternatives Denominator: Number of people receiving community behavioral health services in RHP project sites.","N","10% (220 uses) increase over baseline in utilization of appropriate crisis alternatives as March 31, 2015. Calculated as: (new # ‐baseline) /baseline. 20% (240 uses) increase over baseline in utilization of appropriate crisis alternatives as Sept 30, 2015. Calculated as: (new # ‐baseline) /baseline. DY4 impact of 240 individuals. ",240,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives.","Increase in utilization of appropriate crisis alternatives. Numerator: Number of people receiving community behavioral healthcare services from appropriate crisis alternatives Denominator: Number of people receiving community behavioral health services in RHP project sites.","N","25% (250 uses) increase over baseline in utilization of appropriate crisis alternatives as March 31, 2016. Calculated as: (new # ‐baseline) /baseline. 30% (260 uses) increase over baseline in utilization of appropriate crisis alternatives as Sept 30, 2016. Calculated as: (new # ‐baseline) /baseline. DY5 impact of 260 individuals. ",260,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_751281410.2.1","751281410","751281410.2.1","RHP 1","2.13","Andrews Center   ",0.05,3.2000000000000001E-2,0.5,0.95899999999999996,0.55000000000000004,0.99099999999999999,0.05,1.3100000000000001E-2,0.5,0.9869,0.55000000000000004,1,0.05,"NA",0.5,"NA",0.55000000000000004,"NA","Individuals",0,150,151,200,325,250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","NA","Number of unique individuals participating in any project associated diversion program","N","150 Individuals",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","NA","Number of unique individuals participating in any project associated diversion program","N","DY4 impact of 200 individuals. ",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of unique individuals participating in any project associated diversion program","NA","N","DY5 impact of 250 individuals. ",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_751281410.2.100","751281410","751281410.2.100","RHP 1","2.13","Andrews Center",0.25,0.27200000000000002,0.3,0.69399999999999995,0.55000000000000004,0.96599999999999997,0.25,9.8000000000000004E-2,0.3,0.89200000000000002,0.55000000000000004,0.99,0.25,"NA",0.3,"NA",0.55000000000000004,"NA","Individuals",0,50,71,75,111,90,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","NA","N","Baseline Goal: 50 individuals served",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY4 Goal: 75",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY5 Goal: 90 individuals",90,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_751281410.2.2","751281410","751281410.2.2","RHP 1","2.15","Andrews Center   ",0.25,0.35,0.3,0.6,0.55000000000000004,0.95,0.25,0.33200000000000002,0.3,0.61399999999999999,0.55000000000000004,0.94599999999999995,0.25,"NA",0.3,"NA",0.55000000000000004,"NA","Individuals",0,188,548,376,549,563,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","5% (94) of 1,878 Smith County patients receiving physical and behavioral care as of Mar 31, 2014. 10% (188) of 1,878 Smith County patients receiving physical and behavioral care as of Sept 30, 2014. Numerator: Number of individuals receiving both physical and behavioral health care at the established locations. Denominator: Number of individuals receiving services in project sites. 188 individuals",188,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","15% (282) of 1,878 Smith County patients receiving physical and behavioral care as of Mar 31, 2015.  20% (376) of 1,878 Smith County patients receiving physical and behavioral care as of Sept 30, 2015. DY4 impact of 376 individuals. ",376,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","25% (470) of 1,878 Smith County patients receiving physical and behavioral care as of Mar 31, 2016. 30% (563) of 1,878 Smith County patients receiving physical and behavioral care as of Sept 30, 2016. DY5 impact of 563 individuals.",563,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"1_751281410.2.3","751281410","751281410.2.3","RHP 1","2.13","Andrews Center   ",0.3,0.22500000000000001,0.25,0.67400000000000004,0.55000000000000004,0.89900000000000002,0.3,0.17799999999999999,0.25,0.79400000000000004,0.55000000000000004,0.97199999999999998,0.3,"NA",0.25,"NA",0.55000000000000004,"NA","Individuals",0,200,445,220,339,465,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","NA","Total number of persons receiving outpatient therapy from project provided therapists","N","200 Individuals",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","NA","Total number of persons receiving outpatient therapy from project provided therapists","N","DY4 impact of 220 individuals. ",220,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Total number of persons receiving outpatient therapy from project provided therapists","NA","N","DY5 impact of 465 individuals. ",465,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_020950401.2.1","020950401","020950401.2.1","RHP 10","2.4","Medical Center of Arlington",0.33,0.32,0.22,0.19,0.55000000000000004,0.51,0.33,0.29699999999999999,0.22,0.18429999999999999,0.55000000000000004,0.48129999999999995,0.33,"NA",0.22,"NA",0.55000000000000004,"NA","Individuals",0,8962,9816,18333,38453,33410,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA"," Post Visit Phone Calls will be made to eligible IP and ED patients  and logged in Patient Call Manager system. Customized questions will be developed for specific patient types (cardiac, OB surgical etc.) and care plan interventions (medication, discharge planning, follow up appointments, etc.)","N","  Post Visit Phone Calls with 8,962 patients.",8962,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Post-visit contacts to eligible discharged hospital patients with customized questions by patient type (cardiac, OB , surgical etc) and regarding care plan interventions (i.e. medications, discharge instructions, follow up appointments)","N","Baseline:  Post-visit contacts with 0 patients in DY2.  Goal:  Post-visit contacts with 18,333 patients in DY4. ",18333,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Post-visit contacts to eligible discharged hospital patients with customized questions by patient type (cardiac, OB , surgical etc) and regarding care plan interventions (i.e. medications, discharge instructions, follow up appointments)","N","Baseline:  Post-visit contacts with 0 patients in DY2.  Goal:  Post-visit contacts with 33,410 patients in DY5. (individuals)",33410,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_020950401.2.2","020950401","020950401.2.2","RHP 10","2.8","Medical Center of Arlington",0.24,0.21,0.08,0.12,0.32,0.32999999999999996,0.24,0.21179999999999999,0.08,4.8000000000000001E-2,0.32,0.25979999999999998,0.24,"NA",0.08,"NA",0.32,"NA","Individuals",0,129,144,218,354,268,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal"," ","N","Improve compliance to 50%, 129 cases on bundle",129,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of patients treated for sepsis).","N","Baseline: 0.  Goal: 218 patients treated for sepsis in DY4.",218,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of patients treated for sepsis).","N","Baseline: 0.  Goal: 268 patients treated for sepsis in DY5.",268,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_020950401.2.3","020950401","020950401.2.3","RHP 10","2.12","Medical Center of Arlington",0.38,0.15,7.0000000000000007E-2,0.09,0.45,0.24,0.38,0.16800000000000001,7.0000000000000007E-2,0.05,0.45,0.21800000000000003,0.38,"NA",7.0000000000000007E-2,"NA",0.45,"NA","Individuals",0,250,276,525,584,787,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","25% patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines out of number of patients discharged or eligible for care transition services, 250 patients. ",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","40% improvement over baseline of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services, 525 patients in DY4. (individuals)",525,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","75% improvement over baseline of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services, 787 patients in DY5. (individuals)",787,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_021184901.1.1","021184901","021184901.1.1","RHP 10","1.1","Cook Children's Medical Center",0,0.91600000000000004,0.42,7.7000000000000002E-3,0.42,0.92370000000000008,0,0.89710000000000001,0.42,2.3300000000000001E-2,0.42,0.9204,0,"NA",0.42,"NA",0.42,"NA","Encounters",0,8000,8013,8800,6316,9680,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","8,000 visits",8000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","10% increase in visits from 8,000 visits to 8,800 visits in DY4. (encounters)",8800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","10% increase in visits from 8,800 visits to 9,680 visits in DY5. (encounters)",9680,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_021184901.1.2","021184901","021184901.1.2","RHP 10","1.1","Cook Children's Medical Center",0,"NA",0,"NA",0,"NA",0.48,0.75060000000000004,0.09,4.2700000000000002E-2,0.56999999999999995,0.79330000000000001,0.48,"NA",0.09,"NA",0.56999999999999995,"NA","Encounters",0,"NA","NA",8000,44889,8800,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","8,000 visits (encounters)",8000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","10% increase in visits from 8,000 visits to 8,800 visits in DY5. (encounters)",8800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_021184901.1.3","021184901","021184901.1.3","RHP 10","1.8","Cook Children's Medical Center",0,"NA",0,"NA",0,"NA",0,0.92469999999999997,0.42,2.3699999999999999E-2,0.42,0.94839999999999991,0,"NA",0.42,"NA",0.42,"NA","Encounters",0,"NA","NA",5400,5775,5940,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increasing the number of encounters for children, special needs patients, pregnant women, and/or the elderly accessing dental services","N","5,400 visits (encounters)",5400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increasing the number of encounters for children, special needs patients, pregnant women, and/or the elderly accessing dental service","N","10% increase in visits from 5,400 visits to 5,940 visits in DY5. (encounters)",5940,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_022817305.1.1","022817305","022817305.1.1","RHP 10","1.10","Tarrant County/dba Tarrant County Public Health",0.26,0.52,0.23,0.25,0.49,0.77,0.26,0.13,0.23,0.59,0.49,0.72,0.26,"NA",0.23,"NA",0.49,"NA","Individuals",0,75,95,75,76,75,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","75 pertussis cases identified only through HIE (above the number reported by providers.)  TCPH will respond to these cases in a timely fashion. ","N","Baseline: Zero cases reported through HIE.  Goal: 75 pertussis cases identified only through HIE (above the number reported by providers.)  ",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","75 pertussis cases identified only through HIE (above the number reported by providers.)  TCPH will respond to these cases in a timely fashion. ","N","Baseline: 0 cases reported through HIE.  Goal: 75 pertussis cases identified only through HIE (above the number reported by providers.)  (individuals)",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","75 pertussis cases identified only through HIE (above the number reported by providers.)  TCPH will respond to these cases in a timely fashion.","N","Baseline: 0 cases reported through HIE. Goal: 75 pertussis cases identified only through HIE (above the number reported by providers.)  (individuals)",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_022817305.1.2","022817305","022817305.1.2","RHP 10","1.1","Tarrant County/dba Tarrant County Public Health",0.13,0.15,0.74,0.77,0.87,0.92,0.13,0.14000000000000001,0.74,0.7,0.87,0.84,0.13,"NA",0.74,"NA",0.87,"NA","Encounters",3076,250,1200,500,-242,1000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Increased number of primary care visits.","NA","N","250 additional LTBI patient visits over the baseline established in DY2.",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Increased number of primary care visits.","NA","N","500 additional LTBI patient visits over the baseline established in DY2 for DY5. (encounters)",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase percentage of target population reached.","NA","N","1,000 additional LTBI patient visits over the baseline established in DY2 for DY5. (encounters)",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_022817305.2.1","022817305","022817305.2.1","RHP 10","2.7","Tarrant County/dba Tarrant County Public Health",0.5,0.62,0.25,0.32,0.75,0.94,0.6,0.49,0.15,0.43,0.75,0.91999999999999993,0.6,"NA",0.15,"NA",0.75,"NA","Individuals",0,40,40,40,76,40,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA"," 40 patients who have received direct contact accept steroid treatment.","N"," 40 patients who have received direct contact accept steroid treatment.",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA"," 40 patients who have received direct contact accept steroid treatment.","N"," 40 patients who have received direct contact accept steroid treatment in DY4. (individuals)",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA"," 40 patients who have received direct contact accept steroid treatment.","N"," 40 patients who have received direct contact accept steroid treatment in DY5. (individuals)",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_022817305.2.100","022817305","022817305.2.100","RHP 10","2.6","Tarrant County/dba Tarrant County Public Health",0.24,0.36,7.5999999999999998E-2,0.01,0.316,0.37,0.05,0.88,0.27,0.03,0.32,0.91,0.05,"NA",0.27,"NA",0.32,"NA","Individuals",0,200,211,1000,815,1300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","Total number of patients in defined population who received innovative intervention.","N","Zero participants/Enroll 200 participants.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","NA","N","DY3: 200 participants enrolled / DY4 goal: Enroll 1000 participants. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","NA","N","DY5 goal: Enroll 1300 participants. ",1300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_022817305.2.2","022817305","022817305.2.2","RHP 10","2.6","Tarrant County/dba Tarrant County Public Health",0.1,0.14000000000000001,0.4,0.25,0.5,0.39,0.1,0.14000000000000001,0.4,0.25,0.5,0.39,0.1,"NA",0.4,"NA",0.5,"NA","Individuals",0,350,627,1920,1293,1920,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Number of target population enrolled in the PRIDE program ","N","Enroll 350  individuals in the PRIDE program",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA"," Number of target population enrolled in the PRIDE program    ","N","Increase the number of agencies with youth programs utilizing PRIDE to 1,920 individuals in DY4.",1920,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Number of target population enrolled in the PRIDE program. ","N"," Add an additional 1,920 individuals served in the PRIDE program in DY5.",1920,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_022817305.2.3","022817305","022817305.2.3","RHP 10","2.7","Tarrant County/dba Tarrant County Public Health",0.1,0.01,0.4,0.82,0.5,0.83,0.1,0.01,0.4,0.64,0.5,0.65,0.1,"NA",0.4,"NA",0.5,"NA","Encounters",665,1375,1375,1477,-374,1691,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.3","Increased number of encounters as defined by intervention (e.g., screenings, education, outreach, etc.)","Number of encounters in defined population (over baseline of 665) receiving innovative intervention consistent with evidence-based model.","N","Pre-DSRIP baseline: 655 encounters. Goal: 1,375 encounters above pre-DSRIP baseline.",1375,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.3","Increased number of encounters as defined by intervention (e.g., screenings, education, outreach, etc.)","Number of encounters in defined population (over baseline of 665) receiving innovative intervention consistent with evidence-based model.","N","Pre-DSRIP baseline: 655 encounters. Goal: 1,477 encounters above pre-DSRIP baseline.",1477,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.3","Increased number of encounters as defined by intervention (e.g., screenings, education, outreach, etc.)","Number of encounters in defined population (over baseline of 665) receiving innovative intervention consistent with evidence-based model.","N","Pre-DSRIP baseline: 655 encounters. Goal: 1,691 encounters above pre-DSRIP baseline.",1691,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_022817305.2.4","022817305","022817305.2.4","RHP 10","2.6","Tarrant County/dba Tarrant County Public Health",0.3,7.0000000000000007E-2,0.4,0.35,0.7,0.42,0.25,0.12,0.45,0.66,0.7,0.78,0.25,"NA",0.45,"NA",0.7,"NA","Individuals",0,600,605,800,804,1000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Documentation of self-management education clients","N","600 program participants",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Documentation of self-management education clients","N","800 program participants in DY4. (individuals)",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Documented selfmanagement education for clients","N","1,000 program participants in DY5. (individuals)",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_022817305.2.5","022817305","022817305.2.5","RHP 10","2.7","Tarrant County/dba Tarrant County Public Health",0.13,0.59,0.74,0.38,0.87,0.97,0.55000000000000004,0.59,0.32,0.38,0.87,0.97,0.55000000000000004,"NA",0.32,"NA",0.87,"NA","Individuals",0,231,349,257,315,308,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Patients offered and accepting Rifapentine/isoniazid combination treatment. Numerator: # of patients accepting treatment. Denominator: # of patients offered treatment. ","N","45% of the patients offered rifapentine/isoniazid will accept.  Based on 2012 population numbers, we expect 514 patients in the target population.  Our goal is that 231 will accept treatment.",231,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Patients offered and accepting rifapentine/isoniazid combination treatment. Numerator: # of patients accepting treatment. Denominator: # of patients offered treatment. ","N","50% of patients offered rifapentine/isoniazid combination treatment will accept.  Based on 2012 population numbers, we expect 514 patients in the target population.  Our goal is that 257 will accept treatment. (individuals)",257,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Patients offered and accepting rifapentine/isoniazid combination treatment. Numerator: # of patients accepting treatment. Denominator: # of patients offered treatment. ","N","60% of patients offered rifapentine/isoniazid combination treatment will accept. Based on 2012 population numbers, we expect 514 patients in the target population.  Our goal is that 308 will accept treatment. (individuals)",308,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_022817305.2.8","022817305","022817305.2.8","RHP 10","2.7","Tarrant County/dba Tarrant County Public Health",0.5,0.13,0.3,0.67,0.8,0.8,0.2,0.13,0.6,0.67,0.8,0.8,0.2,"NA",0.6,"NA",0.8,"NA","Individuals",0,1840,1840,1860,51,1860,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Number of individuals of target population reached by the innovative project","N","Baseline: Zero participants at start of the DY.  Goal: 1840 new participants",1840,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Number of individuals of target population reached by the innovative project","N","Baseline: 0 participants.  Goal: 1,860 new participants in DY4. (individuals)",1860,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Number of individuals of target population reached by the innovative project","N","Baseline: 0 participants.  Goal: 1,860 new participants in DY5. (individuals)",1860,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_081599501.1.1","081599501","081599501.1.1","RHP 10","1.12","MHMR of Tarrant County",0.37,0.14000000000000001,0.43,0.72,0.8,0.86,0.2,0.18,0.6,0.63,0.8,0.81,0.2,"NA",0.6,"NA",0.8,"NA","Individuals",0,200,408,450,670,500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Target population reached","NA","N","See an additional 200 unique patients",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached","N","See an additional 450 unique patients in DY4. (individuals)",450,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached","N","See an additional 500 unique patients in DY5. (individuals)",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_081599501.1.2","081599501","081599501.1.2","RHP 10","1.13","MHMR of Tarrant County",0,"NA",0,"NA",0,"NA",0.8,0.95899999999999996,0,8.0000000000000002E-3,0.8,0.96699999999999997,0.8,"NA",0,"NA",0.8,"NA","Individuals",0,"NA","NA",350,388,350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached","N","Crisis stabilization services to 350 unique individuals",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached","N","Provide crisis stabilization services to 350 unique individuals in DY5. (individuals)",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_081599501.2.1","081599501","081599501.2.1","RHP 10","2.13","MHMR of Tarrant County",0,"NA",0,"NA",0,"NA",0.2,0.13800000000000001,0.8,0.85699999999999998,1,0.995,0.2,"NA",0.8,"NA",1,"NA","Individuals",642,"NA","NA",250,255,300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA"," Target population reached.","N"," 250 additional patients over number of patients served in DY3 (individuals)",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA"," Target population reached.","N"," 300 additional patients over number of patients served in DY3. (individuals)",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_081599501.2.100","081599501","081599501.2.100","RHP 10","2.13","MHMR of Tarrant County",0,"NA",0,"NA",0,"NA",0.65,0.72,0.35,0.27,1,0.99,0.65,"NA",0.35,"NA",1,"NA","Individuals",0,"NA","NA",230,240,230,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Baseline: 0 in DY3. DY4 goal: Enroll and Serve 230 individuals with targeted complex needs",230,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY5 goal: Enroll and serve 230 individuals with targeted complex needs. ",230,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_081599501.2.2","081599501","081599501.2.2","RHP 10","2.15","MHMR of Tarrant County",0,"NA",0,"NA",0,"NA",0.37,0.248,0.43,0.73099999999999998,0.8,0.97899999999999998,0.37,"NA",0.43,"NA",0.8,"NA","Individuals",0,"NA","NA",332,375,553,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations"," ","N","332 individuals receiving both physical and behavioral health care in project sites.  40.4% individuals receiving both physical and behavioral health care in project sites out of total number of individuals receiving services in project sites",332,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations"," ","N","553 individuals receiving both physical and behavioral health care in project sites in DY5. 67.3% individuals receiving both physical and behavioral health care in project sites out of total number of individuals receiving services in project sites",553,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_081599501.2.3","081599501","081599501.2.3","RHP 10","2.19","MHMR of Tarrant County",0,"NA",0,"NA",0,"NA",0.8,0.85399999999999998,0,4.6800000000000001E-2,0.8,0.90079999999999993,0.8,"NA",0,"NA",0.8,"NA","Individuals",0,"NA","NA",300,343,180,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-25.1","X percent increase of patients with chronic disease who receive appropriate disease specific instructions","patients with chronic disease who receive appropriate disease-specific instructions.","N","300 patients entered in disease registry given instruction and assess reasons for gaps of when appropriate instruction given. 62.5% increase of patients with chronic disease entered into registry who receive appropriate disease specific instructions out of total number of patients with chronic disease entered into registry (individuals)",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-25.1","X percent increase of patients with chronic disease who receive appropriate disease specific instructions"," ","N","Additional 180 patients entered in disease registry given instruction and assess reasons for gaps of when appropriate instruction given. Improvement over DY4 data. 100% increase of patients with chronic disease entered into registry who receive appropriate disease specific instructions out of total number of patients with chronic disease entered into registry (individuals)",180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_081599501.2.4","081599501","081599501.2.4","RHP 10","2.13","MHMR of Tarrant County",0.37,0.34,0.43,0.63129999999999997,0.8,0.97130000000000005,0.37,0.4,0.43,0.57999999999999996,0.8,0.98,0.37,"NA",0.43,"NA",0.8,"NA","Individuals",0,250,320,375,748,725,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals enrolled/ served in the project.","N","Total number of unique patients encountered in the clinic for reporting period 250",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals enrolled/ served in the project.","N","Total number of unique patients encountered in the clinic for reporting period: 375. (individuals)",375,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals enrolled/ served in the project.","N","Total number of unique patients encountered in the clinic for reporting period: 725. (individuals)",725,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_094105602.2.1","094105602","094105602.2.1","RHP 10","2.8","North Hills Hospital",0.17,0.15,7.0000000000000007E-2,0.12,0.24000000000000002,0.27,0.17,0.21,7.0000000000000007E-2,8.4000000000000005E-2,0.24000000000000002,0.29399999999999998,0.17,"NA",7.0000000000000007E-2,"NA",0.24000000000000002,"NA","Individuals",0,68,75,118,178,122,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal"," ","N","Improve compliance from 50%, 68 cases on bundle",68,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of patients treated for sepsis).","N","Baseline: 0.  Goal: 118 patients treated for sepsis in DY4 (individuals)",118,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of patients treated for sepsis).","N","Baseline: 0.  Goal: 122 patients treated for sepsis in DY5. (individuals)",122,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_094193202.2.1","094193202","094193202.2.1","RHP 10","2.4","Plaza Medical Center of Fort Worth",0.16,0.25,0.13,0.15,0.29000000000000004,0.4,0.16,0.15,0.13,0.09,0.29000000000000004,0.24,0.16,"NA",0.13,"NA",0.29000000000000004,"NA","Individuals",0,3855,5014,6847,16913,11462,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Post Visit Phone Calls will be made to eligible IP and ED patients  and logged in Patient Call Manager system. Customized questions will be developed for specific patient types (cardiac, OB surgical etc.) and care plan interventions (medication, discharge planning, follow up appointments, etc.)","N"," Post Visit Phone Calls made to  3,855 eligible IP and ED patients. ",3855,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Post-visit contacts to eligible discharged hospital patients with customized questions by patient type (cardiac, OB , surgical etc) and regarding care plan interventions (i.e. medications, discharge instructions, follow up appointments)","N","Baseline:  Post-visit contacts with 0 patients in DY2.  Goal:  Post-visit contacts with 6,847 patients in DY4. (individuals)",6847,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Post-visit contacts to eligible discharged hospital patients with customized questions by patient type (cardiac, OB , surgical etc) and regarding care plan interventions (i.e. medications, discharge instructions, follow up appointments)","N","Baseline:  Post-visit contacts with 0 patients in DY2.  Goal:  Post-visit contacts with 11,462 patients in DY5. (individuals)",11462,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_094193202.2.2","094193202","094193202.2.2","RHP 10","2.8","Plaza Medical Center of Fort Worth",0.21,0.28999999999999998,0.09,0.06,0.3,0.35,0.21,0.29299999999999998,0.09,1.4E-2,0.3,0.307,0.21,"NA",0.09,"NA",0.3,"NA","Individuals",0,95,95,150,208,180,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal"," ","N","Improve compliance to 50%, 95 cases on bundle",95,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of patients treated for sepsis).","N","Baseline: 0.  Goal: 150 patients treated for sepsis in DY4 (individuals)",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of patients treated for sepsis).","N","Baseline: 0.  Goal: 180 patients treated for sepsis in DY5. (individuals)",180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_109574702.1.100","109574702","109574702.1.100","RHP 10","1.12","Huguley Memorial Medical Center",0,"NA",0,"NA",0,"NA",0.15,0.23,0.12,0.24,0.27,0.47,0.15,"NA",0.12,"NA",0.27,"NA","Individuals",0,"NA","NA",700,1454,200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 500 patients receiving community behavioral health services. DY4 Goal: 700 additional patients receive behavioral healthcare services after access expansion in DY4.",700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 500 patients. 700 additional patients receive community based behavioral healthcare services in  DY4. DY5 Goal: 200 additional patients receiving community based behavioral healthcare services. ",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_109574702.2.1","109574702","109574702.2.1","RHP 10","2.8","Huguley Memorial Medical Center",0.11,0.1895,0.03,5.2699999999999997E-2,0.14000000000000001,0.2422,0.11,5.21E-2,0.03,5.5500000000000001E-2,0.14000000000000001,0.1076,0.11,"NA",0.03,"NA",0.14000000000000001,"NA","Individuals",0,349,512,342,527,512,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal"," ","N","2% points improvement over baseline, 349 individuals.",349,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal"," ","N","2% points improvement over prior year, 342 CHF patients received hospital care, discharge education, and post discharge follow-up. QPI goal: 342 individuals in DY4",342,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal"," ","N","Improvement over prior year, 512 CHF patients received hospital care, discharge education, and post discharge follow-up. QPI goal: 512 individuals in DY5.",512,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,{"$f":"\"\"&IF(LEN($F135)=5,RIGHT($F135,1),RIGHT($F135,2))&\"_\"&E135","v":"10_109574702.2.100"},"109574702","109574702.2.100","RHP 10","2.7","Huguley Memorial Medical Center",0,"NA",0,"NA",0,"NA",0.15,0.16159999999999999,0.12,0.1123,0.27,0.27389999999999998,0.15,"NA",0.12,"NA",0.27,"NA","Individuals",0,"NA","NA",375,2464,400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Goal:  375 individuals of target population reached by the innovative project in DY4.",375,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Goal: 400 individuals of target population reached by the innovative project in DY5.",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_109574702.2.2","109574702","109574702.2.2","RHP 10","2.8","Huguley Memorial Medical Center",0,"NA",0,"NA",0,"NA",0.34,7.3300000000000004E-2,0.05,5.1700000000000003E-2,0.39,0.125,0.34,"NA",0.05,"NA",0.39,"NA","Individuals",0,"NA","NA",174,232,217,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal"," ","N","50% improvement in the number of patients utilizing the sepsis resuscitation bundle over baseline, 174 patients. (individuals)",174,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal"," ","N","25% improvement in the number of patients utilizing the sepsis resuscitation bundle over prior year, 217 patients in DY5. (individuals)",217,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_112677302.1.100","112677302","112677302.1.100","RHP 10","1.9","Texas Health Harris Methodist Hospital Fort Worth",0,"NA",0,"NA",0,"NA",0.3,0.35039999999999999,0.1,0.08,0.4,0.4304,0.3,"NA",0.1,"NA",0.4,"NA","Encounters",0,"NA","NA",100,152,125,"NA",0,"NA","NA",40,64,50,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","baseline is 0 encounters in DY3 / Goal is 100 CF physical therapy/gym encounters in DY4.",100,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","N","Baseline: 0 Goal: 40 Medicaid/uninsured CF physical therapy gym encounters for DY4",40,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","Goal 125 physical therapy/ gym encounters in DY 5 which is a 25% increase over DY 4.",125,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","N","Goal: 50 Medicaid/uninsured CF physical therapy/gym encounters in DY5.",50,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_112677302.2.1","112677302","112677302.2.1","RHP 10","2.2","Texas Health Harris Methodist Hospital Fort Worth",0.35,0.36,0.65,0.64,1,1,0.35,0.2833,0.65,0.70830000000000004,1,0.99160000000000004,0.35,"NA",0.65,"NA",1,"NA","Individuals",0,100,116,105,118,121,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program"," ","N","35% patients enrolled in a self-management program out of total number of inpatients or multiple visit ED patients with a HbA1c >9%., total of 100 individuals",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program"," ","N","5% increase in number of unique patients served by the Diabetes CARE team compared to baseline, 105 patients. (individuals)",105,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program"," ","N","Increase in number of unique patients served by the Diabetes CARE team compared to DY4, 121 patients. (individuals)",121,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_112677302.2.100","112677302","112677302.2.100","RHP 10","2.10","Texas Health Harris Methodist Hospital Fort Worth",0,"NA",0,"NA",0,"NA",0.3,0.45,0.1,0,0.4,0.45,0.3,"NA",0.1,"NA",0.4,"NA","Encounters",0,"NA","NA",80,52,100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.3","Improved access to palliative care services ","NA","N","Goal is to provide 80 consults with Child Life Specialist",80,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.3","Improved access to palliative care services ","NA","N","Goal is to provide 100 encounters with the Child Life Specialist in DY5",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_112677302.2.101","112677302","112677302.2.101","RHP 10","2.11","Texas Health Harris Methodist Hospital Fort Worth",0,"NA",0,"NA",0,"NA",0.2,0.18229999999999999,0.1,0.21249999999999999,0.3,0.39479999999999998,0.2,"NA",0.1,"NA",0.3,"NA","Individuals",11035,"NA","NA",1948,2988,2365,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Baseline: 11,035 patients received medication management counseling at the point of care in CY 2013 / Goal: 12,983 patients receive medication management counseling in DY4 for an increase of 1948 patients over baseline.",1948,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Baseline: 11,035 patients receive medication management counseling at point of care in CY2013, 12983 in DY4: Goal:  3% increase over DY4 - 13,400 patients receive medication management counseling in DY for an increase of 2365 patients over CY2013 baseline.",2365,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_112677302.2.2","112677302","112677302.2.2","RHP 10","2.2","Texas Health Harris Methodist Hospital Fort Worth",0.05,4.65E-2,0.8,0.95340000000000003,0.85000000000000009,0.99990000000000001,0.05,1.47E-2,0.8,0.98529999999999995,0.85000000000000009,1,0.05,"NA",0.8,"NA",0.85000000000000009,"NA","Individuals",0,40,43,59,68,88,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program"," ","N","25% of screened CHF patients enroll in the program out of total number of CHF patients screened, 40 patients enrolled.",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N","59 additional patients in DY4. (individuals)",59,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N","88 additional patients in DY5.(individuals)",88,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_112677302.2.3","112677302","112677302.2.3","RHP 10","2.9","Texas Health Harris Methodist Hospital Fort Worth",0.55000000000000004,0.25109999999999999,0.36,0.28170000000000001,0.91,0.53279999999999994,0.55000000000000004,0.36870000000000003,0.36,0.2442,0.91,0.6129,0.55000000000000004,"NA",0.36,"NA",0.91,"NA","Individuals",0,367,427,105,423,600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED"," ","N","80% of identified patients - ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator out of total ED patients without a PCP documented in their medical record, 367 individuals.",367,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED"," ","N","85% of identified patients - ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator out of total ED patients without a PCP documented in their medical record. 105 individuals in DY4.",105,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED"," ","N","90% of identified patients (i.e.3240 of estimated 3600 patients identified by program) - ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator out of total ED patients without a PCP documented in their medical record. 600 individuals in DY5.",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_112677302.2.4","112677302","112677302.2.4","RHP 10","2.8","Texas Health Harris Methodist Hospital Fort Worth",0,"NA",0,"NA",0,"NA",0.15,0.15,0.15,0.05,0.3,0.2,0.15,"NA",0.15,"NA",0.3,"NA","Individuals",0,"NA","NA",1000,1747,1050,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of individuals admitted through the ED with a primary diagnosis of sepsis).","N","Baseline: 0.  Goal: 1,000 individuals admitted through the ED with a primary diagnosis of sepsis in DY4.",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of individuals admitted through the ED with a primary diagnosis of sepsis).","N","Baseline: 0.  Goal: 1,050 individuals admitted through the ED with a primary diagnosis of sepsis in DY5.",1050,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_112677302.2.5","112677302","112677302.2.5","RHP 10","2.7","Texas Health Harris Methodist Hospital Fort Worth",0.27,1.0999999999999999E-2,0.34899999999999998,0.71599999999999997,0.61899999999999999,0.72699999999999998,0.27,2.2000000000000001E-3,0.34899999999999998,0.81620000000000004,0.61899999999999999,0.81840000000000002,0.27,"NA",0.34899999999999998,"NA",0.61899999999999999,"NA","Individuals",0,4763,1116,2000,2252,2200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","TBD by Performing Provider based on milestone described above","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","N","90% of maximum capacity of the unit (max cap = 5,292), 4,763 individuals of target population reached by the innovative project out of the maximum capacity of the mobile health unit",4763,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Identify X number of patients in defined population receiving innovative intervention consistent with evidence‐based model","N","Baseline: 0.  Goal:  2,000 patients in defined population receiving innovative intervention consistent with evidence‐based model in DY4. (individuals)",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Identify X number of patients in defined population receiving innovative intervention consistent with evidence‐based model","N","Baseline: 0.  Goal:  2,200 patients in defined population receiving innovative intervention consistent with evidence‐based model in DY5. (individuals)",2200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_120726804.2.1","120726804","120726804.2.1","RHP 10","2.2","Texas Health Harris Methodist Hospital Southwest Fort Worth",0,"NA",0,"NA",0,"NA",0.35,0.48570000000000002,0.65,0,1,0.48570000000000002,0.35,"NA",0.65,"NA",1,"NA","Individuals",0,"NA","NA",10,35,18,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program"," ","N","10 unique patients served by innovative program (individuals)",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program"," ","N","Additional 18 unique patients served by innovative program. (individuals)",18,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_120726804.2.100","120726804","120726804.2.100","RHP 10","2.10","Texas Health Harris Methodist Hospital Southwest Fort Worth",0.4,7.0000000000000007E-2,0,0,0.4,7.0000000000000007E-2,0.4,0.35,0,0.06,0.4,0.41,0.4,"NA",0,"NA",0.4,"NA","Encounters",0,215,253,517,831,1500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.3","Improved access to palliative care services ","Total number of palliative care consultations provided. ","N","Baseline: 0 palliative care consultations provided. DY3 goal: 215 palliative care consultations provided.",215,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.3","Improved access to palliative care services ","NA","N","DY3: 215 palliative care consultations provided. DY4 Goal: 517 consults. ",517,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.3","Improved access to palliative care services ","NA","N","DY3: 215 palliative care consultations provided. DY4: 517 consultations. DY5 Goal: 1500 palliative care consultations provided.",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_120726804.2.2","120726804","120726804.2.2","RHP 10","2.8","Texas Health Harris Methodist Hospital Southwest Fort Worth",0,"NA",0,"NA",0,"NA",0.09,0.12230000000000001,7.0000000000000007E-2,7.5600000000000001E-2,0.16,0.19790000000000002,0.09,"NA",7.0000000000000007E-2,"NA",0.16,"NA","Individuals",0,"NA","NA",118,607,150,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of individuals admitted through the ED with a primary diagnosis of sepsis).","N","Baseline: 0.  Goal: 118 individuals admitted through the ED with a primary diagnosis of sepsis in DY4. ",118,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals impacted by the project (number of individuals admitted through the ED with a primary diagnosis of sepsis).","N","Baseline: 0.  Goal: 150 individuals admitted through the ED with a primary diagnosis of sepsis in DY5.",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_120726804.2.3","120726804","120726804.2.3","RHP 10","2.9","Texas Health Harris Methodist Hospital Southwest Fort Worth",0.16,0.28000000000000003,0.2,0.72,0.36,1,0.16,0.30099999999999999,0.2,0.65290000000000004,0.36,0.95389999999999997,0.16,"NA",0.2,"NA",0.36,"NA","Individuals",0,1366,2114,3268,3276,6536,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program"," ","N","5% improvement over baseline, 1,366 patients.",1366,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.2","Improved compliance with recommended care regimens"," ","N","20% of identified patients have evidence of self-management goals established out of total identified patients, 3,268 patients. (individuals)",3268,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.2","Improved compliance with recommended care regimens. "," ","N","40% of identified patients have evidence of self-management goals established, 6,536 patients out of total identified patients. (individuals)",6536,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_120726804.2.4","120726804","120726804.2.4","RHP 10","2.2","Texas Health Harris Methodist Hospital Southwest Fort Worth",0.09,1,0,0,0.09,1,0.09,1,0,0,0.09,1,0.09,"NA",0,"NA",0.09,"NA","Encounters",0,28888,313,10490,10621,11883,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA"," Number of group visits/telephonic or telehealth visits, home visits beyond office one-to-one visits.","N","28,888 group visits/telephonic or telehealth visits, home visits beyond office one-to-one visits.",28888,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","X additional encounters with patients receiving care under the Chronic Care Model for a chronic disease or for MCC","N","DY4 Goal: 10,490 additional encounters with patients in target group.",10490,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","X additional encounters with patients receiving care under the Chronic Care Model for a chronic disease or for MCC","N","DY5 Goal: 11,883 additional encounters with patients in target group.",11883,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_121794503.2.1","121794503","121794503.2.1","RHP 10","2.2","Texas Health Harris Methodist Hospital Stephenville",0.5,0.15,0.5,0.37,1,0.52,0.5,0.17,0.5,0.33,1,0.5,0.5,"NA",0.5,"NA",1,"NA","Individuals",0,79,122,82,92,90,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program"," ","N","5 % additional patients over baseline enrolled in a self-management program for a given chronic condition out of total number of patients with given chronic condition, 79 patients.",79,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N","5% additional patients over DY 3, 83 patients. (individuals)",82,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N","Additional patients over DY 4, 90 patients. (individuals)",90,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_121822403.1.1","121822403","121822403.1.1","RHP 10","1.1","Ennis Regional Medical Center",0,"NA",0,"NA",0,"NA",0.59,4.6300000000000001E-2,0.41,0.95369999999999999,1,1,0.59,"NA",0.41,"NA",1,"NA","Encounters",0,"NA","NA",448,1059,895,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.2","Documentation of increased number of unique patients, or size of patient panels. Demonstrate improvement over prior reporting period.","NA","N","5% Increase in clinic visits over baseline, 448 visits (encounters)",448,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.2","Documentation of increased number of unique patients, or size of patient panels. Demonstrate improvement over prior reporting period.","NA","N","Additional 5% Increase in clinic visits over baseline for total of 10% increase, 895 visits in DY5. (encounters)",895,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_121988304.1.1","121988304","121988304.1.1","RHP 10","1.13","Lakes Regional MHMR Center",0.75,0.93,0.2,7.0000000000000007E-2,0.95,1,0.75,0.95,0.2,0.05,0.95,1,0.75,"NA",0.2,"NA",0.95,"NA","Individuals",0,25,40,100,116,150,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives.","Increase utilization of appropriate crisis alternatives by 25 individuals","N","Increase utilization of appropriate crisis alternatives by 25 individuals. 10% increase in number of people receiving community behavioral healthcare services from appropriate crisis alternatives out of total number of receiving community behavioral health services ",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives.","NA","N","Increase in utilization of appropriate crisis alternatives measured, 100 individuals in DY4. Equals 37% increase in number of people receiving community behavioral healthcare services from appropriate crisis alternatives out of total number of receiving community behavioral health services  (individuals)",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives.","NA","N","Increase in utilization of appropriate crisis alternatives measured, 150 individuals in DY5. Equals a 56% increase in number of people receiving community behavioral healthcare services from appropriate crisis alternatives out of total number of receiving community behavioral health services ",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_121988304.1.2","121988304","121988304.1.2","RHP 10","1.7","Lakes Regional MHMR Center",0.44,0.15,0.51,0.85,0.95,1,0.44,0.42,0.51,0.57999999999999996,0.95,1,0.44,"NA",0.51,"NA",0.95,"NA","Encounters",0,90,263,234,419,306,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","Number of telemedicine/ telehealth visits. A. Total number of visits  for each type of telemedicine/ telehealth service provided.","N","90 telemedicine/ telehealth visits. ",90,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","Number of telemedicine/ telehealth visits. A. Total number of visits  for each type of telemedicine/ telehealth service provided.","N","234 telemedicine/ telehealth visits in DY4. (Encounters)",234,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","Number of telemedicine/ telehealth visits. A. Total number of visits  for each type of telemedicine/ telehealth service provided.","N","306 telemedicine/ telehealth visits in DY5. (encounters)",306,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_121988304.1.3","121988304","121988304.1.3","RHP 10","1.12","Lakes Regional MHMR Center",0.44,0.2,0.51,0.79,0.95,0.99,0.44,0.1676,0.51,0.82120000000000004,0.95,0.98880000000000001,0.44,"NA",0.51,"NA",0.95,"NA","Individuals",0,70,171,84,92,196,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","NA","N","Open and provide services rendered. Enhanced professional training accomplished. Target number of clients served 70. PDSA process cycles in place to inform project development, efficiency and effectiveness.",70,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Expansion of population target of 20% over DY3 patients receiving community behavioral healthcare services from new clinic after access expansion out of total number of people receiving community behavioral health services after access expansion=84 new unique individuals served is met. PDSA cycle complete with report and improvement targets.",84,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Expansion of population target over DY4 patients receiving community behavioral healthcare services from clinic after access expansion out of total number of people receiving community behavioral health services after access expansion = 196 new unique individuals served is met. PDSA cycle complete with report and improvement targets.",196,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.1.1","126675104","126675104.1.1","RHP 10","1.12","John Peter Smith Hospital",0.20200000000000001,8.6099999999999996E-2,0.56069999999999998,0.43409999999999999,0.76269999999999993,0.5202,0.20200000000000001,0.3241,0.56069999999999998,0.40550000000000003,0.76269999999999993,0.72960000000000003,0.20200000000000001,"NA",0.56069999999999998,"NA",0.76269999999999993,"NA","Individuals",8224,457,1813,457,1396,457,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Numerator: Total volume minus baseline\nDenominator: Total Baseline Visits\nComplete report specifications are available upon request","N","Goal: 457 encounters. 5% patients receiving community behavioral healthcare services from clinics after access expansion out of total number of people receiving community behavioral health services after access expansion. ",457,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Numerator: Total volume minus baseline\nDenominator: Total Baseline Visits\nComplete report specifications are available upon request","N","Baseline is 8224 unique patients receiving community behavioral health services. Goal is 5% increase from baseline in utilization of community behavioral health services out of total patients?, 457 encounters in DY4.",457,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Numerator: Total volume minus baseline\nDenominator: Total Baseline Visits\nComplete report specifications are available upon request","N","Baseline is 8224 unique patients receiving community behavioral health services. Goal is 5% increase from baseline in utilization of community behavioral health services out of total patients?, 457 encounters in DY5.",457,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.1.100","126675104","126675104.1.100","RHP 10","1.12","John Peter Smith Hospital",0.25,0.12570000000000001,0.5,0.56010000000000004,0.75,0.68580000000000008,0.25,0.1598,0.5,0.5907,0.75,0.75049999999999994,0.25,"NA",0.5,"NA",0.75,"NA","Individuals",0,200,365,3600,3379,3600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","Number of additional individuals receiving community behavioral services after access expansion","N","Baseline is 0/ Goal is 200 individuals served in the central assessment center by end of DY3",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","DY3 = 200 individuals served.  DY4 goal is 3600 individuals served in community based behavioral health central assessment center. ",3600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","DY5 goal is 3600 additional individuals served in community based behavioral health central assessment center. ",3600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.1.2","126675104","126675104.1.2","RHP 10","1.6","John Peter Smith Hospital",0.2863,0.20669999999999999,0.54810000000000003,0.48399999999999999,0.83440000000000003,0.69069999999999998,0.2863,0.15,0.54810000000000003,0.45,0.83440000000000003,0.6,0.2863,"NA",0.54810000000000003,"NA",0.83440000000000003,"NA","Encounters",6000,6750,6750,10750,17127,15250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line","NA","N","Baseline: 500 per month or 6000 per year Goal: Increase # of phone calls by 6,750 in DY3. Total impact of 12,750 encounters. 5% of targeted patients that access the nurse advice line out of targeted patients.",6750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line","NA","N","Baseline: 500 per month or 6000 per year. Goal: Increase # of phone calls by 10,750 in DY4.5% of targeted patients that access the nurse advice line out of targeted patients. (encounters)",10750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line.","NA","N","Baseline: 500 per month or 6000 per year.  Goal: Increase # of phone calls by 15,250 in DY5. 5% of targeted patients that access the nurse advice line out of targeted patients. (encounters)",15250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.1.3","126675104","126675104.1.3","RHP 10","1.9","John Peter Smith Hospital",2.0199999999999999E-2,0.216,0.58179999999999998,0.54400000000000004,0.60199999999999998,0.76,2.0199999999999999E-2,0.19500000000000001,0.58179999999999998,0.47599999999999998,0.60199999999999998,0.67100000000000004,2.0199999999999999E-2,"NA",0.58179999999999998,"NA",0.60199999999999998,"NA","Encounters",5664,9180,9180,12660,7794,13020,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: 9,180 encounters in DY3. Clinic visits for optometry = 7680; Clinic visits for wound care = 1500",9180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Increase appointment visits by 10% for 3 clinics utilizing specialty access plan to develop strategy, 12,660 visits in DY4. Clinics to be determined in DY3: Current baseline data: Surgery Specialty = 53,000 visits; Medicine Specialty = 18,830 visits (encounters)",12660,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Increase appointment visits by 10% for 3 additional clinics utilizing specialty access plan to develop strategy, 13,020 visits in DY5. Clinics to be determined in DY4. (encounters)",13020,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.1.4","126675104","126675104.1.4","RHP 10","1.12","John Peter Smith Hospital",0.20200000000000001,0.15490000000000001,0.56069999999999998,0.65490000000000004,0.76269999999999993,0.80980000000000008,0.20200000000000001,0.1673,0.56069999999999998,0.67600000000000005,0.76269999999999993,0.84330000000000005,0.20200000000000001,"NA",0.56069999999999998,"NA",0.76269999999999993,"NA","Encounters",0,618,618,858,3185,858,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Numerator: Total volume minus baseline. Denominator: Total Baseline Visits. Complete report specifications are available upon request.","N","618 patients (encounters) utilizing community behavioral healthcare services. 7.5% patients receiving community behavioral healthcare services after access expansion out of total number of people receiving community behavioral health services after access expansion. ",618,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Numerator: Total volume minus baseline\nDenominator: Total Baseline Visits\nComplete report specifications are available upon request","N","5% increase in patients receiving community behavioral healthcare services after access expansion out of total number of people receiving community behavioral health services after access expansion, 858 visits in DY4. (encounters)",858,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Numerator: Total volume minus baseline\nDenominator: Total Baseline Visits\nComplete report specifications are available upon request","N","7.5% increase in patients receiving community behavioral healthcare services after access expansion out of total number of people receiving community behavioral health services after access expansion, 858 visits in DY5. (encounters)",858,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.1.5","126675104","126675104.1.5","RHP 10","1.10","John Peter Smith Hospital",0.36749999999999999,0.42099999999999999,0.39329999999999998,0.39100000000000001,0.76079999999999992,0.81200000000000006,0.36749999999999999,0.40400000000000003,0.39329999999999998,0.371,0.76079999999999992,0.77500000000000002,0.36749999999999999,"NA",0.39329999999999998,"NA",0.76079999999999992,"NA","Encounters",0,32894,32894,32894,41178,32894,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Acute Care Patient Encounters","N","Goal: 32,894 Acute Care Patient Encounters",32894,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Acute Care and Observation Patient Encounters","N","Goal: 32,894 Acute Care and Observation Patient Encounters in DY4. ",32894,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Acute Care and Observation Patient Encounters","N","Goal: 32,894 Acute Care and Observation Patient Encounters in DY5. ",32894,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.1","126675104","126675104.2.1","RHP 10","2.2","John Peter Smith Hospital",2.01E-2,0.21145,0.58279999999999998,0.53790000000000004,0.60289999999999999,0.74935000000000007,2.01E-2,0.22420000000000001,0.58279999999999998,0.59789999999999999,0.60289999999999999,0.82210000000000005,2.01E-2,"NA",0.58279999999999998,"NA",0.60289999999999999,"NA","Individuals",0,1704,8183,5112,11782,10224,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X% of patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N","10% (1704 patients) of type 1 and type 2 JPS Medical Home Diabetics under chronic care model will receive care in DY3.  ",1704,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","30% of patients receive care under the Chronic Care Model for a chronic disease or for MCC  "," Additional patients receive care under the Care Model for a chronic disease or for MMC ","N","30% of type 1 and type 2 JPS Medical Home Diabetics under chronic care model, approximately 5112 patients in DY4. (individuals)",5112,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","60% of diabetic patients receive care under the Chronic Care Model for a chronic disease or for MCC"," Additional patients receive care under the Care Model for a chronic disease or for MMC ","N","Goal 60% of type 1 and type 2 Diabetes in the medical home, 10,224 patients in DY5.(individuals)",10224,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.10","126675104","126675104.2.10","RHP 10","2.12","John Peter Smith Hospital",0.01,0,0.99,1,1,1,0.01,0,0.99,1,1,1,0.01,"NA",0.99,"NA",1,"NA","Individuals",0,1000,1000,2000,2000,2000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.1","Identification and report of those conditions, socioeconomic factors, or other patient characteristics resulting in highest rates of re‐admissions"," ","N"," Enroll 1,000 unduplicated patients of low income population into the program. List of frequency of most prevalent chronic conditions, patient factor or other socioeconomic factors in patient panel resulting in highest readmission rates.",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  "," ","N","Pre-DSRIP Baseline: 0.  Goal: Enroll 2,000 new, unduplicated patients of low-income population into the program in DY4. (individuals)",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  "," ","N","Pre-DSRIP Baseline: 0.  Goal: Enroll 2,000 new, unduplicated patients of low-income population into the program in DY5. (Individuals)",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.100","126675104","126675104.2.100","RHP 10","2.6","John Peter Smith Hospital",0.7,1,0.15,0,0.85,1,0.7,0.62570000000000003,0.15,0.2994,0.85,0.92510000000000003,0.7,"NA",0.15,"NA",0.85,"NA","Individuals",0,1350,107,2600,2693,2805,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","Total number of patients in defined population who received innovative intervention.","N","Baseline is 0. DY3 goal: 1350 patients receive home visits. ",1350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","NA","N","Baseline: 0.  DY4 goal: 2600 patients receive home visits and/or outpatient lactation visits.  ",2600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","NA","N","Baseline: 0.  DY5 goal: 2805 patients receive home visits and/or outpatient lactation visits.",2805,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.101","126675104","126675104.2.101","RHP 10","2.6","John Peter Smith Hospital",0.7,0.48,0.15,0.15,0.85,0.63,0.7,0.26440000000000002,0.15,0.47649999999999998,0.85,0.7409,0.7,"NA",0.15,"NA",0.85,"NA","Individuals",0,700,700,1000,1071,1300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","Total number of patients in defined population who received innovative intervention.","N","Baseline is 0. DY3 goal: 700 women served. ",700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","NA","N","DY3: 700 women served.  DY4 Goal: 1000 women served. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","NA","N","Goal: 1300 women served.  ",1300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.102","126675104","126675104.2.102","RHP 10","2.12","John Peter Smith Hospital",0,"NA",0,"NA",0,"NA",0.75,0.37369999999999998,0.1,0.03,0.85,0.40369999999999995,0.75,"NA",0.1,"NA",0.85,"NA","Individuals",0,"NA","NA",2300,2336,2500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","Baseline is 0 (new program) / Goal is 2300 patients in DY4",2300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","DY5 goal is 2500 patients.  ",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.104","126675104","126675104.2.104","RHP 10","2.13","John Peter Smith Hospital",0.1,0,0.65,1,0.75,1,0.1,3.2800000000000003E-2,0.65,0.95899999999999996,0.75,0.99180000000000001,0.1,"NA",0.65,"NA",0.75,"NA","Individuals",0,10,18,120,122,150,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Baseline is 0/ Goal is 10 individuals served in DY3",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY3 = 10 / DY 4 goal is 120 individuals served. ",120,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY5 Goal is 150 individuals served. ",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.11","126675104","126675104.2.11","RHP 10","2.4","John Peter Smith Hospital",0.28849999999999998,0.1043,0.51559999999999995,0.60399999999999998,0.80409999999999993,0.70829999999999993,0.28849999999999998,0.22600000000000001,0.51559999999999995,0.46500000000000002,0.80409999999999993,0.69100000000000006,0.28849999999999998,"NA",0.51559999999999995,"NA",0.80409999999999993,"NA","Individuals",7245,6000,6968,12000,15432,18000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Increase patient self-enrollment in on-line portal for access to their health record.","NA","N","6,000 patients enrolled in on-line portal for access to their health record and bi-directional communication. ",6000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Increase patient self-enrollment in on-line portal for access to their health record.","NA","N","12,000 patients enrolled in on-line portal for access to their health record and bi-directional communication in DY4. (individuals)",12000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Increase patient self-enrollment in on-line portal for access to their health record."," Patient self-enrollment in on-line portal for access to their health record.","N","18,000 patients enrolled in on-line portal for access to their health record and bi-directional communication in DY5. (Individuals)",18000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.12","126675104","126675104.2.12","RHP 10","2.8","John Peter Smith Hospital",0.2026,0.16669999999999999,0.46150000000000002,0.62629999999999997,0.66410000000000002,0.79299999999999993,0.2026,0.37359999999999999,0.46150000000000002,0.17649999999999999,0.66410000000000002,0.55010000000000003,0.2026,"NA",0.46150000000000002,"NA",0.66410000000000002,"NA","Individuals",0,224,226,293,260,327,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.2","Number or percent of all clinical cases that meet target/goal"," ","N"," Compliance with sepsis bundles and assess improvements in delivery reliability through the assessment of process measures in patients admitted to the MICU from the Emergency Department achieving >65% compliance (224 of 345patients) .",224,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-103.1","NA","Percent of diagnoses of severe sepsis, septic shock, and/or lactate >4mmol/L (36mg/dl) where at least 1 Sepsis 3-hour bundle was used in its entirety. ","N","Numerator: Number of diagnoses of severe sepsis, septic shock, and/or lactate >4mmol/L (36mg/dl) where at least 1 Sepsis 3-hour bundle was used in its entirety. Denominator: Total number of diagnoses of severe sepsis, septic shock, and/or lactate >4mmol/L (36mg/dl).  DY4 Goal:  85% compliance (293 of 345 patients). (individuals)",293,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-103.1","NA","Percent of diagnoses of severe sepsis, septic shock, and/or lactate >4mmol/L (36mg/dl) where at least 1 Sepsis 3-hour bundle was used in its entirety. ","N","Numerator: Number of diagnoses of severe sepsis, septic shock, and/or lactate >4mmol/L (36mg/dl) where at least 1 Sepsis 3-hour bundle was used in its entirety. Denominator: Total number of diagnoses of severe sepsis, septic shock, and/or lactate >4mmol/L (36mg/dl).  DY5 Goal:  95% compliance (327 of 345 patients). (individuals)",327,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.13","126675104","126675104.2.13","RHP 10","2.10","John Peter Smith Hospital",0.2276,0.25869999999999999,0.39929999999999999,0.26119999999999999,0.62690000000000001,0.51990000000000003,0.2276,0.41689999999999999,0.39929999999999999,0.27850000000000003,0.62690000000000001,0.69540000000000002,0.2276,"NA",0.39929999999999999,"NA",0.62690000000000001,"NA","Encounters",0,269,402,650,1710,750,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-103.1","NA","Number of palliative care consults","N","269 palliative care consults",269,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-103.1","NA","Number of palliative care consults","N","650 palliative care consults in DY4. (encounters)",650,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-103.1","NA","Number of palliative care consults","N","750 palliative care consults in DY5. (encounters)",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.14","126675104","126675104.2.14","RHP 10","2.5","John Peter Smith Hospital",0,0,1,1,1,1,0,0,1,1,1,1,0,"NA",1,"NA",1,"NA","Individuals",4625,4625,25819,6937,26843,9250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA"," Number or percent of eligible patients assigned to Primary Care Doctors. Determine patient assignment.  “Eligible” is defined as a patient approved and enrolled in the Connection program.","N","4,625 eligible patients assigned to Primary Care Doctors.",4625,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA"," Number or percent of eligible patients assigned to Primary Care Doctors. Determine patient assignment.  “Eligible” is defined as a patient approved and enrolled in the Connection program.","N","6,937 eligible patients assigned to Primary Care Doctors in DY4. (individuals)",6937,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA"," Number or percent of eligible patients assigned to Primary Care Doctors. Determine patient assignment.  “Eligible” is defined as a patient approved and enrolled in the Connection program.","N","9,250 eligible patients assigned to Primary Care Doctors in DY5. (Individuals)",9250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.15","126675104","126675104.2.15","RHP 10","2.7","John Peter Smith Hospital",0.3,0.3417,0.03,0.48120000000000002,0.33,0.82289999999999996,0.3,0.35039999999999999,0.03,0.49399999999999999,0.33,0.84440000000000004,0.3,"NA",0.03,"NA",0.33,"NA","Individuals",0,200,1379,3084,3096,3875,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","TBD by Performing Provider based on milestone described above"," Number of individuals of target populations reached by innovate projects of Centering Pregnancy and the Maternity Medical Home at JPS Health Centers for Women and Community Clinics","N"," 200 individuals reached by innovate projects of Centering Pregnancy and the Maternity Medical Home at JPS Health Centers for Women and Community Clinics",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","TBD by Performing Provider based on milestone described above","Numerator: Number of individuals of target populations reached by innovative projects of CenteringPregnancy and the Maternity Medical Home at JPS Health Centers for Women and Community Clinics. Denominator: Number of individuals in the being served in JPS Health Clinics for prenatal care.","N"," 3,084 unduplicated patients (60% of patients receiving prenatal care at JPS sites based on FY11 data) in defined population. (individuals)",3084,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","TBD by Performing Provider based on milestone described above"," Numerator: Number of individuals of target populations reached by innovative projects of CenteringPregnancy and the Maternity Medical Home at JPS Health Centers for Women and Community Clinics. Denominator: Number of individuals in the being served in JPS Health Clinics for prenatal care.","N"," 3,875 unduplicated patients (75% of patients receiving prenatal care at JPS sites based on FY11 data) in defined population. (individuals)",3875,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.16","126675104","126675104.2.16","RHP 10","2.2","John Peter Smith Hospital",0.68500000000000005,0.62,0.22869999999999999,0.1246,0.91370000000000007,0.74460000000000004,0.68500000000000005,0.6391,0.22869999999999999,0.14510000000000001,0.91370000000000007,0.78420000000000001,0.68500000000000005,"NA",0.22869999999999999,"NA",0.91370000000000007,"NA","Individuals",0,500,650,1584,1826,1980,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," Additional patients receiving care under the chronic care model for Asthma and/or Obesity/Diabetes","N","500 additional patients receiving care under the chronic care model for Asthma and/or Obesity/Diabetes",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N","1584 children/adolescents (40% of identified target population) will receive care under the chronic care model in DY4. (individuals)",1584,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N"," 1980 children/adolescents (50% of identified target population) will receive care under the chronic care model in DY5. (individuals)",1980,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.17","126675104","126675104.2.17","RHP 10","2.12","John Peter Smith Hospital",0.41510000000000002,0,0.1321,0,0.54720000000000002,0,0.41510000000000002,"NA",0.1321,"NA",0.54720000000000002,"NA",0.41510000000000002,"NA",0.1321,"NA",0.54720000000000002,"NA","Individuals",0,147,0,154,"NA",161,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N"," 147 annual patients referred to Rehab Provider receiving rehab interventions. 50% patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services",147,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N","154 unique patients referred to Rehab Provider receiving rehab interventions in DY4. 60% patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services. (individuals)",154,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N","161 unique patients referred to Rehab Provider receiving rehab interventions in DY5.  70% patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services (individuals)",161,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"10_126675104.2.2","126675104","126675104.2.2","RHP 10","2.1","John Peter Smith Hospital",0.2863,0.28449999999999998,0.54810000000000003,0.54530000000000001,0.83440000000000003,0.82979999999999998,0.2863,0.26169999999999999,0.54810000000000003,0.55569999999999997,0.83440000000000003,0.8173999999999999,0.2863,"NA",0.54810000000000003,"NA",0.83440000000000003,"NA","Individuals",9933,12000,35160,30000,37731,40000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes"," ","N"," 12,000 patients assigned to medical home",12000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes"," Number or percent of eligible patients assigned to medical homes where “eligible” is defined by the Performing Provider.","N","Baseline is 65%. Improve by 25%. Number to be assigned = 90,000. Goal: 30,000 patients assigned to medical homes in DY4. (individuals)",30000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes"," Number or percent of eligible patients assigned to medical homes, where “eligible” is defined by the Performing Provider. Determine patient assignment to medical home, identify gaps and develop processes using rapid cycle improvement to increase percent assigned to medical homes","N","Baseline is 65%. Improve by 30%. Number to be assigned = 95,000. Goal: 40,000 patients assigned to medical homes in DY5. (individuals)",40000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.3","126675104","126675104.2.3","RHP 10","2.12","John Peter Smith Hospital",0.35,0.129,0.65,0.81699999999999995,1,0.94599999999999995,0.35,0.17,0.65,0.53900000000000003,1,0.70900000000000007,0.35,"NA",0.65,"NA",1,"NA","Individuals",0,500,534,600,996,1000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N","500 individuals receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines. 16% of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N","Additional 600 unduplicated patients in the Homeless population will be served through this program that receive standardized care according to the approved clinical protocols and care transition policies from established baseline. 19% patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services (individuals)",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N","Additional 1,000 unduplicated patients in the Homeless population served through this program that receive standardized care according to the approved clinical protocols and care transition policies from established baseline. 31% patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services (individuals)",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.4","126675104","126675104.2.4","RHP 10","2.12","John Peter Smith Hospital",0.15659999999999999,0.33600000000000002,0.46350000000000002,0.65600000000000003,0.62009999999999998,0.99199999999999999,0.15659999999999999,0.28539999999999999,0.46350000000000002,0.67169999999999996,0.62009999999999998,0.95709999999999995,0.15659999999999999,"NA",0.46350000000000002,"NA",0.62009999999999998,"NA","Individuals",0,125,128,365,396,725,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N","125 individuals receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines. 70% patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services",125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N"," 60% of CHF patients receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services, 365 individuals receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines in DY4. (individuals)",365,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N"," 90% of CHF patients, 725 individuals receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines in Dy5 out of number of patients discharged or eligible for care transition services.",725,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.5","126675104","126675104.2.5","RHP 10","2.12","John Peter Smith Hospital",0.4612,0.52690000000000003,0.3231,0.23250000000000001,0.7843,0.75940000000000007,0.4612,0.36309999999999998,0.3231,0.63690000000000002,0.7843,1,0.4612,"NA",0.3231,"NA",0.7843,"NA","Individuals",0,900,3646,1750,3054,3750,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes"," ","N","Goal: 900 individuals. 25% patients in defined population receiving care according to standard protocol out of total number of population patients discharged.",900,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes","NA","N"," By end of DY4 process adherence will be measured to determine if patients are receiving care according to standardized protocols in the specified populations. 50% (1,750) of registry patients will receive care according to protocols out of total number of population patients discharged. (individuals)",1750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes"," ","N"," By end of DY5 process adherence will be measured to determine if patients are receiving care according to standardized protocols in the specified populations. 75% (3,750) of registry patients will receive care according to protocols out of population patients discharged. (individuals)",3750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.6","126675104","126675104.2.6","RHP 10","2.15","John Peter Smith Hospital",0.1646,6.0400000000000002E-2,0.65910000000000002,0.58909999999999996,0.82369999999999999,0.64949999999999997,0.1646,0.26600000000000001,0.65910000000000002,0.49819999999999998,0.82369999999999999,0.76419999999999999,0.1646,"NA",0.65910000000000002,"NA",0.82369999999999999,"NA","Individuals",0,1670,2765,1670,3339,2765,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations"," Individuals receiving both physical and behavioral health care at the established locations.","N"," 1,670 individuals receiving both physical and behavioral health care at the established locations. 3.75% individuals receiving both physical and behavioral health care in project sites out of total number of individuals receiving services in project sites",1670,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations"," 3% of Individuals receiving both physical and behavioral health care at the established locations.","N"," 3% of individuals receiving both physical and behavioral health care in established locations out of total number of individuals receiving services in project sites, 1,670 individuals in DY4.",1670,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","Individuals receiving both physical and behavioral health care at the established locations.","N","Individuals receiving both physical and behavioral health care in established locations out of total number of individuals receiving services in project sites, 2,765 individuals in DY5.",2765,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.7","126675104","126675104.2.7","RHP 10","2.17","John Peter Smith Hospital",0.16450000000000001,0.3024,0.45569999999999999,0.4143,0.62019999999999997,0.7167,0.16450000000000001,0.27939999999999998,0.45569999999999999,0.49619999999999997,0.62019999999999997,0.77559999999999996,0.16450000000000001,"NA",0.45569999999999999,"NA",0.62019999999999997,"NA","Individuals",0,4100,4100,4100,4119,4100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-40.1","X% increase in target inpatient population members who have been discharged and have received clinician follow‐up calls to review treatment plans and assess compliance","NA","N","4,100 individual discharges who have been discharged and have received clinician follow-up calls to review treatment plans and assess compliance - 50% patients in the target population discharged from inpatient settings who have received follow-up contact (two attempts) to review treatment plans and assess compliance out of total number of patients in the target population discharged from inpatient settings. ",4100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-44.1","Number of unique individuals receiving enhanced care transitions.","NA","N","Baseline: 0.  Goal: 4,100 unique individuals receiving enhanced care transitions in DY4.",4100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-44.1","Number of unique individuals receiving enhanced care transitions.","NA","N","Baseline: 0.  Goal: 4,100 unique individuals receiving enhanced care transitions in DY5.",4100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.8","126675104","126675104.2.8","RHP 10","2.9","John Peter Smith Hospital",0.8,0.26,0.2,0.41,1,0.66999999999999993,0.1,0.22,0.78,0.34,0.88,0.56000000000000005,0.1,"NA",0.78,"NA",0.88,"NA","Individuals",0,1750,1752,2175,1528,2600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program"," ","N","911 Nurse Triage – Enroll 1500 in the program representing 42% of the target patients. Observational Admission Avoidance – 100 observational admission patients referred for navigation to a PCMH instead of observational admission representing 8% of the target patients. CHF In-Home Management – Enroll 50 patients at risk for PPR for CHF are referred to the MedStar program representing 10% of the target patients. High Utilization Group – Enroll 100 of the patients identified by JPS as having used the ED for ACSC services 4 or more times in the past 12 months representing 2% of the target patients. ",1750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","Enroll 2,175 patients in one of the following navigation programs in DY4: 911 Nurse Triage, Readmission Avoidance, or High Utilization Group. (individuals)",2175,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","Enroll 2,600 patients in one of the following navigation programs in DY5: 911 Nurse Triage, Readmission Avoidance, or High Utilization Group. (Individuals)",2600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126675104.2.9","126675104","126675104.2.9","RHP 10","2.16","John Peter Smith Hospital",0.2863,0.2863,0.54810000000000003,0.54810000000000003,0.83440000000000003,0.83440000000000003,0.2863,0.1709,0.54810000000000003,0.59660000000000002,0.83440000000000003,0.76750000000000007,0.2863,"NA",0.54810000000000003,"NA",0.83440000000000003,"NA","Encounters",0,1750,1816,2800,2996,3770,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-105.1","NA","Number of unique virtual services provided to Primary Care Providers","N","Baseline/goal: No services provided / 1750 unique virtual services provided (encounters)",1750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-105.1","NA"," Number of unique virtual services provided to Primary Care Providers","N"," Baseline/goal: No services provided / 2800 unique virtual services provided in DY4. (encounters)",2800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-105.1","NA"," Number of unique virtual services provided to Primary Care Providers","N"," Baseline/goal: No services provided / 3770 unique virtual services provided in DY5. (encounters)",3770,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_126686802.2.100","126686802","126686802.2.100","RHP 10","2.7","University of Texas Southwestern Medical Center (Moncrief Cancer Institute or UTSW/MCI)",1,0.48,0,0.52,1,1,1,0.28999999999999998,0,0.71,1,1,1,"NA",0,"NA",1,"NA","Individuals",0,225,277,638,794,1125,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","Number of individuals of target population reached by the innovative project.","N","Baseline = 0/Goal = 225 Uninsured/Medicaid Enrolled Cancer Survivors",225,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Baseline =  225 /638  Uninsured/Medicaid Enrolled Cancer Survivors (525 New Uninsured/Medicaid Enrolled Cancer Survivors + 113 Repeat Uninsured/Medicaid Enrolled Cancer Survivors = 638 Total Uninsured/Medicaid Enrolled Cancer Survivors)",638,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Baseline = 638/ Goal = 1,125 Uninsured/Medicaid Enrolled Cancer Survivors (750 New Uninsured/Medicaid Enrolled Cancer Survivors + 375 Repeat Uninsured/Medicaid Enrolled Cancer Survivors = 1,125 Total Uninsured/Medicaid Enrolled Cancer Survivors)",1125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_127304703.1.1","127304703","127304703.1.1","RHP 10","1.1","Texas Health Harris Methodist Hospital Azle",0,"NA",0,"NA",0,"NA",0.05,0.18759999999999999,0.4,0.6411,0.45,0.82869999999999999,0.05,"NA",0.4,"NA",0.45,"NA","Encounters",0,"NA","NA",1250,2895,1500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 25% increase in patient volume as compared to baseline data, 1,250 encounters.",1250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 50% increase in patient volume as compared to baseline data, 1,500 encounters in DY5. (encounters)",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_127304703.2.1","127304703","127304703.2.1","RHP 10","2.2","Texas Health Harris Methodist Hospital Azle",0.2,0,0.8,1,1,1,0.2,0,0.8,1,1,1,0.2,"NA",0.8,"NA",1,"NA","Encounters",0,132,328,360,420,400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.1","Increase percentage of target population reached"," ","N"," 10% increase in the number of patients seen in the HELP CDSMP Program over baseline (number of patients seen in DY2) out of total number of individuals in the target population, 132 encounters. ",132,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of encounters provided to individuals of target population through the chronic care management program.","N","Pre-DSRIP Baseline: 0.  Goal:  360 encounters provided to individuals in the target population through the chronic care management program in DY4.   ",360,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of encounters provided to individuals of target population through the chronic care management program.","N","Pre-DSRIP Baseline: 0.  Goal:  400 encounters provided to individuals in the target population through the chronic care management program in DY5.   ",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_127304703.2.100","127304703","127304703.2.100","RHP 10","2.9","Texas Health Harris Methodist Hospital Azle",0.75,0.1,0.25,0.9,1,1,0.75,0.1399,0.25,0.84279999999999999,1,0.98270000000000002,0.75,"NA",0.25,"NA",1,"NA","Individuals",0,100,100,1320,1730,1452,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","Total number of unique patients provided with Navigation services or enrolled in Navigator program for reporting period. ","N","BASELINE: 0 / GOAL: 100 patients receiving navigation services in DY3",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","NA","N","BASELINE: 100 patients receiving navigation services in DY3/ GOAL: 1,320 patients receiving navigation services in DY4",1320,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","NA","N","GOAL: 1,452 patients receiving navigation services in DY5.",1452,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_127373205.1.1","127373205","127373205.1.1","RHP 10","1.12","Helen Farabee Center",0.4,0.14000000000000001,0.38,0.86,0.78,1,0.4,0.1,0.38,0.77,0.78,0.87,0.4,"NA",0.38,"NA",0.78,"NA","Individuals",0,50,50,55,39,58,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","NA","N","Baseline/Goal: Provide Substance Abuse services to 50 consumers by 09-30-14.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Goal: To increase the provision of Substance Abuse services by 10% patients receiving community behavioral healthcare services from mobile clinics after access expansion out of total number of people receiving community behavioral health services after access expansion over DY3 target by 09-30-15, 55 patients in DY4. (individuals)",55,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Goal: To increase the provision of Substance Abuse services by 15% over DY3 target patients receiving community behavioral healthcare services from mobile clinics after access expansion out of total number of people receiving community behavioral health services after access expansion by 09-30-16, 58 patients in DY5. (individuals)",58,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_127373205.1.2","127373205","127373205.1.2","RHP 10","1.9","Helen Farabee Center",0.4,0.27,0.38,0.73,0.78,1,0.4,0.23,0.38,0.73,0.78,0.96,0.4,"NA",0.38,"NA",0.78,"NA","Encounters",0,48,174,65,259,180,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Establish/expand specialty care clinics","NA","N","To expand one specialty care clinic. 48 encounters served by new/expanded specialty care clinic.",48,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: To increase the number of psychiatric evaluations by 5% over baseline by 09-30-15, estimated to be 65 patients in DY4. (individuals)",65,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: To increase the number of psychiatric evaluations over baseline by 09-30-16, estimated to be 180 patients in DY5. (individuals)",180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_127373205.2.1","127373205","127373205.2.1","RHP 10","2.18","Helen Farabee Center",0.34,0.55000000000000004,0.38,0.45,0.72,1,0.34,0.5,0.38,0.5,0.72,1,0.34,"NA",0.38,"NA",0.72,"NA","Individuals",0,30,30,32,15,33,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of participants receiving peer services"," ","N","Baseline of 0 participants receiving services and goal of 30.",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.1","Improvements in standardized health measures for consumers who participate in whole health peer support"," ","N","Improved standardized health measures for at least 50% of identified participants out of total number of people who participate in whole health peer support in the RHP sites, 32 individuals in DY4.",32,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.1","Improvements in standardized health measures for consumers who participate in whole health peer support"," ","N","Improved standardized health measures for at least 60% of identified participants out of total number of people who participate in whole health peer support in the RHP sites, 33 individuals in DY5.",33,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130606006.1.100","130606006","130606006.1.100","RHP 10","1.7","Wise Regional Health System",0,"NA",0,"NA",0,"NA",0.1,0.18529999999999999,0.05,2.24E-2,0.15,0.2077,0.1,"NA",0.05,"NA",0.15,"NA","Encounters",0,"NA","NA",730,313,850,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine/telehealth visits ","NA","N","Goal: 730 telemedicine visits in DY4.",730,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine/telehealth visits ","NA","N","Goal: 850 telemedicine visits in DY5.  ",850,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130606006.1.2","130606006","130606006.1.2","RHP 10","1.1","Wise Regional Health System",0,"NA",0,"NA",0,"NA",0.5,0.67479999999999996,0.2,5.0299999999999997E-2,0.7,0.72509999999999997,0.5,"NA",0.2,"NA",0.7,"NA","Encounters",0,"NA","NA",5800,4695,5905,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase percentage of target population reached","NA","N","75% individuals of target population reached by innovative project out of total individuals in target population. 5800 patient encounters",5800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase percentage of target population reached","NA","N","80% individuals in target population reached out of total individuals in target population. 5905 patient encounters in DY5.",5905,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130606006.2.1","130606006","130606006.2.1","RHP 10","2.13","Wise Regional Health System",0.2,0.28389999999999999,0,0,0.2,0.28389999999999999,0.5,0.33929999999999999,0,0.16070000000000001,0.5,0.5,0.5,"NA",0,"NA",0.5,"NA","Individuals",0,70,81,112,113,166,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-103.1","NA"," Number of unique individual receiving services/intervention through IOP","N","70 unique individual receiving services/intervention through IOP",70,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-103.1","NA"," Number of unique individual receiving services/intervention through IOP","N","112 unique individual receiving services/intervention through IOP in DY4. (individuals); 50% MLIU",112,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-103.1","NA"," Number of unique individual receiving services/intervention through IOP","N","166 unique individual receiving services/intervention through IOP in DY5. (individuals); 50% MLIU",166,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130606006.2.100","130606006","130606006.2.100","RHP 10","2.2","Wise Regional Health System",0,"NA",0,"NA",0,"NA",0.15,6.8000000000000005E-2,0.05,0.3609,0.2,0.4289,0.15,"NA",0.05,"NA",0.2,"NA","Individuals",0,"NA","NA",526,369,600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","Patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","Goal: 526 patients served in DY4.",526,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","Patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","Goal: 600 patients served in DY5.  ",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130606006.2.101","130606006","130606006.2.101","RHP 10","2.7","Wise Regional Health System",0.4,0.1,0.1,0.3,0.5,0.4,0.4,0.11,0.1,0.4,0.5,0.51,0.4,"NA",0.1,"NA",0.5,"NA","Individuals",0,2500,4277,4600,4767,6000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","Number of individuals of target population reached by the innovative project.","N","Baseline: 0 individuals in the target population reached by the innovative project.  Goal:  2,500 individuals in the target population reached by the innovative project in DY3.",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Baseline: 2500 individuals in target population reached by the innovative project in DY3.  Goal: 4600 individuals in target population reached by the innovative project in DY4.  ",4600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Goal: 6,000 individuals in target population reached by the innovative project in DY5. ",6000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130606006.2.2","130606006","130606006.2.2","RHP 10","2.12","Wise Regional Health System",0.08,0.13500000000000001,0.02,6.0000000000000001E-3,0.1,0.14100000000000001,0.08,0.123,0.02,0.32379999999999998,0.1,0.44679999999999997,0.08,"NA",0.02,"NA",0.1,"NA","Individuals",0,5200,6136,5300,8618,6189,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," Number of unique individual receiving services care according to care transitions policies/ guidelines/ protocol","N","5,200 unique individuals receiving services care according to care transitions policies/ guidelines/ protocol. 65% patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of number of patients discharged or eligible for care transition services",5200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N","Capture 70% of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of total patients eligible for care transition, 5,300 patients. (individuals)",5300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines"," ","N","Capture patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines out of total patients eligible for care transition, 6,189 patients.(individuals)",6189,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130614405.1.100","130614405","130614405.1.100","RHP 10","1.12","Texas Health Arlington Memorial Hospital",0.5,0.82,0.5,0.18,1,1,0.5,0.65990000000000004,0.5,0.34010000000000001,1,1,0.5,"NA",0.5,"NA",1,"NA","Individuals",0,10,32,400,533,500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","Number of additional individuals receiving community behavioral services after access expansion","N","Baseline: Zero individuals served; DY3 Goal: 10 individuals served.",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 10 individuals served in DY3 / Goal: 400 individuals served in DY4.   ",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 400 individuals served in DY4/ Goal: 500 individuals served in DY5. ",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130614405.2.1","130614405","130614405.2.1","RHP 10","2.2","Texas Health Arlington Memorial Hospital",0,"NA",0,"NA",0,"NA",0.31,0.28000000000000003,0.69,0.72,1,1,0.31,"NA",0.69,"NA",1,"NA","Individuals",0,"NA","NA",50,128,75,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N"," 5% increase over baseline, 50 patients in DY4. (individuals)",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N"," 5% increase over DY4, 75 additional patients. (individuals)",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130614405.2.2","130614405","130614405.2.2","RHP 10","2.2","Texas Health Arlington Memorial Hospital",0.36,0.3155,0.64,0.6845,1,1,0.36,0.36070000000000002,0.64,0.63929999999999998,1,1,0.36,"NA",0.64,"NA",1,"NA","Individuals",11,25,55,50,50,75,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-9.1","Increase the number of patients identified as needing screening test, preventative tests, or other clinical services"," ","N"," Develop screening process to identify HF patients at high risk for readmission and process to engage them in program/provide necessary services. 25 unique individuals receiving care under chronic care model. 50% patients identified and subsequently receiving needed tests or other clinical services out of total number of patients identified as needing screening test, preventative tests, or other clinical services",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N"," 50 additional patients in DY4. (individuals)",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," ","N"," 75 additional patients in DY5. (individuals)",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130614405.2.3","130614405","130614405.2.3","RHP 10","2.7","Texas Health Arlington Memorial Hospital",0.73,0.59199999999999997,0.27,0.40799999999999997,1,1,0.73,0.6,0.27,0.4,1,1,0.73,"NA",0.27,"NA",1,"NA","Individuals",0,25,98,200,240,400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","TBD by Performing Provider based on milestone described above"," Number of women enrolled in the prenatal care.","N"," 25 enrolled in prenatal care.",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","TBD by Performing Provider based on milestone described above"," Number of women enrolled in the prenatal care.","N"," Approximately 200 patients enrolled in prenatal care. (individuals)",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","TBD by Performing Provider based on milestone described above"," Number of women enrolled in the prenatal care.","N"," Approximately 400 patients enrolled in prenatal care in DY5. (individuals)",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,{"$f":"\"\"&IF(LEN($F199)=5,RIGHT($F199,1),RIGHT($F199,2))&\"_\"&E199","v":"10_130614405.2.4"},"130614405","130614405.2.4","RHP 10","2.9","Texas Health Arlington Memorial Hospital",0.3,0.24970000000000001,0.7,0.75029999999999997,1,1,0.3,0.25900000000000001,0.7,0.74099999999999999,1,1,0.3,"NA",0.7,"NA",1,"NA","Individuals",0,400,814,1400,2624,1500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED"," ","N"," 80% of identified patients - ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator out of total ED patients without a PCP documented in their medical record, 400 individuals.",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED"," ","N"," 85% of identified patients (i.e., 1190 of estimated 1400 patients identified by program) - ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator out of total ED patients without a PCP documented in their medical record.",1400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED"," ","N"," 90% of identified patients (i.e., 1350 of estimated 1500 patients identified by program) - ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator out of total ED patients without a PCP documented in their medical record. (individuals)",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130724106.1.1","130724106","130724106.1.1","RHP 10","1.9","Pecan Valley Centers for Behavioral and Developmental Healthcare",0.25,0.21,0.55000000000000004,0.75,0.8,0.96,0.25,0.22,0.55000000000000004,0.76,0.8,0.98,0.25,"NA",0.55000000000000004,"NA",0.8,"NA","Encounters",1029,315,315,466,212,596,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","315 encounters above pre-DSRIP baseline of 1,029",315,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","15% increase, 1,495 total visits in DY4. QPI goal of 466 encounters above pre-DSRIP baseline of 1,029",466,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","25% increase, 1,625 total visits in DY5. QPI goal of 596 encounters above pre-DSRIP baseline of 1,029.",596,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130724106.1.100","130724106","130724106.1.100","RHP 10","1.13","Pecan Valley Centers for Behavioral and Developmental Healthcare",0,"NA",0,"NA",0,"NA",0.25,0.23400000000000001,0.75,0.76600000000000001,1,1,0.25,"NA",0.75,"NA",1,"NA","Individuals",0,"NA","NA",86,124,108,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of individuals served using appropriate crisis alternatives","NA","N","Baseline: zero.  DY3 goal: 86 individuals served.",86,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number of individuals served using appropriate crisis alternatives","NA","N","DY3: 86 individuals served.  DY5 goal: 108 individuals served.  ",108,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130724106.1.2","130724106","130724106.1.2","RHP 10","1.12","Pecan Valley Centers for Behavioral and Developmental Healthcare",0.25,0.44,0.55000000000000004,0.56000000000000005,0.8,1,0.25,0.42,0.55000000000000004,0.57999999999999996,0.8,1,0.25,"NA",0.55000000000000004,"NA",0.8,"NA","Individuals",69,150,150,165,2,195,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Percent utilization of  behavioral health  and transportation services after hours","N","150 patients utilizing behavioral health and transportation services after hours. X% utilizing behavioral health and transportation services after hours out of total patients?",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Percent utilization of  behavioral health  and transportation services after hours","N","165 patients (individuals) utilizing behavioral health and transportation services after hours in DY4. ",165,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Percent utilization of  behavioral health  and transportation services after hours","N","195 patients utilizing behavioral health and transportation services after hours in DY5. 15% patients receiving community behavioral healthcare services from mobile clinics after access expansion out of total number of people receiving community behavioral health services after access expansion. (individuals)",195,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_130724106.2.1","130724106","130724106.2.1","RHP 10","2.15","Pecan Valley Centers for Behavioral and Developmental Healthcare",0,"NA",0,"NA",0,"NA",0.25,0.4,0.55000000000000004,0.57999999999999996,0.8,0.98,0.25,"NA",0.55000000000000004,"NA",0.8,"NA","Individuals",0,"NA","NA",180,203,360,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations"," ","N"," 15% of 1200 or 180 individuals receiving both physical and behavioral health care at the established locations out of total number of individuals receiving services in project sites",180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations"," ","N"," 30% of 1200 individuals (360)  receiving both physical and behavioral health care at the established locations in DY5 out of total number of individuals receiving services in project sites.",360,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_131036903.1.1","131036903","131036903.1.1","RHP 10","1.1","Texas Health Harris Methodist Hospital Cleburne",0.19,0,0.81,1,1,1,0.19,7.8100000000000003E-2,0.81,0.92190000000000005,1,1,0.19,"NA",0.81,"NA",1,"NA","Encounters",0,273,427,353,1076,456,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Volume of patient visits to the clinic","N","Goal: provider 273 encounters",273,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 30% improvement over prior reporting period (baseline for DY2), 353 encounters. (Total number of visits for reporting period)",353,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Improvement over prior reporting period (baseline for DY2), 456 encounters. (Total number of visits for reporting period) (encounters)",456,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_135036506.1.1","135036506","135036506.1.1","RHP 10","1.1","Baylor All Saints Medical Center at Fort Worth",0.02,0.01,0.93,0.91,0.95,0.92,0.02,4.0000000000000001E-3,0.93,0.99529999999999996,0.95,0.99929999999999997,0.02,"NA",0.93,"NA",0.95,"NA","Encounters",0,1400,4480,1400,4991,4480,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","At minimum, 1,400 new encounters will be seen at the Baylor Clinic over baseline.",1400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","At minimum, 1,400 encounters will be seen at the Baylor Clinic in DY4.",1400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","At minimum, 4,480 encounters will be seen at the Baylor Clinic in DY5. (encounters)",4480,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_135036506.1.2","135036506","135036506.1.2","RHP 10","1.9","Baylor All Saints Medical Center at Fort Worth",0.02,0.1,0.93,0.9,0.95,1,0.02,2.8E-3,0.93,0.99,0.95,0.99280000000000002,0.02,"NA",0.93,"NA",0.95,"NA","Encounters",0,150,261,188,354,298,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Provide at least 150 specialty care encounters to Medicaid/Indigent patients.",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Provide at least 188 specialty care encounters over DY2 to Medicaid/Indigent patients.",188,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Provide at least 298 specialty care encounters over DY2 to Medicaid/indigent patients.",298,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_135036506.2.1","135036506","135036506.2.1","RHP 10","2.2","Baylor All Saints Medical Center at Fort Worth",0.02,0.02,0.93,0.92,0.95,0.94000000000000006,0.02,0,0.93,0.95499999999999996,0.95,0.95499999999999996,0.02,"NA",0.93,"NA",0.95,"NA","Individuals",0,173,176,195,200,203,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program"," ","N"," At least 173 unduplicated patients will be served by Chronic Care Management program over DY2",173,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program"," ","N"," At least 195 unduplicated patients will be served by Chronic Care Management program over DY2. (individuals)",195,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program"," ","N"," At least 203 unduplicated patients will be served by Chronic Care Management program over DY2. (individuals)",203,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_135036506.2.100","135036506","135036506.2.100","RHP 10","2.11","Baylor All Saints Medical Center at Forth Worth",0.1,0.01,0.85,0.95,0.95,0.96,0.1,2E-3,0.85,0.92820000000000003,0.95,0.93020000000000003,0.1,"NA",0.85,"NA",0.95,"NA","Individuals",0,300,354,300,486,354,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","Number of patients that consistently receive medication management counseling at the point of care","N","Provide medication management services to at least 300 patients.",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Baseline: 300 patients in DY3. Goal: 300 patients in DY4. ",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","354 additional patients.  ",354,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_135036506.2.4","135036506","135036506.2.4","RHP 10","2.19","Baylor All Saints Medical Center at Fort Worth",0.02,0.01,0.93,0.93,0.95,0.94000000000000006,0.02,8.9999999999999993E-3,0.93,0.95899999999999996,0.95,0.96799999999999997,0.02,"NA",0.93,"NA",0.95,"NA","Individuals",0,173,369,195,541,395,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Documentation of increased number of unique patients. Demonstrate improvement over prior reporting period (baseline for DY2).","N"," 173 unduplicated patients will be identified and seen for a BH issue over DY2",173,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Documentation of increased number of unique patients. Demonstrate improvement over prior reporting period (baseline for DY2).","N"," 195 unduplicated patients will be identified and seen for a BH issue over DY2. (individuals)",195,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Documentation of increased number of unique patients. Demonstrate improvement over prior reporting period (baseline for DY2).","N","395 unduplicated patients will be identified and seen for a BH issue over DY2. (individuals)",395,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_135036506.2.5","135036506","135036506.2.5","RHP 10","2.9","Baylor All Saints Medical Center at Fort Worth",0.02,0.38,0.83,0.59,0.85,0.97,0.02,0.42220000000000002,0.83,0.53449999999999998,0.85,0.95669999999999999,0.02,"NA",0.83,"NA",0.85,"NA","Individuals",0,1080,1209,1800,1925,2160,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period"," ","N"," Identify and serve at least 1080 patients",1080,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period"," ","N"," Identify and serve at least 1,800 patients in DY4. (individuals)",1800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period"," ","N"," Identify and serve at least 2,160 patients in DY5. (Individuals)",2160,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_136326908.2.1","136326908","136326908.2.1","RHP 10","2.2","Texas Health Harris Methodist Hospital Hurst-Euless-Bedford",0.5,0.55100000000000005,0.5,0.44900000000000001,1,1,0.5,0.27160000000000001,0.5,0.69140000000000001,1,0.96300000000000008,0.5,"NA",0.5,"NA",1,"NA","Individuals",0,40,49,56,78,67,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," 5% additional patients receive care under the Care Model for diabetes.","N"," 5% additional patients receive care under the Care Model for diabetes, 40 individuals.",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," 5% additional patients receive care under the Care Model for diabetes.","N"," 5% increase over DY3, 56 patients receiving care under the Care Model for diabetes. (individuals)",56,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," 5% additional patients receive care under the Care Model for diabetes.","N"," 5% increase over DY4, 67 additional patients receive care under the Chronic Care Model for a chronic disease or for MCC. (Individuals)",67,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_136326908.2.2","136326908","136326908.2.2","RHP 10","2.2","Texas Health Harris Methodist Hospital Hurst-Euless-Bedford",0.1,3.5999999999999997E-2,0.1,7.3999999999999996E-2,0.2,0.10999999999999999,0.1,0.11210000000000001,0.1,8.1000000000000003E-2,0.2,0.19309999999999999,0.1,"NA",0.1,"NA",0.2,"NA","Individuals",0,244,474,269,321,465,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," Additional CHF patients at risk for readmission receive care under the Chronic Care Model","N"," Determine baseline in Year 2 and increase by 15% in Year 3, 244 patients. ",244,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," Additional CHF patients at risk for readmission receive care under the Chronic Care Model","N"," Increase by 10% from Year 3, 269 patients. (individuals)",269,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," Additional CHF patients at risk for readmission receive care under the Chronic Care Model","N","Increase from Year 4, 465 additional patients receive care under the Chronic Care Model for a chronic disease or for MCC. (Individuals)",465,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_136326908.2.3","136326908","136326908.2.3","RHP 10","2.15","Texas Health Harris Methodist Hospital Hurst-Euless-Bedford",0.17,0.14000000000000001,0.1,7.0000000000000007E-2,0.27,0.21000000000000002,0.17,0.2321,0.1,0.25480000000000003,0.27,0.4869,0.17,"NA",0.1,"NA",0.27,"NA","Individuals",0,258,300,194,541,364,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number and types of referrals that are made between providers at the location"," ","N"," 30% of comorbid patients will be referred between medical and behavioral health providers. 258 referrals",258,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations"," ","N"," 75% of the 30% of patients identified in Milestone 2 (Year 3) that are referred between providers receiving both physical and behavioral health care in project sites out of total number of individuals receiving services in project sites, 194 patients. (individuals)",194,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations"," ","N","Increased % of the 30% of patients identified in Milestone 2 (Year 3) that are referred between providers receiving both physical and behavioral health care in project sites out of total number of individuals receiving services in project sites, 364 patients. (Individuals) ",364,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_136326908.2.4","136326908","136326908.2.4","RHP 10","2.9","Texas Health Harris Methodist Hospital Hurst-Euless-Bedford",0.1,0.25,0.06,0.63,0.16,0.88,0.1,9.0200000000000002E-2,0.06,0.438,0.16,0.5282,0.1,"NA",0.06,"NA",0.16,"NA","Individuals",0,1169,3377,526,1163,3377,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program"," ","N","10% increase, 1,169 patients enrolled in the program",1169,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED"," ","N"," 50% of identified patients (i.e., 700 of estimated 1400 patients identified by program) - ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator out of total ED patients without a PCP documented in their medical record, 526 patients. (individuals) ",526,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED"," ","N","identified patients (i.e., 1980 of estimated 3300 patients identified by program) - ED patients without a PCP documented in their medical record that receive (documented) education or resources to identify a PCP from a patient navigator out of total ED patients without a PCP documented in their medical record, 3,377 patients. (Individuals) ",3377,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138910807.1.1","138910807","138910807.1.1","RHP 10","1.1","Children's Medical Center of Dallas",0.75,0.63,0.05,0.04,0.8,0.67,0.75,0.73,0.05,0.14000000000000001,0.8,0.87,0.75,"NA",0.05,"NA",0.8,"NA","Encounters",29,770,962,780,828,962,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of encounters. Demonstrate improvement over prior reporting period.","Number of primary care encounters provided by MyChildren's and the Nurse Advice Line","N","770 primary care encounters provided by MyChildren's and the Nurse Advice Line.",770,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of encounters. Demonstrate improvement over prior reporting period.","NA","N","Goal: 780 visits in DY4. (encounters)",780,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of encounters. Demonstrate improvement over prior reporting period.","Number of primary care encounters provided by MyChildren's and the Nurse Advice Line","N","962 primary care encounters provided by MyChildren's and the Nurse Advice Line in DY5. (encounters)",962,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138910807.1.2","138910807","138910807.1.2","RHP 10","1.3","Children's Medical Center of Dallas",0.75,0.71,0.05,0.06,0.8,0.77,0.75,0.8,0.05,0.04,0.8,0.84000000000000008,0.75,"NA",0.05,"NA",0.8,"NA","Individuals",0,540,540,1050,591,1300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","Unique number of patients managed in the registry","N","540 unique patients managed in the registry",540,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Number of unique patients entered in the practice registry","Unique number of patients managed in the registry","N","1,050 unique patients managed in the registry in DY4. (individuals)",1050,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Number of unique patients entered in the practice registry","Unique number of patients managed in the registry","N","1,300 unique patients managed in the registry in DY4.(individuals)",1300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138910807.1.3","138910807","138910807.1.3","RHP 10","1.12","Children's Medical Center of Dallas",0.75,0.67,0.05,0.04,0.8,0.71000000000000008,0.75,0.85,0.05,0.03,0.8,0.88,0.75,"NA",0.05,"NA",0.8,"NA","Individuals",0,85,350,120,216,200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Number of unique individuals receiving community based behavioral health/substance abuse services.","N","85 unique individuals receiving community based behavioral health/substance abuse services. 15% of referred patients receiving community behavioral healthcare services after access expansion out of total number of people \"eligible for\" receiving community behavioral health services after access expansion. ",85,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Goal: 25% patients referred receiving community behavioral healthcare services from mobile clinics after access expansion out of total number of people receiving community behavioral health services after access expansion, 120 patients in DY4. (individuals)",120,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Number of unique individuals receiving community based behavioral health/substance abuse services.","N","200 unique individuals receiving community based behavioral health/substance abuse services in DY5. 200 patients receiving community behavioral healthcare services after access expansion out of total number of people \"eligible for\" receiving community behavioral health services after access expansion. (individuals)",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138910807.2.1","138910807","138910807.2.1","RHP 10","2.1","Children's Medical Center of Dallas",0.75,0.6,0.05,0.04,0.8,0.64,0.75,0.89,0.05,0.01,0.8,0.9,0.75,"NA",0.05,"NA",0.8,"NA","Individuals",0,3800,3810,4000,1803,4300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes"," Number of unique individuals receiving under patient centered medical home.","N","50% of eligible patients in MyChildren’s assigned a medical home by 9/30/14 out of total number of eligible patients.  3,800 unique individuals receiving under patient centered medical home.",3800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes"," ","N"," 50% of eligible patients in MyChildren’s assigned a medical home by 9/30/15 out of total number of eligible patients, 4,000 patients in DY4. (individuals)",4000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes"," Number of unique individuals receiving under patient centered medical home.","N","4,300 unique individuals receiving under patient centered medical home in DY5. (individuals)",4300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138980111.1.2","138980111","138980111.1.2","RHP 10","1.1","UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER",0,"NA",0,"NA",0,"NA",1,1,0,0,1,1,1,"NA",0,"NA",1,"NA","Encounters",0,"NA","NA",7000,7128,8000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits/encounters. Demonstrate improvement over prior reporting period (baseline for DY2)","NA","N","7,000 patient visits/encounters",7000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits/encounters. Demonstrate improvement over prior reporting period (baseline for DY2)","NA","N","8,000 patient visits/encounters in DY5.",8000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138980111.1.4","138980111","138980111.1.4","RHP 10","1.2","UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER",0,"NA",0,"NA",0,"NA",0,0,1,1,1,1,0,"NA",1,"NA",1,"NA","Encounters",1043,"NA","NA",125,280,175,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of encounters at the Cornerstone Charitable Clinic in Fort Worth","N","DY4 Goal: 125 encounters above pre-DSRIP baseline.",125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of encounters at the Cornerstone Charitable Clinic in Fort Worth","N","DY5 Goal: 175 encounters above pre-DSRIP baseline.",175,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138980111.1.7","138980111","138980111.1.7","RHP 10","1.2","UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER",0,"NA",0,"NA",0,"NA",0.41,0.45140000000000002,1.6E-2,4.7000000000000002E-3,0.42599999999999999,0.45610000000000001,0.41,"NA",1.6E-2,"NA",0.42599999999999999,"NA","Encounters",5500,"NA","NA",750,2796,1250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Increase number of primary care visits over baseline performed by residents","NA","N","Pre-DSRIP baseline:  5,500 patient visits (encounters) in DY1.  DY4 Goal:  Increase number of primary care visits (encounters) by 750 over pre-DSRIP baseline.",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Increase number of primary care visits over baseline performed by residents","NA","N","Pre-DSRIP baseline:  5,500 patient visits (encounters) in DY1.  DY5 Goal:  Increase number of primary care visits (encounters) by 1,250 over pre-DSRIP baseline.",1250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138980111.1.8","138980111","138980111.1.8","RHP 10","1.7","UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER",0,"NA",0,"NA",0,"NA",1,1,0,0,1,1,1,"NA",0,"NA",1,"NA","Individuals",0,"NA","NA",300,238,400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.3","Improved access to health care services for residents of communities that did not have such services locally before the program. Demonstrate improvement over prior reporting period.","NA","N","300 patient encounters (individuals served)",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.3","Improved access to health care services for residents of communities that did not have such services locally before the program. Demonstrate improvement over prior reporting period.","NA","N","400 patient encounters (individuals served).",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138980111.2.100","138980111","138980111.2.100","RHP 10","2.11","UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER",1,1,0,0,1,1,1,1,0,0,1,1,1,"NA",0,"NA",1,"NA","Individuals",0,50,50,120,258,220,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","Number of patients that consistently receive medication management counseling at the point of care","N","Baseline: 0 patients contacted or receiving medication management.  Goal:  50 patients contacted or receiving medication management in DY3.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Goal:  120 patients contacted or receiving medication management in DY4. ",120,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Goal:  220 patients contacted or receiving medication management in DY5.  ",220,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138980111.2.5","138980111","138980111.2.5","RHP 10","2.12","UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER",1,0.94699999999999995,0,5.2999999999999999E-2,1,1,0.95,0.99199999999999999,0.05,8.0000000000000002E-3,1,1,0.95,"NA",0.05,"NA",1,"NA","Individuals",0,75,75,325,387,350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-2.1","Care transitions policies and procedures"," ","N"," Policies and procedures will be developed and applied to 10% (75) of total patients expected to be enrolled in this project from DY3-5.",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients enrolled in this project receiving standardized care according to the approved clinical protocols and care transitions policies.","N","Baseline is 0.  Goal is 325 patients receiving standardized care according to clinical protocols and care transitions policies (individuals)",325,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients enrolled in this project receiving standardized care according to the approved clinical protocols and care transitions policies","N","Baseline is 0. Goal in DY5 is 350 additional patients over baseline receiving standardized care according to clinical protocols and care transition policies. (individuals)",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_138980111.2.6","138980111","138980111.2.6","RHP 10","2.13","UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER",0,"NA",0,"NA",0,"NA",0.3,0.60189999999999999,0.7,0.39810000000000001,1,1,0.3,"NA",0.7,"NA",1,"NA","Encounters",0,"NA","NA",3600,3647,5760,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA"," Increased number of encounters for individuals being served through the intervention","N","3,600 encounters for individuals being served through the intervention",3600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA"," Increased number of encounters for individuals being served through the intervention","N","5,760 encounters being served through the intervention.",5760,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_162334001.1.1","162334001","162334001.1.1","RHP 10","1.9","JPS Physician Group",0.2666,0.3,0.5151,0.34100000000000003,0.78170000000000006,0.64100000000000001,0.2666,0.31,0.5151,0.40300000000000002,0.78170000000000006,0.71300000000000008,0.2666,"NA",0.5151,"NA",0.78170000000000006,"NA","Encounters",5234,14880,14880,31200,-974,33600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-22.1","Increase number of specialist providers, clinic hours and/or procedure hours in targeted specialties","The targeted specialty is pain management services.","N","Increase number of specialists to meet demand and referral demand for in-person visits and procedures that will allow patients to receive more timely services. For outpatient encounters, two PCP’s with a primary emphasis in pain at the PCMH clinics. For inpatient, one board certified pain specialist and two mid-levels. 250% increase in number of specialist providers in targeted specialties over total number of specialist providers at baseline. This will increase outpatient encounters for DY3 by 7,680 (2 docs x 16 encounters per day x 5 days x 48 weeks) and for inpatient encounters 7,200 (30 encounters x 5 days x 48 weeks).  This totals an additional 14,880 encounters in DY3 with the addition of these new pain services we will be able to provide. Of this 14,880 volume, 3,958 would be the Medicaid population while 7,665 would be of the low-income/uninsured population.  The remaining balance of 3,257 would represent the Medicare, Self-Pay and Commercial population.",14880,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","In DY4, increase volume of visits at new expanded pain center from current rate of <30 to > 50.  This entails two board certified pain specialists and two mid-levels at the outpatient clinic.  Add two additional PCP’s with primary emphasis of pain to the PCMH clinics.  This now totals four PCP’s at four different PCMH clinics which would bring in >100 encounters for outpatient services totaling 24,000 possible encounters for DY4.   Also, >30 inpatient consults which began in DY3. This brings inpatient pain services to 7,200 for the year bringing the total encounters for both outpatient and inpatient to 31,200.  Of this 31,200 volume, 8,299 would be the Medicaid population while 16,071 would be of the low-income/uninsured population.  The remaining balance of 6,830 would represent the Medicare, Self-Pay and Commercial population. (encounters)",31200,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","In DY5, increase volume of visits at pain center from current rate of <30 to >60 (this is up 10 per day from DY4). We would add one additional board certified pain specialist at the outpatient clinic to accommodate the increased expected volume.  As well as an additional 50 visits at the four satellite PCMH offices.  Also   >30 inpatient consults which are currently not being performed today (this service began in DY3). For DY5, outpatient would then amount to 26,400 and inpatient 7,200 totaling 33,600 encounters for the year.  Of this 33,600 volume, 8,938 would be the Medicaid population while 17,307 would be of the low-income/uninsured population.  The remaining balance of 7,355 would represent the Medicare, Self-Pay and Commercial population. (encounters)",33600,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_186221101.2.1","186221101","186221101.2.1","RHP 10","2.9","Methodist Mansfield Medical Center",0.15,0.108,0.24,0.27900000000000003,0.39,0.38700000000000001,0.15,0.08,0.24,0.24,0.39,0.32,0.15,"NA",0.24,"NA",0.39,"NA","Individuals",0,1853,5836,3688,3822,7680,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program"," ","N"," Baseline = 1 /Goal: 1,853 patients enrolled in the program",1853,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED"," ","N","50% patients without a primary care provider who were referred to a primary care provider in the ED out of total ED patients without a PDP documented in their medical record, 3,688 patients in DY4. (individuals)",3688,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED"," ","N"," 70% patients without a primary care provider who were referred to a primary care provider in the ED out of total ED patients without a PDP documented in their medical record, 7,680 patients. (Individuals)",7680,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_186221101.2.2","186221101","186221101.2.2","RHP 10","2.2","Methodist Mansfield Medical Center",0.15,0.19,0.24,0.22,0.39,0.41000000000000003,0.15,0.08,0.24,0.24,0.39,0.32,0.15,"NA",0.24,"NA",0.39,"NA","Individuals",0,10,54,1000,1059,1050,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program"," ","N"," Baseline: 0 / Goal: 10 patients enrolled in a self‐management program by 9/30/2014. 0.21% patients enrolled in a self-management program out of total number of patients with diabetes.",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," Percent of diabetic ED patients receiving care under the Chronic Care model","N","10 / Goal: 1000 diabetic ED patients receiving care under the Chronic Care model in DY4. (individuals)",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC"," Percent of diabetic ED patients receiving care under the Chronic Care model","N"," Baseline: 1000 / Goal: Increase of 5% over DY4, 1,050 patients. (Individuals)",1050,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_206106101.1.100","206106101","206106101.1.100","RHP 10","1.1","Wise Clinical Care Associates",0.6,0.2412,0.2,0.39119999999999999,0.8,0.63239999999999996,0.6,0.22770000000000001,0.2,0.4269,0.8,0.65460000000000007,0.6,"NA",0.2,"NA",0.8,"NA","Encounters",0,1000,2454,2000,3254,2854,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Total number of visits for reporting period.","N","Goal: 1,000 visits in DY3.",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline:  1,000 visits in DY3.  Goal: 2,000 visits in DY4.  ",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 2,854 visits in DY5.  ",2854,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_206106101.2.1","206106101","206106101.2.1","RHP 10","2.1","Wise Clinical Care Associates",0.2,0.108,0,0.16500000000000001,0.2,0.27300000000000002,0.2,0.112,0,0.16,0.2,0.27200000000000002,0.2,"NA",0,"NA",0.2,"NA","Individuals",0,5530,5850,5546,5729,5559,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.2","Increased number of patient centered visits."," ","N"," 5530 patients",5530,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.2","Increased number of patient centered visits."," ","N"," 5546 patients in DY4 (individuals)",5546,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.2","Increased number of patient centered visits."," ","N","5559 patients in DY5. (individuals)",5559,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_216719901.1.1","216719901","216719901.1.1","RHP 10","1.1","Glen Rose Medical Center",0.03,6.4999999999999997E-3,7.0000000000000007E-2,3.5200000000000002E-2,0.1,4.1700000000000001E-2,0.03,6.4000000000000003E-3,7.0000000000000007E-2,4.36E-2,0.1,0.05,0.03,"NA",7.0000000000000007E-2,"NA",0.1,"NA","Encounters",22411,150,1485,150,1773,1485,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","5% improvement over baseline for 5 providers and 2 mid-levels, 150 encounters. ",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","10% improvement over baseline for 5 providers and 2 midlevels, 150 encounters in DY4.",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Improvement over baseline for 5 providers and 2 midlevels, 1,485 encounters in DY5.",1485,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_216719901.2.1","216719901","216719901.2.1","RHP 10","2.4","Glen Rose Medical Center",0,"NA",0,"NA",0,"NA",0.35,"NA",0.65,"NA",1,"NA",0.35,"NA",0.65,"NA",1,"NA","Individuals","NA","NA","NA",100,"NA",100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.1","Number of external communications aimed at the general public’s understanding of the organization’s results and improvement efforts in the area of patient and/or employee experience.","100 people will see our HCAHPS scores through external communication","N"," One external communication a year; 100 people will see our HCAHPS scores. (individuals)",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.1","Number of external communications aimed at the general public’s understanding of the organization’s results and improvement efforts in the area of patient and/or employee experience.","100 people will see our HCAHPS scores through external communication","N","Quarterly external communications = 4 per year. 100 people will see our HCAHPS scores. (individuals)",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"10_316296801.2.100","316296801","316296801.2.100","RHP 10","2.9","Texas Health Harris Methodist Hospital Alliance",2.8000000000000001E-2,0,0.191,0,0.219,0,2.8000000000000001E-2,0.17150000000000001,0.191,0.70289999999999997,0.219,0.87439999999999996,2.8000000000000001E-2,"NA",0.191,"NA",0.219,"NA","Individuals",0,100,100,1250,764,1500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","NA","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","Baseline: 0 / Goal: 100 individuals receive navigation services in DY3",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","NA","N","Goal: 1,250 patients individuals receive navigation services in DY4.",1250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","NA","N","Goal: 1500 individuals receive navigator services in DY5.",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_020992601.1.1","020992601","020992601.1.1","RHP 11","1.1","Stonewall Memorial Hospital",0.2,0.01,0.1,0.27,0.3,0.28000000000000003,0.2,0.18,0.1,0.13,0.3,0.31,0.2,"NA",0.1,"NA",0.3,"NA","Encounters",3301,133,690,233,3478,756,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase total number of clinic visits by 4% in DY3 over baseline, 133 encounters",133,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase total number of clinic visits by 7% in DY4 over baseline, 233 encounters.  ",233,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase total number of clinic visits in DY5 over baseline, 756 encounters. ",756,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_094104901.1.1","094104901","094104901.1.1","RHP 11","1.1","Anson General Hospital",0.1,0,0.1,0,0.2,0,0.1,"NA",0.1,"NA",0.2,"NA",0.1,"NA",0.1,"NA",0.2,"NA","Encounters",2383,50,-2383,75,"NA",100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Establish a baseline for visits using the first full year for documentation. Provide 50 encounters in DY3.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","2% increase in clinic visits, 75 encounters. ",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","3% increase in clinic visits, 100 encounters. ",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"11_094131202.1.2","094131202","094131202.1.2","RHP 11","1.10","Hamlin Memorial Hospital",0.14000000000000001,0.12,0.24399999999999999,0.13,0.38400000000000001,0.25,0.14000000000000001,0.15,0.24399999999999999,0.14000000000000001,0.38400000000000001,0.29000000000000004,0.14000000000000001,"NA",0.24399999999999999,"NA",0.38400000000000001,"NA","Individuals",0,500,500,1200,482,1500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","Demonstrate how quality reports are used to drive rapid cycle performance improvement","NA","N","500 questionnaires conducted from Oct 2013-September 2014",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","Demonstrate how quality reports are used to drive rapid cycle performance improvement.","NA","N","Goal: 1200 individuals impacted in DY4. 1 performance activity designed and implemented based on the data in the reports.",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.2","Demonstrate how quality reports are used to drive rapid cycle performance improvement.","NA","N","Goal: 1,500 individuals impacted in DY5.  1 performance activity designed and implemented based on the data in the reports.",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_094131202.1.3","094131202","094131202.1.3","RHP 11","1.1","Hamlin Memorial Hospital",0.14000000000000001,0.13,0.24,0.02,0.38,0.15,0.14000000000000001,0.23619999999999999,0.24,0.10059999999999999,0.38,0.33679999999999999,0.14000000000000001,"NA",0.24,"NA",0.38,"NA","Encounters",6312,100,100,200,-5888,565,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-5.1","Documentation of increased number of providers and staff and/or clinic sites","NA","N","1 additional primary care provider and staff trained/hired. Increase volume by 5% or 100 visits",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Pre-DSRIP Baseline: 6,312 encounters in FY2013. Goal: Increase volume by 200 encounters above pre-DSRIP baseline in DY4.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Pre-DSRIP baseline: 6,312 encounters in FY2013.  Goal: increase volume by 565 encounters above pre-DSRIP baseline in DY5.",565,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_112692202.1.1","112692202","112692202.1.1","RHP 11","1.1","Fisher County Hospital District",0.1,8.5000000000000006E-2,0.17,0.14799999999999999,0.27,0.23299999999999998,0.1,0.1024,0.17,0.1055,0.27,0.2079,0.1,"NA",0.17,"NA",0.27,"NA","Encounters",7352,275,-5925,288,-7352,303,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase primary care encounters by 5% of 275 visits over DY2",275,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","288 encounters. ",288,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal- 15% increase from year 2 by 303 encounters. ",303,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_112692202.2.2","112692202","112692202.2.2","RHP 11","2.2","Fisher County Hospital District",0.15,0.17299999999999999,0.25,0.14399999999999999,0.4,0.31699999999999995,0.15,0.1497,0.25,0.27529999999999999,0.4,0.42499999999999999,0.15,"NA",0.25,"NA",0.4,"NA","Individuals",0,100,104,200,207,350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Increase the number of patients enrolled in a care management program over baseline","NA","N","Baseline: 0   Goal: Number of patients enrolled in a care management program to 100 individuals",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Increase the number of patients enrolled in a care management program over baseline","NA","N","Goal: Increase the number of patients enrolled in care program by 200 individuals.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Increase the number of patients enrolled in a care management program over baseline","NA","N","Goal: Increase the number of patients enrolled in care program by 350 individuals.",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_112702904.1.2","112702904","112702904.1.2","RHP 11","1.1","Haskell Memorial Hospital",0.1,0.14000000000000001,0.1,0.28999999999999998,0.2,0.43,0.1,0.09,0.1,0.16,0.2,0.25,0.1,"NA",0.1,"NA",0.2,"NA","Encounters",0,100,206,515,1392,530,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Establish baseline for visits in first full year of service. Estimate providing 100 encounters in this base year ",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over reporting period.","NA","N","515 encounters in DY4",515,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 3% (530 encounters in DY5) increase in clinic visits",530,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_112702904.1.3","112702904","112702904.1.3","RHP 11","1.1","Haskell Memorial Hospital",0,"NA",0,"NA",0,"NA",0.22,0.191,0.3,0.24199999999999999,0.52,0.433,0.22,"NA",0.3,"NA",0.52,"NA","Encounters",0,"NA","NA",600,1207,800,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: Increase primary care visits to the NP standard of 2,100 visits adjusted for other duties in the hospital and the walk-in clinic to 600 encounters in DY4.",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: Increase primary care visits to the NP standard of 2,100 visits adjusted for other duties in the hospital and the walk-in clinic to 800 encounters in DY 5. ",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_119875604.1.1","119875604","119875604.1.1","RHP 11","1.1","Stephens Memorial Hospital",0,"NA",0,"NA",0,"NA",0.16,0.16,0.06,0.15,0.22,0.31,0.16,"NA",0.06,"NA",0.22,"NA","Encounters",9434,"NA","NA",1415,-1946,2830,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 9434 encounters in DY2; Goal: 1415 additional encounters in DY4",1415,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 9,434 encounters in DY2; Goal: 2830 additional encounters in DY5",2830,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_121053602.2.1","121053602","121053602.2.1","RHP 11","2.4","Knox County Hospital",0,"NA",0,"NA",0,"NA",0.1,"NA",0.1,"NA",0.2,"NA",0.1,"NA",0.1,"NA",0.2,"NA","Encounters","NA","NA","NA","NA","NA",6600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of encounters positively impacted by improvements","N","6,600 encounters positively impacted by improvements. Improvements are represented by an increase by 5% for scores under 90% baseline and an increase by 2% for scores over 90% baseline.",6600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_121053602.2.2","121053602","121053602.2.2","RHP 11","2.3","Knox County Hospital",0,"NA",0,"NA",0,"NA",0.15,"NA",0.15,"NA",0.3,"NA",0.15,"NA",0.15,"NA",0.3,"NA","Encounters","NA","NA","NA","NA","NA",2250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Visit cycle time.","NA","N","Reduce average to 30 minutes or 1.5 times the actual time spent with provider. 2,250 encounters",2250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_126842705.1.3","126842705","126842705.1.3","RHP 11","1.1","Stamford Memorial Hospital",0.25,0.20250000000000001,0.34,0.2437,0.59,0.44620000000000004,0.25,0.19370000000000001,0.34,0.22989999999999999,0.59,0.42359999999999998,0.25,"NA",0.34,"NA",0.59,"NA","Encounters",0,600,1358,750,1492,1440,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Establish baseline rate of 600 primary care encounters in DY3.","N","We will establish a baseline for capacity of primary care visits to then measure the increase year over year in DY 4 and DY 5. Our goal based on standard NP hours is 1,000 annual visits in the walk‐in clinic by DY 5.",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase primary care visits to the NP standard of 2100 visits  adjusted for his coverage of ED and the walk-in clinic to 750 in DY4. ",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase primary care visits to the NP standard of 2,100 visits adjusted for his coverage of the ED and the walk‐in clinic to 1,440 encounters in DY 5. ",1440,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_126842705.1.4","126842705","126842705.1.4","RHP 11","1.6","Stamford Memorial Hospital",0.25,1,0.34,0,0.59,1,0.25,0.08,0.34,0.01,0.59,0.09,0.25,"NA",0.34,"NA",0.59,"NA","Encounters",0,200,200,250,250,300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line","NA","N","Increase number of calls to advice line to 200 encounters.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line.","NA","N","Increase calls to 250 encounters based on the baseline established in DY2. ",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line.","NA","N","Increase calls to 300 encounters based on the baseline established in DY2. ",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_127373205.1.1","127373205","127373205.1.1","RHP 11","1.12","Helen Farabee Center",0.4,0.19,0.37830000000000003,0.81,0.77829999999999999,1,0.4,0.15,0.37830000000000003,0.81,0.77829999999999999,0.96000000000000008,0.4,"NA",0.37830000000000003,"NA",0.77829999999999999,"NA","Individuals",0,35,35,39,26,40,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","NA","N","Provide Substance Abuse services to 35 consumers by 09‐30‐14.",35,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Increase provision of SA services by 10% over baseline by 9/30/15 out of total number of people receiving community behavioral health services after access expansion, 39 individuals. ",39,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Increase provision of substance abuse services by 10% over baseline by 9/30/15 out of total number of people receiving community behavioral health services after access expansion, 40 encounters. ",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_127373205.1.2","127373205","127373205.1.2","RHP 11","1.9","Helen Farabee Center",0.4,0.32,0.38,0.68,0.78,1,0.4,0.28000000000000003,0.38,0.62,0.78,0.9,0.4,"NA",0.38,"NA",0.78,"NA","Encounters",0,11,69,15,47,70,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Establish/expand specialty care clinics","NA","N","To expand one specialty clinic. 11 encounters served by new/expanded specialty care clinic.",11,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits.","NA","N","Increase the number of psychiatric evaluations by 5% over baseline by 9/30/15, 15 encounters. ",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits.","NA","N","To increase the number of psychiatric evaluations over baseline by 09‐30‐15  (70 encounters).",70,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_130724106.1.1","130724106","130724106.1.1","RHP 11","1.9","Pecan Valley Centers for Behavioral and Developmental Healthcare",0.25,0.27,0.55000000000000004,0.57999999999999996,0.8,0.85,0.25,0.34,0.55000000000000004,0.66,0.8,1,0.25,"NA",0.55000000000000004,"NA",0.8,"NA","Encounters",47,69,71,138,379,230,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2)","NA","N","69 encounters",69,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits.","NA","N","15% increase or 138 events (encounters). ",138,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits.","NA","N","Goal: 25% increase or 230 (over 920) events (encounters). Goal will be to have 120 new patients receive psychiatric services within 10 days",230,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_130725806.1.1","130725806","130725806.1.1","RHP 11","1.11","West Texas Centers",0.45,0.56999999999999995,0.54,0.19,0.99,0.76,0.45,0.53,0.54,0.32,0.99,0.85,0.45,"NA",0.54,"NA",0.99,"NA","Encounters",1717,37,496,112,764,400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of behavioral health care visits. ","N","Will increase the total number of telemedicine visits by 2% from DY 2 baseline for an annual total of 1903. 37 encounters",37,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of behavioral health care visits.","N","Pre-DSRIP Baseline: 1717 encounters provided from October 1, 2012 through September 30, 2013.  Goal: Increase the total number of telemedicine encounters by 112 encounters above pre-DSRIP baseline in DY4.   ",112,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of behavioral health care visits.","N","Pre-DSRIP Baseline: 1717 encounters provided from October 1, 2012 through September 30, 2013.  Goal: Increase the total number of telemedicine encounters by 400 encounters above pre-DSRIP baseline in DY5.",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_133244705.1.1","133244705","133244705.1.1","RHP 11","1.9","Rolling Plains Memorial Hospital",0.75,0.74009999999999998,0,6.1199999999999997E-2,0.75,0.80130000000000001,0.75,0.69,0,5.0999999999999997E-2,0.75,0.74099999999999999,0.75,"NA",0,"NA",0.75,"NA","Encounters",152,30,75,75,64,115,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase # births at Hospital over DY2 baseline","N","30 encounters",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase births","N","Pre-DSRIP Baseline: 152 births (encounters) from 10/1/11 through 9/30/12.  DY4 Goal: Increase births (encounters) by 75 over pre-DSRIP baseline. ",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase births","N","Pre-DSRIP Baseline: 152 births (encounters) from 10/1/11 through 9/30/12.  DY5 Goal: Increase births (encounters) by 115 over pre-DSRIP baseline. ",115,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_133338707.1.1","133338707","133338707.1.1","RHP 11","1.9","Abilene Regional MHMR d/b/a Betty Hardwick Center",0,"NA",0,"NA",0,"NA",0.44,0.35599999999999998,0.3,0.57799999999999996,0.74,0.93399999999999994,0.44,"NA",0.3,"NA",0.74,"NA","Encounters",8105,"NA","NA",600,2716,800,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Increase available clinic visits by 600 encounters over the baseline over the report year.",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Increase available clinic visits by 800 encounters over the baseline over the report year.",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_136325111.2.1","136325111","136325111.2.1","RHP 11","2.2","Mitchell County Hospital",0.1,0,0.06,0,0.16,0,0.1,"NA",0.06,"NA",0.16,"NA",0.1,"NA",0.06,"NA",0.16,"NA","Individuals",0,100,0,105,"NA",111,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Increase the number of patients enrolled in a care management program over baseline.","NA","N","100 individuals",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase the number of patients enrolled in a care management program over bseline","NA","N","Goal: 105 individuals. ",105,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Increase the number of patients enrolled in a care management program over baseline","NA","N","Goal: 111 patients (individuals) enrolled in a care management program. ",111,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_138644310.1.1","138644310","138644310.1.1","RHP 11","1.1","Hendrick Medical Center",0.05,6.5799999999999997E-2,0.1,3.1600000000000003E-2,0.15,9.74E-2,0.05,0.05,0.1,0.03,0.15,0.08,0.05,"NA",0.1,"NA",0.15,"NA","Encounters",28117,2500,8456,2525,6097,8481,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-5.1","Documentation of increased number of providers and staff and/or clinic sites","NA","N","The goal is to hire an additional primary care physician to serve the community. The volume in DY3 is estimated to be 2,500 encounters.",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increase number of visits. Demonstrate improvement over prior reporting period (baseline for DY2). ","NA","N","Increase primary care volume by 1% over the baseline established in DY2. Provide 2,525 encounters in DY4.",2525,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase primary care volume over the baseline established in DY2. The goal will be to provide 8,841 encounters in DY5.",8481,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_138644310.2.4","138644310","138644310.2.4","RHP 11","2.6","Hendrick Medical Center",0.14000000000000001,0.13,0.06,0.12,0.2,0.25,0.14000000000000001,0.08,0.06,0.14000000000000001,0.2,0.22000000000000003,0.14000000000000001,"NA",0.06,"NA",0.2,"NA","Individuals",443,357,575,373,589,599,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Document implementation strategy and testing outcomes","NA","N","The goal will be to implement, document and test the evidence‐based project for the diabetes population in our community. The goal will also be to see about 357 patients that attend the diabetes classes through additional classes and events. In addition to conducting outreach in health fairs, lunch and learn, diabetes support groups, workshops, the Abilene public library, and other various places and events we will host three new classes. These classes include: LVN to RN education for nursing students on Diabetes education for themselves and for the patients that they will treat, pre-diabetes education classes, and a class to teach patients how to eat properly on a budget in order to help patients avoid getting diabetes early on.",357,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached.","NA","N","The goal will be to increase the percentage of the defined diabetes population reached by this project by 84% compared to baseline. The goal is to educate an estimated 373 patients (individuals) through additional classes and events. In addition to conducting outreach in health fairs, lunch and learn, diabetes support groups, workshops, the Abilene public library, and other various places and events we will also host three new classes. These classes include: LVN to RN education for nursing students on Diabetes education for themselves and for the patients that they will treat, pre-diabetes education classes, and a class to teach patients how to eat properly on a budget in order to help patients avoid getting diabetes early on. ",373,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached.","NA","N","The goal will be to increase the percentage of the defined diabetes population reached by this project by 90% compared to baseline. The goal is to educate an estimated 599 patients (individuals) through additional classes and events. In addition to conducting outreach in health fairs, lunch and learn, diabetes support groups, workshops, the Abilene public library, and other various places and events we will also host three new classes. These classes include: LVN to RN education for nursing students on Diabetes education for themselves and for the patients that they will treat, pre-diabetes education classes, and a class to teach patients how to eat properly on a budget in order to help patients avoid getting diabetes early on.",599,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"11_281406301.1.2","281406301","281406301.1.2","RHP 11","1.1","Comanche County Medical Center",0.4,0.11899999999999999,0.6,9.4799999999999995E-2,1,0.21379999999999999,0.4,0.1174,0.6,8.0100000000000005E-2,1,0.19750000000000001,0.4,"NA",0.6,"NA",1,"NA","Encounters",27358,1200,1200,2200,1133,2600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Increased number of primary care visits.","NA","N","Increase number of primary care visits to 1,200",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Increased number of primary care visits.","NA","N","Increase number of primary care visits to 2,200 encounters. ",2200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Increased number of primary care visits.","NA","N","Increase number of primary care visits to 2,600 encounters.",2600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_084563802.1.2","084563802","084563802.1.2","RHP 12","1.2","Texas Tech University Health Sciences Center-Amarillo",0.38,0.41,0.02,6.5000000000000002E-2,0.4,0.47499999999999998,0.38,0.45550000000000002,0.02,5.4800000000000001E-2,0.4,0.51029999999999998,0.38,"NA",0.02,"NA",0.4,"NA","Encounters",21007,1775,1775,2560,4018,3425,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase number of Continuity Clinic sessions available for primary care trainees.","Increase the number of continuity clinic sessions.","N","Increase the number of continuity clinic sessions available for primary care . Goal of 1,775 encounters.  Percentage Goal = 8.2%.  Numerator:  Number of Continuity Clinic Sessions utilizing primary care trainees - 1,775.  Denominator:  Total number of Continuity Clinic Sessions - 21,644.",1775,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase number of Continuity Clinic sessions available for primary care trainees.","Increase number of visits provided at Continuity Clinic sessions by primary care trainees and/or new faculty and new mid-levels hired to teach, train, and educate the respective primary care trainees during their continuity clinic sessions.","N","Increase the number of visits provided at Continuity Clinic sessions by primary care trainees and/or new faculty and new mid-levels hired to teach, train, and educate the respective primary care trainees during their continuity clinic sessions. Goal of 2,560 encounters in DY4. Percentage Goal = 10.9%.  Numerator:  Number of Continuity Clinic Session visits utilizing primary care trainees and/or new faculty and new mid-levels hired to teach, train, and educate the respective primary care trainees during their continuity clinic sessions - 2,560.  Denominator:  Total number of Continuity Clinic session visits - 23,419.",2560,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase number of Continuity Clinic sessions available for primary care trainees.","Increase number of visits provided at Continuity Clinic sessions by primary care trainees and/or new faculty and new mid-levels hired to teach, train, and educate the respective primary care trainees during their continuity clinic sessions.","N","Increase the number of visits provided at Continuity Clinic sessions by primary care trainees and/or new faculty and new mid-levels hired to teach, train, and educate the respective primary care trainees during their continuity clinic sessions. Goal of 3,425 encounters in DY5. Percentage Goal = 13.2%.  Numerator:  Number of Continuity Clinic Session visits utilizing primary care trainees and/or new faculty and new mid-levels hired to teach, train, and educate the respective primary care trainees during their continuity clinic sessions - 3,425.  Denominator:  Total number of Continuity Clinic session visits - 25,979.",3425,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_084563802.1.4","084563802","084563802.1.4","RHP 12","1.7","Texas Tech University Health Sciences Center-Amarillo",0.64,0.56999999999999995,0.14000000000000001,0.127,0.78,0.69699999999999995,0.64,0.69620000000000004,0.14000000000000001,3.5799999999999998E-2,0.78,0.73199999999999998,0.64,"NA",0.14000000000000001,"NA",0.78,"NA","Encounters",0,600,2538,900,1828,2838,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","Number of telehealth encounters to achieve improvements in access to the care of patients.","N","Number of telehealth encounters to achieve improvements in access to the care of patients. Goal of 600 encounters.",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","Number of telehealth encounters to achieve improvements in access to the care of patients.","N","Number of telehealth encounters to achieve improvements in access to the care of patients. Goal of 900 encounters in DY4. ",900,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","Number of telehealth encounters to achieve improvements in access to the care of patients.","N","Number of telehealth encounters to achieve improvements in access to the care of patients. Goal of 2,838 encounters in DY5. ",2838,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_084599202.2.2","084599202","084599202.2.2","RHP 12","2.9","Texas Tech University Health Sciences Center-Lubbock",0.15,0.3291,0.12,0.20250000000000001,0.27,0.53160000000000007,0.15,0.33100000000000002,0.12,0.26200000000000001,0.27,0.59299999999999997,0.15,"NA",0.12,"NA",0.27,"NA","Individuals",0,155,158,126,130,152,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","Establish as a baseline, the number of or percent of targeted patients enrolled  in the program (Total # of targeted patients enrolled in the program/Total # of targeted patients identified).","N","To initiate service to enrollees and establish baseline. Goal of 155 patients enrolled in the program. ",155,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.5","Number/percent of patients with a primary care provider who are given a scheduled primary care provider appointment","NA","N","126 patients (individuals) with a primary care provider who are given a scheduled primary care provider appointment in DY4. 27% Medicaid/Low Income Uninsured",126,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.5","Number/percent of patients with a primary care provider who are given a scheduled primary care provider appointment","NA","N","152 patients (individuals) with a primary care provider who are given a scheduled primary care provider appointment in DY5. 27% Medicaid/Low Income Uninsured",152,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_094117105.1.3","094117105","094117105.1.3","RHP 12","1.1","Hansford County Hospital",0,0.1,0.33,0.14000000000000001,0.33,0.24000000000000002,0,0.15,0.33,0.12,0.33,0.27,0,"NA",0.33,"NA",0.33,"NA","Encounters",14007,210,210,435,-676,670,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Increased number of primary care visits.","NA","N","Goal: Increase number of primary care visits by 210.",210,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Increased number of primary care visits.","NA","N","Goal: 435 additional visits. ",435,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Increased number of primary care visits.","NA","N","Goal: 670 additional visits (encounters) in DY5. ",670,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_094129602.1.3","094129602","094129602.1.3","RHP 12","1.9","Moore County Hospital District dba Memorial Hospit",0.22,0.25600000000000001,0.05,9.7000000000000003E-2,0.27,0.35299999999999998,0.22,0.25280000000000002,0.05,8.0600000000000005E-2,0.27,0.33340000000000003,0.22,"NA",0.05,"NA",0.27,"NA","Encounters",428,208,208,218,150,229,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Demonstrate improvement over prior period. Goal of 208 visits.",208,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Demonstrate improvement over prior period. Goal of 218 visits (encounters) in DY4.",218,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Demonstrate improvement over prior period. Goal of 229 visits (encounters) in DY5. ",229,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_094180903.2.1","094180903","094180903.2.1","RHP 12","2.9","Lynn County Hospital District",0,0,0.3,1,0.3,1,0,0,0.3,1,0.3,1,0,"NA",0.3,"NA",0.3,"NA","Individuals",69,15,95,45,283,135,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","baseline = 60 enrollees. Goal: Increase indigent enrollees into navigation program to 75, an increase of 15 individuals.",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","NA","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","Baseline is 60 patients enrolled. Our goal is to serve 45 patients (individuals) in the navigator program above baseline during DY4. \n",45,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","NA","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","Baseline is 60 patients enrolled. Our goal is to serve 135 patients (individuals) in the navigator program above baseline during DY5.",135,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_126667806.2.100","126667806","126667806.2.100","RHP 12","2.9","W.J. Mangold Memorial Hospital",0.27,0.223,0.16,0.14299999999999999,0.43000000000000005,0.36599999999999999,0.27,0.32,0.16,0.14299999999999999,0.43000000000000005,0.46299999999999997,0.27,"NA",0.16,"NA",0.43000000000000005,"NA","Individuals",0,50,50,100,0,100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","Total number of unique patients provided with Navigation services or enrolled in Navigator program for reporting period. ","N","Baseline is 0 patients enrolled in the program / Goal is to enroll 50 patients by DY3.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","NA","N","Baseline is 0 patients enrolled in the program / Goal is to enroll 100 patients by end of DY4.  ",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","NA","N","Baseline is 0 patients enrolled in the program / Goal is to enroll 100 patients by end of DY5.  ",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_127373205.1.1","127373205","127373205.1.1","RHP 12","1.12","Helen Farabee Center",0.4,0,0.38,1,0.78,1,0.4,0.09,0.38,0.81,0.78,0.9,0.4,"NA",0.38,"NA",0.78,"NA","Individuals",0,35,35,39,47,40,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","NA","N","Provide Substance Abuse services to 35 consumers by 09‐30‐14.",35,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","To increase the provision of Substance Abuse services by 10% over baseline (39 individuals) by 09‐30‐15. ",39,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","To increase the provision of Substance Abuse services by 15% over baseline (40 individuals) by 09‐30‐16. ",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_127378105.2.2","127378105","127378105.2.2","RHP 12","2.15","Texas Panhandle Centers ",0.14000000000000001,7.0099999999999996E-2,0.76,0.68220000000000003,0.9,0.75229999999999997,0.14000000000000001,8.3799999999999999E-2,0.76,0.65569999999999995,0.9,0.73949999999999994,0.14000000000000001,"NA",0.76,"NA",0.9,"NA","Individuals",0,111,213,133,334,250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of providers achieving Level 4 of interaction","NA","N","Work with primary care provider to co‐locate services in 1 site and serve 111 patients.",111,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Provide both physical and behavioral health care to 133 individuals receiving services in project sites in DY4. Percentage goal equals 7%.  Numerator: Number of individuals receiving both physical and behavioral health care in project sites (133).  Denominator: Number of individuals receiving services in project sites (1,900).",133,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Provide both physical and behavioral health care to 250 individuals receiving services in project sites in DY5. Percentage goal equals 13%.  Numerator: Number of individuals receiving both physical and behavioral health care in project sites (250).  Denominator: Number of individuals receiving services in project sites (1,900).",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_130618504.1.1","130618504","130618504.1.1","RHP 12","1.1","Brownfield Regional Medical Center",0.14000000000000001,0.35599999999999998,0.06,5.3999999999999999E-2,0.2,0.41,0.14000000000000001,0.34499999999999997,0.06,0.05,0.2,0.39499999999999996,0.14000000000000001,"NA",0.06,"NA",0.2,"NA","Encounters",14154,566,1512,849,1434,1184,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 566 (4%) over baseline visits of 14,154",566,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits (encounters) by 849 (6%) over baseline visits of 14,154. ",849,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 1,184 encounters over baseline visits of 14,154. ",1184,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_130725806.2.1","130725806","130725806.2.1","RHP 12","2.15","West Texas Centers",0,"NA",0,"NA",0,"NA",0.3,0.45,0.34,0.31,0.64,0.76,0.3,"NA",0.34,"NA",0.64,"NA","Individuals",0,"NA","NA",110,2,138,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","80% of individuals receiving both physical and behavioral health care at the established location.","N","Baseline: Dawson County WTC patient census DY 3. Goal: A minimum of 110 individuals or 80% of the WTC annual patient population in Dawson County will be receiving both physical and behavioral health care at the established location.",110,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","100% of individuals receiving both physical and behavioral health care at the established location.","N","Baseline: Dawson County WTC patient census DY 3. Goal: A minimum of 138 individuals or 100% of the WTC annual patient population in Dawson County will be receiving both physical and behavioral health care at the established location. ",138,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_133250406.1.1","133250406","133250406.1.1","RHP 12","1.6","Childress Regional Medical Center",0.18,0.23100000000000001,8.5000000000000006E-2,6.4000000000000001E-2,0.26500000000000001,0.29500000000000004,0.18,0.24299999999999999,8.5000000000000006E-2,6.9000000000000006E-2,0.26500000000000001,0.312,0.18,"NA",8.5000000000000006E-2,"NA",0.26500000000000001,"NA","Encounters",0,200,922,400,629,956,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line","NA","N","Increase in the number of patients that accessed the nurse advice line, 200 encounters.  Percentage goal = 16%.  Numerator: Number of targeted patients that access the nurse advice line (200).  Denominator: targeted patients (1,254).",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line","NA","N","400 patient calls to the line in DY4 (encounters).  Percentage goal = 16%.  Numerator: Number of targeted patients that access the nurse advice line (400).  Denominator: targeted patients (2,508).",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line","NA","N","956 patient calls to the line in DY5 (encounters).  Percentage Goal = 38 %. Numerator: Number of targeted patients that access the nurse advice line (956).  Denominator: targeted patients (2,508).",956,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_133544006.2.2","133544006","133544006.2.2","RHP 12","2.4","Hereford Regional Medical Center",0.26,0.26,0.12,0.12,0.38,0.38,0.26,0.26,0.12,0.12,0.38,0.38,0.26,"NA",0.12,"NA",0.38,"NA","Individuals",0,3000,3002,3250,4137,3500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","Number of active patients who were included in an inquiry.","N","3,000 active patients who were included in an inquiry.  Percentage goal equals 10%.  Numerator: Number of patient inquiries made (3,000).  Denominator: Number of patient visits during the measurement time period (30,000).",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","Number of active patients who were included in an inquiry.","N","3,250 active patients (individuals) who were included in an inquiry in DY4. Percentage goal equals 11%.  Numerator: Number of patient inquiries made (3,250).  Denominator: Number of patient visits during the measurement time period (30,000).",3250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","Number of active patients who were included in an inquiry.","N","3,500 active patients (individuals) who were included in an inquiry in DY5. Percentage goal equals 12%.  Numerator: Number of patient inquiries made (3,500).  Denominator: Number of patient visits during the measurement time period (30,000).",3500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_136330107.2.1","136330107","136330107.2.1","RHP 12","2.3","Cogdell Memorial Hospital",0.2,0.25490000000000002,0.15,6.9500000000000006E-2,0.35,0.32440000000000002,0.2,0.25490000000000002,0.15,7.0000000000000007E-2,0.35,0.32490000000000002,0.2,"NA",0.15,"NA",0.35,"NA","Encounters",23342,500,9490,750,13865,7520,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.3","Increased number of primary care visits","NA","N","Increased number of primary care visits. Goal of 500 encounters.",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.3","Increased number of primary care visits","NA","N","Increased number of primary care visits. Goal of 750 encounters in DY4. ",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.3","Increased number of primary care visits","NA","N","Increased number of primary care visits. Goal of 7,520 encounters in DY5. ",7520,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_137245009.1.101","137245009","137245009.1.101","RHP 12","1.1","UHS at Amarillo Inc dba Northwest Texas Healthcare System",0,"NA",0,"NA",0,"NA",0.33,0.312,0.38,0.25700000000000001,0.71,0.56899999999999995,0.33,"NA",0.38,"NA",0.71,"NA","Encounters",0,"NA","NA",2500,3234,3000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline is 0 / Goal is to increase visits by 2,500 visits for a total of 2,500 visits by end of DY4.",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline is 0 / Goal is to increase visits by 3,000 visits for a total of 3,000 visits by end of DY5.  ",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_137343308.2.3","137343308","137343308.2.3","RHP 12","2.4","Parmer County Community Hospital, Inc.",0.05,0.05,0.1,0.1,0.15,0.15000000000000002,0.05,0.05,0.1,0.1,0.15,0.15000000000000002,0.05,"NA",0.1,"NA",0.15,"NA","Individuals",0,50,59,105,240,211,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","Number of active patients who were included in an inquiry","N","50 active patients who were included in an inquiry.  Percentage goal = 1%.  Numerator: Number of patient inquiries made (50).  Denominator: Number of patients (18 and over) during the measurement time period (4,800).",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","Number of active patients who were included in an inquiry","N","105 active patients (individuals) who were included in an inquiry in DY4. Percentage goal = 2%.  Numerator: Number of patient inquiries made (105).  Denominator: Number of patients (18 and over) during the measurement time period (4,800).",105,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","Number of active patients who were included in an inquiry","N","211 active patients (individuals) who were included in an inquiry in DY5. Percentage goal = 4%.  Numerator: Number of patient inquiries made (211).  Denominator: Number of patients (18 and over) during the measurement time period (4,800).",211,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_137999206.2.100","137999206","137999206.2.100","RHP 12","2.12","University Medical Center",0,"NA",0,"NA",0,"NA",0.28999999999999998,0.47335423197492199,0.71,0.52664576802507801,1,1,0.28999999999999998,"NA",0.71,"NA",1,"NA","Individuals",0,"NA","NA",300,316,350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","Baseline: 0 (zero); DY4 Goal: 300 individuals ",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","DY5 Goal: 350 individuals",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_139461107.2.2","139461107","139461107.2.2","RHP 12","2.9","Covenant Medical Center",0.12,0.11849999999999999,0.08,0.3679,0.2,0.4864,0.12,3.8199999999999998E-2,0.08,0.3337,0.2,0.37190000000000001,0.12,"NA",0.08,"NA",0.2,"NA","Individuals",0,400,405,600,863,800,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","This program is new for this target population so we will be identifying the total eligible as well as beginning to enroll patients. Our goal is to enroll 400 by DY 3.",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Enroll 600 individuals by DY 4. ",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Enroll 800 patients (individuals) by DY 5. ",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_139461107.2.3","139461107","139461107.2.3","RHP 12","2.17","Covenant Medical Center",0.17,0.19,0.19,0.36,0.36,0.55000000000000004,0.17,0.1,0.19,0.44,0.36,0.54,0.17,"NA",0.19,"NA",0.36,"NA","Individuals",0,151,232,770,879,935,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-31.1","Percent increase the use of warm handoffs (a clinician to clinician real time live communication) for adult inpatients being discharged to the community","NA","N","Baseline of 154 inpatient 30 day readmissions and 1356 ED Pysch encounters/Goal to have 10%, an estimated 151 patients with warm hand-offs during DY3. Approximately 36% being Medicaid or uninsured.",151,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-37.1","X% percent improvement in percentage of “High Risk” patients with customized care plans before discharge","NA","N","We will establish a baseline of the high risk patients out of the 1100 inpatient encounters and target 70% or an estimated 770 patients (individuals) with approx. 36% being Medicaid or uninsured. ",770,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-37.1","X percent improvement in percentage of “High Risk” patients with customized care plans before discharge","NA","N","We expect to increase the use of customized care plans to 85% or an estimated 935 patients (individuals) with approx. 36% being Medicaid or uninsured. ",935,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_197063401.1.1","197063401","197063401.1.1","RHP 12","1.3","Golden Plains Community Hospital",0,"NA",0,"NA",0,"NA",0.15,"NA",0.28999999999999998,"NA",0.44,"NA",0.15,"NA",0.28999999999999998,"NA",0.44,"NA","Individuals","NA","NA","NA",500,"NA",1000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Number of unique patients entered in the practice registry","NA","N","GPCH expects to register 500 patients (individuals) in the registry in DY4.",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Number of unique patients entered in the practice registry","NA","N","GPCH expects to have 1000 patients (individuals) registered in the registry in DY5. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"12_197063401.1.2","197063401","197063401.1.2","RHP 12","1.1","Golden Plains Community Hospital",0,"NA",0,"NA",0,"NA",0.3,0.1182,0.16,0.25,0.46,0.36819999999999997,0.3,"NA",0.16,"NA",0.46,"NA","Encounters",599,"NA","NA",350,585,700,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase clinic volume of patients over DY2 baseline by an additional 350 appointments (encounters) above baseline of 599 appointments (total of 949 appointments in DY4).",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase in clinic volume of patients over baseline by 700 appointments (encounters) in DY5 above baseline of 599 appointments (Target of 1299 total patient encounters in DY5).",700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"13_020989201.2.2","020989201","020989201.2.2","RHP 13","2.5","North Runnels Hospital",0.1,0.1,0.3,0.3,0.4,0.4,0.1,0.08,0.3,0.13,0.4,0.21000000000000002,0.1,"NA",0.3,"NA",0.4,"NA","Individuals",0,100,0,100,55,100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Number of unique individuals positively impacted by improvements","NA","N","Baseline/Goal: Goal is to track cost per episode of patients who received a CT scan, 100 patients in DY3.",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Number of unique individuals positively impacted by improvements","NA","N","Goal is to track cost per episode for patients who received a CT scan - 100 patients (individuals) in DY 4.  ",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals positively impacted by improvements","N","Goal is to track cost per episode for patients who received a CT scan - 100 patients (individuals) in DY 5.  ",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"13_109483102.2.2","109483102","109483102.2.2","RHP 13","2.15","MHMR Services for the Concho Valley",0.38,0.25,0.62,0.75,1,1,0.38,0.33,0.62,0.67,1,1,0.38,"NA",0.62,"NA",1,"NA","Individuals",0,15,36,78,106,36,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","3%= number of individuals receiving both physical and behavioral health care in project sites/number of individuals receiving services in project sites. DY2 and DY3 cumulative patient impact is 30 individuals. QPI impact of 15 individuals in DY3.",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","78 unduplicated individuals with SPMI. Total  DY2-5 impact of 108 individuals. 15%= number of individuals receiving both physical and behavioral health care in project sites/number of individuals receiving services in project sites.  QPI Goal: 78 individuals in DY4. ",78,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","36 unduplicated individuals with SPMI. Total DY2-5 impact of 133 individuals. 5%= number of individuals receiving both physical and behavioral health care in project sites/number of individuals receiving services in project sites. QPI goal: 36 in DY5.",36,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"13_130089906.2.2","130089906","130089906.2.2","RHP 13","2.2","Ballinger Memorial Hospital District",0.11,0.41,0,0.11,0.11,0.52,0.11,0.13,0,0.24,0.11,0.37,0.11,"NA",0,"NA",0.11,"NA","Individuals",0,45,45,60,60,75,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Increase target population reached","NA","N","Goal – 45 patients enrolled. ",45,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Increase target population reached","NA","N","Goal – 60 patients enrolled. ",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Increase target population reached","NA","N","Goal – 75 patients enrolled. ",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"13_130616905.2.3","130616905","130616905.2.3","RHP 13","2.2","Pecos County Memorial Hospital",0.1,0,0.15,1,0.25,1,0.1,0.3,0.15,0.41,0.25,0.71,0.1,"NA",0.15,"NA",0.25,"NA","Individuals",0,5,14,60,70,70,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self-management program.","NA","N","3 individuals. %= number of patients enrolled in a self-management program for given condition/number of patients with given chronic condition. 5%. ",5,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program","NA","N","%= number of patients enrolled in a self-management program for a given chronic condition/number of patients with a given chronic condition.  5% enrolled.  Increase number of patients to 4. Total impact of 7 individuals. QPI is 60 patients (individuals) served through chronic care management in DY4. The self-management program is a subset of the total number of patients served in the chronic care management program.",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-20.1","Maintain or Improve (case‐mix adjusted) 3‐month Functional Independence Measure (FIM) Follow‐up scores","NA","N","3 month FIM follow up scores/baseline FIM follow up scores - 133%. 70 individuals served through chronic care management in DY5. ",70,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"13_133340307.2.2","133340307","133340307.2.2","RHP 13","2.13","Hill Country Community MHMR Center (dba Hill Country MHDD Centers)",0.35439999999999999,0.25,0.49030000000000001,0.5,0.84470000000000001,0.75,0.35439999999999999,0.52629999999999999,0.49030000000000001,0.26319999999999999,0.84470000000000001,0.78949999999999998,0.35439999999999999,"NA",0.49030000000000001,"NA",0.84470000000000001,"NA","Individuals",0,6,12,14,19,25,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals beginning services during demonstration","N","Baseline ‐ 0 individuals beginning services; Goal 6 individuals beginning services during DY3",6,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals beginning services during demonstration year (Co‐occurring Psychiatric and Substance Use Disorder)","N","Baseline ‐ 6 individuals beginning services in DY3; Goal ‐ 8 individuals beginning services during DY4 (Total of 14 served in DY4). ",14,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals beginning services during demonstration year (Co‐occurring Psychiatric and Substance Use Disorder)","N","Baseline ‐ 6 individuals beginning services in DY3; Goal ‐11 individuals beginning services during DY 5 (Total of 25 served in DY5). ",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"13_136144610.2.2","136144610","136144610.2.2","RHP 13","2.1","Coleman County Medical Center",0.28999999999999998,0.67,0.14000000000000001,0.12,0.43,0.79,0.28999999999999998,0.5,0.14000000000000001,0.23,0.43,0.73,0.28999999999999998,"NA",0.14000000000000001,"NA",0.43,"NA","Individuals",0,10,42,50,52,62,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-1.1","Increase number of primary care clinics using medical home model","NA","N","1 medical home clinic established. 30% enrollment in patient centered medical home of pregnant women within first tri‐semester. Referral of rate of 25% of potential expectant mothers without insurance to Medical Advocacy Services for Healthcare and Medicaid eligibility assistance. QPI impact of 10 individuals",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","plement a patient registry that captures preventive services utilization","NA","N","40% enrollment in patient centered medical home of pregnant women within first tri‐semester. Referral of rate of 50% of potential expectant mothers, or approximately 50 patients (individuals), without insurance to Medical Advocacy Services for Healthcare and Medicaid eligibility assistance. %= number of patients overdue for preventive services/total number of patients in the registry. ",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","50% enrollment in patient centered medical home of pregnant women within first tri‐semester. With an estimated patient base of 125 by DY 5 we project enrolling approximately 62 prenatal patients. Referral of rate of 75% of potential expectant mothers without insurance to Medical Advocacy Services for Healthcare and Medicaid eligibility assistance. %= number of eligible patients assigned to a medical home/total number of eligible patients.",62,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"13_137226005.2.2","137226005","137226005.2.2","RHP 13","2.8","Shannon West Texas Memorial Hospital",0.16,4.5900000000000003E-2,0.14000000000000001,0.16389999999999999,0.30000000000000004,0.20979999999999999,0.16,0.126,0.14000000000000001,8.9300000000000004E-2,0.30000000000000004,0.21529999999999999,0.16,"NA",0.14000000000000001,"NA",0.30000000000000004,"NA","Encounters",0,30,305,10000,11596,10000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Total time of discharge; from the time the doctor begins discharge until the patient goes home","NA","N","Reduce time of discharge for 30 patient encounters\n",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients impacted by process improvement\n","N","Baseline: 0; Goal: 10,000 encounters in DY4",10000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients impacted by process improvement\n","N","Baseline: 0; Goal: 10,000 encounters in DY5",10000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"13_179272301.2.2","179272301","179272301.2.2","RHP 13","2.1","Schleicher County Medical Center",0,"NA",0,"NA",0,"NA",7.0000000000000007E-2,6.3E-2,0.02,9.1999999999999998E-2,0.09,0.155,7.0000000000000007E-2,"NA",0.02,"NA",0.09,"NA","Individuals",0,"NA","NA",250,0,221,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Numberof eligible patients assigned to medical homes, where \"eligible\" is defined by the performing provider.","N","Baseline will be established in DY 3 when clinics begin using PCMH model.  Goal for DY 4 is 250 Patients enrolled in a Medical Home.  ",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number  of eligible patients assigned to medical homes, where eligible is defined by the performing provider","N","Baseline will be established in DY 3 when clinics begin using PCMH model.  Goal for DY 5 is 171 of Patients being Medicaid and 50 of them uninsured patients enrolled in a Medical Home, for a DY5 QPI impact of 221 individuals.  ",221,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_081939301.2.1","081939301","081939301.2.1","RHP 14","2.2","Texas Tech University Health Sciences Center-Permian Basin",0.20480000000000001,0.2,0.17460000000000001,0.15,0.37940000000000002,0.35,0.20480000000000001,0.19550000000000001,0.17460000000000001,6.6900000000000001E-2,0.37940000000000002,0.26240000000000002,0.20480000000000001,"NA",0.17460000000000001,"NA",0.37940000000000002,"NA","Individuals",0,800,841,1000,1214,1200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","Apply the Chronic Care Model to Chronic Diabetes Clinics. Goal of 800 patients served. ",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","To see an estimated 1,000 patients (individuals) under the new model who will be listed on the patient registry in DY4. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","To see an estimated 1,200 patients (individuals) under the new model who will be listed on the patient registry in DY5.",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_081939301.2.101","081939301","081939301.2.101","RHP 14","2.9","Texas Tech University Health Sciences Center-Permian Basin",0.45,0.15,0.19,0.85,0.64,1,0.45,0.13,0.19,0.87,0.64,1,0.45,"NA",0.19,"NA",0.64,"NA","Individuals",0,30,33,33,1239,550,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","Total number of unique patients provided with Navigation services or enrolled in Navigator program for reporting period. ","N","Baseline: No patients served by Navigator program.  Goal: 30 patients provided with Navigation services in DY3.  ",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","NA","N","Baseline: 30 patients provided with Navigation services (DY3).  Goal: 10% increase over baseline = impact of 33 patients in DY4. ",33,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Increased number of primary care referrals","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","550 patients provided Navigation services in DY5",550,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_081939301.2.4","081939301","081939301.2.4","RHP 14","2.6","Texas Tech University Health Sciences Center-Permian Basin",0.17,0,0.28999999999999998,0,0.45999999999999996,0,0.17,0,0.28999999999999998,0,0.45999999999999996,0,0.17,"NA",0.28999999999999998,"NA",0.45999999999999996,"NA","Individuals",0,1087,1658,1141,1743,1680,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached","NA","N","Increase access to health promotion programs and activities using innovative project option. Goal of 1,087 individuals. 50% of individuals of target population reached by the innovative project option out of total number of individuals in the target population.",1087,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached","NA","N","increase percent of population reached by 5% over baseline out of total number of individuals in the target population, 1,141 individuals in DY4. ",1141,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached","NA","N","increase percent of population reached by 7% over baseline out of total number of individuals in the target population, 1,680 individuals in DY5. ",1680,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_112684904.2.3","112684904","112684904.2.3","RHP 14","2.4","Reeves County Hospital",0.27750000000000002,0.33400000000000002,0.2848,0.253,0.56230000000000002,0.58699999999999997,0.27750000000000002,0.3,0.2848,0.28000000000000003,0.56230000000000002,0.58000000000000007,0.27750000000000002,"NA",0.2848,"NA",0.56230000000000002,"NA","Individuals",0,400,829,400,662,829,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","NA","N","Administer regular inquiries into patient experience in the Pecos Valley Rural Health Clinic using phone interviews. Goal: 400 patients. 8% of patient inquiries made out of total number of patient visits during the measurement time period.",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","NA","N","Administer regular inquiries into patient experience in the Pecos Valley Rural Health Clinic using phone interviews. Goal: 400 patients (individuals) in DY4. 8% of patient inquiries made out of total number of patient visits during the measurement time period.",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","NA","N","Administer regular inquiries into patient experience in the Pecos Valley Rural Health Clinic using phone interviews. Goal: 829 patients (individuals) in DY5. 8% of patient inquiries made out of total number of patient visits during the measurement time period.",829,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_112711003.1.4","112711003","112711003.1.4","RHP 14","1.9","Odessa Regional Medical Center",0.4,0.04,0.1,0.02,0.5,0.06,0.4,0.36,0.1,0.04,0.5,0.39999999999999997,0.4,"NA",0.1,"NA",0.5,"NA","Individuals",0,4000,186,2587,309,3037,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Establish/expand specialty care clinics","NA","N","Launch/expand a specialty care clinic ORMC will expand the Maternal‐Fetal Medicine Program to include a Gestational Diabetes component, incorporating the participation of physicians, perinatal nurses, and a diabetic educator. 4,000 patients (with 2,000 under Medicaid/Indigent)",4000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.2","Documentation of increased number of unique patients, or size of patient panels. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline: 0 (new initiative). DY4 Goal: Serve 2587 Gestational Diabetes patients (individuals) in DY4. ",2587,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.2","Documentation of increased number of unique patients, or size of patient panels. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline: 0 (new initiative). DY5 Goal: Serve 3037 Gestational Diabetes patients (individuals) in DY5. ",3037,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_112711003.2.4","112711003","112711003.2.4","RHP 14","2.9","Odessa Regional Medical Center",0.35,0,0.11,0.2,0.46,0.2,0.35,0.12,0.11,0.21,0.46,0.32999999999999996,0.35,"NA",0.11,"NA",0.46,"NA","Individuals",0,2400,2400,2640,7627,2760,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-103.1","NA","Number of patients documented within patient navigation program","N","Projected DY3 impact: 2,400 patients (with 1,000 Medicaid/Indigent)",2400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.1","Increase percentage of target population reached","Increase number of encounters made through the patient navigation program by 15% compared to baseline year of DY3","N","2,640 patients (individuals)(with 1,200 Medicaid/Indigent) in DY4. 15% of individuals of target population reached by the Patient Navigator Program out of total number of individuals in the target population.",2640,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.1","Increase percentage of target population reached","NA","N","2,760 patients (individuals)(with 1,400 Medicaid/Indigent) in DY5. 15% of individuals of target population reached by the Patient Navigator Program out of total number of individuals in the target population.",2760,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_130725806.2.1","130725806","130725806.2.1","RHP 14","2.15","West Texas Centers",0,"NA",0,"NA",0,"NA",0.44,0.32,0.54,0.43,0.98,0.75,0.44,"NA",0.54,"NA",0.98,"NA","Individuals",0,"NA","NA",72,54,144,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Baseline: Howard County WTC patient census DY 3. Goal: A minimum of 72 individuals receiving physician services from West Texas Centers Howard County active patient census will receive both physical and behavioral health care at the WTC integrated care location. 10% of individuals receiving both physical and behavioral health care in project sites out of total number of individuals receiving services in project sites.",72,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Baseline: Howard County WTC patient census DY 3. Goal: A minimum of 144 individuals receiving physician services from West Texas Centers Howard County active patient census will receive both physical and behavioral health care at the WTC integrated care location in DY5. 20% of individuals receiving both physical and behavioral health care in project sites out of total number of individuals receiving services in project sites.",144,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_135235306.2.100","135235306","135235306.2.100","RHP 14","2.11","Medical Center Hospital",0,"NA",0,"NA",0,"NA",0.1,0.1,0.25,0.25,0.35,0.35,0.1,"NA",0.25,"NA",0.35,"NA","Individuals",0,"NA","NA",5078,5331,6348,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Baseline: 570 patients had medication reconciliation completed by a pharmacist. DY 4 impact: 5078 patients consistently receive medication management counseling at the point of care.",5078,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","DY5 impact: 6348 patients that consistently receive medication management counseling at the point of care ",6348,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_135235306.2.4","135235306","135235306.2.4","RHP 14","2.8","Medical Center Hospital",0.1,0.1,0.3,0.3,0.4,0.4,0.1,0.1,0.3,0.3,0.4,0.4,0.1,"NA",0.3,"NA",0.4,"NA","Individuals",0,268,461,280,286,480,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique patients educated on pressure ulcer prevention through the use of equipment, patient education materials (videos and handouts) and other prevention resources","N","268 unique patients educated on pressure ulcer prevention through the use of equipment, patient education materials (videos and handouts) and other prevention resources.",268,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique patients educated on pressure ulcer prevention through the use of equipment, patient education materials (videos and handouts) and other prevention resources","N","280 unique patients (individuals) educated on pressure ulcer prevention through the use of equipment, patient education materials (videos and handouts) and other prevention resources in DY4.",280,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique patients educated on pressure ulcer prevention through the use of equipment, patient education materials (videos and handouts) and other prevention resources","N","480 unique patients (individuals) educated on pressure ulcer prevention through the use of equipment, patient education materials (videos and handouts) and other prevention resources in DY5.",480,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_136143806.1.2","136143806","136143806.1.2","RHP 14","1.6","Midland Memorial Hospital",0.22,0.24210000000000001,0.03,0.2326,0.25,0.47470000000000001,0.22,0.249,0.03,0.18,0.25,0.42899999999999999,0.22,"NA",0.03,"NA",0.25,"NA","Encounters",24423,2715,5523,2986,5655,5822,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line","NA","N","Increase the number of RHP14 calls / encounters for the nurse triage line by at least 10% resulting in an estimated additional 2715 calls over DY2 baseline of approximately 27,145. Total calls from RHP14 in DY3 approximately 29,860. ",2715,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line","NA","N","Increase the number of RHP14 calls / encounters for the nurse triage line by at least 10% resulting in an estimated additional calls over DY3 of approximately 2,986 (encounters). Total calls from RHP14 in DY4 approximately 32,846.",2986,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Utilization of nurse advice line","NA","N","Increase the number of RHP14 calls / encounters for the nurse triage line resulting in estimated additional  calls over DY4 baseline of approximately 5,822 (encounters). Total calls from RHP14 in DY5 approximately 36,131. ",5822,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_136143806.2.3","136143806","136143806.2.3","RHP 14","2.10","Midland Memorial Hospital",0.29799999999999999,0.28749999999999998,6.2E-2,3.3599999999999998E-2,0.36,0.3211,0.29799999999999999,0.1976,6.2E-2,7.2800000000000004E-2,0.36,0.27039999999999997,0.29799999999999999,"NA",6.2E-2,"NA",0.36,"NA","Encounters",0,264,327,277,577,341,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","By the end of DY3, we will continue expansion of the palliative care program by increasing the number of patient consults resulting from the screening tool done upon admission. Achieve at least 10% of patients with serious illnesses are being referred and screened as possible candidates for palliative care, 264 encounters. 20% of palliative care screening (denominator) results in palliative care consults. [Screening=any adult patient who upon admission has a serious life limiting illness and therefore are screened for palliative care services].",264,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Additional 5% increase in palliative care consults from DY3 out of target number of palliative care consults, 277 encounters. ",277,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Additional increase in palliative care consults from DY4 out of target number of palliative care consults, 341 encounters. ",341,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"14_138364812.2.100","138364812","138364812.2.100","RHP 14","2.14","Permian Basin Community Centers",0.38,0.44,0.39,0.45,0.77,0.89,0.38,0.2291,0.39,0.57709999999999995,0.77,0.80619999999999992,0.38,"NA",0.39,"NA",0.77,"NA","Individuals",0,77,113,155,227,155,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.1","Number of targeted individuals participating in the wellness self-management programs","NA","N","Baseline: no program in place.  DY3 goal: 77 individuals participating in the program",77,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.1","Number of targeted individuals participating in the wellness self-management programs","NA","N","DY4 impact: 155 individuals participating in the program.  ",155,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.1","Number of targeted individuals participating in the wellness self-management programs","NA","N","DY5 impact: 155 individuals participating in the program. ",155,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_065086301.1.1","065086301","065086301.1.1","RHP 15","1.5","City of El Paso Department of Public Health",0,"NA",0,"NA",0,"NA",0.45,0.2,0.55000000000000004,0.62,1,0.82000000000000006,0.45,"NA",0.55000000000000004,"NA",1,"NA","Individuals",0,"NA","NA",500,607,750,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of unique patients with documented REAL data using innovative program option. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Using standardized REAL data collection and analysis to improve access to preventive health services increase the number of individuals identified as in need of AND connected to one or more preventive health services by 500 individuals. 100% of unique individuals encountered in the clinic for reporting period that have documented REAL data collected out of total number of unique patients encountered in the clinic for reporting period.",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of unique patients with documented REAL data using innovative program option. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Using standardized REAL data collection and analysis to improve access to preventive health services increase the number of individuals identified as in need of AND connected to one or more preventive health services by 750 individuals. 100% of unique individuals encountered in the clinic for reporting period that have documented REAL data collected out of total number of unique patients encountered in the clinic for reporting period.",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_084597603.1.2","084597603","084597603.1.2","RHP 15","1.3","Texas Tech University Health Sciences Center El Paso",0.15,7.0000000000000007E-2,0.15,0.16,0.3,0.23,0.15,0.05,0.15,0.11,0.3,0.16,0.15,"NA",0.15,"NA",0.3,"NA","Individuals",0,1000,3162,5000,1893,6000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-5.1","Documentation of registry automated report","NA","N","50% of patients assigned to the PCMH at Kenworthy with a diagnosis of diabetes will be entered in the registry out of total number of patients with a diagnosis of diabetes. We estimate this to be 1000 unique patients",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria. Total impact of 2300 patients.","NA","N","Goal: 5000 total patients (individuals) seen in DY4 with a diagnosis of Diabetes and assigned for routine care in either the Internal Medicine Department or the Family Medicine Clinic have been entered into the registry.",5000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","NA","N","Goal: 6000 total patients (individuals) seen in DY5 with a diagnosis of Diabetes and assigned for routine care in either the Internal Medicine Department or the Family Medicine Clinic have been entered into the registry.\n",6000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_084597603.1.7","084597603","084597603.1.7","RHP 15","1.9","Texas Tech University Health Sciences Center El Paso",0.25,0.11,0.2,0.67,0.45,0.78,0.25,7.0000000000000007E-2,0.2,0.76,0.45,0.83000000000000007,0.25,"NA",0.2,"NA",0.45,"NA","Encounters",0,150,370,500,1169,600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Provide 150 Specialty Care Encounters.",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of unique patients, or size of patient panels. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal:  Fellows will provide 500 specialty care encounters in DY4.",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of unique patients, or size of patient panels. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal:  Fellows will provide 600 specialty care encounters in DY5.",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_094109802.1.100","094109802","094109802.1.100","RHP 15","1.1","Las Palmas Medical Center",0.23100000000000001,0.34,0.104,0.28999999999999998,0.33500000000000002,0.63,0.23100000000000001,0.36,0.104,0.05,0.33500000000000002,0.41,0.23100000000000001,"NA",0.104,"NA",0.33500000000000002,"NA","Encounters",0,600,615,4400,4698,4840,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Total number of visits for reporting period.","N","Baseline: 0 UCC visits; Goal: 600 patient visits in DY3",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 4,400 visits (encounters) in DY4.",4400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 4,840 patient visits in DY5 ",4840,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_094109802.1.2","094109802","094109802.1.2","RHP 15","1.1","Las Palmas Medical Center",0.34,0,0.1,0,0.44,0,0.34,0,0.1,0,0.44,0,0.34,"NA",0.1,"NA",0.44,"NA","Encounters",0,4000,0,8000,0,8000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase number of patients seen at all Outpatient Women’s Centers by 4,000 encounters over DY2.",4000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase the number of encounters at Outpatient Women’s Centers by 8,000 encounters over DY2. ",8000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase the number of encounters at all Outpatient Women’s Centers by 8,000 encounters over DY2. ",8000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_094109802.2.3","094109802","094109802.2.3","RHP 15","2.8","Las Palmas Medical Center",0,"NA",0,"NA",0,"NA",0.25,0,0.08,0,0.33,0,0.25,"NA",0.08,"NA",0.33,"NA","Encounters",0,"NA","NA",14125,0,14975,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.3","Other, as determined by provider","Number of patient visits impacted by project.","N","Impact 14125 patient visits (encounters) by project. ",14125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.3","Other, as determined by provider","Number of patients visits impacted by project.","N","Goal: 14,975 patient visits (encounters).",14975,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_127376505.1.3","127376505","127376505.1.3","RHP 15","1.13","Emergence Health Network",0.2,0.88,0.42,0.12,0.62,1,0.2,0.96,0.42,0.04,0.62,1,0.2,"NA",0.42,"NA",0.62,"NA","Individuals",0,100,103,200,252,300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives.","NA","N","Increase utilization of appropriate crisis alternatives by 100 individuals served. 9% of people receiving community behavioral healthcare services from appropriate crisis alternatives out of total number of people receiving community behavioral health services in RHP project sites",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives.","NA","N","200 individuals served.  9% increase in utilization of appropriate crisis services",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives.","NA","N","300 individuals served (100 new individuals  + 200 from DY 4). 100 new individuals represent an increase of 9 percent in utilization of appropriate crisis alternatives from the baseline of 1,111 individuals.",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_138951211.1.1","138951211","138951211.1.1","RHP 15","1.9","University Medical Center of El Paso",0.2,0.16,0.45,0.47,0.65,0.63,0.2,0.1019,0.45,0.47470000000000001,0.65,0.5766,0.2,"NA",0.45,"NA",0.65,"NA","Encounters",0,6400,11300,11500,15230,16600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-14.1","Expand the TSC residency, mid-level provider (physician assistants and nurse practitioners), and/or other specialized clinician/staff training programs and/or rotations.","Expand the TSC residency through additional residents and fellows.","N","TSC Goal:  2 additional Cardiology Residents/Fellows; 2 additional GI Resident/Fellows; 2 additional Nephrology Resident/Fellows; 1 Orthopedic Resident; 1 Radiology Resident. Serve 6400 individuals.",6400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits.  Demonstrate improvement over prior reporting period (baseline for DY3).","N","Goal: Approximately 11,500 visits (encounters) in DY4. ",11500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: Approximately 16,600 encounters in DY5.",16600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_138951211.1.4","138951211","138951211.1.4","RHP 15","1.1","University Medical Center of El Paso",0.2,7.8299999999999995E-2,0.45,0.60599999999999998,0.65,0.68430000000000002,0.2,0.08,0.45,0.62,0.65,0.7,0.2,"NA",0.45,"NA",0.65,"NA","Encounters",4698,4302,8299,7302,10228,9302,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-4.1","Increased number of hours at primary care clinic over baseline","NA","N","Increase number of hours at NHC East clinic over baseline - 12 hours.  Total impact of 4,302 encounters.",4302,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Documentation of increased number of visits by 10% over DY2","N","Goal: Provide 7,302 visits (encounters).",7302,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Documentation of increased number of visits by 10% over DY3","N","Goal: Provide 9302 visits (encounters).",9302,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_138951211.2.1","138951211","138951211.2.1","RHP 15","2.6","University Medical Center of El Paso",0.1,0.01,0.85,0.98799999999999999,0.95,0.998,0.1,2.1600000000000001E-2,0.85,0.96789999999999998,0.95,0.98949999999999994,0.1,"NA",0.85,"NA",0.95,"NA","Encounters",0,2000,28112,30900,32836,33900,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-4.1","Document learning and diffusion strategic plan","NA","N","Documentation of plan.  Target population—50 % of the 1000 clients—500 clients x 4 interventions (meals x 3, fitness training, nutritional training, health assessment) = 2000 plus interventions (encounters)",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase in number of encounters provided to individuals participating in innovative intervention consistent with evidence-based model.","N","Baseline: zero; Goal: Implementing innovative intervention at Salvation Army Homeless Shelter - Number of encounters provided to residents of shelter by means of nursing assessment, nutritious education, nutritious meals, and fitness training/classes. 30,900 encounters in DY4. ",30900,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase in number of encounters provided to individuals participating in innovative intervention consistent with evidence-based model.","N","Baseline: 0; Goal: Implementing innovative intervention at Salvation Army Homeless Shelter - Number of encounters provided to residents of shelter by means of nursing assessment, nutritious education, nutritious meals, and fitness training/classes. 33,900 encounters in DY5. ",33900,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_138951211.2.4","138951211","138951211.2.4","RHP 15","2.1","University Medical Center of El Paso",0.2,0.10050000000000001,0.45,0.62780000000000002,0.65,0.72830000000000006,0.2,0.11459999999999999,0.45,0.59489999999999998,0.65,0.70950000000000002,0.2,"NA",0.45,"NA",0.65,"NA","Individuals",0,8250,8311,9500,7705,10583,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Patient impact","N","As part of P-1 and P-3 UMC will impact 8,250 patients",8250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Patient impact","N","As part of I-18, the patient impact for this year will be 9500 unique patients (individuals). ",9500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.2","Number of patients assigned to medical homes","NA","N","Baseline: 0; Goal: 10583 patients (individuals) assigned to medical homes at UMC NHCs, Ysleta, Fabens, East and West.",10583,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_138951211.2.9","138951211","138951211.2.9","RHP 15","2.8","University Medical Center of El Paso",0.2,0.17,0.45,0.73,0.65,0.9,0.2,0.16470000000000001,0.45,0.40629999999999999,0.65,0.57099999999999995,0.2,"NA",0.45,"NA",0.65,"NA","Encounters",0,10000,11883,10000,12372,11883,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","As part of P-1 and P-4, UMC ED patient impact is about 10,000 encounters.",10000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","Demonstrate an overall improvement in average LOS for admission from the ED by 5% (approx 34 minutes) from initial baseline by the end of year 4. 10000 encounters over baseline. ",10000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","Demonstrate an overall improvement in average LOS for admission from the ED by 7.35% (approx 50 minutes) from initial baseline by the end of year 5. 11,883 encounters over baseline. ",11883,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"15_291854201.2.1","291854201","291854201.2.1","RHP 15","2.8","El Paso Children's Hospital",0,"NA",0,"NA",0,"NA",0.17,0.6,0.11,0.08,0.28000000000000003,0.67999999999999994,0.17,"NA",0.11,"NA",0.28000000000000003,"NA","Encounters",0,"NA","NA",1837,2995,1892,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","As part of I-13.1, EPCH Hospitalist team will manage 86% of total general pediatric patients (1837 annual encounters) increasing community pediatric potential to see an additional 16443 patients in their clinics.  ",1837,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","As part of I-13.1, EPCH Hospitalist team will manage 89% of total general pediatric patients (1892 annual encounters) increasing community pediatric potential to see an additional 16,936 patients in their clinics.",1892,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"16_081771001.2.101","081771001","081771001.2.101","RHP 16","2.13","Central Counties Services",0.41,0.41,0.56000000000000005,0.56000000000000005,0.97,0.97,0.41,0.41,0.56000000000000005,0.56000000000000005,0.97,0.97,0.41,"NA",0.56000000000000005,"NA",0.97,"NA","Individuals",0,14,15,50,2,75,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Baseline: 0 Goal: Provide services to 14 individuals with severe persistent mental illness and recent forensic involvement in DY3",14,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Goal:  Provide services to 50 individuals with severe persistent mental illness and recent forensic involvement in DY4.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Goal:  Provide services to 75 individuals with severe persistent mental illness and recent forensic involvement in DY5",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"16_084859002.2.2","084859002","084859002.2.2","RHP 16","2.13","Heart of Texas Region MHMR Center",0.38,0.49,0.62,0.51,1,1,0.38,0.56000000000000005,0.62,0.44,1,1,0.38,"NA",0.62,"NA",1,"NA","Individuals",0,30,34,35,36,40,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Enroll and serve thirty (30) individuals in the project",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Enroll and serve thirty five (35) individuals in the project in DY4. ",35,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Enroll and serve forty (40) individuals in the project in DY5.",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"16_111829102.1.1","111829102","111829102.1.1","RHP 16","1.7","Providence Health Center",0.2,0.26400000000000001,0.2,0.27239999999999998,0.4,0.53639999999999999,0.2,0.25900000000000001,0.2,0.25750000000000001,0.4,0.51649999999999996,0.2,"NA",0.2,"NA",0.4,"NA","Encounters",0,1000,1182,1050,1934,1456,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N"," 1,000 Psych Consults",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","5% growth over baseline or 1,050 encounters in DY4. ",1050,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","growth over baseline or 1,456 encounters in DY5. ",1456,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"16_121792903.1.3","121792903","121792903.1.3","RHP 16","1.1","Hamilton General Hospital",0.2,0.191,0.21,9.2999999999999999E-2,0.41000000000000003,0.28400000000000003,0.2,0.17,0.21,5.5E-2,0.41000000000000003,0.22500000000000001,0.2,"NA",0.21,"NA",0.41000000000000003,"NA","Encounters",28416,594,594,891,-1871,1485,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period. ","increase primary care clinic visits provided","N","Increase primary care clinic visits provided by 594.",594,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Pre-DSRIP Baseline: 28,416 encounters in DY2. Goal: Increase primary care clinic volume over pre-DSRIP baseline by 3% (891 visits [encounters]) in DY4. ",891,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Pre-DSRIP Baseline: 28,416 encounters in DY2.  Goal: Increase primary care clinic volume by 5% (1485 visits [encounters]) over pre-DSRIP baseline in DY5. ",1485,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"16_121792903.2.8","121792903","121792903.2.8","RHP 16","2.12","Hamilton General Hospital",0.22,0.20699999999999999,0.11,9.0999999999999998E-2,0.33,0.29799999999999999,0.22,0.13,0.11,0.15,0.33,0.28000000000000003,0.22,"NA",0.11,"NA",0.33,"NA","Individuals",0,750,1151,1125,1672,1275,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes","NA","N","Achieve 50% adherence to standard discharge protocol for total inpatient discharges.  Projected number of patients served is 750 unique discharges.",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes","NA","N","Increase adherence with care transition protocol to 75% of inpatient discharges with projected patients served as 1,125 in DY4 (individuals). ",1125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes","NA","N","Increase adherence with care transition protocol to 85% of inpatient discharges for a projected number of patients served as 1,275 in DY5 (individuals). ",1275,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"16_134772611.2.6","134772611","134772611.2.6","RHP 16","2.6","Coryell Memorial Hospital",0,0,0.18,0.9,0.18,0.9,0,0.1,0.18,0.8,0.18,0.9,0,"NA",0.18,"NA",0.18,"NA","Individuals",0,750,750,750,75,750,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Participant enrollment","N","Baseline: 0 Goal: 750 unique participants ‐ Medicaid and Uninsured, in 3 counties",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Participant enrollment","N","Baseline: 0. DY4 Goal: 750 additional unique participants (individuals) ‐ Medicaid and Uninsured, in 2 counties - in DY4. ",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Participant enrollment","N","Baseline: 0. DY5 Goal: 750 additional unique participants (individuals) ‐ Medicaid and Uninsured, in all 7 counties - in DY5. ",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"16_137075109.1.5","137075109","137075109.1.5","RHP 16","1.7","Goodall-Witcher Healthcare Foundation",0,"NA",0,"NA",0,"NA",0.15,0.16,0.25,0.25,0.4,0.41000000000000003,0.15,"NA",0.25,"NA",0.4,"NA","Individuals",0,"NA","NA",18,12,20,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals utilizing telehealth for psychiatric services","N","Goal: Increase usage of telehealth for psychiatric treatment by 25% over baseline rate established in DY3, 18 individuals.",18,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals utilizing telehealth for psychiatric services","N","Goal: Increase usage of telehealth for psychiatric treatment by 50% over baseline rate established in DY3, 20 individuals.",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"17_020841501.1.2","020841501","020841501.1.2","RHP 17","1.9","Conroe Regional Medical Center",0,"NA",0,"NA",0,"NA",0.32,0.1903,0.16,0.31259999999999999,0.48,0.50290000000000001,0.32,"NA",0.16,"NA",0.48,"NA","Encounters",0,"NA","NA",10300,5764,10350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of specialty/trauma care patient visits. ","N","Pre-DSRIP baseline of 0 for enhanced trauma services (Level II Trauma Center).  Increased number of specialty/trauma care patient visits (encounters).  DY4 impact of 10,300 trauma care patient visits (encounters). ",10300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","Documentation of increased number of specialty/trauma care patient visits. ","N","Pre-DSRIP baseline of 0 for enhanced trauma services (Level II Trauma Center).  Increased number of specialty/trauma care patient visits (encounters).  DY5 impact of 10,350 trauma care patient visits (encounters). ",10350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"17_081844501.2.1","081844501","081844501.2.1","RHP 17","2.15","Tri-County Services",0.2,0.11,0.6,0.89,0.8,1,0.2,0.2238,0.6,0.7278,0.8,0.9516,0.2,"NA",0.6,"NA",0.8,"NA","Individuals",0,25,133,175,496,225,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","25 individuals receiving both physical and behavioral health care at the established locations",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","175 individuals receiving both physical and behavioral health care at the established locations. ",175,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","225 individuals to receive physical and behavioral health care services. ",225,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"17_135226205.2.1","135226205","135226205.2.1","RHP 17","2.8","Trinity Community Medical Center of Brenham",0.28000000000000003,1.7899999999999999E-2,0.22,0.1012,0.5,0.1191,0.28000000000000003,5.0000000000000001E-3,0.22,2.0000000000000001E-4,0.5,5.1999999999999998E-3,0.28000000000000003,"NA",0.22,"NA",0.5,"NA","Individuals",317,600,600,1000,799,1200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Impact individuals with new/revised processes (e.g., improving documentation of usual provider, screening for eligibility, making referrals, delivering services)","N","Impact 600 individuals with new/revised processes (e.g., improving documentation of usual provider, screening for eligibility, making referrals, delivering services)",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Impact individuals with new/revised processes (e.g., improving documentation of usual provider, screening for eligibility, making referrals, delivering services)","N","Impact 1,000 individuals with new/revised processes (e.g., improving documentation of usual provider, screening for eligibility, making referrals, delivering services). ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Impact individuals with new/revised processes (e.g., improving documentation of usual provider, screening for eligibility, making referrals, delivering services)","N","Impact individuals with new/revised processes (e.g., improving documentation of usual provider, screening for eligibility, making referrals, delivering services), 1,200 individuals. ",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"17_160630301.1.100","160630301","160630301.1.100","RHP 17",1.3,"St. Luke's Community Health Services dba St. Luke the Woodlands",7.0000000000000007E-2,4.7E-2,0.08,4.8000000000000001E-2,0.15000000000000002,9.5000000000000001E-2,7.0000000000000007E-2,5.5E-2,0.08,4.2999999999999997E-2,0.15000000000000002,9.8000000000000004E-2,7.0000000000000007E-2,"NA",0.08,"NA",0.15000000000000002,"NA","Individuals",0,100,559,400,1246,1500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Number of unique patients entered in the practice registry"," Number of patients in registry","N","Baseline: 0 Goal =100",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Number of unique patients entered in the practice registry","NA","N","Goal: 400 unique patients (individuals) entered into the registry.",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Number of unique patients entered in the practice registry","NA","N","Goal: 1500 unique patients entered into the registry   ",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"17_189791001.2.1","189791001","189791001.2.1","RHP 17","2.2","Huntsville Memorial Hospital",0.1,0.08,0.2,0.08,0.3,0.16,0.1,"NA",0.2,"NA",0.3,"NA",0.1,"NA",0.2,"NA",0.3,"NA","Individuals",0,400,430,450,"NA",510,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Increase the number of patients enrolled in a care management program over baseline","NA","N","In DY3 HMH will enroll at least 400 patients in the Chronic Care program. Which will include a minimum of 3 phone calls be made to the each patient enrolled. Equaling a total of 1200 attempted patient encounters.",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Increase the number of patients enrolled in a care management program over baseline.","NA","N","In DY4 HMH will enroll at least 450 patients (individuals) in the Chronic Care program. Which will include a minimum of 3 phone calls be made to the each patient enrolled. Equaling a total of 1350 attempted patient encounters.",450,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Increase the number of patients enrolled in a care management program over baseline","NA","N","Currently HMH does not have a patients enrolled in the comprehensive care management program. There will be 510 patients (individuals) enrolled in the care management plan from DY5. During the enrollment of these 510 patients, at least 1530 patient encounters will be attempted post discharge via phone call. ",510,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"17_198523601.1.4","198523601","198523601.1.4","RHP 17","1.11","Texas A&M Physicians",0.1,0.1,0.7,0.66,0.79999999999999993,0.76,0.1,0.09,0.7,0.63,0.79999999999999993,0.72,0.1,"NA",0.7,"NA",0.79999999999999993,"NA","Encounters",272,1334,1334,1467,295,1600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Total number of counseling sessions ","N","Total number of counseling sessions. Impact of 1,334 encounters.",1334,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase the total number of counseling sessions by 10% over baseline.","N","Goal: Provide 1467 encounters in DY4.",1467,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase the total number of counseling sessions at all four sites by 20% over DY3 baseline.","N","Goal: Provide 1600 encounters in DY5.",1600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"17_311035501.2.100","311035501","311035501.2.100","RHP 17","2.9","Montgomery County Public Health District",0.12,0.19,0.24,0.19,0.36,0.38,0.12,0.16400000000000001,0.24,0.39300000000000002,0.36,0.55700000000000005,0.12,"NA",0.24,"NA",0.36,"NA","Individuals",0,25,26,120,128,145,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-4.1","Description of and the number of classes and/or initiations offered, or number or percent of patients enrolled in the program","Provider's report on the efforts to increase patient engagement, challenges and size of the population reached by these efforts. (could include the number of patients enrolled in patient engagement programs as a percent of all patients eligible to participate in engagement programs, as determined by provider.","N","Baseline: 0 Goal:25",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-4.1","Description of and the number of classes and/or initiations offered, or number or percent of patients enrolled in the program","NA","N","Goal: 120 individuals enrolled in the program. ",120,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-4.1","Description of and the number of classes and/or initiations offered, or number or percent of patients enrolled in the program","NA","N","Goal: 145 patients enrolled in the program. ",145,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"18_084434201.1.1","084434201","084434201.1.1","RHP 18","1.11","Texoma Community Center",0,"NA",0,"NA",0,"NA",0.51,0,0.2,1,0.71,1,0.51,"NA",0.2,"NA",0.71,"NA","Encounters",0,"NA","NA",153,404,344,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increased number of telemedicine encounters provided to adolescent and adult patients","N","153 additional telemedicine encounters provided to adolescent and adult patients.  ",153,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increased number of telemedicine encounters provided to adolescent and adult patients","N","344 additional telemedicine encounters provided to adolescent and adult patients in DY5. ",344,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"18_084434201.2.2","084434201","084434201.2.2","RHP 18","2.13","Texoma Community Center",0.51,0,0.2,0.99399999999999999,0.71,0.99399999999999999,0.51,8.9999999999999993E-3,0.2,0.99,0.71,0.999,0.51,"NA",0.2,"NA",0.71,"NA","Individuals",0,750,784,1000,1057,1027,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","Seven Hundred fifty (750) targeted individuals served","N","Baseline: Zero served Goal: 750 Served",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","One Thousand (1,000) targeted individuals served","N","Baseline: 0 served. Goal: 1,000 individuals served in DY4. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","One Thousand Twenty-seven (1,027) targeted individuals served","N","Baseline: 0 served. Goal: 1,027 individuals served in DY5. ",1027,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"18_121988304.1.1","121988304","121988304.1.1","RHP 18","1.7","Lakes Regional MHMR Center",0.44,0.18,0.51,0.82,0.95,1,0.44,0.22,0.51,0.78,0.95,1,0.44,"NA",0.51,"NA",0.95,"NA","Encounters",0,90,153,234,1178,306,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","NA","N","90 telemedicine/telehealth visits. ",90,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","NA","N","234 telemedicine/telehealth visits (encounters) in DY4. ",234,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","NA","N","306 telemedicine/telehealth visits (encounters) in DY5. ",306,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"18_121988304.2.2","121988304","121988304.2.2","RHP 18","2.13","Lakes Regional MHMR Center",0.75,1,0.2,0,0.95,1,0.75,0.95,0.2,0.05,0.95,1,0.75,"NA",0.2,"NA",0.95,"NA","Individuals",0,30,38,144,155,144,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","30 targeted individuals enrolled/served in the project.","N","Baseline/Goal: 30 Targeted individuals enrolled/served.",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project","NA","N","Goal: 144 individuals served in DY4",144,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project","NA","N","Goal: 144 individuals served in DY5.",144,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"18_138910807.1.4","138910807","138910807.1.4","RHP 18","1.12","Children's Medical Center of Dallas",0.75,0.67,0.05,0.04,0.8,0.71000000000000008,0.75,0.85,0.05,0.03,0.8,0.88,0.75,"NA",0.05,"NA",0.8,"NA","Individuals",0,400,1309,600,1111,1000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Number of unique individuals receiving behavioral health/substance abuse services which will show increased utilization of behavioral health services. ","N","20% utilization of community behavioral healthcare services.  Numerator:  Number receiving community behavioral healthcare services after access expansion.  Denominator:  Number of people \"eligible for\" receiving community behavioral health services after access expansion.  400 unique individuals receiving a behavioral health/substance abuse service which will show increased utilization of behavioral health services. ",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","25% patients referred receive the service, 600 patients (individuals).  Numerator:  Number receiving community behavioral healthcare services after access expansion.  Denominator:  Number of people \"eligible for\" receiving community behavioral health services after access expansion.",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","Number of unique individuals receiving behavioral health/substance abuse services which will show increased utilization of behavioral health services. ","N","utilization of community behavioral health services.  Numerator:  Number receiving community behavioral healthcare services after access expansion.  Denominator:  Number of people \"eligible for\" receiving community behavioral health services after access expansion.  1000 unique individuals receiving behavioral health/substance abuse services which will show increased utilization of behavioral health services. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"19_084434201.1.2","084434201","084434201.1.2","RHP 19","1.12","Texoma Community Center",0.51,0,0.2,0.88900000000000001,0.71,0.88900000000000001,0.51,0.104,0.2,0.89500000000000002,0.71,0.999,0.51,"NA",0.2,"NA",0.71,"NA","Individuals",0,8,19,15,86,21,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","NA","N","Baseline: Zero patients served Goal: 8 Patients served",8,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Pre-DSRIP Baseline: 0 patients served.  Goal: 280% over previous year  - 15 new patients (individuals) receiving substance abuse services in DY4; 2 interns receiving supervision in DY4.",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Pre-DSRIP Baseline: 0 patients served.  Goal: 190% over previous year - 21 new patients (individuals) receiving substance abuse services in DY5; 3 interns receiving supervision in DY5.",21,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"19_088189803.1.1","088189803","088189803.1.1","RHP 19","1.1","Throckmorton County Memorial Hospital",0.1,0.1,0.1,0.1,0.2,0.2,0.1,0.1,0.1,0.1,0.2,0.2,0.1,"NA",0.1,"NA",0.2,"NA","Encounters",3734,129,-233,262,475,400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","4,300 to 4429 (goal of 129 visits)",129,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","increase in visits from 4,300 to  4,562 (goal of 262 visits). ",262,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","increase in visits from 4,515 to  4,700 (goal of 400 visits [encounters]). ",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"19_112707803.1.1","112707803","112707803.1.1","RHP 19","1.1","Wilbarger General Hospital",0,"NA",0,"NA",0,"NA",0.23,0.22500000000000001,0,8.7800000000000003E-2,0.23,0.31280000000000002,0.23,"NA",0,"NA",0.23,"NA","Individuals",2961,"NA","NA",50,-2961,100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.2","Documentation of increased number of unique patients, or size of patient panels. Demonstrate improvement over prior reporting period.","NA","N","See 50 new patients (individuals) in DY4.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.2","Documentation of increased number of unique patients, or size of patient panels. Demonstrate improvement over prior reporting period.","NA","N","See 100 new patients (individuals) in DY5.",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"19_121777003.2.1","121777003","121777003.2.1","RHP 19","2.12","North Texas Medical Center",0.23,0.18,0.22,0.06,0.45,0.24,0.23,0.18,0.22,0.09,0.45,0.27,0.23,"NA",0.22,"NA",0.45,"NA","Individuals",0,50,80,350,323,550,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of  individuals receiving care according to care transitions policies/ guidelines/ protocol","N","In DY 3, a minimum of 50 individuals over baseline (DY 2) receiving care according to standard protocol.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of  individuals receiving care according to care transitions policies/ guidelines/ protocol","N","In DY 4, a minimum of 350 individuals over baseline (DY 2) receiving care according to standard protocol.    ",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of  individuals receiving care according to care transitions policies/ guidelines/ protocol","N","In DY 5, a minimum of 550 individuals over baseline (DY 2) receiving care according to standard protocol.    ",550,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"19_127310404.2.1","127310404","127310404.2.1","RHP 19","2.4","Nocona General Hospital",0,"NA",0,"NA",0,"NA",0.2,0.15,0.3,0.3,0.5,0.44999999999999996,0.2,"NA",0.3,"NA",0.5,"NA","Individuals",0,"NA","NA",190,395,317,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals positively impacted by improvements","N","Goal of 190 patients (individuals).",190,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals positively impacted by improvements","N","Goal of 317 patients (individuals). ",317,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"19_135034009.1.4","135034009","135034009.1.4","RHP 19","1.1","Electra Memorial Hospital",0.08,0.14249999999999999,0.09,0.16350000000000001,0.17,0.30599999999999999,0.08,0.11,0.09,0.14000000000000001,0.17,0.25,0.08,"NA",0.09,"NA",0.17,"NA","Encounters",10165,200,1041,400,2724,2335,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase clinic visits by 200 over base period (DY2). QPI Goal For DY3 is 200 additional encounters; cumulative 200.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase clinic visits from DY3 to DY4 by 200. Goal of 400 encounters in DY4 over baseline (DY2). ",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase clinic visits from DY4 to DY5. QPI Goal of 2,335 additional encounters in DY5 over baseline (DY2). ",2335,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"19_135237906.2.2","135237906","135237906.2.2","RHP 19","2.10","United Regional Health Care System",0.25,0.23,0.04,0.04,0.28999999999999998,0.27,0.25,0.2253,0.04,3.5799999999999998E-2,0.28999999999999998,0.2611,0.25,"NA",0.04,"NA",0.28999999999999998,"NA","Encounters",2624,105,267,157,779,320,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","4% increase in consults from 2,624 consults to 2,729 consults. Goal of 105 encounters.",105,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","6% increase in consults from 2,624 consults to 2,781 consults. Goal of 157 encounters. ",157,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","8% increase in consults from 2,624 consults to 2,834 consults. Goal of 320 encounters. ",320,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_019053001.1.1","019053001","019053001.1.1","RHP 2","1.1","Coastal Health & Wellness",0.09,0.09,0.46,0.81,0.55000000000000004,0.9,0.09,0.06,0.46,0.91,0.55000000000000004,0.97,0.09,"NA",0.46,"NA",0.55000000000000004,"NA","Encounters",34463,2400,2400,6000,-13336,7200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","200 patients/month, 2,400 encounters in DY3.",2400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","500 patients/month, 6,000 encounters in DY4.",6000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","600 patients/month, 7,200 encounters in DY5. ",7200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_094092602.1.12","094092602","094092602.1.12","RHP 2","1.1","University of Texas Medical Branch - Galveston",7.0000000000000007E-2,4.1999999999999997E-3,0.08,6.88E-2,0.15,7.2999999999999995E-2,7.0000000000000007E-2,7.0000000000000007E-2,0.08,0.04,0.15,0.11000000000000001,7.0000000000000007E-2,"NA",0.08,"NA",0.15,"NA","Encounters",0,2359,3110,3163,2644,3306,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 32% based on DY 2 numbers to 2,359 visits",2359,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 77% based on DY 2 numbers to 3,163 visits (encounters) in DY4.",3163,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase visits by 85% based on DY 2 numbers to 3,306 visits (encounters) in DY5. ",3306,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_094092602.1.5","094092602","094092602.1.5","RHP 2","1.3","University of Texas Medical Branch Hospital",0,"NA",0,"NA",0,"NA",0.23699999999999999,6.4000000000000001E-2,1.6E-2,2.1999999999999999E-2,0.253,8.5999999999999993E-2,0.23699999999999999,"NA",1.6E-2,"NA",0.253,"NA","Individuals",0,"NA","NA",1050,2993,1085,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","Increase percentage of primary care patients with diabetes in the disease registry","N","1,050 primary care patients with diabetes in the disease registry (individuals). Goal: 100% for DY4 - Note: The Epic disease registries are automated to include patients that meet the qualifying criteria, so we anticipate that 100% inclusion in the numerator from patients that meet the denominator criteria.",1050,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","Increase percentage of primary care patients with diabetes in the disease registry","N","1,085 primary care patients with diabetes in the disease registry in DY5 (individuals). Goal: 100% for DY5 - Note: The Epic disease registries are automated to include patients that meet the qualifying criteria, so we anticipate that 100% inclusion in the numerator from patients that meet the denominator criteria.",1085,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_094092602.2.10","094092602","094092602.2.10","RHP 2","2.10","University of Texas Medical Branch Hospital",0,"NA",0,"NA",0,"NA",0.13,0.14000000000000001,7.0000000000000007E-2,7.0000000000000007E-2,0.2,0.21000000000000002,0.13,"NA",7.0000000000000007E-2,"NA",0.2,"NA","Encounters",189,"NA","NA",226,128,271,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-8.1","Breadth of conditions for which palliative care is utilized","NA","N","Baseline: 149 unique patients consults across all MS DRGs during FY 2012. Goal: 10% increase in total referrals across all MS DRGs above baseline FY 2012, 16 patients. % referrals=  number of chronic conditions for which the palliative care patients are consulted/total number of patients admitted with chronic conditions or MCC. 226 encounters in DY4.",226,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.1","Percent of total in‐hospital deaths who had a palliative care consult","Number of palliative care consults provided for patients with Medicaid or uninsured payor source","N","271 palliative care consults (encounters) provided for patients with Medicaid or uninsured payor source. ",271,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_094092602.2.2","094092602","094092602.2.2","RHP 2","2.8","University of Texas Medical Branch Hospital",0,"NA",0,"NA",0,"NA",0.21,"NA",2.1000000000000001E-2,"NA",0.23100000000000001,"NA",0.21,"NA",2.1000000000000001E-2,"NA",0.23100000000000001,"NA","Encounters","NA","NA","NA","NA","NA",13623,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Percent decrease in no show rates.  Numerator: Total # of no shows for Physician appointments during the month. Denominator: Total # of patients scheduled for Physician appointments during the month.","N","Baseline:  In fiscal year 2012, the weighted average no show rate across all Family Medicine clinics was 10.96% (over 41,112 encounters) and 17.5% for Neurology Clinic (for 9,566 encounters). Goal: No show rates will improve to 10.41% (5% improvement) in Family Medicine and 16.63% in Neurology (5% improvement). Total 13,623 encounters.",13623,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_094092602.2.3","094092602","094092602.2.3","RHP 2","2.9","University of Texas Medical Branch Hospital",0.88,0.16669999999999999,0.12,0.83330000000000004,1,1,0.88,9.6490000000000006E-2,0.12,0.85087000000000002,1,0.94735999999999998,0.88,"NA",0.12,"NA",1,"NA","Individuals",0,192,198,213,228,225,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Baseline: The baseline is zero, there are no targeted patients enrolled in the program. Goal: Enroll an additional 192 patients (Medicaid, dual eligible or uninsured) with chronic disease from either Brazoria or Galveston County in the navigator program by 9/30/14. Total enrollment by end of DY5 projected to be 630.",192,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period","Documentation of increased number of unique patients served in Galveston and Brazoria Counties by innovative program.  Demonstrate improvement over prior reporting period.  Services to be provided in homes, in clinics and telephonically to Medicaid, Medicaid/Medicare (dual eligible) and low-income uninsured patients with chronic disease.","N","213 unique patients (individuals) served in Galveston and Brazoria Counties by innovative program in DY4. ",213,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period","Documentation of increased number of unique patients served in Galveston and Brazoria Counties by innovative program.  Demonstrate improvement over prior reporting period.  Services to be provided in homes, in clinics and telephonically to Medicaid, Medicaid/Medicare (dual eligible) and low-income uninsured patients with chronic disease.","N","225 unique patients (individuals) served in Galveston and Brazoria Counties by innovative program in DY5. ",225,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_094092602.2.9","094092602","094092602.2.9","RHP 2","2.6","University of Texas Medical Branch Hospital",0.27,0.27,0.05,0.05,0.32,0.32,0.27,0.27,0.05,0.05,0.32,0.32,0.27,"NA",0.05,"NA",0.32,"NA","Individuals",0,1300,1300,2600,366,5200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached","Increase percentage of UTMB patients reached through social media and other electronic communication.","N","1,300 UTMB patients reached through social media and other electronic communication. Demonstrate the reach to at least 5% of the UTMB patient population (approximately 1,300 individuals) of social media programs that follow individual patients longitudinally with tailored messages related to their health issues and/or information/care coordination, including at least 6 contacts each within a one year period. (5% of the population (UTMB patients) reached in DY3.  This percent is not 5% increase over the prior year; rather, it is the portion of UTMB patients being reached.)",1300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached","Increase percentage of UTMB patients reached through social media and other electronic communication.","N","Baseline: No current UTMB patient populations are being targeted for specific health promotion/preventive care programs or activities. Goal: Demonstrate the reach to at least 10% of the UTMB patient population (approximately 2,600 individuals in DY4) of social media programs that follow individual patients longitudinally with tailored messages related to their health issues and/or information/care coordination, including at least 6 contacts each within a one year period. (10% of the population (UTMB patients) reached in DY4.  This percent is not 10% increase over the prior year; rather, it is the portion of UTMB patients being reached.)",2600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached","Increase percentage of UTMB patients reached through social media and other electronic communication","N","Baseline: No current UTMB patient populations are being targeted for specific health promotion/preventive care programs or activities. Goal: Demonstrate the reach to at least 20% of the UTMB patient population (approximately 5,200 individuals) of social media programs that follow individual patients longitudinally with tailored messages related to their health issues and/or information/care coordination, including at least 6 contacts each within a one year period.  (20% of the population (UTMB patients) reached in DY5.  This percent is not 20% increase over the prior year; rather, it is the portion of UTMB patients being reached.) ",5200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_096166602.1.6","096166602","096166602.1.6","RHP 2","1.13","Spindletop Center",0.64,0.67,0.21,0.19,0.85,0.8600000000000001,0.64,0.35289999999999999,0.21,0.4118,0.85,0.76469999999999994,0.64,"NA",0.21,"NA",0.85,"NA","Individuals",0,20,21,50,85,60,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of clients receiving extended crisis services","N","20 clients receiving extended crisis services",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of clients receiving extended crisis services","N","50 clients (individuals) receiving extended crisis services in DY4.",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of clients receiving extended crisis services","N","60 clients (individuals) receiving extended crisis services in DY5. ",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_096166602.2.2","096166602","096166602.2.2","RHP 2","2.13","Spindletop Center",0.86,0.61499999999999999,0.13,0.38500000000000001,0.99,1,0.86,1,0.13,0,0.99,1,0.86,"NA",0.13,"NA",0.99,"NA","Encounters",0,6,13,12,14,18,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of crisis episodes in target population served by crisis team","N","6 crisis episodes served",6,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of crisis episodes in target population served by crisis team","N","12 crisis episodes served (encounters) in DY4. ",12,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of episodes in target population served by crisis team","N","18 crisis episodes served (encounters) in DY5. ",18,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_096166602.2.7","096166602","096166602.2.7","RHP 2","2.18","Spindletop Center",0.64,0.25,0.21,0.44230000000000003,0.85,0.69230000000000003,0.64,0.2797,0.21,0.64690000000000003,0.85,0.92660000000000009,0.64,"NA",0.21,"NA",0.85,"NA","Individuals",0,150,156,200,286,250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","The percentage of individuals 18 years and older who receive peer support services and who also receive services as recommended by the US Preventative Services Task Force","% of clients participating in peer support services who receive services recommended by US Preventative Services Task Force","N","10% of clients participating in peer support services who receive services recommended by US Preventative Services Task Force. 150 individuals.",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.1","The number of individuals who receive peer support services ","NA","N","Baseline: 0. DY4 Goal: 200 individuals.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.1","The number of individuals who receive peer support services ","NA","N","Baseline: 0. DY5 Goal: 250 individuals.",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_109372601.1.3","109372601","109372601.1.3","RHP 2","1.2","Physician Practice affiliated with UTMB",1,0.22520000000000001,0,9.9099999999999994E-2,1,0.32430000000000003,1,0.22,0,0.05,1,0.27,1,"NA",0,"NA",1,"NA","Encounters",0,6000,111,18000,2449,20000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase number of Continuity Clinic sessions available for primary care\ntrainees. %= number of continuity clinic sessions utilizing primary care trainees/total number of continuity clinic sessions.","NA","N","3600/6000 = 60% for I-15 in DY3. 6,000 patient sessions",6000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase number of Continuity Clinic sessions available for primary care\ntrainees.","NA","N","11400/18000 = 63% for I-15 in DY4; 18,000 patient sessions (encounters) in DY4. ",18000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase number of Continuity Clinic sessions available for primary care\ntrainees.","NA","N","12800/20000 = 64% for I-15 in DY5; 20,000 patient sessions (encounters) in DY5. ",20000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_112671602.2.1","112671602","112671602.2.1","RHP 2","2.2","Brazosport Regional Health System",0.1,0.16,0.15,0,0.25,0.16,0.1,0.01,0.15,0.04,0.25,0.05,0.1,"NA",0.15,"NA",0.25,"NA","Individuals",0,50,56,162,167,56,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program","NA","N","Baseline data-642 diabetic patients were identified in DY2, and just over 3%  (20 patients) were enrolled in the self management program. Goal is to have at least 8% of that 642 in the program by the end of DY3 for a total of 50 patients enrolled in the program. (50/642=8%) ",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program","NA","N","Baseline data-642 diabetic patients were identified in DY2, and just over 3%  (20 patients) were enrolled in the self management program at that time. Percentage Goal is to have at least 15% of that 642 in the program by the end of DY4, 50 patients, for a total of 100 patients enrolled  (100 patients enrolled /642 patients with given chronic condition = 15%). 162 individuals served in DY4. ",162,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","Baseline: number of current patients in the chronic disease management for diabetes TBD in Year 3. Currently three DOTS classes per year are offered. Goal: To increase the number of participants in the chronic disease management program for diabetes and the DOTS program at LJFMC over the prior reporting period (specific goal TBD based on baseline data). The project will serve an estimated 56 patients (individuals) with 6 sessions in year 5. ",56,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_131030203.1.4","131030203","131030203.1.4","RHP 2","1.9","Nacogdoches Memorial Hospital",0.52,0.53,0.43,0.44,0.95,0.97,0.52,0.54,0.43,0.45,0.95,0.99,0.52,"NA",0.43,"NA",0.95,"NA","Encounters",0,250,250,300,43,350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-33.2","Increase the number of number of specialty care visits. ","NA","N","Goal to increase clinic hours by 19% in Year 3 (approximately 250 visits).",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-33.2","Increase the number of number of specialty care visits. ","NA","N","Number of visits in Year 2; Goal to increase clinic hours by 43% in Year 3 (approximately 300 visits [encounters] in DY4).",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-33.2","Increase the number of number of specialty care visits. ","NA","N","Number of visits in Year 2; Goal to increase clinic hours by 67% in Year 3 (approximately 350 visits [encounters] in DY5). ",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_135222109.1.2","135222109","135222109.1.2","RHP 2","1.12","The Gulf Coast Center",0.65,0.59,0,0.1,0.65,0.69,0.65,0.6,0,0.08,0.65,0.67999999999999994,0.65,"NA",0,"NA",0.65,"NA","Individuals",0,40,83,60,115,137,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Forty youth (15%) (from prior to expansion) will have gained access to community behavioral healthcare services with the wellness approach to treatment. % equals number receiving community behavioral healthcare services from mobile clinics after access expansion/number of people receiving community behavioral healthcare services after access expansion.",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","21% increase of utilization percent of community behavior healthcare services. Sixty youth (individuals) will have gained access to community behavioral healthcare services with the wellness approach to treatment in DY4.",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","27% increase of utilization percent of community behavioral healthcare services. One-hundred thirty-seven (137) youth (individuals) will have gained access to community behavioral healthcare services with the wellness approach to treatment in DY5.   ",137,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_135222109.2.101","135222109","135222109.2.101","RHP 2","2.17","The Gulf Coast Center",0,"NA",0,"NA",0,"NA",0.2,0.13789999999999999,0.4,0.73519999999999996,0.6,0.87309999999999999,0.2,"NA",0.4,"NA",0.6,"NA","Individuals",0,"NA","NA",200,203,250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-44.1","Number of unique individuals receiving enhanced care transitions.","NA","N","Baseline: 0. Goal: 200 individuals served by transitions project in DY4.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-44.1","Number of unique individuals receiving enhanced care transitions.","NA","N","Goal: 250 individuals served by transitions project in DY5.",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_135222109.2.2","135222109","135222109.2.2","RHP 2","2.13","The Gulf Coast Center",0.4,0.51,0.1,0.24,0.5,0.75,0.4,0.56630000000000003,0.1,0.34939999999999999,0.5,0.91569999999999996,0.4,"NA",0.1,"NA",0.5,"NA","Individuals",0,60,60,72,166,86,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Number of individuals served in Year 2 will serve as baseline for Year 3. Goal is to increase the number served to 60 individuals.",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Number of individuals served in Year 2 will serve as baseline for Year 3. Goal is to increase the number served by 20%, 72 individuals in DY4. ",72,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Number of individuals served in Year 4 will serve as baseline for Year 5. Goal is to increase the number served by an additional 20%, 86 individuals in DY5. ",86,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_136367307.2.4","136367307","136367307.2.4","RHP 2","2.15","Burke Center",0.72,0.28999999999999998,0.13,0.71,0.85,1,0.72,0.32,0.13,0.68,0.85,1,0.72,"NA",0.13,"NA",0.85,"NA","Individuals",0,280,285,600,954,990,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","% of Burke Center clients identified as needing primary care are receiving both physical and behavioral health care at the established locations. (# with integrated care/# Burke Angelina clients identified as needing primary care)","N","30% (estimated number: 280 individuals) %=number of individuals receiving both physical and behavioral healthcare in project sites/number of individuals receiving services in project sites.",280,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","% of Burke Center clients identified as needing primary care are receiving both physical and behavioral health care at the established locations. (# with integrated care/# Burke Angelina clients identified as needing primary care)","N","60% (estimated number: 600 individuals.) %=number of individuals receiving both physical and behavioral healthcare in project sites/number of individuals receiving services in project sites. ",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","%of Burke Center clients identified as needing primary care are receiving both physical and behavioral health care at the established locations. (# with integrated care/# Burke Angelina clients identified as needing primary care)","N","90% (estimated 990 persons [individuals].) %= number of individuals receiving both physical and behavioral healthcare in project sites/number of individuals receiving services in project sites. ",990,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_136367307.2.5","136367307","136367307.2.5","RHP 2","2.13","Burke Center",0.72,0.42,0.13,0.53,0.85,0.95,0.72,0.2,0.13,0.8,0.85,1,0.72,"NA",0.13,"NA",0.85,"NA","Individuals",0,642,642,642,443,642,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Begin providing community based specialized services to individuals within the targeted population, 642 individuals.",642,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled/served in the project","NA","N","642 individuals served. ",642,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled/served in the project","NA","N","642 individuals served in DY5. ",642,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"2_261955689.1.1","261955689","261955689.1.1","RHP 2","1.1","Preferred Hospital Leasing-Hemphill d.b.a. Sabine County Hospital",0.2,0.15390000000000001,0.05,8.4000000000000005E-2,0.25,0.2379,0.2,0.16300000000000001,0.05,7.5999999999999998E-2,0.25,0.23899999999999999,0.2,"NA",0.05,"NA",0.25,"NA","Encounters",1560,1872,4690,2106,3623,4924,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase in clinic visits over base period by 20%, 1872 visits.",1872,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Number of primary care encounters provided","N","2,106 primary care encounters provided in DY4. ",2106,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits in DY 2 over base period.","NA","N","Increase in clinic visits by 50% above baseline, 4,924 encounters in DY5. ",4924,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"20_121989102.1.2","121989102","121989102.1.2","RHP 20","1.14","Border Region Behavioral Health Center",0.5,0.32,0.47,0.44,0.97,0.76,0.5,0.72,0.47,0.27750000000000002,0.97,0.99750000000000005,0.5,"NA",0.47,"NA",0.97,"NA","Individuals",0,328,774,377,2021,851,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Track and report the number medically indigent public health clients served by provider type on at least a quarterly basis.","N","Baseline: No clients seen by Waiver funded personnel. Goal: Serve 328 individuals.",328,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Track and report the number medically indigent public health clients served by provider type on at least a quarterly basis.","N","Goal: Serve 377 individuals in DY4. ",377,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Track and report the number medically indigent public health clients served by provider type on at least a quarterly basis.","N","Goal: Serve 851 individuals in DY5. ",851,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"20_121989102.2.2","121989102","121989102.2.2","RHP 20","2.13","Border Region Behavioral Health Center",0.5,0.43,0.47,0.52,0.97,0.95,0.5,"NA",0.47,"NA",0.97,"NA",0.5,"NA",0.47,"NA",0.97,"NA","Individuals",1485,957,-1485,1094,"NA",1368,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","3180 clients served in crisis in baseline year/ Number of crisis in year does not increase over baseline, 957 individuals enrolled in project.",957,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","The percentage of individuals receiving specialized interventions who demonstrate improved functional status on standardized instruments (e.g. ANSA, CANS, etc.)","NA","N","27% in FY 12 show improvement/Goal: 35% over FY12, 1,094 individuals. Numerator:  Percent of individuals receiving specialized interventions who demonstrate improvement from baseline to annual functional assessment.  Denominator:  Number of individuals receiving specialized interventions.",1094,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","The percentage of individuals receiving specialized interventions who demonstrate improved functional status on standardized instruments (e.g. ANSA, CANS, etc.)","NA","N","Baseline: DY4 results/Goal: 20% over DY4, 1,368 individuals. Numerator:  Percent of individuals receiving specialized interventions who demonstrate improvement from baseline to annual functional assessment.  Denominator:  Number of individuals receiving specialized interventions.",1368,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"20_121990904.2.102","121990904","121990904.2.102","RHP 20","2.18","Camino Real Community Services",0.48,0.48,0.52,0.52,1,1,0.48,0.48,0.52,0.52,1,1,0.48,"NA",0.52,"NA",1,"NA","Individuals",0,50,50,50,147,100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.1","The number of individuals who receive peer support services ","NA","N","Baseline is zero as this is a new project/ Goal is to provide services to 50 individuals",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.1","The number of individuals who receive peer support services ","NA","N","DY4 QPI goal is 50",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-19.1","The number of individuals who receive peer support services ","NA","N","DY5 QPI goal is 100",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"20_137917402.1.1","137917402","137917402.1.1","RHP 20","1.1","City of Laredo Health Department",0.05,0.05,0.95,0.95,1,1,0.05,0.05,0.95,0.95,1,1,0.05,"NA",0.95,"NA",1,"NA","Individuals",2400,25,39,50,50,75,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase patients seen by 25 over baseline (2400)",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase of 50 patients (individuals) seen over baseline in DY4. ",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increase of 75 patients seen over baseline in DY5 (individuals). ",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"20_162033801.2.1","162033801","162033801.2.1","RHP 20","2.4","Laredo Medical Center",0.21,0.20699999999999999,0.28000000000000003,0.1976,0.49,0.40459999999999996,0.21,0.25800000000000001,0.28000000000000003,0.187,0.49,0.44500000000000001,0.21,"NA",0.28000000000000003,"NA",0.49,"NA","Encounters",0,200,312,325,6777,350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","NA","N","At least 2.0% of clinic patients are surveyed (estimated 200 completed surveys/9,886 total visits) to generate larger than a statistically significant sample size per National CAHPS Consortium recommendations so that data reflects clinic-wide patient satisfaction representative of all clinic services and all clinic patients visiting the clinic, estimated to be 9,886 visits/year.  Numerator:  Number of completed surveys.  Denominator:  Total number of visits.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","NA","N","At least 3.3% of clinic patients are surveyed (estimated 325 completed surveys/9,886 total visits) to generate larger than a statistically significant sample size per National CAHPS Consortium recommendations so that data reflects clinic-wide patient satisfaction representative of all clinic services (see project narrative for list of services) and all clinic patients visiting the clinic, estimated to be 9,886 visits (encounters)/year. Numerator: Number of completed surveys. Denominator: Total number of visits. QPI goal: 325 encounters.",325,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","% of active patients who were included in an inquiry","NA","N","At least 3.5% of clinic patients are surveyed (estimated 350 completed surveys/9,886 total visits) to generate larger than a statistically significant sample size per National CAHPS Consortium recommendations so that data reflects clinic-wide patient satisfaction representative of all clinic services (see project narrative for list of services) and all clinic patients visiting the clinic, estimated to be 9,886 visits (encounters)/year. Numerator: Number of completed surveys. Denominator: Total number of visits. QPI goal: 350 encounters.",350,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_020834001.1.3","020834001","020834001.1.3","RHP 3","1.12","Memorial Hermann Northwest Hospital",0,"NA",0,"NA",0,"NA",0.65,6.4000000000000001E-2,0.25,0.122,0.9,0.186,0.65,"NA",0.25,"NA",0.9,"NA","Encounters",47,"NA","NA",880,2132,920,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Goal: Increase community utilization of community based healthcare services by 10% over baseline and provide 880 visits in DY4. (encounters)",880,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Goal: Increase community utilization of community based healthcare services by 15% over baseline to provide an additional 920 visits in DY5. (encounters)",920,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_081522701.1.2","081522701","081522701.1.2","RHP 3","1.13","Texana Center",0.21,0.224,0.79,0.77600000000000002,1,1,0.21,0.21199999999999999,0.79,0.78800000000000003,1,1,0.21,"NA",0.79,"NA",1,"NA","Individuals",0,600,601,624,264,648,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals receiving appropriate crisis stabilization alternative services.","N","Goal:  600 individuals served in DY3",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals receiving appropriate crisis stabilization alternative services.","N","Goal: Avg. of 52 per month for a total of 624 individuals served in DY4.",624,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals receiving appropriate crisis stabilization alternative services.","N","Goal: Avg. of 54 per month for a total of 648 individuals served in DY4.",648,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_081522701.2.100","081522701","081522701.2.100","RHP 3","2.15","Texana Center",0,"NA",0,"NA",0,"NA",0.3,0,0.7,1,1,1,0.3,"NA",0.7,"NA",1,"NA","Individuals",0,"NA","NA",150,282,158,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Number of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Baseline: 0; Goal: 150 individuals receiving both physical and behavioral health care at Texana Center in DY4",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Number of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Baseline: 0; Goal: 158 individuals receiving both physical and behavioral health care at Texana Center in DY5",158,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_093774008.2.10","093774008","093774008.2.10","RHP 3","2.12","City of Houston Department of Health and Human Services",0.25,7.8899999999999998E-2,0,1.6199999999999999E-2,0.25,9.509999999999999E-2,0.25,0.05,0,0.02,0.25,7.0000000000000007E-2,0.25,"NA",0,"NA",0.25,"NA","Individuals",0,360,371,480,506,600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Goal:  30 individuals/month with CHF receiving the intervention. 360 individuals served in DY3 (baseline). 25% of patients receiving standardized care according to the approved clinical protocols and care transitions policies (numerator - Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines, denominator - Number of patients discharged or eligible for care transition services).",360,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Increase the proportion of people receiving CCTP by 33% over baseline (numerator - Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines, denominator - Number of patients discharged or eligible for care transition services).  Patient impact of  40 patients per month or 480 patients. (individuals)",480,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Increase the proportion of people receiving CCTP by 66% over baseline (numerator - Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines, denominator - Number of patients discharged or eligible for care transition services).  Patient impact of 50 patients per month or 600 patients per year. (individuals)",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_093774008.2.4","093774008","093774008.2.4","RHP 3",2.7,"City of Houston Department of Health and Human Services",0.1,3.1899999999999998E-2,0.9,0.15720000000000001,1,0.18909999999999999,0.1,7.5399999999999995E-2,0.9,0.25159999999999999,1,0.32699999999999996,0.1,"NA",0.9,"NA",1,"NA","Individuals",0,230,439,242,636,451,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals served","N","Baseline: Establish Baseline of 230 individuals receiving innovative intervention.",230,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals served","N","Goal:  242 individuals receiving innovative intervention in DY4.",242,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals served","N","Goal:  451 individuals receiving innovative intervention in DY5",451,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_093774008.2.5","093774008","093774008.2.5","RHP 3","2.6","City of Houston Department of Health and Human Services",0.2,7.0000000000000007E-2,0.25,0.16520000000000001,0.45,0.23520000000000002,0.2,0.08,0.25,0.1351,0.45,0.21510000000000001,0.2,"NA",0.25,"NA",0.45,"NA","Individuals",0,500,555,525,613,580,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of unique patients receiving evidence based intervention","NA","N","Goal: 500 individuals served in DY3",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of individuals served","NA","N","Goal: Increase number or percent of participants by 5% over baseline for a total of 525 individuals.",525,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of individuals served","NA","N","Goal: Increase number or percent of participants over baseline for a total of 580 individuals in DY5.",580,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_094187402.2.1","094187402","094187402.2.1","RHP 3","2.9","West Houston Medical Center",0.21,0.23799999999999999,0.02,1.8700000000000001E-2,0.23,0.25669999999999998,0.21,0.20680000000000001,0.02,0.27939999999999998,0.23,0.48619999999999997,0.21,"NA",0.02,"NA",0.23,"NA","Individuals",0,730,748,2075,2133,4150,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Baseline/goal: accomplish enrollment of at least 10% of geriatric patients identified at the West Houston facility for a total of  730 individuals served in DY3.",730,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.2","NA","Increase number of targeted patients enrolled in the program","N","Baseline is zero; this is a new program. Goal: Enroll 2075 individuals in the patient navigation program. ",2075,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.2","NA","Increase number of targeted patients enrolled in the program","N","Baseline is zero; this is a new program; Goal: Enroll 4,150 individuals in the patient navigation program.",4150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_111810101.1.100","111810101","111810101.1.100","RHP 3","1.12","University of Texas Health Science Center - Houston",0,"NA",0,"NA",0,"NA",0.4,0.76,0,0.04,0.4,0.8,0.4,"NA",0,"NA",0.4,"NA","Individuals",0,"NA","NA",1600,2023,1600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 0 Goal: 1600 individuals receiving community behavioral services ",1600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 0, Goal: 1600 individuals receiving community behavioral services in DY5",1600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_111810101.1.6","111810101","111810101.1.6","RHP 3","1.1","University of Texas Health Science Center - Houston",0.34,0,0,0,0.34,0,0.34,0.40579999999999999,0,7.1999999999999998E-3,0.34,0.41299999999999998,0.34,"NA",0,"NA",0.34,"NA","Encounters",0,11602,0,18218,5118,19116,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: Provide an additional 11,602 patient visits in DY3.",11602,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: Increase of 6,616 patient visits over DY3, for a total of 18,218 patient visits for DY4.(encounters) ",18218,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: Increase of 898 patient visits over previous reporting period for a total of 19,116 patient visits for DY5. (encounters)",19116,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_111810101.2.1","111810101","111810101.2.1","RHP 3","2.1","University of Texas Health Science Center - Houston",0.23,3.2800000000000003E-2,0,0,0.23,3.2800000000000003E-2,0.23,4.6100000000000002E-2,0,6.7299999999999999E-2,0.23,0.1134,0.23,"NA",0,"NA",0.23,"NA","Individuals",0,500,548,5000,5575,9500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes, where “eligible” is defined by the UT Physicians.","NA","N","Goal:  500 individuals served in DY3.",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","The baseline is zero, since this is a new program. Goal:  Serve an additional 5000 individuals in DY4.",5000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","Goal:  Provide services for 9500 individuals in DY5",9500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_111810101.2.4","111810101","111810101.2.4","RHP 3","2.10","University of Texas Health Science Center - Houston",0.14000000000000001,0.156,0,3.0000000000000001E-3,0.14000000000000001,0.159,0.14000000000000001,0.161,0,1.7000000000000001E-2,0.14000000000000001,0.17799999999999999,0.14000000000000001,"NA",0,"NA",0.14000000000000001,"NA","Encounters",1162,2786,2804,2786,2177,2786,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Baseline: 1,166 Goal: Increase by 2,786 encounters in DY3, for a total of 60% of the target population served (numerator- Number of palliative care consults, denominator- Target number of palliative care consults).",2786,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Increase the number of palliative care consults over baseline","NA","N","Goal: Increase by 2,786 encounters in DY4, for a total of 26% of the target population served (numerator- Number of palliative care consults, denominator- Target number of palliative care consults).",2786,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Increase the number of palliative care consults over baseline","NA","N","2786 encounters in DY5, for a total of 26% of the target population served (numerator- Number of palliative care consults, denominator- Target number of palliative care consults).",2786,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_112672402.2.101","112672402","112672402.2.101","RHP 3","2.7","University of Texas M.D. Anderson Cancer Center",0.26,0.26,0.74,0.66549999999999998,1,0.92549999999999999,0.26,0.22140000000000001,0.74,0.63009999999999999,1,0.85150000000000003,0.21,"NA",0.59,"NA",0.8,"NA","Individuals",0,75,75,150,150,250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","Number of individuals of target population reached by the innovative project.","N","Baseline = 0; Goal = 75 children will enroll in the We Can! Program in DY3",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Baseline = 75 children; Goal = 150 children will enroll in the We Can! Program in DY4.  ",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Goal = 250 children will enroll in the We Can! Program in DY5.  ",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_112672402.2.5","112672402","112672402.2.5","RHP 3","2.7","University of Texas M.D. Anderson Cancer Center",0.35,0.2,0.65,0.8,1,1,0.35,0.2,0.65,0.8,1,1,0.35,"NA",0.65,"NA",1,"NA","Individuals",0,11555,14055,17333,23698,14055,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Determine smoking prevalence for 50% of adult patients","N","At present, smoking status is not documented systematically. Our goal is to document smoking status among 50% of adult patients (N=11,555).  Patient impact:  11,555 individuals screened in DY3.",11555,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Determine smoking prevalence fo 75% of adult patients","N","Our goal is to document smoking status among 75% of adult patients (N=17,333). Patient impact of 17,333 individuals screened in DY4.",17333,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Smoking prevalence of 75% of adult patients during a six month period","N","Document smoking status among 75% of adult patients.  Patient impact of 14,055 individuals screened in DY5.",14055,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_113180703.1.100","113180703","113180703.1.100","RHP 3","1.13","Mental Health and Mental Retardation Authority of Harris County",0.59,0.11899999999999999,0.33,0.85199999999999998,0.91999999999999993,0.97099999999999997,0.59,0.39800000000000002,0.33,0.5,0.91999999999999993,0.89800000000000002,0.59,"NA",0.33,"NA",0.91999999999999993,"NA","Individuals",160,50,50,72,83,101,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number of individuals served using appropriate crisis alternatives","Number of people receiving community behavioral healthcare services from appropriate crisis alternatives","N","DY3 Goal: 50",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of individuals served using appropriate crisis alternatives","NA","N","Goal: 72 individuals.",72,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number of individuals served using appropriate crisis alternatives","NA","N","Goal: 101 individuals in DY5.",101,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_113180703.1.6","113180703","113180703.1.6","RHP 3","1.12","Mental Health and Mental Retardation Authority of Harris County",0.35,0.06,0.55000000000000004,0.88,0.9,0.94,0.35,0.33700000000000002,0.55000000000000004,0.56200000000000006,0.9,0.89900000000000002,0.35,"NA",0.55000000000000004,"NA",0.9,"NA","Individuals",3540,250,332,500,569,500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","NA","N","Goals: Provide documentation of at least 250 patients being served by new behavioral health treatment team. Open one new clinic to serve patient in SE side of town",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of patients who utilize community behavioral healthcare services.","N","Goal:  500  patients utilize community based services as calculated by numerator- number receiving community behavioral healthcare services after access expansion and denominator - number of people receiving community behavioral health services after access expansion.  Quantifiable patient impact of 500 individuals served in DY4",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of patients who utilize community behavioral healthcare services.","N","Goal:  500 patients utilize community based services as calculated by numerator- number receiving community behavioral healthcare services after access expansion and denominator - number of people receiving community behavioral health services after access expansion.  Quantifiable patient impact of 500 individuals served in DY5",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_113180703.2.100","113180703","113180703.2.100","RHP 3","2.13","Mental Health and Mental Retardation Authority of Harris County",0.63,0.25,0.28999999999999998,0.25,0.91999999999999993,0.5,0.63,0.59,0.28999999999999998,0.28999999999999998,0.91999999999999993,0.87999999999999989,0.63,"NA",0.28999999999999998,"NA",0.91999999999999993,"NA","Individuals",30,10,17,20,22,30,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Baseline: serve 10 over baseline of 30 [provider should note that during the reporting in DY3 provider will need to provide support for the baseline of 30 and additional individuals served under this project - 40]",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Serve 20 individuals over baseline of 30 [provider should note that during the reporting in DY4 provider will need to provide support for the baseline of 30 and additional individuals served under this project - 50]",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Serve 30 over baseline of 30 [provider should note that during the reporting in DY5 provider will need to provide support for the baseline of 30 and additional individuals served under this project - 60] ",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_113180703.2.105","113180703","113180703.2.105","RHP 3","2.13","Mental Health and Mental Retardation Authority of Harris County",0.63,0,0.28999999999999998,1,0.91999999999999993,1,0.63,0.04,0.28999999999999998,0.96,0.91999999999999993,1,0.63,"NA",0.28999999999999998,"NA",0.91999999999999993,"NA","Individuals",0,150,150,150,7,150,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY 3 Goal: 150 individuals served",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY4 Goal: 150 individuals enrolled/served",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY5 Goal: 150",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_113180703.2.7","113180703","113180703.2.7","RHP 3","2.13","Mental Health and Mental Retardation Authority of Harris County",0.28999999999999998,0,0.59,1,0.87999999999999989,1,0.28999999999999998,0.41199999999999998,0.59,0.42899999999999999,0.87999999999999989,0.84099999999999997,0.28999999999999998,"NA",0.59,"NA",0.87999999999999989,"NA","Individuals",2154,300,765,600,1379,1915,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project.","Number of calls in which  new CIRT teams respond","N","Goal: CIRT will respond to 300 calls in DY 3. DY3 impact of 300 individuals.",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project.","Number of calls in which CIRT responds","N","CIRT will respond to 600 calls in DY4. (encounters)",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","Number of calls in which CIRT responds","N","CIRT will respond to 40% more calls than baseline. DY5 impact of 1,915 individuals.",1915,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_127303903.1.1","127303903","127303903.1.1","RHP 3","1.3","OakBend Medical Center",0,"NA",0,"NA",0,"NA",0.2,9.6100000000000005E-2,0.13,0.2122,0.33,0.30830000000000002,0.2,"NA",0.13,"NA",0.33,"NA","Individuals",0,"NA","NA",1484,1926,3712,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","NA","N","2% improvement in enrollment in the registry over baseline as measured by number of patients entered in the registry out of number of patients with targeted chronic diseases. Quantifiable patient impact is the registry will increase to a minimum of 1484 patients in DY4. (individuals)",1484,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","NA","N","5% improvement in enrollment in the registry over baseline of DY3 as measured by number of patients entered in the registry out of number of patients with targeted chronic diseases. Quantifiable patient impact is 3,712 patient visits in DY5.  (encounters)",3712,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_127303903.1.2","127303903","127303903.1.2","RHP 3","1.2","OakBend Medical Center",0,"NA",0,"NA",0,"NA",0.2,0.47310000000000002,0.13,0.27479999999999999,0.33,0.74790000000000001,0.2,"NA",0.13,"NA",0.33,"NA","Encounters",0,"NA","NA",2440,3646,3660,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of encounters provided by additional staff","N","Goal:  Provide 2440 encounters in DY4.",2440,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of encounters provided by additional staff","N","Goal: Provide 3,660 encounters in DY5.  (encounters)",3660,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_130959304.1.1","130959304","130959304.1.1","RHP 3","1.9","Matagorda Regional Medical Center",0,"NA",0,"NA",0,"NA",0.23400000000000001,0.2651,0.626,5.6800000000000003E-2,0.86,0.32190000000000002,0.23400000000000001,"NA",0.626,"NA",0.86,"NA","Encounters",0,"NA","NA",2000,10797,3000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increase number of visits. Demonstrate improvement over prior reporting period ","NA","N","Baseline: Total number of Year 3 visits. Goal: Number of visits increase from year 3 by 2000.",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","NA","Documentation of increase number of visits. Demonstrate improvement over prior reporting period ","N","Baseline: Year 4 specialty patient encounters and visits. Goal: Increase number of visits by 50% from DY4. 3000 encounters in DY5.",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_130959304.2.1","130959304","130959304.2.1","RHP 3","2.9","Matagorda Regional Medical Center",0,"NA",0,"NA",0,"NA",0.11,"NA",0.11,"NA",0.22,"NA",0.11,"NA",0.11,"NA",0.22,"NA","Individuals","NA","NA","NA",180,"NA",200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","Increase in the number or percent of patients enrolled","N","Baseline: Year 3 patients with repeated medically avoidable ED visits. Goal: 180 new enrolled patients with repeated medically avoidable visits to the ED (individuals)",180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period","NA","N","Goal:  200 individuals served in DY5.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_133355104.1.11","133355104","133355104.1.11","RHP 3","1.3","Harris County Hospital District Ben Taub General Hospital",0.22,6.8199999999999997E-2,0.5,0.44,0.72,0.50819999999999999,0.22,9.4E-2,0.5,0.56320000000000003,0.72,0.65720000000000001,0.22,"NA",0.5,"NA",0.72,"NA","Individuals",0,5000,48259,10000,121584,30000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","Documentation of number of patients enrolled in the registry","N","Baseline: 0 patients enrolled in DY2. Goal: 5,000 patient enrollees by the end of DY3",5000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","NA","N","Pre-DSRIP Baseline: 0; Goal: Improve upon DY3 baseline of enrollees in the registry by approximately 20% or 10,000 additional patients (as measured by numbers of patients entered in the registry out of number of patients assigned to this clinic for routine care) for a total of approximately 60,000 patients in registry in DY4. QPI goal of 10,000 individuals.",10000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria (e.g., medical home patients, patients with a targeted chronic condition);","NA","N","Pre-DSRIP Baseline: 0. Goal: Improve upon DY3 baseline of enrollees in the registry by approximately 60% or 30,000 additional patients (calculated as number of patients  in the registry out of  total number of patients assigned to this clinic for routine care) for a total of approximately 80,000 patients in registry in DY5. QPI goal of 30,000 individuals.",30000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_133355104.1.17","133355104","133355104.1.17","RHP 3","1.8","Harris County Hospital District Ben Taub General Hospital",0.22,3.3700000000000001E-2,0.5,0.56979999999999997,0.72,0.60349999999999993,0.22,"NA",0.5,"NA",0.72,"NA",0.22,"NA",0.5,"NA",0.72,"NA","Individuals",298,1070,1243,3743,"NA",4323,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Baseline: Establish baseline. Goal: 1070 individuals served in DY3.",1070,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Baseline: 0 in DY2, Goal: 3743 individuals served in DY4",3743,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Baseline: 0 in DY2, Goal: 4323 individuals served in DY5",4323,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"3_133355104.1.9","133355104","133355104.1.9","RHP 3","1.12","Harris County Hospital District Ben Taub General Hospital",0.22,0.68210000000000004,0.5,7.2700000000000001E-2,0.72,0.75480000000000003,0.22,0.70799999999999996,0.5,5.6099999999999997E-2,0.72,0.7641,0.22,"NA",0.5,"NA",0.72,"NA","Individuals",2728,1837,1840,3122,409,4371,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Baseline: 5,877 visits Goal: Increase number of visits from baseline by 25% (total 7,346 visits), resulting in services for an additional 1837 pediatric patients receiving BH services.",1837,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 2489 individuals in DY2, Goal: additional 3122 pediatric patients (individuals)",3122,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 2489 individuals in DY2, Goal: additional 4371 pediatric patients in DY5 (individuals)",4371,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_133355104.2.3","133355104","133355104.2.3","RHP 3","2.8","Harris County Hospital District Ben Taub General Hospital",0,"NA",0,"NA",0,"NA",0.22,9.6199999999999994E-2,0.5,0.37369999999999998,0.72,0.46989999999999998,0.22,"NA",0.5,"NA",0.72,"NA","Individuals",0,"NA","NA",2000,9431,3000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","2000 total patients seen through triage model across system (individuals)",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","3,000 total patients seen through triage model across system. (individuals)",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_133355104.2.9","133355104","133355104.2.9","RHP 3","2.8","Harris County Hospital District Ben Taub General Hospital",0.23,3.5499999999999997E-2,0.63,0.78969999999999996,0.86,0.82519999999999993,0.23,4.7E-2,0.63,0.75409999999999999,0.86,0.80110000000000003,0.23,"NA",0.63,"NA",0.86,"NA","Individuals",0,2500,20965,4000,81646,26965,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals impacted by algorithmic work-ups","N","2500 individuals",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals impacted by algorithmic work-ups","N","4000 individuals in DY4.",4000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of unique individuals impacted by algorithmic work-ups","N","26,965 individuals in DY5.",26965,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_137805107.2.1","137805107","137805107.2.1","RHP 3","2.9","Memorial Hermann Hospital",0.2,0.02,0.7,0.98,0.89999999999999991,1,0.2,0.02,0.7,0.98,0.89999999999999991,1,0.2,"NA",0.7,"NA",0.89999999999999991,"NA","Individuals",4082,6600,7630,9100,12218,11250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","Increase in the number of targeted patients (uninsured and Medicaid patient without a PCP referred from registration) enrolled in the program.","N","6,600 patients will be enrolled in the program.  (Enrolled defined as navigated, connected, and registered into database for follow-up within DY3.)",6600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","Increase in the number of targeted patients (uninsured and Medicaid patient without a PCP referred from registration) enrolled in the program.","N","9,100 patients will be enrolled in the program.  (Enrolled defined as navigated, connected, and registered into database for follow-up within DY4.). (individuals)",9100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","Increase in the number of targeted patients (uninsured and Medicaid patient without a PCP referred from registration) enrolled in the program. ","N","11,250 patients will be enrolled in the program.  (Enrolled defined as navigated, connected, and registered into database for follow-up within DY5.). (individuals)",11250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_137909111.2.2","137909111","137909111.2.2","RHP 3","2.4","Memorial Medical Center",0,"NA",0,"NA",0,"NA",0.154,"NA",0.1406,"NA",0.29459999999999997,"NA",0.154,"NA",0.1406,"NA",0.29459999999999997,"NA","Encounters","NA","NA","NA","NA","NA",19600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase patient satisfaction scores for overall patient experience.","N","1% increase over baseline in overall patient satisfaction from sample size (minimum of 600 annually) surveyed out of 19,600 encounters in DY5",19600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_139135109.1.12","139135109","139135109.1.12","RHP 3","1.9","Texas Children's Hospital",0.57999999999999996,0.59,0.02,0.03,0.6,0.62,0.57999999999999996,0.56999999999999995,0.02,1.4999999999999999E-2,0.6,0.58499999999999996,0.57999999999999996,"NA",0.02,"NA",0.6,"NA","Encounters",18252,548,3959,1112,10057,4539,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2). ","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline established in FY12).","N","Goal: Increase clinic volume 3% across all locations of care which is 548 additional visits across all locations of care compared to baseline. Given that our pediatric otolaryngology clinic is 58.96% Medicaid, this translates into providing an additional 323 Medicaid patient visits compared to baseline.",548,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline established in FY12).","N","Goal: Increase clinic volume 6% across all locations of care which is 1,112 additional visits compared to baseline. Given that our pediatric otolaryngology clinic is 58.96% Medicaid, this translates into providing an additional 655 Medicaid patient visits compared to baseline. (encounters)",1112,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline established in FY12).","N","Goal: Increase clinic volume 9% across all locations of care which is 4,539 additional visits compared to baseline. Given that our pediatric otolaryngology clinic is 58.96% Medicaid, this translates into providing an additional 997 Medicaid patient visits compared to baseline. (encounters)",4539,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_139135109.1.2","139135109","139135109.1.2","RHP 3","1.9","Texas Children's Hospital",0.48,0.45,0.02,0.03,0.5,0.48,0.48,0.56000000000000005,0.02,0,0.5,0.56000000000000005,0.48,"NA",0.02,"NA",0.5,"NA","Encounters",4000,157,8423,3961,10535,8654,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline established in FY12).","NA","N","157 encounters provided in DY3.",157,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline established in FY12).","N","Baseline: 4,000; Goal: Increase patient visits by 99% for an additional 3,961 visits over baseline in DY4 (encounters)",3961,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline established in FY12).","N","Baseline: 4,000; Goal: Increase patient visits by at least 104.8% for an additional 8,654 visits over baseline in DY5 (encounters)",8654,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_139135109.1.5","139135109","139135109.1.5","RHP 3","1.9","Texas Children's Hospital",0.51,0.52,0.02,7.0000000000000007E-2,0.53,0.59000000000000008,0.51,0.54779999999999995,0.02,3.7100000000000001E-2,0.53,0.58489999999999998,0.51,"NA",0.02,"NA",0.53,"NA","Encounters",10718,536,2177,858,2784,2391,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: 5% increase above the baseline, for a total of 536 encounters in DY3.",536,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: 8% increase above the baseline, for an additional 858 encounters provided in DY4.",858,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: increase above the baseline, for a total of 2,391 encounters provided in DY5.",2391,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_139135109.1.7","139135109","139135109.1.7","RHP 3","1.9","Texas Children's Hospital",0.41,0.45300000000000001,0.02,1.8800000000000001E-2,0.43,0.4718,0.41,0.43,0.02,0.03,0.43,0.45999999999999996,0.41,"NA",0.02,"NA",0.43,"NA","Encounters",21222,2122,3071,3183,3646,4244,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: 10% increase over baseline for a total of  2122 encounters provided in DY3.",2122,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: 15% over baseline for a total of 3183 encounters in DY4.",3183,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: 20% over baseline for a total of 4244 encounters in DY5.",4244,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_158771901.1.100","158771901","158771901.1.100","RHP 3","1.8","Harris County PHES",0,"NA",0,"NA",0,"NA",0.3,0.3,0.6,0.6,0.9,0.89999999999999991,0.3,"NA",0.6,"NA",0.9,"NA","Individuals",0,"NA","NA",720,720,960,"NA",0,"NA","NA",2880,2880,3840,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","720 children (individuals) referred for advanced treatment in DY4.",720,"No","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Goal: 2880 children receiving: 1) a dental screenings and fluoride varnish; or 2) a dental screening only (if parent declines fluoride varnish, if parent reports a previous allergy or adverse reaction to fluoride varnish, or if patient is uncooperative when provider attempts to apply fluoride varnish).",2880,"No","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Goal: 960 children referred for advanced treatment in DY5.",960,"No","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Goal: 3840 children receiving: 1) a dental screenings and fluoride varnish; or 2) a dental screening only (if parent declines fluoride varnish, if parent reports a previous allergy or adverse reaction to fluoride varnish, or if patient is uncooperative when provider attempts to apply fluoride varnish).",3840,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_181706601.2.2","181706601","181706601.2.2","RHP 3","2.15","St. Joseph Medical Center",0.15,0.36,0.2,0.28000000000000003,0.35,0.64,0.15,0.36,0.2,0.37130000000000002,0.35,0.73130000000000006,0.15,"NA",0.2,"NA",0.35,"NA","Individuals",0,281,551,530,546,600,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","Number of individuals served","NA","N","281 individuals served in DY3",281,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","25% of patients receiving both behavioral and acute care services are in the project setting (numerator- Number of individuals receiving both physical and behavioral health care in project sites; denominator - Number of individuals receiving services in project sites). Patient impact - 530 patients receive program services in DY4. (individuals)",530,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","X% of Individuals with a treatment plan developed and implemented with primary care and behavioral health expertise","NA","N","50% of individuals with treatment plans developed and implemented with primary care and behavioral health expertise  (numerator- Number of individuals with treatment plans developed and implemented with primary care and behavioral health expertise; denominator- Number of individuals receiving services at project sites). Patient impact- 600 patients admitted to program in DY5. (individuals)",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_212060201.1.4","212060201","212060201.1.4","RHP 3","1.6","Rice Medical Center",0,"NA",0,"NA",0,"NA",0.41,0.24,0.3,0.26,0.71,0.5,0.41,"NA",0.3,"NA",0.71,"NA","Encounters",0,"NA","NA",1000,924,1400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period.","NA","N","Rice anticipates redirecting 700 patient visits from the ED to the FastTrack Clinic in DY3. In DY4, Rice is targeting a 42% increase in volume of patients seen in the FastTrack over DY3, estimated to result in 1000 visits (encounters) and serving 400 unique patients in DY4. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period.","NA","N","Rice anticipates redirecting 700 patient visits from the ED to the FastTrack Clinic in DY3. In DY5, Rice is targeting a 100% increase in volume of patients seen in the Urgent Care over DY3, estimated to result in 1400 visits. Goal: Serve 600 unique patients, 1400 encounters in DY5.",1400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_212060201.2.3","212060201","212060201.2.3","RHP 3","2.6","Rice Medical Center",0,"NA",0,"NA",0,"NA",0.2,0.11,0.15,0.17,0.35,0.28000000000000003,0.2,"NA",0.15,"NA",0.35,"NA","Individuals",0,"NA","NA",600,388,800,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of individuals served","NA","N","Rice expects to provide interventions to 400 diabetic and pre-diabetic patients in DY3. In DY4, Rice expects that number to have increased to 600 in DY4. (individuals)",600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of individuals served","NA","N","Rice expects to provide interventions to 600 diabetic and prediabetic patients in DY4. Rice will target an increase of 200 additional patients (individuals) receiving interventions in DY5 for a DY5 impact of 800 individuals.",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"3_296760601.2.2","296760601","296760601.2.2","RHP 3","2.13","Fort Bend County Clinical Health Services",0.6,0.9,0.3,0.1,0.9,1,0.6,0.85,0.3,0.1,0.9,0.95,0.6,"NA",0.3,"NA",0.9,"NA","Individuals",0,10,11,20,20,25,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Goal: Enroll and serve 10 youth",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Enroll and serve 20 youth. (individuals)",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Enroll and serve 25 youth. (individuals)",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_020811801.1.2","020811801","020811801.1.2","RHP 4","1.7","CHRISTUS Spohn Hospital Beeville",0.3,0,0.46,0,0.76,0,0.3,0.19620000000000001,0.46,0.2089,0.76,0.40510000000000002,0.3,"NA",0.46,"NA",0.76,"NA","Encounters",0,63,63,157,158,503,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.1","NA","The number of PAD screenings performed subsequent to implementation during DY2","N","Spohn expects to screen at least 63 patients through PAD devices in DY3.",63,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","NA","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient. Denominator: Number of patients referred to all medical specialties using referral processing system","N","Increase PAD screenings in the Beeville FHC with access to cardiovascular specialists by 94 (157 total estimated encounters). ",157,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","NA","Numerator: # of electronic referrals through which specialists can provide direct advice to the PCP on diagnosis and treatment without needing to actually have an encounter with the patient. Denominator: Number of patients referred to all medical specialties using referral processing system","N","Increase PAD screenings in the Beeville FHC with access to cardiovascular specialists by 126 (503 total estimated encounters). ",503,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_020811801.2.4","020811801","020811801.2.4","RHP 4","2.12","CHRISTUS Spohn Hospital Beeville",0,"NA",0,"NA",0,"NA",0.46,0.60950000000000004,0.54,0.39050000000000001,1,1,0.46,"NA",0.54,"NA",1,"NA","Individuals",0,"NA","NA",20,105,50,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Measure adherence to processes","N","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia, and diabetes care transitions program at facility for all (approximately 20) Medicaid, self pay and charity patients (individuals).",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Measure adherence to processes","N","Full implementation of CHF, Coronary Artery Disease (AMI, HTN, PVD, CVA), COPD, Asthma, Pneumonia, and diabetes care transitions program at campus for all (approximately 50) Medicaid, self pay and charity patients (individuals).",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_020973601.1.5","020973601","020973601.1.5","RHP 4","1.3","The Corpus Christi Medical Center - Bay Area",0.23,0.12,0.24,0.06,0.47,0.18,0.23,0.12,0.24,0.03,0.47,0.15,0.23,"NA",0.24,"NA",0.47,"NA","Encounters",0,500,502,1750,99,2500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.1","Total number of in‐person and virtual (including email, phone and web based) visits, either absolute or divided by denominator. ","NA","N","Baseline: 0 patients in the registry. Goal: Minimum of 500 of patient encounters with selected chronic diseases are entered in the registry",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.1","Total number of in‐person and virtual (including email, phone and web based) visits, either absolute or divided by denominator","NA","N","0 patients in the registry Goal: Minimum of 1,750 patient encounters with selected chronic diseases are entered in the registry in DY4. ",1750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.1","Total number of in‐person and virtual (including email, phone and web based) visits, either absolute or divided by denominator.","NA","N","Baseline: 0 patients in the registry Goal: Minimum of 2,500 patient encounters chronic diseases are entered in the registry in DY5. ",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_094118902.1.1","094118902","094118902.1.1","RHP 4","1.12","DeTar Hospital Navarro",0.4,0.31,0.1,0.13,0.5,0.44,0.4,"NA",0.1,"NA",0.5,"NA",0.4,"NA",0.1,"NA",0.5,"NA","Individuals",0,78,81,98,"NA",104,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered.","NA","N","Baseline is 52 patients in the established IOP. Goal is 78 patients. Establish 1 new community‐based setting where behavioral health services are delivered.",78,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community-based settings where behavioral health services are delivered","NA","N","Continue operation of IOP program that is fully-staffed with increased enrollment. Baseline/Goal: 78 clients/ 98 clients in DY4. ",98,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","NA","N","Goal: Continue operation of IOP program that is fully-staffed with increased enrollment. Baseline/Goal: Baseline is 98 clients; Goal is 104 clients (individuals) in DY5.",104,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_094118902.2.2","094118902","094118902.2.2","RHP 4","2.7","DeTar Hospital Navarro",0.9,0.78,0.1,0.03,1,0.81,0.9,0.9,0.1,0.1,1,1,0.9,"NA",0.1,"NA",1,"NA","Individuals",125,55,75,85,148,115,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Increase number of patients who will receive early prenatal care in maternity clinics by 30 in all clinics combined.","N","Pre-DSRIP baseline: 125. Goal 55 patients over pre-DSRIP baseline in DY3.",55,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Increase enrollment by 30 additional women to 210 clients of the target population all clinics combined.","N","Increase number of patients receiving care to 210 individuals. DY4 QPI goal of 85 individuals above pre-DSRIP baseline of 125.",85,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","Increase enrollment to 240 clients all clinics combined.","N","Increase number of patients receiving care to 240 individuals in DY5. DY5 QPI goal of 115 individuals above pre-DSRIP baseline of 125. ",115,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_094222902.2.4","094222902","094222902.2.4","RHP 4","2.19","CHRISTUS Spohn Hospital Alice",0,"NA",0,"NA",0,"NA",7.0000000000000007E-2,0.5,0.14000000000000001,0.17069999999999999,0.21,0.67069999999999996,7.0000000000000007E-2,"NA",0.14000000000000001,"NA",0.21,"NA","Individuals",0,"NA","NA",58,82,92,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-22.1","X% increase/decrease use of specialty care according to practice guidelines","NA","N","20% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment (Spohn), 58 patients (individuals). ",58,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-22.1","X% increase/decrease use of specialty care according to practice guidelines","NA","N","40% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment, 92 patients (individuals). ",92,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_121775403.1.1","121775403","121775403.1.1","RHP 4","1.1","CHRISTUS Spohn Hospital Corpus Christi",0,"NA",0,"NA",0,"NA",0.21,"NA",0.63,"NA",0.84,"NA",0.21,"NA",0.63,"NA",0.84,"NA","Encounters","NA","NA","NA","NA","NA",10050,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","15% increase in primary care visits over DY2 numbers, as averaged across Spohn’s four (4) primary care clinics and the Hector P. Garcia clinic (an estimated 10,050 additional Medicaid/self-pay encounters over DY2, for a total of 61,640 Medicaid-eligible/self-pay visits).",10050,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_121775403.1.2","121775403","121775403.1.2","RHP 4","1.3","CHRISTUS Spohn Hospital Corpus Christi",0,"NA",0,"NA",0,"NA",0.23,0.72119999999999995,0.77,0.27879999999999999,1,1,0.23,"NA",0.77,"NA",1,"NA","Individuals",0,"NA","NA",1400,4146,700,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Percentage of patients in the registry; metric may vary in terms of measuring absolute targets versus increasing the proportion of patients meeting a specific criteria","Percentage of patients in the registry with targeted chronic conditions","N","Increase the percentage of the FHCs’ diabetic and CHF patients (across the board) entered into the registry by 10% over the percentage in the registry in DY3 (if DY3 reflects 100% of these patients are in the registry, then the FHCs will maintain this percentage by adding all new patients with the targeted condition into the registry by the end of DY4 – Spohn hopes to have 1400 enrollees in DY4)",1400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-22.1","Percentage of patients with chronic disease who receive appropriate disease specific discharge instructions","NA","N","50% of patients with diabetes or CHF will receive disease appropriate instructions after appointments at each FHC on how to manage their condition day-today (for diabetics, specifically diet information and medication management; for CHF patients, specifically medication management and activity level) – Spohn estimates this to constitute 700 patients (individuals) in DY5. ",700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_121775403.1.6","121775403","121775403.1.6","RHP 4","1.9","CHRISTUS Spohn Hospital Corpus Christi",0,"NA",0,"NA",0,"NA",0.24,"NA",0.28999999999999998,"NA",0.53,"NA",0.24,"NA",0.28999999999999998,"NA",0.53,"NA","Encounters","NA","NA","NA","NA","NA",1100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","NA","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2), during which there were 0 PMHNP students available to provide these services in the clinic.","N","At Spohn community clinics, the PMHNP students will provide 1,100 encounters, thus increasing the accessibility to specialist psychiatric services.",1100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_121775403.2.2","121775403","121775403.2.2","RHP 4","2.12","CHRISTUS Spohn Hospital Corpus Christi",0,"NA",0,"NA",0,"NA",0,0,0.32,1,0.32,1,0,"NA",0.32,"NA",0.32,"NA","Encounters",0,"NA","NA",2000,5726,3000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines. Goal of 2,000 encounters.",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Assign at least 3000 unassigned inpatient admissions during DY5 to a hospitalist and multi-disciplinary team of providers, who will provide care pre- and post-discharge according to Spohn's hospitalist care transitions protocol. DY5 impact of 3,000 encounters.",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_121775403.2.9","121775403","121775403.2.9","RHP 4","2.8","CHRISTUS Spohn Hospital Corpus Christi",0.18,0.17829999999999999,0.13,7.6700000000000004E-2,0.31,0.255,0.18,0.26500000000000001,0.13,0.16089999999999999,0.31,0.4259,0.18,"NA",0.13,"NA",0.31,"NA","Individuals",17835,2800,3243,5600,7704,8400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","NA","Increase use of electronic Sepsis Screening Tool by nursing staff","N","5% increase in use on patients admitted to medical/surgical units over DY2 baseline, 2,800 individuals.",2800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","NA","Increase use of electronic Sepsis Screening Tool by nursing staff","N","10% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 5600 additional screenings in DY4). DY4 impact of 5,600 individuals.",5600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","NA","Increase use of electronic Sepsis Screening Tool by nursing staff","N","15% increase in use on patients admitted to medical/surgical units over DY2 baseline (approximately 8400 additional screenings in DY5). DY5 impact of 8,400 individuals.",8400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_121808305.1.1","121808305","121808305.1.1","RHP 4","1.9","Jackson Healthcare Center",0.25,0.28999999999999998,0.25,0.25,0.5,0.54,0.25,0.26600000000000001,0.25,0.27900000000000003,0.5,0.54500000000000004,0.25,"NA",0.25,"NA",0.5,"NA","Encounters",0,450,482,675,721,900,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Documentation of increased number of visits. Goal of 450 visits. Given that the target population is 50% Medicaid/ low income uninsured, this translates to providing 225 additional Medicaid/ low income uninsured visits. ",450,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Documentation of increased number of visits. Goal of 675 visits (encounters) in DY4. Given that the target population is 50% Medicaid/ low income uninsured, this translates to providing 563 additional Medicaid/ low income uninsured visits. ",675,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Documentation of increased number of visits. Goal of 900 visits (encounters) in DY5. Given that the target population is 50% Medicaid/ low income uninsured, this translates to providing 1013 additional Medicaid/ low income uninsured visits. ",900,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_130958505.2.2","130958505","130958505.2.2","RHP 4","2.7","Corpus Christi-Nueces County Public Health District",0,"NA",0,"NA",0,"NA",0.6,0.6,0.4,0.4,1,1,0.6,"NA",0.4,"NA",1,"NA","Individuals",0,"NA","NA",500,535,1500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Baseline: 0.  DY4 Goal: 500 children (individuals) in the eligible population complete the 10-week MEND program.",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Baseline: 0.  DY5 Goal: 1,500 children (individuals) in the eligible population complete the 10-week MEND program.",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_132812205.1.4","132812205","132812205.1.4","RHP 4","1.7","Driscoll Children’s Hospital",0.9,1,0,0,0.9,1,0.9,1,0,0,0.9,1,0.9,"NA",0,"NA",0.9,"NA","Encounters",0,66,339,132,522,373,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","Increase the number of patient visits in the Driscoll service area by 25% from the baseline of 264 to provide 66 additional visits.",66,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","Increase the number of patient visits in the Driscoll service area by 50% from the baseline of 264 to provide 132 additional visits (encounters). ",132,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","Increase the number of patient visits in the Driscoll service from the baseline of 264 to provide 373 additional visits (encounters) in DY5. ",373,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_135254407.1.1","135254407","135254407.1.1","RHP 4","1.13","Gulf Bend Center",0,"NA",0,"NA",0,"NA",0.37,"NA",0.5,"NA",0.87,"NA",0.37,"NA",0.5,"NA",0.87,"NA","Individuals","NA","NA","NA",100,"NA",125,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives. ","Increase in utilization of appropriate crisis alternatives.","N","Perform 100 crisis assessments at the new Crisis Stabilization Center. DY4 impact of 100 individuals.",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","X% increase in utilization of appropriate crisis alternatives.","Increase in utilization of appropriate crisis alternatives","N","Perform 125 crisis assessments at the new Crisis Stabilization Center in DY5. DY5 impact of 125 individuals.",125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"4_136412710.1.1","136412710","136412710.1.1","RHP 4","1.7","Otto Kaiser Memorial Hospital",1.4999999999999999E-2,0.28000000000000003,3.9E-2,0.04,5.3999999999999999E-2,0.32,1.4999999999999999E-2,0.19040000000000001,3.9E-2,9.5200000000000007E-2,5.3999999999999999E-2,0.28560000000000002,1.4999999999999999E-2,"NA",3.9E-2,"NA",5.3999999999999999E-2,"NA","Individuals",0,25,25,30,21,35,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Documentation of the number of consults delivered by each specialty","NA","N","25 consults/year - impact of 25 individuals",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","30 telemedicine visits in DY4. DY4 impact of 30 individuals. ",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","DY5 impact of 35 individuals. ",35,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_136436606.2.5","136436606","136436606.2.5","RHP 4","2.19","CHRISTUS Spohn Hospital Kleberg",0,"NA",0,"NA",0,"NA",0.11,0.35709999999999997,0.17,0.25,0.28000000000000003,0.60709999999999997,0.11,"NA",0.17,"NA",0.28000000000000003,"NA","Individuals",0,"NA","NA",28,28,57,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-22.1","X% increase/decrease use of specialty care according to practice guidelines","NA","N","20% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment (Spohn), 28 individuals.",28,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-22.1","X% increase/decrease use of specialty care according to practice guidelines","NA","N","40% of CHF or diabetes patients treated at Spohn facilities are referred to a behavioral health provider for assessment and/or treatment, 57 patients (individuals) in DY5. ",57,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_138305109.2.1","138305109","138305109.2.1","RHP 4","2.15","MHMR OF NUCES COUNTY",0.38,0.24,0.56000000000000005,0.63,0.94000000000000006,0.87,0.38,0.36299999999999999,0.56000000000000005,0.49680000000000002,0.94000000000000006,0.85980000000000001,0.38,"NA",0.56000000000000005,"NA",0.94000000000000006,"NA","Individuals",0,75,79,150,157,225,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Baseline is zero. Goal is at minimum 75 individuals receiving ICP services.",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Number of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both physical and behavioral health care at the established locations","N","Baseline: 0.  Goal: 150 individuals receiving both physical and behavioral health care at the established locations in DY4. ",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Number of Individuals receiving both physical and behavioral health care at the established locations","Number of Individuals receiving both physical and behavioral health care at the established locations","N","Baseline: 0.  Goal: 225 individuals receiving both physical and behavioral health care at the established locations in DY5. ",225,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"4_138305109.2.4","138305109","138305109.2.4","RHP 4","2.13","MHMR OF NUCES COUNTY",0.9,0.9,0.05,0.1,0.95,1,0.9,0.96289999999999998,0.05,3.6999999999999998E-2,0.95,0.99990000000000001,0.9,"NA",0.05,"NA",0.95,"NA","Individuals",0,20,20,25,27,40,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Currently zero individuals enrolled, goal is to enroll 20 individuals.",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","20 enrolled/enroll 5 additional individuals, 25 enrolled individuals in DY4. ",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","30 enrolled/enroll 10 additional individuals, 40 individuals in DY5. ",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_085144601.1.100","343698201","085144601.1.100","RHP 5","1.2","University of Tx Rio Grande Valley",0.5,0,0.2,0,0.7,0,0.5,0,0.2,0,0.7,0,0.5,"NA",0.2,"NA",0.7,"NA","Encounters",0,250,0,1750,0,4000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","NA","N","Baseline =0; Goal is 250 primary care visits/encounters to be provided by faculty",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","NA","N","Goal for DY4 is 1,750 visits.",1750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","NA","N","Goal for DY5 is 4,000 patient visits",4000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_085144601.1.2","343698201","085144601.1.2","RHP 5","1.9","University of Tx Rio Grande Valley",0.35,0,0.2,0,0.55000000000000004,0,0.35,0,0.2,0,0.55000000000000004,0,0.35,"NA",0.2,"NA",0.55000000000000004,"NA","Encounters",0,2000,0,4000,0,6000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline: 0, Goal: Add annual count of 2,000 patient visit slots attributable to new faculty physicians.  No faculty visit slots exist at the beginning of DY2; faculty recruitment begins in DY2. ",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (over baseline for DY3).","NA","N","Baseline: No faculty visit slots exist at the beginning of DY2; faculty recruitment begins in DY2.  Goal: Add annual count of 4,000 patient visit slots (encounters) attributable to new faculty physicians; 2,000 additional patient visits than in DY3. ",4000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (over baseline for DY4).","NA","N","Baseline: 0, no faculty visit slots exist at the beginning of DY2; faculty recruitment begins in DY2.  Goal: Add annual count of 6,000 patient visit slots (encounters) attributable to new faculty physicians; 2,000 additional patient visits than in DY4.   ",6000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_085144601.2.3","085144601","085144601.2.3","RHP 5","2.9","UT Health Science Center San Antonio",0.51,0,0.09,0,0.6,0,0.51,0.02,0.09,0.68,0.6,0.70000000000000007,0.51,"NA",0.09,"NA",0.6,"NA","Individuals",0,800,825,900,950,1100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","125 patients needing navigation services would receive them in DY 3. 800 individuals",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Baseline: 0 patients receiving navigation services in DY2. Goal: 900 patients (individuals) needing navigation services will receive them in DY4. ",900,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Baseline: 0 patients receiving navigation services in DY2. Goal: 1100 patients (individuals) needing navigation services will receive them in DY5. ",1100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_094113001.1.106","094113001","094113001.1.106","RHP 5",1.9,"McAllen Hospitals LP dba Edinburg Regional Medical",0.4,0.83,0,0.02,0.4,0.85,0.4,0.82199999999999995,0,2.1999999999999999E-2,0.4,0.84399999999999997,0.4,"NA",0,"NA",0.4,"NA","Encounters",0,150,155,1850,2692,2600,"NA",0,90,130,1110,2286,1560,"NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline: 0 encounters / Goal: 150 encounters (QPI goal: 150)",150,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","Y","Baseline: 0 encounters / Goal: 90 encounters (QPI goal: 90)",90,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","Baseline: 0/ Goal: 1,850 encounters ",1850,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","Y","Baseline: 0 / DY4 Goal: 1,110 encounters ",1110,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","DY5 goal - 2,600 encounters ",2600,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","Y","1,560 encounters ",1560,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_094113001.2.101","094113001","094113001.2.101","RHP 5",2.1,"McAllen Hospitals LP dba Edinburg Regional Medical",0.31,0.04,0.51,0.88,0.82000000000000006,0.92,0.31,4.4699999999999997E-2,0.51,0.75760000000000005,0.82000000000000006,0.80230000000000001,0.31,"NA",0.51,"NA",0.82000000000000006,"NA","Individuals",0,3000,5546,3000,6511,3000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.2","Number of patients assigned to medical homes"," Number of patients assigned to a medical home","N","Baseline: 0; Goal: 3,000 unique individuals receiving care under patient-centered medical home model by the end DY3. Total impact of 3,000 unique individuals.",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.2","Number of patients assigned to medical homes","NA","N","Baseline: 3000 patients in DY3; Goal: An additional 3,000 unique individuals receiving care under patient-centered medical home model ",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.2","Number of patients assigned to medical homes","NA","N","Goal: 3,000 unique individuals receiving care under patient-centered medical home model",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_111810101.2.102","111810101","111810101.2.102","RHP 5","2.2","University of Texas Health Science Center - Houston",0.3,9.5000000000000001E-2,0.3,0.77,0.6,0.86499999999999999,0.3,5.5899999999999998E-2,0.3,0.78420000000000001,0.6,0.84009999999999996,0.3,"NA",0.3,"NA",0.6,"NA","Individuals",0,200,200,500,519,800,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","Patients receive care under the Chronic Care Model for a chronic disease or for MCC","Number of patients served under model for targeted condition(s). ","N","Baseline: 0 patients served under the model for targeted conditions. /Goal: 200 patients served under the model for targeted conditions",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","Patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","Baseline: 200 patients served under the model for targeted conditions. /Goal: 500 patients  served under the model for targeted conditions ",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","Patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","Baseline: Goal: 500 patients served under the model for targeted conditions./ Goal: 800 patients served under the model for targeted conditions ",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_112716902.2.102","112716902","112716902.2.102","RHP 5","2.12","Columbia Rio Grande Healthcare dba Rio Grande Regional",0.44,0.41,0.2,0.27,0.64,0.67999999999999994,0.44,0.4,0.2,0.28000000000000003,0.64,0.68,0.44,"NA",0.2,"NA",0.64,"NA","Individuals",0,3800,3800,15200,19032,20250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","Number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines. ","N","Goal: 3,800 individuals ",3800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","Goal: 15,200 individuals ",15200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","Goal: 20,250 individuals ",20250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_121989102.1.3","121989102","121989102.1.3","RHP 5","1.13","Border Region Behavioral Health Center",0.5,0.52,0.5,0.43,1,0.95,0.5,"NA",0.5,"NA",1,"NA",0.5,"NA",0.5,"NA",1,"NA","Individuals",0,75,0,100,"NA",75,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.1","NA","Number of Unique individuals receiving appropriate crisis stabilization alternatives","N","Border Region plans to create a program and enroll individuals.  Our baseline is 101 incarcerated clients in crisis, and we intend to enroll 75% or 75 of these individuals in our program whose goal is to provide alternatives to incarceration during a crisis.",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.1","Decrease to 65% preventable admissions and readmissions into Criminal Justice System. Numerator: The number of individuals receiving crisis stabilization who had a potentially preventable readmission to a criminal justice setting within the measurement period. Denominator: The number of individuals receiving crisis stabilization. This would be measured at specified time intervals throughout the project to determine if there was a decrease. 175 clients receiving services.","NA","N","A 10% decrease in the incarceration rate is 8 additional individuals.  Therefore our number of incarcerated clients in DY 4 will not exceed 67 individuals. DY4 Goal: 100 individuals in program to provide alternatives to incarceration during a crisis. ",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.1","Decrease to 50% in preventable admissions and readmissions into Criminal Justice System. Numerator: The number of individuals receiving crisis stabilization who had a potentially preventable readmission to a criminal justice setting within the measurement period. Denominator: The number of individuals receiving crisis stabilization. This would be measured at specified time intervals throughout the project to determine if there was a decrease.","NA","N","Border Region plans to reduce the rate of incarcerated clients by an additional 10%, which is 7 additional individuals from the previous year.  Our total number of incarcerated clients in DY 5 will not exceed 60 individuals. DY5 Goal: 75 individuals in program to provide alternatives to incarceration during a crisis. ",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_132812205.2.1","132812205","132812205.2.1","RHP 5","2.6","Driscoll Children’s Hospital",0.98,1,0,0,0.98,1,0.98,1,0,0,0.98,1,0.98,"NA",0,"NA",0.98,"NA","Individuals",228,420,975,455,1355,1045,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-103.1","NA","Increase number of Cadena Healthplan participants by 60% above SFY 12 baseline of 700 to serve an additional 420 patients. ","N","Baseline: 228 participants; Goal: Additional 420 participants.",420,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-103.1","NA","Increase number of Cadena Healthplan participants by 455 above FY12 baseline.","N","Baseline: 228 participants; DY4 Goal: 455 participants (individuals).",455,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-103.1","NA","Increase number of Cadena Healthplan participants by an additional 525 patients above FY12 baseline.","N","Baseline of 228; DY5 Goal: to serve an additional 1,045 patients (individuals). ",1045,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_138708601.1.100","138708601","138708601.1.100","RHP 5","1.12","Tropical Texas Behavioral Health",0.25,0.1,0.7,0.9,0.95,1,0.25,7.0539000000000004E-2,0.7,0.92531099999999999,0.95,0.99585000000000001,0.25,"NA",0.7,"NA",0.95,"NA","Individuals",0,70,70,100,241,150,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","Number of additional individuals receiving community behavioral services after access expansion","N","Baseline is zero.  Goal is to provide behavioral health services through the mobile clinics to at least 70 unique clients in DY 3.",70,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Goal is to increase the number of unique individuals served through the mobile clinics by 30 over DY 3 and serve at least 100 unique individuals in DY4.",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Goal is to increase the number of unique individuals served through the mobile clinics by 50 over DY 4 and serve at least 150 unique individuals in DY 5.",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_138708601.2.1","138708601","138708601.2.1","RHP 5","2.15","Tropical Texas Behavioral Health",0.38,0,0.51,1,0.89,1,0.38,2.4858999999999999E-2,0.51,0.974576,0.89,0.99943499999999996,0.38,"NA",0.51,"NA",0.89,"NA","Individuals",0,299,960,700,1770,1000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","In FY2012 TTBH served approximately 23,000 unduplicated individuals. The goal is to increase the percentage of unduplicated persons receiving both physical and behavioral health care to 1.3% of baseline. 299 individuals",299,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","In FY2012 TTBH served approximately 23,000 unduplicated individuals. The goal is to increase the percentage of unduplicated persons receiving both physical and behavioral health care to 3% of baseline. DY3= 200 individuals. DY4 impact of 700 individuals. ",700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","In FY2012 TTBH served approximately 23,000 unduplicated individuals. The goal is to increase the percentage of unduplicated persons receiving both physical and behavioral health care to 4.3% of baseline. DY5 impact of 1000 individuals. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_138708601.2.5","138708601","138708601.2.5","RHP 5","2.18","Tropical Texas Behavioral Health",0.4,0.39,0.52,0.61,0.92,1,0.4,0.46682499999999999,0.52,0.52606600000000003,0.92,0.99289099999999997,0.4,"NA",0.52,"NA",0.92,"NA","Individuals",250,400,870,550,1438,1500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","NA","Number of participants receiving peer services.","N","400 individuals",400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of participants receiving peer services.","NA","N","Pre-DSRIP Baseline:  250 individuals served in FY 2011.  Goal:  An additional 550 individuals served above pre-DSRIP baseline in DY4 (for a total of 800 individuals served in DY4).",550,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of participants receiving peer services.","NA","N","Pre-DSRIP Baseline:  250 individuals served in FY 2011.  Goal:  An additional 1,500 individuals served above pre-DSRIP baseline in DY5 (for a total of 1,750 individuals served in DY5).",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_154504801.2.101","154504801","154504801.2.101","RHP 5","2.12","Harlingen Medical Center",0,"NA",0,"NA",0,"NA",0.14199999999999999,0.13189999999999999,0.11799999999999999,8.1299999999999997E-2,0.26,0.2132,0.14199999999999999,"NA",0.11799999999999999,"NA",0.26,"NA","Individuals",0,"NA","NA",5459,5320,5500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","At least 5,459 unique patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines.",5459,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","Baseline is 0 / Goal is at least 5,500 unique patients receive all recommended education, care and services as dictated by approved and evidence based care guidelines by end of DY5.  ",5500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_160709501.1.103","160709501","160709501.1.103","RHP 5","1.9","Doctor's Hospital at Renaissance",0.5,0.18,0.05,0.6,0.55000000000000004,0.78,0.5,0.38369999999999999,0.05,0.31730000000000003,0.55000000000000004,0.70100000000000007,0.5,"NA",0.05,"NA",0.55000000000000004,"NA","Encounters",0,220,220,825,1151,1650,"NA",0,400,400,1500,1642,3000,"NA","NA","NA","NA","NA","NA","NA","NA","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","Total number of Medicaid/Uninsured encounters for reporting period ","N","DY3 Goal: 220 combined Medicaid and uninsured patient encounters.",220,"No","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","Total number of visits for reporting period","N","400 visits for reporting period",400,"No","NA","NA","NA","NA","NA","NA","NA","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","N","DY4 Goal: 825 combined Medicaid and uninsured patient encounters. Goal is comprised of 55% of the I-23.1 goal (1500 * .55).",825,"No","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","Goal: 1500 patient encounters above pre-DSRIP baseline in DY4.",1500,"No","NA","NA","NA","NA","NA","NA","NA","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","N","1,650 Medicaid & Uninsured Patients (3000 * .55) ",1650,"No","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","Goal: 3000 patient encounters in DY5.",3000,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_160709501.1.106","160709501","160709501.1.106","RHP 5","1.9","Doctor's Hospital at Renaissance",0.4,0.67800000000000005,0.05,2.3E-2,0.45,0.70100000000000007,0.4,0.72899999999999998,0.05,7.0000000000000007E-2,0.45,0.79899999999999993,0.4,"NA",0.05,"NA",0.45,"NA","Encounters",0,1250,1250,1437,818,1562,"NA",0,562,562,646,918,702,"NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","Total number of visits for reporting period","N","Goal: At least 1250 patient encounters",1250,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","Total number of Medicaid/Uninsured encounters for reporting period ","Y","Goal: At least 562 patient encounters",562,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","DY4 QPI Goal: 1437 patient encounters.",1437,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","Y","Goal: 646 patient encounters.",646,"No","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY3).","NA","N","Goal: 1562 patient encounters ",1562,"No","I-34.1","Documentation of increased number of visits for Medicaid and Uninsured patients. Demonstrate improvement over prior reporting period (baseline for DY3)","NA","Y","Goal: 702 patient encounters ",702,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_160709501.1.108","160709501","160709501.1.108","RHP 5","1.12","Doctor's Hospital at Renaissance",0.3,0.33600000000000002,0.02,6.7000000000000002E-3,0.32,0.3427,0.3,0.33750000000000002,0.02,1.2500000000000001E-2,0.32,0.35000000000000003,0.3,"NA",0.02,"NA",0.32,"NA","Individuals",0,300,300,300,80,300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","Number of additional individuals receiving community behavioral services after access expansion","N","Goal: 300 Unique Patients",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","DY4 QPI Goal: 300 individuals.",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","DY5 QPI Goal: 300 individuals ",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"5_160709501.2.101","160709501","160709501.2.101","RHP 5","2.11","Doctor's Hospital at Renaissance",0,"NA",0,"NA",0,"NA",0.3,0.58799999999999997,0.01,6.2E-2,0.31,0.64999999999999991,0.3,"NA",0.01,"NA",0.31,"NA","Individuals",0,"NA","NA",1000,1512,2000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Goal: 1000 unique patients receiving medication management ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","DY5 QPI Goal: 2000 unique patients",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_020844903.1.2","020844903","020844903.1.2","RHP 6","1.1","Children's Hospital of San Antonio (CHOSA)",0.18,0.87,0.02,0.08,0.2,0.95,0.18,0.86799999999999999,0.02,3.4000000000000002E-2,0.2,0.90200000000000002,0.18,"NA",0.02,"NA",0.2,"NA","Encounters",36970,405,1266,2436,10700,3702,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 405 visits",405,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Pre-DSRIP baseline:36,970 . Goal: 2436 primary care visits (encounters) in DY4 above pre-DSRIP baseline. ",2436,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Pre-DSRIP baseline: 36,970. Goal: 3,702 preimary care visits (encounters) in DY5 above pre-DSRIP baseline.",3702,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_085144601.1.13","085144601","085144601.1.13","RHP 6","1.10","UT Health Science Center San Antonio",0.18,0,0.42,0.73,0.6,0.73,0.18,0,0.42,0.91,0.6,0.91,0.18,"NA",0.42,"NA",0.6,"NA","Individuals",0,720,1567,1800,3253,3492,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of unique individuals positively impacted by improvements","N","720 unique individuals positively impacted by improvements",720,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of unique individuals positively impacted by improvements","N","1,800 unique individuals positively impacted by improvements in DY4. ",1800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Number of unique individuals positively impacted by improvements","N","3,492 unique individuals positively impacted by improvements in DY5. ",3492,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_085144601.1.3","085144601","085144601.1.3","RHP 6","1.2","UT Health Science Center San Antonio",0.1,0.76249999999999996,0.6,5.45E-2,0.7,0.81699999999999995,0.1,0.77829999999999999,0.6,6.8400000000000002E-2,0.7,0.84670000000000001,0.1,"NA",0.6,"NA",0.7,"NA","Encounters",1300,750,3851,1500,5778,4601,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-106.1","NA","Number encounters provided by trainees ","N","750 encounters provided by trainees ",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-106.1","NA","Number encounters provided by trainees ","N","1,500 encounters provided by trainees in DY4. ",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-106.1","NA","Number encounters provided by trainees ","N","4,601 encounters provided by trainees in DY5. ",4601,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_085144601.1.9","085144601","085144601.1.9","RHP 6","1.1","UT Health Science Center San Antonio",0.24,0.24,0.26,0.66,0.5,0.9,0.24,0.24,0.26,0.6,0.5,0.84,0.24,"NA",0.26,"NA",0.5,"NA","Encounters",1300,6684,6684,8020,8020,9624,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 6,684 visits",6684,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","AVANCE 399 to 432. SHC 3006 to 3300. EHWC 1700 to 2040. Healy-Murphy 200 day care users only to 923 day care and high school users. Goal: 8,020 visits (encounters) in DY4. ",8020,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","AVANCE 432 to 1200. SHC 3300 to 4030. EHWC 2040 to 2448. Healy-Murphy 1846 3 days per week. Goal: 9,624 visits (encounters) in DY5. ",9624,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_085144601.2.2","085144601","085144601.2.2","RHP 6","2.15","UT Health Science Center San Antonio",0.8,0.75249999999999995,0.2,0.12189999999999999,1,0.87439999999999996,0.8,0.78,0.2,0.14000000000000001,1,0.92,0.8,"NA",0.2,"NA",1,"NA","Individuals",0,800,804,1200,1415,1200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Baseline/Goal: 0/800",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Baseline/Goal: 0/1,200 individuals in DY4. ",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Baseline/Goal: 0/1200 individuals in DY5. ",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_091308902.2.1","091308902","091308902.2.1","RHP 6","2.6","San Antonio Metropolitan Health District",0.5,0.55300000000000005,0,0.104,0.5,0.65700000000000003,0.5,0.7,0,0.94,0.5,1.64,0.5,"NA",0,"NA",0.5,"NA","Individuals",729,1200,1719,1200,1979,1719,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Number of teens who received evidence-based programming in schools","N","Goal: 1200 teens",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Number of teens who received evidence based programming in schools","N","Baseline: 500. Goal: 1200 teens (individuals) in DY4.",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","NA","Number of teens who received evidence based programming in schools","N","Baseline: 500. Goal: 1,719 teens (individuals) in DY5.",1719,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_092414401.1.1","092414401","092414401.1.1","RHP 6","1.2","Community Medicine Associates",0,"NA",0,"NA",0,"NA",0.24,0.19900000000000001,0.54,0.57499999999999996,0.78,0.77400000000000002,0.24,"NA",0.54,"NA",0.78,"NA","Encounters",0,"NA","NA",1000,1673,2000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of patient visits that trainees participate in","N","Baseline: number of patient visits that trainees participate in DY2 (0). Goal: Increase total number of patient visits (encounters) that trainees participate in by 1000 encounters over baseline.",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase number of patient visits that trainees participate in","N","Baseline: number of patient visits that trainees participate in DY2 (0). Goal: Increase total number of patient visits (encounters) that trainees participate in by 2000 encounters over baseline in DY5. ",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_094154402.2.1","094154402","094154402.2.1","RHP 6","2.4","Methodist Hospital",0.22,0.19350000000000001,0.08,9.0399999999999994E-2,0.3,0.28389999999999999,0.22,0.16719999999999999,0.08,0.10349999999999999,0.3,0.2707,0.22,"NA",0.08,"NA",0.3,"NA","Individuals",7000,5000,5000,6000,2942,7000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase the number of patients surveyed over the baseline.","N","Increase the number of patients surveyed over the baseline  by 5,000",5000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase the number of patients surveyed over the baseline.","N","Increase the number of patients (individuals) surveyed over the baseline by 6,000. ",6000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase the number of patients surveyed over the baseline","N","Increase the number of patients (individuals) surveyed over the baseline by 7,000. ",7000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_112676501.1.101","112676501","112676501.1.101","RHP 6","1.4","Nix Health Care System",0.55000000000000004,0.27,0.3,0.47,0.85000000000000009,0.74,0.55000000000000004,0.46650000000000003,0.3,2.46E-2,0.85000000000000009,0.49110000000000004,0.55000000000000004,"NA",0.3,"NA",0.85000000000000009,"NA","Encounters",60,130,280,336,508,372,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","The number of qualified health care interpreter encounters per month, based on one of the reporting months within the prior year","Total number of remote video/voice and/or in-person interpreter encounters recorded per month","N","Baseline was 5 per month - Goal is 100 incremental encounters in DY3 (over 6 months) = 130",130,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","The number of qualified health care interpreter encounters per month, based on one of the reporting months within the prior year","NA","N","Baseline was 5 encounters per month - Goal is 336 (276 incremental + 60 baseline) interpreter encounters in DY4, or 28 per month. ",336,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","The number of qualified health care interpreter encounters per month, based on one of the reporting months within the prior year","NA","N","Baseline was 5 encounters per month - Goal is 372 (312 incremental + 60 baseline) interpreter encounters in DY5, or 31 per month.  ",372,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_112690603.1.1","112690603","112690603.1.1","RHP 6","1.9","Dimmit County Memorial Hospital",0,0.254,0.35,0.21099999999999999,0.35,0.46499999999999997,0,0.26200000000000001,0.35,9.0700000000000003E-2,0.35,0.35270000000000001,0,"NA",0.35,"NA",0.35,"NA","Encounters",0,500,968,2500,500,2750,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: 500 visits",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","2500 total patient visits/procedures (encounters) in DY 4 to specialist providers recruited in DY 3, with 35% of these visits being from Medicaid or Indigent patients. ",2500,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","2750 total patient visits/procedures (encounters) in DY 5 to specialist providers recruited in DY 3, with 35% of these visits being from Medicaid or Indigent patients. ",2750,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_112690603.1.2","112690603","112690603.1.2","RHP 6","1.6","Dimmit County Memorial Hospital",0.55000000000000004,0.185,0.15,0.29299999999999998,0.70000000000000007,0.47799999999999998,0.55000000000000004,0.26100000000000001,0.15,9.0700000000000003E-2,0.70000000000000007,0.35170000000000001,0.55000000000000004,"NA",0.15,"NA",0.70000000000000007,"NA","Encounters",0,730,22,1825,364,401,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of urgent care encounters provided (urgent medical advice line calls completed)","N","730 urgent care encounters provided (urgent medical advice line calls completed)",730,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of urgent care encounters provided (urgent medical advice line calls completed)","N","1,825 urgent care encounters provided (urgent medical advice line calls completed) in DY4. ",1825,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of urgent care encounters provided (urgent medical advice line calls completed)","N","401 urgent care encounters provided (urgent medical advice line calls completed) in DY5. ",401,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_119877204.2.100","119877204","119877204.2.100","RHP 6","2.12","Val Verde Regional Medical Center",0,"NA",0,"NA",0,"NA",0.25,0.90239999999999998,0.1,4.8800000000000003E-2,0.35,0.95119999999999993,0.25,"NA",0.1,"NA",0.35,"NA","Individuals",0,"NA","NA",71,123,132,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","Baseline: 0 patients in target population receiving standardized, evidence-based care according to the approved and evidence based care guidelines. DY4 goal: 71 patients in target population receiving all recommended education, care and services as dictated by approved and evidence based care guidelines. ",71,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","Goal for DY5 is 132 patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines. ",132,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_121990904.1.1","121990904","121990904.1.1","RHP 6","1.13","Camino Real Community Services",0,"NA",0,"NA",0,"NA",0.48,0.32,0.52,0.56999999999999995,1,0.8899999999999999,0.48,"NA",0.52,"NA",1,"NA","Individuals",0,"NA","NA",50,127,108,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase in utilization of appropriate crisis alternatives.","N","By the end of DY4 the goal is for the facility to serve 50 patients (individuals).",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase in utilization of appropriate crisis alternatives.","N","By the end of DY5 the goal is for the facility to serve 108 patients (individuals). ",108,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_126844305.2.1","126844305","126844305.2.1","RHP 6","2.9","Bluebonnet Trails Community Mental Health and Mental Retardation Center dba/ Bluebonnet Trails Community Services",0.4,0.44,0.35,0.44,0.75,0.88,0.4,"NA",0.35,"NA",0.75,"NA",0.4,"NA",0.35,"NA",0.75,"NA","Individuals",0,15,183,150,"NA",200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Baseline: 0. Goal: 15",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patient in target population served by this patient navigation service.","N","Baseline 0 since no such service existed in the RHP; Goal - Serve 150 people (individuals) in DY4 who are high utilizers of ED services.",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patient in target population served by this patient navigation service.","N","Baseline 0 since no such service existed in the RHP; Goal - Serve 200 people (individuals) in DY5 who are high utilizers of ED services.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_133260309.1.1","133260309","133260309.1.1","RHP 6","1.1","Medina Healthcare System (Medina Regional Hospital)",0.3,0.3,1.4999999999999999E-2,1.4999999999999999E-2,0.315,0.315,0.3,0.2545,1.4999999999999999E-2,4.2500000000000003E-2,0.315,0.29699999999999999,0.3,"NA",1.4999999999999999E-2,"NA",0.315,"NA","Encounters",47910,239,5558,1435,6759,6515,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 239 additional visits",239,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: Increase volume of visits by 3% from DRY 1 totals, 1,435 additional visits (encounters) in DY4. ",1435,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: DY1 number of clinic visits (47,838). Goal: Increase unique patients by 5% from baseline (DY1), 6,515 visits (encounters) in DY5.",6515,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_133340307.2.100","133340307","133340307.2.100","RHP 6","2.13","Hill Country Community MHMR Center (dba Hill Country MHDD Centers)",0.84,0.86670000000000003,0.02,0.1333,0.86,1,0.84,0.80430000000000001,0.02,0.19570000000000001,0.86,1,0.84,"NA",0.02,"NA",0.86,"NA","Individuals",0,15,15,25,27,40,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Baseline: 0 Goal: 15 individuals enrolled/served in the project",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY 3 baseline: 15 individuals enrolled/served in the project Goal: 25 individuals enrolled/served in the project. ",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","DY 3-4 baseline: 40 individuals enrolled/served in the project Goal: 40 individuals enrolled/served in the project.",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_133340307.2.7","133340307","133340307.2.7","RHP 6","2.13","Hill Country Community MHMR Center (dba Hill Country MHDD Centers)",0.34689999999999999,0.4118,0.51690000000000003,0.5,0.86380000000000001,0.91179999999999994,0.34689999999999999,0.40579999999999999,0.51690000000000003,0.56520000000000004,0.86380000000000001,0.97100000000000009,0.34689999999999999,"NA",0.51690000000000003,"NA",0.86380000000000001,"NA","Individuals",0,20,34,50,67,80,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals beginning service during demonstration year (Mental Health Court)","N","Baseline - 0 individuals served; Goal - 20 individuals beginning service during DY3",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project. ","Number of targeted individuals served in project in DY","N","50 individuals served in project in DY4. ",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project. ","Number of targeted individuals served in project in DY","N","80 individuals served in project in DY5. ",80,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_136141205.1.100","136141205","136141205.1.100","RHP 6","1.1","University Hospital",0.19,0.35599999999999998,0.43,0.32600000000000001,0.62,0.68199999999999994,0.19,0.32700000000000001,0.43,0.38200000000000001,0.62,0.70900000000000007,0.19,"NA",0.43,"NA",0.62,"NA","Encounters",0,1200,1207,1260,5757,1323,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","Total number of visits for reporting period.","N","Baseline: 0 Goal: 1200",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 0 Goal: 1260 patient visits (encounters) will occur. ",1260,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 0 Goal: 1,323 patient visits will occur. ",1323,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_136141205.1.6","136141205","136141205.1.6","RHP 6","1.1","University Hospital",0.435,0.41399999999999998,0.43,0.224,0.86499999999999999,0.63800000000000001,0.435,0.44900000000000001,0.43,0.10100000000000001,0.86499999999999999,0.55000000000000004,0.435,"NA",0.43,"NA",0.86499999999999999,"NA","Encounters",0,3000,3995,3300,5478,4325,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: (0) number of patient visits in DY2. Goal: 3,000 patients visits for reporting period.",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Pre-DSRIP Baseline: 0 visits (encounters) in DY2. Goal: 3,300 visits (encounters) in DY4. ",3300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Pre-DSRIP Baseline: 0 visits (encounters) in DY2. Goal: 4,325 visits (encounters) in DY5.",4325,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_136141205.2.1","136141205","136141205.2.1","RHP 6","2.12","University Hospital",0.29699999999999999,0.26900000000000002,0.36899999999999999,0.54200000000000004,0.66599999999999993,0.81100000000000005,0.29699999999999999,0.22500000000000001,0.36899999999999999,0.501,0.66599999999999993,0.72599999999999998,0.29699999999999999,"NA",0.36899999999999999,"NA",0.66599999999999993,"NA","Individuals",0,15000,15000,16500,20315,18500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Measure adherence to processes","N","Baseline: 0 Goal: 15,000 individuals that adhere to standard care process of utilizing Illuminate system. ",15000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Measure adherence to processes","N","Pre-DSRIP Baseline: 0.  Goal: 16,500 individuals that adhere to standard care process of utilizing Illuminate system in DY4. ",16500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Measure adherence to processes","N","Pre-DSRIP Baseline: 0.  Goal: 18,500 individuals that adhere to standard care process of utilizing Illuminate system in DY5. ",18500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_136141205.2.3","136141205","136141205.2.3","RHP 6","2.8","University Hospital",0.16500000000000001,0.2,0.68100000000000005,0.45,0.84600000000000009,0.65,0.16500000000000001,0.20899999999999999,0.68100000000000005,0.438,0.84600000000000009,0.64700000000000002,0.16500000000000001,"NA",0.68100000000000005,"NA",0.84600000000000009,"NA","Individuals",0,2800,2931,2960,4063,3075,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.3","NA","Number of Trauma patients discharged within 2 hours of discharge orders","N","Baseline: trauma patients discharged within 2 hours of discharge orders. Goal: 2,800 Trauma patients discharged within 2 hours of discharge orders",2800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.3","NA","Number of Trauma patients discharged within 2 hours of discharge orders","N","Goal: 2,960 Trauma patients (individuals) discharged within 2 hours of discharge orders in DY4. ",2960,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.3","NA","Number of Trauma patients discharged within 2 hours of discharge orders","N","Goal: 3,075 Trauma patients (individuals) discharged within 2 hours of discharge orders in DY5. ",3075,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_136430906.2.1","136430906","136430906.2.1","RHP 6","2.7","Hill Country Memorial Hospital",0.43,0.05,0.42,0.8,0.85,0.85000000000000009,0.43,0.05,0.42,0.8,0.85,0.85000000000000009,0.43,"NA",0.42,"NA",0.85,"NA","Individuals",0,100,102,200,251,200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","100 individuals have received wellness program services.","N","Baseline: 0 patients served in DY2. Goal: 100 patients by end of DY3",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","At least 300 individuals have received wellness program services.","N","Baseline: 0 patients served in DY 2. Goal: 200 additional patients (individuals) served in DY4. ",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.1","NA","At least 500 individuals have received wellness program services.","N","Baseline: 0 patients served in DY 2. Goal: 200 additional patients (individuals) served in DY5. ",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_137251808.1.2","137251808","137251808.1.2","RHP 6","1.12","The Bexar County Board of Trustees for Mental Health Mental Retardation Services, d/b/a The Center For Health Care Services",0.5,0.18,0.46,0.7,0.96,0.87999999999999989,0.5,0.46400000000000002,0.46,0.36680000000000001,0.96,0.83079999999999998,0.5,"NA",0.46,"NA",0.96,"NA","Individuals",5819,230,253,1167,1317,1750,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","NA","N","One new/expanded clinic in an underserved area. Goal: 230 patients served at the new community‐based site.  Will submit report indicating served 230 individuals.",230,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","# of individuals served","N","Goal: 1,167  served - Will submit report indicating served 1167 individuals.",1167,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","# of individuals served","N","Goal: 1,750  served- Will submit report indicating served 1750 individuals.",1750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_137251808.1.3","137251808","137251808.1.3","RHP 6","1.13","The Bexar County Board of Trustees for Mental Health Mental Retardation Services, d/b/a The Center For Health Care Services",0,"NA",0,"NA",0,"NA",0.21,0.4,0.57999999999999996,0.51,0.79,0.91,0.21,"NA",0.57999999999999996,"NA",0.79,"NA","Individuals",0,"NA","NA",270,468,475,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","# of individuals served","N","Baseline: 1,353 adults in need of appropriate crisis alternatives. Goal: 270 or 20% of baseline will access appropriate crisis care through the Unit",270,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","# of individuals served","N","Goal: 475 or 35% of baseline will access appropriate crisis care through the Unit in DY5. ",475,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_137251808.2.2","137251808","137251808.2.2","RHP 6","2.15","The Bexar County Board of Trustees for Mental Health Mental Retardation Services, d/b/a The Center For Health Care Services",0,"NA",0,"NA",0,"NA",0.16,0.2797,0.56999999999999995,0.67130000000000001,0.73,0.95100000000000007,0.16,"NA",0.56999999999999995,"NA",0.73,"NA","Individuals",0,"NA","NA",125,135,175,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","# of individuals served","N","Goal: 125 individuals will receive integrated services in DY4.",125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","# of individuals served","N","Goal: 175 individuals will receive integrated services in DY5. ",175,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"6_138411709.2.1","138411709","138411709.2.1","RHP 6","2.12","Guadalupe Regional Medical Center",0.1,0.15,0.2,0.13,0.3,0.28000000000000003,0.1,0.245,0.2,0.114,0.3,0.35899999999999999,0.1,"NA",0.2,"NA",0.3,"NA","Individuals",0,210,383,263,624,474,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","N","Goal: 210 patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines",210,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","N","Goal: 263 patients (individuals) in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines in DY4. ",263,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","N","Goal: 474 patients (individuals) in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines in DY5. ",474,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_121789503.1.1","121789503","121789503.1.1","RHP 7","1.1","Central Texas Medical Center",0.03,0.03,0.97,0.97,1,1,0.03,0.24,0.97,0.76,1,1,0.03,"NA",0.97,"NA",1,"NA","Encounters",4230,1470,1470,2070,-1665,2370,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 4230 encounters/visits Goal: 5700 encounters/visits. 1470 encounters",1470,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","6300 encounters/visits with baseline. DY4 impact of 2070 encounters. ",2070,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","6600 encounters/visits with baseline. DY5 impact of 2370 encounters. ",2370,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_126844305.1.2","126844305","126844305.1.2","RHP 7","1.13","Bluebonnet Trails Community Mental Health and Mental Retardation Center dba/ Bluebonnet Trails Community Services",0.7,1,0.1,0,0.8,1,0.7,1,0.1,0,0.8,1,0.7,"NA",0.1,"NA",0.8,"NA","Individuals",0,1,2,12,12,15,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","High risk youth  diagnosed with Severe Emotional Disturbance who are served in this Crisis alternative. ","N","Baseline is 0 there were no crisis alternative services/ Goal is to serve 1 high risk youth diagnosed with Severe Emotional Disturbance in this Crisis alternative.",1,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached; number served in this community based crisis alternative. Measurement of the Metric is a count of those receiving crisis services in this location.","N","There were no crisis alternatives for youth in these Counties in DY 2 therefore the baseline is 0 for persons served./ Our Goal is to serve 12 youth (individuals) in DY4. ",12,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached; number served in this community based crisis alternative. Measurement of the Metric is a count of those receiving crisis services in this location.","N","There were no crisis alternatives for youth in these Counties in DY 2 therefore the baseline is 0 for persons served./ Our Goal is to serve 15 youth (individuals) in DY5.",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_126844305.2.4","126844305","126844305.2.4","RHP 7","2.15","Bluebonnet Trails Community Mental Health and Mental Retardation Center dba/ Bluebonnet Trails Community Services",0.45,0.41,0.25,0.56000000000000005,0.7,0.97,0.45,0.2424,0.25,0.30409999999999998,0.7,0.54649999999999999,0.45,"NA",0.25,"NA",0.7,"NA","Individuals",0,2000,2002,5000,5442,7000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","NA","X% of individuals receiving both physical and behavioral health care at the established locations.  The target population are low income uninsured and Medicaid population with co-occurring chronic diseases including behavioral health conditions to be served in 3 integrated settings in 3 counties.","N","12.5% of individuals receiving both physical and behavioral health care at the established locations.  Numerator:  Number of individuals receiving both physical and behavioral health care in project sites.  Denominator:  Number of individuals receiving services in project sites.  QPI goal is 2000 individuals.",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number served at this integrated site in the target population.","N","Baseline: There were no sites in DY 2 therefore the baseline is 0 Goal: 5,000 individuals in DY 4 in this integrated site. ",5000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number served at this integrated site in the target population.","N","Baseline: There was no site in DY 2 therefore the baseline is 0 Goal: 7,000 individuals in DY 5 in this integrated site. ",7000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_133340307.2.3","133340307","133340307.2.3","RHP 7","2.13","Hill Country Community MHMR Center (dba Hill Country MHDD Centers)",0.39450000000000002,0.4103,0.43209999999999998,0.46150000000000002,0.8266,0.87180000000000002,0.39450000000000002,0.29730000000000001,0.43209999999999998,0.46850000000000003,0.8266,0.76580000000000004,0.39450000000000002,"NA",0.43209999999999998,"NA",0.8266,"NA","Individuals",0,15,39,32,85,60,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals beginning services during demonstration year (Co-occurring Psychiatric and Substance Use Disorder)","N","Baseline - 0 individuals served; Goal - 15 individuals beginning service during DY3",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals served in project in DY","NA","N","DY4 impact of 32 individuals. ",32,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals served in project in DY","NA","N","DY5 impact of 60 individuals. ",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_133340307.2.7","133340307","133340307.2.7","RHP 7","2.13","Hill Country Community MHMR Center (dba Hill Country MHDD Centers)",0.39450000000000002,0.65849999999999997,0.43209999999999998,0.26829999999999998,0.8266,0.92679999999999996,0.39450000000000002,0.69389999999999996,0.43209999999999998,0.25509999999999999,0.8266,0.94899999999999995,0.39450000000000002,"NA",0.43209999999999998,"NA",0.8266,"NA","Individuals",0,30,41,65,93,120,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals beginning services during demonstration year (Children’s Trauma Informed Care)","N","Baseline - 0 individuals served; Goal - 30 individuals beginning service during DY3",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals served in project in DY","NA","N","DY4 impact of 65 individuals. ",65,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals served in project in DY","NA","N","DY5 impact of 120 individuals. ",120,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_133542405.1.3","133542405","133542405.1.3","RHP 7","1.7","Austin Travis County Integral Care",0.42,0.52,0.44,0.46,0.86,0.98,0.42,0.38,0.44,0.5,0.86,0.88,0.42,"NA",0.44,"NA",0.86,"NA","Encounters",0,1188,1342,1244,1277,1399,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","5% increase in number of telemedicine visits over baseline established in DY-2. total impact of 1188 encounters",1188,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","10% increase in number of telemedicine visits over baseline established in DY-2. DY4 impact of 1244 encounters. ",1244,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits","NA","N","15% increase in number of telemedicine visits over baseline established in DY-2. DY5 impact of 1399 encounters.",1399,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_133542405.2.4","133542405","133542405.2.4","RHP 7","2.13","Austin Travis County Integral Care",0.42,0.42,0.44,0.44,0.86,0.86,0.42,0.96,0.44,0.02,0.86,0.98,0.42,"NA",0.44,"NA",0.86,"NA","Individuals",0,50,50,53,57,55,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project.","NA","N","50 individuals",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase by 5% over baseline","N","Increase by 5% over baseline. DY4 impact of 53 individuals. ",53,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase by 10% over baseline DY 2-4.","N","Increase by 10% over baseline DY 2-4. DY5 impact of 55 individuals.",55,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_137265806.1.2","137265806","137265806.1.2","RHP 7","1.14","University Medical Center at Brackenridge",0.24,0.20599999999999999,0.22,0.15029999999999999,0.45999999999999996,0.35629999999999995,0.24,0.17599999999999999,0.22,0.19309999999999999,0.45999999999999996,0.36909999999999998,0.24,"NA",0.22,"NA",0.45999999999999996,"NA","Encounters",0,5000,5185,7000,15534,9000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Increase number of patient encounters for behavioral health related diagnosis.","N","Baseline: As of the end of DY1, no residents/fellows were providing patient visits; Baseline zero. Goal: 5,000 patient encounters in DY3 ",5000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Increase number of patient encounters by behavioral health trainees and faculty.","N","Baseline: As of end of DY1, no residents/fellows were providing patient visits; Baseline 0. Goal: 7,000 patient encounters in DY4.",7000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-102.1","NA","Increase number of patient encounters by behavioral health trainees and faculty.","N","Baseline: As of end of DY1, no residents/fellows were providing patient visits; Baseline zero. Goal: 9,000 patient encounters in DY5. ",9000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_137265806.2.2","137265806","137265806.2.2","RHP 7","2.7","University Medical Center at Brackenridge",0,0,0.9,0.99,0.9,0.99,0,0,0.9,0.99,0.9,0.99,0,"NA",0.9,"NA",0.9,"NA","Individuals",0,2113,2232,2374,2387,2625,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","1-101.1","NA","Increase the number of target population reached.","N","Baseline at end of DY1 is zero; this is a new project. The total number of patients served in DY3 will be 2113. ",2113,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","1-101.1","NA","Increase the number of target population reached.","N","Baseline at end of DY1 is zero; this is a new project. The total number of patients served in DY4 will be 2374 individuals. ",2374,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase the number of target population reached.","N","Baseline at end of DY1 is zero; this is a new project. The total number of patients served in DY5 will be 2625 individuals.  ",2625,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_137265806.2.7","137265806","137265806.2.7","RHP 7","2.10","University Medical Center at Brackenridge",0.46,0.36,0.09,0.19,0.55000000000000004,0.55000000000000004,0.46,0.255,0.09,0.08,0.55000000000000004,0.33500000000000002,0.46,"NA",0.09,"NA",0.55000000000000004,"NA","Encounters",0,1700,1810,1750,2402,1850,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Demonstrate improvement over prior reporting period","N","Baseline: 849 Palliative care consultations in DY1 Goal: Provide DY3, 1,700 consultations. ",1700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Demonstrate improvement over prior reporting period","N","Baseline: 849 Palliative care consultations in DY1 Goal: Provide in DY4 1750 palliative care consultations (encounters). ",1750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Demonstrate improvement over prior reporting period","N","Baseline: 849 Palliative care consultations in DY1. Goal: Provide in DY5 1850 palliative care consultations (encounters). ",1850,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_137265806.2.8","137265806","137265806.2.8","RHP 7","2.9","University Medical Center at Brackenridge",0.21,0.23,0.3,0.43,0.51,0.66,0.21,0.1978,0.3,0.48899999999999999,0.51,0.68679999999999997,0.21,"NA",0.3,"NA",0.51,"NA","Individuals",0,125,130,150,182,175,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","NA","Increase in the number of patients enrolled in the Patient Navigation Program","N","Baseline - At  of end of DY2 was 15.  Goal for DY3 is 125 enrollees.  Cumulative goal is 125.",125,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","NA","Increase in the number of patients enrolled in the Patient Navigation Program","N","Baseline - At  of end of DY2 was 15.  Goal for DY4 is 150 enrollees (individuals).  ",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","NA","Increase in the number of patients enrolled in the Patient Navigation Program","N","Baseline - At  of end of DY2 was 15.  Goal for DY5 is 175 enrollees (individuals). ",175,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_201320302.1.100","201320302","201320302.1.100","RHP 7","1.2","City of Austin - Health & Human Services Department",0,"NA",0,"NA",0,"NA",0.5,0.5,0.5,0.5,1,1,0.5,"NA",0.5,"NA",1,"NA","Encounters",0,"NA","NA",3000,1418,150,"NA","NA","NA","NA","NA","NA",11650,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","NA","N","Goal: 3000 encounters provided by nursing students (with faculty oversight) in DY4.",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","NA","N","Goal: 150 encounters provided by nursing students (with faculty oversight) in DY5.",150,"No","1-102.1","NA","NA","N","Baseline: 0 encounters provided by nursing program graduates.  Goal: 11,650 encounters provided by nursing program graduates.",11650,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_201320302.2.100","201320302","201320302.2.100","RHP 7","2.6","City of Austin - Health & Human Services Department",0.35,0.35,0.59,0.65,0.94,1,0.35,0.35,0.59,0.65,0.94,1,0.35,"NA",0.59,"NA",0.94,"NA","Individuals",0,250,260,500,517,750,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","Total number of patients in defined population who received innovative intervention.","N","Baseline: 0 patients in defined population receive innovative intervention.  Goal: 250 patients in defined population receive innovative intervention in DY3.",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","NA","N","Goal: 500 patients in defined population receive innovative intervention in DY4.  ",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Increase in number of individuals participating in innovative intervention consistent with evidence-based model.","NA","N","Goal: 750 patients in defined population receive innovative intervention in DY5.  ",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_201320302.2.5","201320302","201320302.2.5","RHP 7","2.6","City of Austin - Health & Human Services Department",0.3,0.85,0.65,0.1,0.95,0.95,0.3,0.65,0.65,0.13,0.95,0.78,0.3,"NA",0.65,"NA",0.95,"NA","Individuals",0,50,62,75,96,100,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","TBD by Performing Provider based on milestone described above","Increase in number of families served by race/ethnicity who achieve the following outcomes: •An established Medical Provider •Injury and disease prevention •Age-appropriate child development •Utilize appropriate area resources","N","50 additional children over baseline",50,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","TBD by Performing Provider based on milestone described above","Increase in number of families served by race/ethnicity who achieve the following outcomes: •An established Medical Provider •Injury and disease prevention •Age-appropriate child development •Utilize appropriate area resources","N","Pre-DSRIP baseline: 0. Goal: 75 additional clients (individuals)",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","TBD by Performing Provider based on milestone described above","Increase in number of families served by race/ethnicity who achieve the following outcomes: •An established Medical Provider •Injury and disease prevention •Age-appropriate child development •Utilize appropriate area resources","N","Pre-DSRIP baseline: 0. Goal: 100 additional clients (individuals)",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_307459301.1.4","307459301","307459301.1.4","RHP 7","1.8","Community Care Collaborative",0.3,0.04,0.7,0.96,1,1,0.3,0.12759999999999999,0.7,0.87239999999999995,1,1,0.3,"NA",0.7,"NA",1,"NA","Individuals",453,100,158,240,262,350,"NA",3059,750,879,2200,4207,3050,"NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Increase of 100 pregnant women that have been seen by a dental provider within the past 12 months, compared to baseline",100,"No","I-101.1","NA","Increase the number of patients with chronic medical conditions that have been seen by a dental provider within the past 12 months. ","N","Increase of 750 patients with chronic medical conditions that have been seen by a dental provider within the past 12 months, compared to baseline. ",750,"No","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Increase of 240 pregnant women that have been seen by a dental provider within the past 12 months, compared to baseline, baseline TBD",240,"No","I-101.1","NA","Increase the number of patients with chronic medical conditions that have been seen by a dental provider within the past 12 months. ","N","DY4 goal is 2200 individuals over baseline",2200,"No","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","NA","N","Increase of 350 pregnant women that have been seen by a dental provider within the past 12 months, compared to baseline, baseline TBD. ",350,"No","I-101.1","NA","Increase the number of patients with chronic medical conditions that have been seen by a dental provider within the past 12 months","N","3050 patients (individuals) over baseline. ",3050,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_307459301.2.1","307459301","307459301.2.1","RHP 7","2.1","Community Care Collaborative",0.3,0.37,0.7,0.63,1,1,0.3,0.42599999999999999,0.7,0.57399999999999995,1,1,0.3,"NA",0.7,"NA",1,"NA","Individuals",0,10000,38153,22500,73094,53153,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.2","NA","Increase number of patients receiving services from clinics using CCC’s medical home principles","N","10,000 patients will receive services under this model",10000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.2","NA","Increase number of patients receiving services from clinics using CCC’s medical home principles","N","22,500 patients (individuals) in DY4. ",22500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.2","NA","Increase number of patients receiving services from clinics using CCC’s medical home principles","N","53,153 patients (individuals) in DY5. s model.",53153,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"7_307459301.2.6","307459301","307459301.2.6","RHP 7","2.9","Community Care Collaborative",0.3,0,0.7,1,1,1,0.3,0.32419999999999999,0.7,0.67579999999999996,1,1,0.3,"NA",0.7,"NA",1,"NA","Individuals",0,100,103,500,511,525,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.1","Increase percentage of target population reached","NA","N","1.09% of target population reached.  Numerator:  Number of individuals of target population reached by the Patient Navigator Program (100).  Denominator:  Number of individuals in the target population (9,120).  Baseline: 0 unique patients served in 2012 Goal: Increase the number of unique patients served in DY3 from 0 to 100.",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","NA","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","DY2 baseline is 0. Goal: 500 unique patients (individuals) served in DY4.",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","NA","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","DY2 baseline is 0. Goal: 525 unique patients (individuals) served in DY5.",525,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"8_020957901.1.1","020957901","020957901.1.1","RHP 8","1.1","Round Rock Medical Center",0,0,1,1,1,1,0,0,1,1,1,1,0,"NA",1,"NA",1,"NA","Encounters",0,3096,4031,3870,7031,4834,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Provide at least 3096 visits (face-to-face encounters with a mid-level provider or physician for screening, diagnosis and/or treatment) to eligible patients.",3096,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of unique visits.  Demonstrate improvement over prior reporting period.","NA","N","RRMC expects to provide at least 3870 visits (encounters) to eligible patients through the project in DY4 (representing a 20% increase over the number of visits provided to eligible patients through the project in DY3). ",3870,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","RRMC expects to provide 4834 visits to eligible patients through the project in DY5 (representing a 20% increase over the number of visits provided to eligible patients through the project in DY4). ",4834,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"8_081771001.1.3","081771001","081771001.1.3","RHP 8","1.12","Central Counties Services",0.8,0.83,0,0.16600000000000001,0.8,0.996,0.8,0.84,0,0.16,0.8,1,0.8,"NA",0,"NA",0.8,"NA","Individuals",0,14,30,30,36,54,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Baseline/Goal:  Target Population of 94 persons with high-functioning Autism or  Asperger’s .  Baseline: No persons are currently served using this model; Goal: serve 14  persons by DY 3 year or 14 of 94 = 14% of target population.\n %=number receiving community behavioral healthcare services/number of people in target population.",14,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Baseline: 14 persons served in DY 3.  Goal: Serve an additional 16 persons in  DY 4 for a cumulative total of (14+16=30 individuals) by year end DY 4.  30 of 94 (target population)  = 31 % of target population. This represents an increase of 17 % of target population  served when compared to DY 3. %=number receiving community behavioral healthcare services/number of people in target population. ",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Percent utilization of community behavioral healthcare services.","NA","N","Baseline/Goal: 30 served of target population (94) in DY 4. Goal: serve an additional 24 Persons in DY 5 for a cumulative total of (14+16+24= 54 individuals) of target population.  54 of 94  target population = 57 % of target population.  This represents an increase of 26 % of  the target population when compared to DY 4.  %=number receiving community behavioral healthcare services/number of people in target population.",54,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"8_081771001.2.3","081771001","081771001.2.3","RHP 8","2.13","Central Counties Services",0.42,0.42,0.55000000000000004,0.55000000000000004,0.97,0.97,0.42,0.5,0.55000000000000004,0.4773,0.97,0.97730000000000006,0.42,"NA",0.55000000000000004,"NA",0.97,"NA","Individuals",0,15,28,20,44,33,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase the number of targeted individual enrolled/served in the project. (Supportive day services)","N","Baseline - 10 participants in DY2; Goal - Increase of 5 participants enrolled in this service in DY4. Total impact of 15 individuals",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase the number of targeted individual enrolled/served in the project. (Supportive day services)","N","Baseline - 15 participants in DY3. Goal - Increase of 20 participants (individuals) enrolled in this service in DY4. ",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase the number of targeted individual enrolled/served in the project. (Supportive day services)","N","Baseline of 35 participants in DY4. Goal: Increase of 33 participants (individuals) enrolled in this service in DY5.",33,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"8_126844305.1.2","126844305","126844305.1.2","RHP 8","1.13","Bluebonnet Trails Community Mental Health and Mental Retardation Center dba/ Bluebonnet Trails Community Services",0.4,0.59,0.42,0.11,0.82,0.7,0.4,0.27760000000000001,0.42,0.4753,0.82,0.75290000000000001,0.4,"NA",0.42,"NA",0.82,"NA","Individuals",0,100,251,250,263,300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase in utilization of appropriate crisis alternatives. number using the alternative","N","100 individuals using the alternative",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached; number served in this community based crisis alternative. Measurement of the Metric is a count of those receiving crisis services in this location","N","There were no crisis alternatives in Williamson County in DY 2 therefore the baseline is 0 for persons served. Goal: Serve 250 people (individuals) in DY4. ",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached; number served in this community based crisis alternative. Measurement of the Metric is a count of those receiving crisis services in this location.","N","There were no crisis alternatives in Williamson County in DY 2 therefore the baseline is 0 for persons served. Goal - Serve 300 people (individuals) in DY5. ",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"8_126844305.1.4","126844305","126844305.1.4","RHP 8","1.13","Bluebonnet Trails Community Mental Health and Mental Retardation Center dba/ Bluebonnet Trails Community Services",0.3,0.23,0.4,0.63,0.7,0.86,0.3,0.2596,0.4,0.1394,0.7,0.39900000000000002,0.3,"NA",0.4,"NA",0.7,"NA","Individuals",0,150,212,200,208,300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Increase in utilization of appropriate crisis alternatives. Number using crisis alternative","N","150 individuals using crisis alternative. ",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patient in target population served by this emergency diversion service.","N","Baseline - 0 since no such service currently exists in the RHP; Goal - Serve 200 people (individuals) in DY4. ",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-103.1","NA","Number of patient in target population served by this emergency diversion service.","N","Baseline - 0 since no such service currently exists in the RHP; Goal - Serve 300 people (individuals) in DY5. ",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"8_126936702.1.3","126936702","126936702.1.3","RHP 8","1.5","Williamson County & Cities Health District",0,"NA",0,"NA",0,"NA",0.2,0.2,0.2,0.2,0.4,0.4,0.2,"NA",0.2,"NA",0.4,"NA","Individuals",4310,"NA","NA",747,4409,1732,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","The number or percent of patients registered with the Performing Provider.","Patients registered with all three REAL (race, ethnicity, language) data fields completed.","N","Pre-DSRIP Baseline: 4,322 patients registered in CHASSIS (57%) had all three REAL data fields completed in 2012. Completed  = all three data fields (race, ethnicity, language) completed. Completed does not include blank fields or fields marked “unknown.” Goal - Increase the number of patients registered in CHASSIS with all three REAL data fields completed by 747 patients (individuals) to 5,069 total patients (67%) in DY4. ",747,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","The number or percent of patients registered with the Performing Provider.","Patients registered with all three REAL (race, ethnicity, language) data fields completed.","N","Pre-DSRIP Baseline: 4,322 patients registered in CHASSIS (57%) had all three REAL data fields completed in 2012. Completed  = all three data fields (race, ethnicity, language) completed. Completed does not include blank fields or fields marked “unknown.” Goal - Increase the number of patients registered in CHASSIS with all three REAL data fields completed by 1,732 patients (individuals) to 6,054 total patients (80%) in DY5. ",1732,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"8_133340307.2.1","133340307","133340307.2.1","RHP 8","2.13","Hill Country Community MHMR Center (dba Hill Country MHDD Centers)",0.26250000000000001,0.1111,0.6018,0.72219999999999995,0.86430000000000007,0.83329999999999993,0.26250000000000001,9.0899999999999995E-2,0.6018,0.90910000000000002,0.86430000000000007,1,0.26250000000000001,"NA",0.6018,"NA",0.86430000000000007,"NA","Individuals",0,8,18,16,33,20,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals beginning services during demonstration year (Co-occurring Psychiatric and Substance Use Disorder)","N","Baseline - 0 individuals served; Goal - 8 individuals beginning service during DY3",8,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","Number of targeted individuals served in project in DY","N","16 individuals served in project in DY4.",16,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","20 individuals beginning services in DY5.",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"8_133340307.2.2","133340307","133340307.2.2","RHP 8","2.13","Hill Country Community MHMR Center (dba Hill Country MHDD Centers)",0.26250000000000001,0.625,0.6018,0.375,0.86430000000000007,1,0.26250000000000001,0.33329999999999999,0.6018,0.66669999999999996,0.86430000000000007,1,0.26250000000000001,"NA",0.6018,"NA",0.86430000000000007,"NA","Individuals",0,6,8,12,12,17,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of targeted individuals beginning services during demonstration year (Trauma Informed Care)","N","Baseline - 0 individuals beginning services; Goal - 6 individuals beginning services during DY3",6,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","Number of targeted individuals served in project in DY","N","12 individuals served in project in DY4.",12,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","17 individuals served in project in DY5.",17,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"8_183086102.1.1","183086102","183086102.1.1","RHP 8","1.1","Little River Healthcare",0.28000000000000003,0.26500000000000001,0.2,8.5000000000000006E-2,0.48,0.35000000000000003,0.28000000000000003,0.30549999999999999,0.2,8.9550000000000005E-2,0.48,0.39505000000000001,0.28000000000000003,"NA",0.2,"NA",0.48,"NA","Encounters",16940,250,10970,500,7559,11470,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period. ","Increase number of patient encounters by increasing clinic hours ","N","Increase number of patient encounters by 250.",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increased volume for primary care visits is by 500 visits (encounters) over DY2 baseline. ",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Increased volume for primary care visits by 11,470 visits (encounters) over DY2 baseline in DY5.",11470,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_009784201.1.3","009784201","009784201.1.3","RHP 9","1.8","Texas A&M Health Science Center / Baylor College of Dentistry",0.5,0.5,0.4,0.4,0.9,0.9,0.5,0.5,0.4,0.4,0.9,0.9,0.5,"NA",0.4,"NA",0.9,"NA","Individuals",2000,1800,1845,1900,1961,2000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Increasing the number of children, special needs patients, pregnant women, and/or the elderly accessing dental services","Increasing the number of children, special needs patients, pregnant women, and/or the elderly that have been seen by a dental provider within the past 12 months.","N","Baseline: 2000 children, special needs patients, pregnant women, and/or the elderly that have been seen by a dental provider within the past 12 months\nGoal: 1800 additional children, special needs patients, pregnant women, and/or the elderly that have been seen by a dental provider within the past 12 months.",1800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","NA","Increasing the number of children that have been seen by a dental provider within the past 12 months.","N","Baseline: 2000 children that have been seen by a dental provider within the past 12 months. Goal: 1900 additional children (individuals) that have been seen by a dental provider within the past 12 months.",1900,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","NA","Increasing the number of children that have been seen by a dental provider within the past 12 months.","N","Baseline: 2000 children that have been seen by a dental provider within the past 12 months. Goal: 2000 additional children (individuals) that have been seen by a dental provider within the past 12 months.",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_020943901.1.2","020943901","020943901.1.2","RHP 9","1.7","Medical City Dallas Hospital",0.35,2.5000000000000001E-2,0.35,0.66900000000000004,0.7,0.69400000000000006,0.35,2.5000000000000001E-2,0.35,0.66900000000000004,0.7,0.69400000000000006,0.35,"NA",0.35,"NA",0.7,"NA","Encounters",0,1000,1000,2300,548,2400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.2","Documentation of the number of consults delivered by each specialty","NA","N","Goal is 1000 encounters in DY3. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of telemedicine consults","N","Baseline is 1000 encounters with an additional 2300 encounters in DY4.  ",2300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of telemedicine consults","N","Baseline of 3300 encounters with an additional 2400 encounters in DY5.  ",2400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_020967801.2.1","020967801","020967801.2.1","RHP 9","2.9","Texas Health Presbyterian Hospital Denton",0.4,0.15,0.6,0.85,1,1,0.4,0.13,0.6,0.87,1,1,0.4,"NA",0.6,"NA",1,"NA","Individuals",0,100,193,225,293,275,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-2.2","Number of unique patients enrolled in the patient navigation program","NA","N","Baseline: 50 Goal: 100 unique patients",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","Baseline: goal was 100 patients in DY 3. DY4 Goal: 225 Individuals provided navigation services",225,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","N","Baseline: goal was 100 patients in DY 3. DY4 Goal: 275 Individuals provided navigation services ",275,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_094140302.2.2","094140302","094140302.2.2","RHP 9","2.2","Texas Health Presbyterian Hospital Kaufman",0.12,3.95E-2,0.25,0.27679999999999999,0.37,0.31629999999999997,0.12,5.4100000000000002E-2,0.25,0.3649,0.37,0.41899999999999998,0.12,"NA",0.25,"NA",0.37,"NA","Individuals",0,270,270,286,73,300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","270 individuals served",270,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","16 additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","N","Baseline is 270 individuals served.  Goal is an additional 16 served in DY4.  DY4 impact of 286 individuals. ",286,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","14 additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","N","Goal is an additional 14 individuals served in DY5.   DY5 impact of 300 individuals served.",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_094379701.2.100","094379701","094379701.2.100","RHP 9","2.13","Timberlawn Mental Health System",0.34,0.45,0.14000000000000001,0.01,0.48000000000000004,0.46,0.34,"NA",0.14000000000000001,"NA",0.48000000000000004,"NA",0.34,"NA",0.14000000000000001,"NA",0.48000000000000004,"NA","Individuals",572,146,126,228,"NA",253,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Baseline: 572 individual; Goal: in DY3 146 over baseline",146,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Baseline: 572 individual; Goal: 228 total for DY4",228,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Goal: 253 for DY5",253,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","Y"]
[null,null,"9_121776204.1.1","121776204","121776204.1.1","RHP 9","1.1","Baylor Medical Center at Irving",0.02,0,0.93,0.96,0.95,0.96,0.02,2E-3,0.93,0.99780000000000002,0.95,0.99980000000000002,0.02,"NA",0.93,"NA",0.95,"NA","Encounters",0,2100,4951,2100,6551,4951,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate\nimprovement over prior reporting period.","NA","N","Goal is to provide 2100 encounters in DY3. ",2100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate\nimprovement over prior reporting period.","NA","N","Baseline is 2100 encounters in DY3.  Goal is to provide an additional 2100 encounters in DY4.   ",2100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate\nimprovement over prior reporting period.","NA","N","Baseline is 4200 encounters.  Goal is to provide an additional 4,951 encounters in DY5.  ",4951,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_121776204.2.4","121776204","121776204.2.4","RHP 9","2.12","Baylor Medical Center at Irving",0.02,0,0.98,0.94,1,0.94,0.02,4.7600000000000003E-2,0.98,0.85699999999999998,1,0.90459999999999996,0.02,"NA",0.98,"NA",1,"NA","Individuals",0,15,15,20,42,25,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase percentage of target population reached","The numerator will be the patient volume that we are projecting to serve in this project and the denominator will be uninsured/Medicaid patients with one or more chronic diseases. As mentioned in the provider comment section, the denominator used for the % calculation here is an estimate of the potential target population but does not include some of the criteria (i.e.: ADL dependency) that we are using to qualify patients for this program.","N","Goal is to serve 15 individuals in DY3.  4%= number of individuals of target population reached by the innovative project/number of individuals in the target population.",15,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving\nstandardized, evidence‐based care according to the approved clinical\nprotocols and care transitions policies","NA","N","15 individuals in DY3 (baseline), additional 20 individuals in DY4. ",20,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving\nstandardized, evidence‐based care according to the approved clinical\nprotocols and care transitions policies","NA","N","15 individuals in DY3 (baseline), additional 20 individuals in DY4, Additional 25 individuals in DY5 ",25,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_121790303.2.1","121790303","121790303.2.1","RHP 9","2.2","Baylor Medical Center at Garland",0.04,0.02,0.91,0.96,0.95,0.98,0.04,3.0000000000000001E-3,0.91,0.95799999999999996,0.95,0.96099999999999997,0.04,"NA",0.91,"NA",0.95,"NA","Individuals",0,250,307,218,262,307,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","Goal is to serve 250 individuals in DY3. ",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","Baseline is 250 individuals served in DY3.  Goal is to serve an additional 218 individuals in DY4.  ",218,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","Baseline is 468 individuals served.  Goal is to serve and additional 307 individuals in DY5.  ",307,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_121988304.1.2","121988304","121988304.1.2","RHP 9","1.7","Lakes Regional MHMR Center",0.44,0.6,0.51,0.4,0.95,1,0.44,0.23,0.51,0.77,0.95,1,0.44,"NA",0.51,"NA",0.95,"NA","Encounters",0,90,112,234,600,306,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/ telehealth visits. A. Total number of visits  for each type of telemedicine/ telehealth service provided.","NA","N","Goal is to provide 90 encounters in DY3.",90,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/ telehealth visits. A. Total number of visits  for each type of telemedicine/ telehealth service provided.","NA","N","Baseline is 90 encounters in DY3.  Goal is to provide an additional 234 encounters in DY4.  ",234,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/ telehealth visits. A. Total number of visits  for each type of telemedicine/ telehealth service provided.","NA","N","Baseline is 324 encounters. Goal is to provide an additional 306 encounters in DY5.  ",306,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_126686802.1.10","126686802","126686802.1.10","RHP 9","1.2","UT Southwestern Medical Center --- Faculty Practice Plan",0.1,0.03,0.01,8.3000000000000004E-2,0.11,0.113,0.1,7.0800000000000002E-2,0.01,8.0600000000000005E-2,0.11,0.15140000000000001,0.1,"NA",0.01,"NA",0.11,"NA","Encounters",0,1500,1500,4500,1228,6000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target Population Reached as demonstrated by number of Encounters by each new Community Health Worker hired.","N","Goal is 1500 encounters in DY3.",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target Population Reached as demonstrated by number of Encounters by each new Community Health Worker hired.","N","Baseline is 1500 encounters in DY3. Goal is an additional 4500 encounters in DY4.  ",4500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target Population Reached as demonstrated by number of Encounters by each new Community Health Worker hired.","N","Baseline is 6000 encounters. Goal is an additional 6000 encounters in DY5. ",6000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_126686802.1.4","126686802","126686802.1.4","RHP 9","1.7","UT Southwestern Medical Center --- Faculty Practice Plan",1,0.33,0,0.67,1,1,1,0.192,0,0.80800000000000005,1,1,1,"NA",0,"NA",1,"NA","Encounters",0,100,100,250,250,350,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.3","Improved access to care coordination in a way that would otherwise not have occurred.","NA","N","Baseline: Number of real time multidisciplinary conferences with health care providers, including e‐consultations, family and/or other non‐clinical parties in DY2. Goal: Connect providers on 100 qualified conference / referral opportunities (direct consult, store & forward, etc.)",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","NA","N","Baseline: Number of telemedicine visits provided in DY3. Goal: 250 Telemedicine / Telehealth visits (encounters) (direct consult, store & forward, etc.) for peer‐to‐peer consultation, patient evaluation, and specialist referrals above baseline. 100% Medicaid/Low Income Uninsured",250,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-18.2","Number of telemedicine/telehealth visits","NA","N","Baseline: Number of telemedicine visits provided in DY4. Goal: 350 Telemedicine / Telehealth visits (direct consult, store & forward, etc.) for peer‐to‐peer consultation, patient evaluation, and specialist referrals in DY5. Total impact of 700 encounters. 100% Medicaid/Low Income Uninsured",350,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_126686802.1.6","126686802","126686802.1.6","RHP 9","1.10","UT Southwestern Medical Center --- Faculty Practice Plan",1,1,0,0,1,1,1,1,0,0,1,1,1,"NA",0,"NA",1,"NA","Individuals",0,250,251,250,260,250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target Population Reached as demonstrated by number of Individual Physicians receiving the Population Management reports.","N","Serve 250 individuals in DY3.",250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target Population Reached as demonstrated by number of Individual Patients served during the reporting DSRIP year by Physicians receiving the Population Management reports.","N","Baseline is 250 individuals served in DY3. Goal is to serve and additional 250 individuals in DY4. 100% Medicaid/Low Income Uninsured.",250,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target Population Reached as demonstrated by number of Individual Patients served during the reporting DSRIP year by Physicians receiving the Population Management reports.","N","Baseline is 500 individuals served. Goal is to serve and additional 250 individuals in DY5. 100% Medicaid/Low Income Uninsured.",250,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_126686802.2.100","126686802","126686802.2.100","RHP 9","2.7","UT Southwestern Medical Center --- Faculty Practice Plan",0.5,0.23730000000000001,0.2,0.59,0.7,0.82729999999999992,0.2,0.05,0.5,0.54,0.7,0.59000000000000008,0.2,"NA",0.5,"NA",0.7,"NA","Individuals",0,3000,3000,8000,9614,8000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","Number of individuals of target population reached by the innovative project.","N","Baseline = the number of unique, eligible patients prior to implementation of COMPASS MBC Application (depression screening) / Goal = Utilize COMPASS MBC Application to screen patients for depression in 25% of all eligible patient encounters. 3000 patients receiving COMPASS MBC depression screening in DY3",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Baseline: Total number of unique, eligible patients seen in clinics / Goal: COMPASS MBC will be utilized in 40% of all eligible patient encounters by the end of DY4. 8000 patients receiving COMPASS MBC depression screening in DY4",8000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-5.2","Increase in number of population participating in the innovative intervention ","NA","N","Baseline: Total number of unique, eligible patients seen in clinics / Goal: COMPASS MBC will be utilized in 60% of all eligible patient encounters by the end of DY5. 8000 patients receiving COMPASS MBC depression screening in DY5.",8000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.1.100","127295703","127295703.1.100","RHP 9","1.1","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.2,0.379,0.6,0.41120000000000001,0.8,0.79020000000000001,0.2,"NA",0.6,"NA",0.8,"NA","Encounters",44217,"NA","NA",2500,2978,4500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 44,217\nGoal: Additional 2,500 patient visits from baseline.  Total patient visits (DY4): 46,717",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: 4500 visits increase over DY3 baseline, [since the provider has already a pre-DSRIP baseline of 44,217 visits in FY2013, during reporting in DY5 the provider would need to show support for 44,217 plus additional 4500]",4500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.1.3","127295703","127295703.1.3","RHP 9","1.3","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.25,0.15890000000000001,0.43,0.50929999999999997,0.68,0.66820000000000002,0.25,"NA",0.43,"NA",0.68,"NA","Individuals",0,"NA","NA",10000,98528,15000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Number of unique patients entered in the practice registry","NA","N","Baseline: 0 enrollees Goal: 10,000 enrollees (individuals) in chronic condition registry (37,500 enrollees total in medical home registry). 26.7%= number of patients in registry/number of patients assigned to this clinic (i.e. clinic is medical home.)",10000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.2","Number of unique patients entered in the practice registry","NA","N","15,000 enrollees (individuals) in chronic condition registry (60,000 enrollees total in medical home registry).  25%= number of patients in registry/number of patients assigned to this clinic (i.e. clinic is medical home.)",15000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.1.4","127295703","127295703.1.4","RHP 9","1.10","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.25,0.23599999999999999,0.43,0.44429999999999997,0.68,0.6802999999999999,0.25,"NA",0.43,"NA",0.68,"NA","Individuals",0,"NA","NA",35000,697024,288000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients impacted by waiver projects","N","35,000 individuals in DY4.",35000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients impacted by waiver projects","N","Baseline:  35,000 individuals in DY4. Goal:  An additional 288,000 individuals in DY5.  ",288000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.1.5","127295703","127295703.1.5","RHP 9","1.9","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.15,0.37609999999999999,0.49,0.29310000000000003,0.64,0.66920000000000002,0.15,"NA",0.49,"NA",0.64,"NA","Encounters",68945,"NA","NA",12592,14384,15390,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits. Demonstrate improvement over prior reporting period ","N","Pre-DSRIP Baseline: 68,945 encounters in FY2013.  Goal:  Provide an additional 12,592 visits (encounters) in DY4.",12592,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","Documentation of increased number of visits. Demonstrate improvement over prior reporting period ","N","Pre-DSRIP Baseline: 68,945 encounters in FY2013.  DY5 Goal:  Provide 15390 visits (encounters) in DY5.",15390,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.1.6","127295703","127295703.1.6","RHP 9","1.1","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.25,7.8E-2,0.43,0.71,0.68,0.78799999999999992,0.25,"NA",0.43,"NA",0.68,"NA","Encounters",0,"NA","NA",20000,20019,40000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 0 visits Goal: 20,000 annual visits",20000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline: 20,000 visits (DY4) Goal DY5: An additional 40,000 visits (encounters) in DY5.   ",40000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.1.7","127295703","127295703.1.7","RHP 9","1.4","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.25,0.21,0.43,0.55000000000000004,0.68,0.76,0.25,"NA",0.43,"NA",0.68,"NA","Encounters",551834,"NA","NA",31060,273091,62119,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","The number of qualified health care interpreter encounters per month, based on one of the reporting months within the prior year","NA","N","Baseline: 7,652 in‐person and 18,231 Interpretation calls (Nov 2012) Goal: An additional 31,060 encounters in DY4.  10%= total number of remote video/voice of in-person interpreter services encounters provided each month/total number of encounters recorded each month.",31060,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","The number of qualified health care interpreter encounters per month, based on one of the reporting months within the prior year","NA","N","Baseline: 7,652 in‐person and 18,231 Interpretation calls (Nov 2012)  Goal:  An additional 62,119 encounters in DY5.  20%= total number of remote video/voice of in-person interpreter services encounters provided each month/total number of encounters recorded each month.",62119,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.1","127295703","127295703.2.1","RHP 9","2.1","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.18,0.219,0.56000000000000005,0.442,0.74,0.66100000000000003,0.18,"NA",0.56000000000000005,"NA",0.74,"NA","Individuals",0,"NA","NA",37500,67502,38000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","Baseline: 0 Goal: 37,500 individuals in DY4. ",37500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","Baseline of 37,500 individuals in DY4.  Goal: An additional 38,000 individuals in DY5.  ",38000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.10","127295703","127295703.2.10","RHP 9","2.4","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.25,0.38179999999999997,0.43,0.27510000000000001,0.68,0.65690000000000004,0.25,"NA",0.43,"NA",0.68,"NA","Individuals",0,"NA","NA",35000,40739,253000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-107.1","NA","Number of patients impacted by interventions (unique inpatients)\n","N","Goal:  35,000 individuals ",35000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-107.1","NA","Number of patients impacted by interventions (unique inpatients)\n","N","Baseline: 35,000 individuals.  Goal:  An additional 253,000 individuals.  ",253000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.100","127295703","127295703.2.100","RHP 9","2.11","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.433,0.25,0.373,0.70699999999999996,0.80600000000000005,0.95699999999999996,0.433,"NA",0.373,"NA",0.80600000000000005,"NA","Individuals",0,"NA","NA",500,761,1100,"NA",300,"NA","NA",300,714,3300,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Baseline: 0 \nGoal: 500 unique patients",500,"No","I-15.1","Increased number of patients receiving consultation by clinical pharmacists","NA","N","Baseline: 300 patients receiving consultation by clinical pharmacist\nGoal: 600  patients receiving consultation by clinical pharmacists for an additional 300 consultations over baseline",300,"No","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Baseline (DY4): 500. Goal: 1,100 patients in DY5",1100,"No","I-15.1","Increased number of patients receiving consultation by clinical pharmacists","NA","N","Baseline: 600 patients receiving consultation by clinical pharmacists in DY4\nGoal: 3,600 patients receiving consultation by clinical pharmacists in DY5 (3,300 over DY3 baseline of 300 for a total increase of 3,300) ",3300,"No","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.101","127295703","127295703.2.101","RHP 9","2.12","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.35,0.26,0.31,0.31,0.66,0.57000000000000006,0.35,"NA",0.31,"NA",0.66,"NA","Individuals",0,"NA","NA",260,561,390,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","Baseline: 0 Goal: 260 Individuals receiving improved transitions care in DY4",260,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving standardized, evidence-based care according to the approved clinical protocols and care transitions policies  ","NA","N","Goal: 390 Individuals receiving improved transitions care in DY5",390,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.11","127295703","127295703.2.11","RHP 9","2.1","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.2,0.21,0.46,0.27500000000000002,0.66,0.48499999999999999,0.2,"NA",0.46,"NA",0.66,"NA","Individuals",0,"NA","NA",2575,4110,2625,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","Baseline: No enrollees Goal: 2,575 patients (individuals) in DY4.",2575,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","Baseline:  2575 individuals enrolled in DY4. DY5 Goal: Enroll 2625 individuals in medical home from Family Medicine and PCIM clinics.  ",2625,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.12","127295703","127295703.2.12","RHP 9","2.8","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0,0.19700000000000001,1,0.45900000000000002,1,0.65600000000000003,0,"NA",1,"NA",1,"NA","Individuals",352,"NA","NA",115,190,298,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","Number or percent of cases (OPAT patients)","N","Baseline: 353 OPAT patients (1,582 eligible patients) Goal: 115 additional patients (individuals) served",115,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","Number or percent of cases (OPAT patients)","N","Baseline: 353 OPAT patients (1,582 eligible patients). DY4 goal is115.  DY5 Goal: 298 additional patients (individuals) served. ",298,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.4","127295703","127295703.2.4","RHP 9","2.2","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.25,7.3499999999999996E-2,0.43,0.52629999999999999,0.68,0.5998,0.25,"NA",0.43,"NA",0.68,"NA","Individuals",0,"NA","NA",15000,29244,20000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","Goal: 15,000 additional enrollees (individuals)",15000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","Goal: 20,000 additional enrollees (individuals).",20000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.5","127295703","127295703.2.5","RHP 9","2.5","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0,0.37,1,0.52,1,0.89,0,"NA",1,"NA",1,"NA","Individuals",0,"NA","NA",392,424,432,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached","N","Goal of 392 individuals in DY4.",392,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Target population reached","N","Baseline of 392 individuals in DY4. Goal:  An additional 432 individuals in DY5.  ",432,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.6","127295703","127295703.2.6","RHP 9","2.8","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.45,0.30420000000000003,0.28000000000000003,0.28639999999999999,0.73,0.59060000000000001,0.45,"NA",0.28000000000000003,"NA",0.73,"NA","Individuals",0,"NA","NA",2000,3519,2500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.3","NA","Number of individuals served with indwelling central venous or urinary catheters, patients undergoing surgery, and patients with sepsis who receive treatment with adherence to bundles of care for CLABSI, CAUTI, SSI and protocols using early goal-directed therapy for sepsis.","N","Goal:  2,000 individuals served in DY4. ",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-16.3","NA","Number of individuals served with indwelling central venous or urinary catheters, patients undergoing surgery, and patients with sepsis who receive treatment with adherence to bundles of care for CLABSI, CAUTI, SSI and protocols using early goal-directed therapy for sepsis","N","Goal:  An additional 2,500 individuals in DY5.  ",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.7","127295703","127295703.2.7","RHP 9","2.9","Parkland Memorial Hospital",0.25,0.32100000000000001,0.43,0.21,0.67999999999999994,0.53100000000000003,0.25,0.35599999999999998,0.43,0.20100000000000001,0.67999999999999994,0.55699999999999994,0.25,"NA",0.43,"NA",0.67999999999999994,"NA","Individuals",0,200,401,1800,2765,2400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-2.2","Number of unique patients enrolled in the patient navigation program","Number of unique patients enrolled in program","N","Baseline: 0 patients Goal: Enroll 200 patients for pilot phase",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-2.2","Number of unique patients enrolled in the patient navigation program","Number of unique patients enrolled in program","N","Baseline:200 patients in DY3. Goal: Enroll an additional 1800 patients (individuals) in DY4.  ",1800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-2.2","Number of unique patients enrolled in the patient navigation program","Number of unique patients enrolled in program","N","Baseline: 2000 patients. Goal: Enroll an additional 2,400 patients (individuals) in DY5.  ",2400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.8","127295703","127295703.2.8","RHP 9","2.10","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.25,0.35389999999999999,0.43,0.3125,0.68,0.66639999999999999,0.25,"NA",0.43,"NA",0.68,"NA","Encounters",1832,"NA","NA",645,680,1554,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Baseline: 664 consults; Goal:  Through program expansion, increase number of consults by 645 encounters in DY4. 30%= number of palliative care consults/target number of palliative care consults ",645,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Project Baseline: 664 consults; Goal:  Through program expansion, increase number of consults by 30%= number of palliative care consults/target number of palliative care consults. Increase additional 1,554 encounters in DY5.",1554,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_127295703.2.9","127295703","127295703.2.9","RHP 9","2.12","Parkland Memorial Hospital",0,"NA",0,"NA",0,"NA",0.45,0.19900000000000001,0.28000000000000003,0.439,0.73,0.63800000000000001,0.45,"NA",0.28000000000000003,"NA",0.73,"NA","Individuals",0,"NA","NA",750,845,1250,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Baseline: None (no protocols exist) Goal: Increase to an annual caseload of 750 patients (individuals) receiving standardized, evidence‐based interventions per approved clinical protocols. 5.5% (750 Patients Educated / 13,582 Med/Surg Admissions). %= number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines/number of patients discharged or eligible for care transition services. ",750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Baseline: 750 individuals in DY4. Goal: Increase annual caseload by an additional 1250 patients (individuals) receiving standardized, evidence-based interventions per approved clinical protocols in DY5.  Total impact of 14.7% (2,000 patients educated / 13,582 Med/Surg admissions) = number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines/number of patients discharged or eligible for care transition services. ",1250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_135032405.2.1","135032405","135032405.2.1","RHP 9","2.9","Methodist Dallas Medical Center",0.21,0.223,0.34,0.32700000000000001,0.55000000000000004,0.55000000000000004,0.21,0.15,0.34,0.36,0.55000000000000004,0.51,0.21,"NA",0.34,"NA",0.55000000000000004,"NA","Individuals",0,2600,8024,5200,7271,10690,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Baseline = 1 /Goal: 2,600 individuals. ",2600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Baseline: 2,600 individuals in DY3. Goal:  Enroll total of 5,200 individuals (continued and new) in DY4. 50% = number ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP/ ED patients without a PCP documented in their medical record.",5200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Baseline:  5,200 individuals. Goal: Enroll a total of 10,690 (continued and new) individuals in DY5.  70% of original baseline of 5,200 = number ED patients without a PCP documented in their medical record that receive referral to a PCP/ED patients without a PCP documented in their medical record.",10690,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_135032405.2.2","135032405","135032405.2.2","RHP 9","2.2","Methodist Dallas Medical Center",0.21,0.222,0.34,0.32700000000000001,0.55000000000000004,0.54900000000000004,0.21,0.15,0.34,0.36,0.55000000000000004,0.51,0.21,"NA",0.34,"NA",0.55000000000000004,"NA","Individuals",0,10,41,1608,1760,1688,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program","NA","N","Baseline = 0 /Goal: 10 individuals by 9/30/2014. 0.12%  = number of patients enrolled in a self-management program for a given chronic condition/number of patients with given chronic condition. ",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","Percent of diabetic ED patients receiving care under the Chronic Care model","N","Baseline/Goal: 10/ additional 1,608 individuals in DY4. ",1608,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","Percent of diabetic ED patients receiving care under the Chronic Care model","N","Baseline/Goal: 1,618/ additional 1688 individuals in DY5.  ",1688,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_135032405.2.3","135032405","135032405.2.3","RHP 9","2.1","Methodist Dallas Medical Center",0.21,0,0.34,1,0.55000000000000004,1,0.21,0,0.34,1,0.55000000000000004,1,0.21,"NA",0.34,"NA",0.55000000000000004,"NA","Individuals",498,82,199,135,219,254,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","Increase the percent of eligible patients assigned to medical homes, where “eligible” by 10%.","N","Goal:  82 individuals in DY3. ",82,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","Increase the percent of eligible patients assigned to medical homes, where “eligible” by 10%.","N","Baseline: 82 individuals in DY3.  Goal:  Additional 135 individuals in DY4.  ",135,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","Increase the percent of eligible patients assigned to medical homes, where “eligible” by 10%.","N","Baseline:217 individuals.  Goal: Additional 254 individuals in DY5.  ",254,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_135234606.2.1","135234606","135234606.2.1","RHP 9","2.8","Denton County MHMR Center",0.5,0.11,0.1,0.64,0.6,0.75,0.5,7.0000000000000007E-2,0.1,0.67,0.6,0.74,0.5,"NA",0.1,"NA",0.6,"NA","Individuals",0,100,314,300,677,500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","Serve at least 100 clinical cases in DY3. ",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","Baseline:  100 clinical cases served.  Goal: Serve an additional 300 clinical cases (individuals). ",300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-13.1","Number or percent of all clinical cases that meet target/goal","NA","N","Baseline:  400 clinical cases served.  Goal:  Serve an additional 500 clinical cases (individuals). ",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_135234606.2.2","135234606","135234606.2.2","RHP 9","2.15","Denton County MHMR Center",0.37,0,0.6,1,0.97,1,0.37,0.01,0.6,0.98,0.97,0.99,0.37,"NA",0.6,"NA",0.97,"NA","Individuals",0,40,63,100,139,200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","40% = # of individuals receiving both physical and behavioral health care at the established locations/number of clients receiving services at established locations. QPI impact of 40 individuals.",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","X # of individuals receiving both physical and behavioral health care at the established locations.","N","45%= number of individuals receiving both physical and behavioral health care in project sites/number of individuals receiving services at project sites. Baseline:  40 individuals. Goal: 100 individuals receiving both physical and behavioral health care at the established locations.",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","X% of Individuals receiving both physical and behavioral health care at the established locations","NA","N","50% = number of individuals receiving both physical and behavioral health care in project sites/number of individuals receiving either service in project sites. Baseline:  100 individuals. Goal: 200 individuals receiving both physical and behavioral health care at the established locations by the end of DY 5. ",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_135234606.2.3","135234606","135234606.2.3","RHP 9","2.13","Denton County MHMR Center",0.37,0.11,0.6,0.89,0.97,1,0.37,0.05,0.6,0.9,0.97,0.95000000000000007,0.37,"NA",0.6,"NA",0.97,"NA","Encounters",0,150,155,1000,2077,2500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of encounters provided at the facility","N","150 encounters provided at the facility",150,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of encounters provided at the facility","N","Baseline is 150 encounters. Goal:  1000 encounters in DY4.",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of encounters provided at the facility","N","Baseline: 1150  bed days Goal: 2500 encounters. ",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_136360803.2.1","136360803","136360803.2.1","RHP 9","2.2","Denton County Health and Human Services",0.05,0.01,0.95,0.99,1,1,0.05,0.01,0.95,0.99,1,1,0.05,"NA",0.95,"NA",1,"NA","Individuals",0,100,127,200,233,127,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-10.1","Increase the number of group visits and/or telephone visits and/or other interaction types","100 additional patients receive care under chronic care model.","N","Baseline 0 Goal:  Serve 100 individuals in DY3.",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","NA","N","Baseline:100 individuals served in DY3. Goal: Increase Chronic Care Model management program to 200 participants (individuals) in DY4.  ",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Improved BP control of clients receiving case management over time","N"," Goal: Improve BP Control for 127 clients (individuals) receiving case management overtime.  ",127,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_136360803.2.2","136360803","136360803.2.2","RHP 9","2.7","Denton County Health and Human Services",0,0,1,1,1,1,0,"NA",1,"NA",1,"NA",0,"NA",1,"NA",1,"NA","Individuals",0,800,2775,3000,"NA",5000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.1","Increase percentage of target population reached","Individuals immunized","N","Goal- 800 individuals immunized in DY3.7 %= number of individuals of target population reached by the innovative project/number of individuals in the target population. ",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.1","Increase percentage of target population reached","NA","N","Baseline: 800 or 7% of low income adult clinic clients vaccinated in DY3. Goal: Increase immunity levels by an additional 3,000 individuals in DY4.  Approximately 20%  of individuals of target population reached by the innovative project/number of individuals in the target population. ",3000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-7.1","Increase percentage of target population reached","NA","N","Baseline: 3,800 low income adult clinic clients vaccinated. Goal: Increase number by 5,000 individuals or 40% in DY5.  Total impact of 70% of individuals of target population reached by the innovative project/number of individuals in the target population. ",5000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.1.1","137252607","137252607.1.1","RHP 9","1.14","Dallas County MHMR dba Metrocare Services",0.41,0.54,0.49,0.45,0.89999999999999991,0.99,0.41,0.35970000000000002,0.49,0.53159999999999996,0.89999999999999991,0.89129999999999998,0.41,"NA",0.49,"NA",0.89999999999999991,"NA","Individuals",500,1250,1273,1600,1635,1670,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.2","NA","Track and report the number of Medicaid eligible/indigent that are being treated by trainees.","N","Increase Medicaid eligible/indigent being treated for a behavioral health condition from baseline 750 to 1250",1250,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.2","NA","Track and report the number of Medicaid eligible/indigent that are being treated by trainees.","N","Increase Medicaid eligible/indigent individuals being treated for a behavioral health condition from baseline 1250 to 1600 individuals. ",1600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-101.2","NA","Track and report the number of Medicaid eligible/indigent that are being treated by trainees.","N","Increase Medicaid eligible/indigent being treated for a behavioral health condition from baseline 1600 in DY4 to 1670 individuals in DY5.",1670,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.1.100","137252607","137252607.1.100","RHP 9","1.12","Dallas County MHMR dba Metrocare Services",0,"NA",0,"NA",0,"NA",0.41,0.1694,0.49,0.62949999999999995,0.9,0.79889999999999994,0.41,"NA",0.49,"NA",0.9,"NA","Individuals",0,"NA","NA",1000,1328,2000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","Baseline: 0: DY4 Goal: 1000 individuals ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Increase in number of individuals utilizing community behavioral healthcare services. ","NA","N","DY5 Goal: 2000 individuals",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.1.2","137252607","137252607.1.2","RHP 9","1.12","Dallas County MHMR dba Metrocare Services",0.39,0.68,0.51,0.26,0.9,0.94000000000000006,0.39,0.46820000000000001,0.51,0.42049999999999998,0.9,0.88870000000000005,0.39,"NA",0.51,"NA",0.9,"NA","Individuals",0,1000,1526,1200,2076,1726,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","One new community based setting where behavioral health services are delivered","N","Baseline: 250 Goal: To serve 1000 clients at the Grand Prairie Clinic in DY3. ",1000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","One new community based setting where behavioral health services are delivered","N","Baseline: 1000 individuals in DY3. Goal: To serve an additional 1200 clients (individuals) at the Grand Prairie Clinic in DY4.   ",1200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Number of new community‐based settings where behavioral health services are delivered","One new community based setting where behavioral health services are delivered","N","Baseline: 2200 individuals in DY4 and DY3.  Goal: To serve an additional 1726 clients (individuals) at the Grand Prairie Clinic in DY5.  ",1726,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.2.1","137252607","137252607.2.1","RHP 9","2.15","Dallas County MHMR dba Metrocare Services",0.44,0.54,0.46,0.44,0.9,0.98,0.44,0.4123,0.46,0.32300000000000001,0.9,0.73530000000000006,0.44,"NA",0.46,"NA",0.9,"NA","Individuals",0,1500,1643,2500,2697,3500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-5.1","Number of agreements signed for the provision of integrated services","One new community based setting where integrated health services are delivered","N","Baseline: 1 integrated clinic, serving 500 Metrocare patients Goal: 2 integrated healthcare clinics, serving 1500 Metrocare patients with integrated behavioral and physical healthcare",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-5.1","Number of agreements signed for the provision of integrated services","One new community based setting where integrated health services are delivered","N","Baseline: 2 integrated clinic, serving 1500 Metrocare patients Goal: 3 integrated healthcare clinics, serving an additional 2500 Metrocare patients (individuals) with integrated behavioral and physical healthcare.  ",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-5.1","Number of agreements signed for the provision of integrated services","One new community based setting where integrated health services are delivered","N","Baseline: 3 integrated clinic, serving 4000 Metrocare patients Goal: 4 integrated healthcare clinics, serving an additional 3500 Metrocare patients (individuals) with integrated behavioral and physical healthcare.  ",3500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.2.100","137252607","137252607.2.100","RHP 9","2.15","Dallas County MHMR dba Metrocare Services",0.44,0.74,0.46,0.155,0.9,0.89500000000000002,0.44,0.85650000000000004,0.46,0.1106,0.9,0.96710000000000007,0.44,"NA",0.46,"NA",0.9,"NA","Individuals",0,100,116,1500,1645,2500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Number of Individuals receiving both physical and behavioral health care at the established locations","Number of individuals receiving both physical and behavioral health care in project sites","N","Baseline:  0\nGoal:  100 children and adolescents receiving integrated services \n",100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Number of Individuals receiving both physical and behavioral health care at the established locations","NA","N","DY3 baseline: 100; Goal: 1,500.",1500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Number of Individuals receiving both physical and behavioral health care at the established locations","NA","N","Goal: 2,500 individuals",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.2.101","137252607","137252607.2.101","RHP 9","2.9","Dallas County MHMR dba Metrocare Services",0.41,0.54500000000000004,0.49,0.18,0.89999999999999991,0.72500000000000009,0.41,0.55600000000000005,0.49,0.22,0.89999999999999991,0.77600000000000002,0.41,"NA",0.49,"NA",0.89999999999999991,"NA","Individuals",0,103,103,1121,293,320,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","Total number of unique patients provided with Navigation services or enrolled in Navigator program for reporting period. ","N","Baseline: 0 (zero); Goal: 103 individuals",103,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","NA","N","Baseline: 103; Goal: 1,121 individuals. ",1121,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.2","Documentation of increased number of unique patients served by Navigator program. Demonstrate improvement over prior reporting period","NA","N","Goal: 320 individuals",320,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.2.102","137252607","137252607.2.102","RHP 9","2.13","Dallas County MHMR dba Metrocare Services",0.41,0.39,0.49,0.6,0.89999999999999991,0.99,0.41,0.23,0.49,0.64280000000000004,0.89999999999999991,0.87280000000000002,0.41,"NA",0.49,"NA",0.89999999999999991,"NA","Individuals",0,75,86,360,378,420,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Baseline: 0  Goal: Increase consumers enrolled in program from 0 to 75",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Goal: 360",360,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Goal: 420",420,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.2.103","137252607","137252607.2.103","RHP 9","2.13","Dallas County MHMR dba Metrocare Services",0,"NA",0,"NA",0,"NA",0.69,0.871,0.21,3.2300000000000002E-2,0.9,0.90329999999999999,0.69,"NA",0.21,"NA",0.9,"NA","Individuals",0,"NA","NA",60,62,90,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Baseline: 0 Goal: 60",60,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","Number of targeted individuals enrolled / served in the project.","NA","N","Goal: 90",90,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.2.2","137252607","137252607.2.2","RHP 9","2.13","Dallas County MHMR dba Metrocare Services",0.69,0.9,0.21,4.6999999999999999E-4,0.89999999999999991,0.90046999999999999,0.69,0.70209999999999995,0.21,0,0.89999999999999991,0.70209999999999995,0.69,"NA",0.21,"NA",0.89999999999999991,"NA","Individuals",0,27,42,41,47,54,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Increase consumers enrolled in program from baseline (0) to 27",27,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline:  27 individuals in DY3. Goal: Increase to an additional 41 consumers (individuals) enrolled in program in DY4.  ",41,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline:  68 individuals served.  Goal:  Increase an additional 54 consumers (individuals) enrolled in program in DY5.  ",54,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.2.3","137252607","137252607.2.3","RHP 9","2.13","Dallas County MHMR dba Metrocare Services",0.41,0.84,0.49,0.127,0.89999999999999991,0.96699999999999997,0.41,0.5524,0.49,0.41610000000000003,0.89999999999999991,0.96850000000000003,0.41,"NA",0.49,"NA",0.89999999999999991,"NA","Individuals",0,200,228,240,286,280,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Increase consumers enrolled in program from baseline (0) to 200",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline:  200 individuals. Goal:  Increase an additional 240 consumers (individuals) enrolled in program in DY4.   ",240,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline:  440 individuals. Goal: Increase an additional 280 consumers (individuals) enrolled in program in DY5.",280,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.2.4","137252607","137252607.2.4","RHP 9","2.13","Dallas County MHMR dba Metrocare Services",0.69,0.81,0.21,0,0.89999999999999991,0.81,0.69,0.73,0.21,0.01,0.89999999999999991,0.74,0.69,"NA",0.21,"NA",0.89999999999999991,"NA","Individuals",0,64,70,82,85,94,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Increase number of children served to 64 in DY3.",64,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline:  64 individuals served.  Goal: Increase an additional 82 children (individuals) served in DY4.  ",82,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline:  146 individuals served. Goal: Increase an additional 94 children (individuals) served in DY5.  T",94,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_137252607.2.5","137252607","137252607.2.5","RHP 9","2.13","Dallas County MHMR dba Metrocare Services",0.69,0.9,0.21,0,0.89999999999999991,0.9,0.69,0.96960000000000002,0.21,0,0.89999999999999991,0.96960000000000002,0.69,"NA",0.21,"NA",0.89999999999999991,"NA","Individuals",0,24,30,32,33,40,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Increase number of individuals served to 24 in DY3.",24,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline:  24 individuals served in DY3.  Goal: Increase an additional 32 individuals served in DY4.   ",32,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Number of targeted individuals enrolled / served in the project","NA","N","Baseline:  56 individuals served.  Goal: Increase an additional 40 individuals served in DY5.  ",40,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_138910807.1.1","138910807","138910807.1.1","RHP 9","1.1","Children's Medical Center of Dallas",0.75,0.81,0.05,0.04,0.8,0.85000000000000009,0.75,0.88,0.05,0.02,0.8,0.9,0.75,"NA",0.05,"NA",0.8,"NA","Encounters",0,58000,62385,94000,79356,127500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Number of primary care encounters provided","N","Goal:  58,000 encounters in DY3.",58000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Number of primary care encounters provided","N","Baseline:  58,000 encounters in DY3.  Goal:  Additional 94,000 encounters in DY4.  ",94000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Number of primary care encounters provided","N","Baseline:  152,000 encounters.  Goal:  Additional 127,500 encounters in DY5.  ",127500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_138910807.1.100","138910807","138910807.1.100","RHP 9","1.7","Children's Medical Center of Dallas",0.75,0.75,0.05,0.05,0.8,0.8,0.75,0.7,0.05,0,0.8,0.7,0.75,"NA",0.05,"NA",0.8,"NA","Encounters",0,30,79,1800,427,2800,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine visits ","Number of telemedicine/telehealth visits","N","DY3 Goal: 30 encounters.",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine/telehealth visits ","NA","N","DY4 Goal: 1,800 encounters. ",1800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number of telemedicine/telehealth visits ","NA","N","DY5 Goal: 2,800 encounters.",2800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_138910807.1.2","138910807","138910807.1.2","RHP 9","1.1","Children's Medical Center of Dallas",0.75,0.78,0.05,0.04,0.8,0.82000000000000006,0.75,0.81,0.05,0,0.8,0.81,0.75,"NA",0.05,"NA",0.8,"NA","Encounters",1949,8100,7825,14800,11030,21700,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Number of primary care encounters provided by MyChildren's and the Nurse Advice Line","N","Goal:  8,100 encounters provided in DY3. ",8100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Number of primary care encounters provided by MyChildren's and the Nurse Advice Line","N","Baseline:  8,100 encounters in DY3.  Goal:  Additional 14,800 encounters in DY4.  ",14800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Number of primary care encounters provided by MyChildrens and the Nurse Advice Line","N","Baseline:  22,900 encounters.  Goal:  Additional 21,700 encounters in DY5.  ",21700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_138910807.1.3","138910807","138910807.1.3","RHP 9","1.3","Children's Medical Center of Dallas",0.75,0.71,0.05,0.06,0.8,0.77,0.75,0.83,0.05,0.05,0.8,0.88,0.75,"NA",0.05,"NA",0.8,"NA","Individuals",0,1050,5151,7100,8952,9000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","NA","Number of unique individuals in registry","N","Goal:  (1050 individuals) in DY3. 20%= number of patients in registry/number of patients assigned to this clinic for routine care (i.e. clinic is medical home) ",1050,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","NA","Number of unique individuals in registry","N","Baseline:  1050 individuals in DY3.  Goal:  Additional 7,100 individuals in DY4.  ",7100,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","NA","Number of unique individuals in registry","N","Baseline:  8,150 individuals.  Goal:  Additional 9,000 individuals in DY5.  ",9000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_138910807.1.4","138910807","138910807.1.4","RHP 9","1.12","Children's Medical Center of Dallas",0.75,0.72,0.05,0.03,0.8,0.75,0.75,0.89,0.05,0.03,0.8,0.92,0.75,"NA",0.05,"NA",0.8,"NA","Individuals",0,2600,3273,3500,2936,4500,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","NA","Number of unique individuals receiving community-based behavioral health services/substance abuse services","N","Goal:  Serve 2,600 individuals in DY3. %= # receiving community behavioral healthcare services after access expansion/number of people \"eligible for\" receiving community behavioral health services after access expansion.  We anticipate 25% of patients referred will receive the service.\n\n",2600,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals receiving community behavioral healthcare services after access expansion","N","Baseline: 2,600 individuals served in DY3. Goal: Additional 3,500 individuals in DY4.",3500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of individuals receiving community behavioral healthcare services after access expansion","N","Baseline: 6,100 individuals served. Goal: Additional 4,500 individuals served in DY5.",4500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_138910807.2.1","138910807","138910807.2.1","RHP 9","2.1","Children's Medical Center of Dallas",0.75,0.71,0.05,0.04,0.8,0.75,0.75,0.93,0.05,0.02,0.8,0.95000000000000007,0.75,"NA",0.05,"NA",0.8,"NA","Individuals",0,18640,36689,20876,40481,40000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","NA","Number of unique individuals receiving care under a patient centered medical home model.","N","Goal:  18,640 individuals in DY3",18640,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","Baseline:  18,640 individuals in DY3.  Goal:  Additional 20,876 patients (individuals) assigned to a medical home in DY4. ",20876,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Number or percent of eligible patients assigned to medical homes","NA","N","Baseline:  39,516 individuals. Goal:  Additional 40,000 patients (individuals) assigned to a medical home in DY5. ",40000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_138910807.2.100","138910807","138910807.2.100","RHP 9","2.19","Children's Medical Center of Dallas",0,"NA",0,"NA",0,"NA",0.75,0.86,0.05,0.01,0.8,0.87,0.75,"NA",0.05,"NA",0.8,"NA","Individuals",0,"NA","NA",2000,2159,2200,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-26.1","Number of unique individuals receiving care management ","NA","N","Baseline: 0; DY4 Goal: 2000 individuals",2000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-26.1","Number of unique individuals receiving care management ","NA","N","DY5 Goal: 2,200 individuals",2200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_138910807.2.2","138910807","138910807.2.2","RHP 9","2.6","Children's Medical Center of Dallas",0,"NA",0,"NA",0,"NA",0.45,0.57399999999999995,0.1,8.8999999999999996E-2,0.55000000000000004,0.66299999999999992,0.45,"NA",0.1,"NA",0.55000000000000004,"NA","Individuals",0,"NA","NA",6500,396,13400,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.1","TBD by Performing Provider based on measure described above","NA","N","Serve 6,500 individuals in DY4. ",6500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-8.1","Increase percentage of target population reached","NA","N","Baseline:  6,500 children.  Goal: Additional 13,400 children (individuals) served in DY5. 20% = number of individuals of target population reached by the innovative project out of total number of individuals in the target population.  The numerator is the number of individuals in the target population reached by the health promotions project and the denominator is the number of individuals in the target population.",13400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,{"$f":"\"\"&IF(LEN($F1477)=5,RIGHT($F1477,1),RIGHT($F1477,2))&\"_\"&E1477","v":"9_138910807.2.3"},"138910807","138910807.2.3","RHP 9","2.9","Children's Medical Center of Dallas",0.75,0.72,0.05,0.04,0.8,0.76,0.75,0.47,0.05,0.3,0.8,0.77,0.75,"NA",0.05,"NA",0.8,"NA","Individuals",0,7500,10523,10500,9568,15750,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","25% of targeted patients enrolled in the program 7,500 unique patients",7500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED","NA","N","50% of patients without a PCP at time of ED visit receive education about a primary care provider , an additional 10,500 unique patients (individuals). %= number ED patients without a PCP documented in their record that receive documented education or resources to identify a PCP from a patient navigator./ED patients without a PCP documented in their medical record.",10500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.2","Percent of patients without a primary care provider (PCP) who received education about a primary care provider in the ED","NA","N","75% of patients without a PCP at time of ED visit receive  education about a primary care provider , an additional 15,750 unique patients (individuals) by 9/30/2016. %= number ED patients without a PCP documented in their record that receive documented education or resources to identify a PCP from a patient navigator./ED patients without a PCP documented in their medical record.",15750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_138910807.2.4","138910807","138910807.2.4","RHP 9","2.12","Children's Medical Center of Dallas",0.5,0.4,0.05,0.04,0.55000000000000004,0.44,0.5,0.54,0.05,0.08,0.55000000000000004,0.62,0.5,"NA",0.05,"NA",0.55000000000000004,"NA","Individuals",0,800,819,2750,769,5650,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","NA","Measure adherence to processes for number of unique individuals receiving care according to care transitions policies, guidelines and protocol.","N","Goal is 800 individuals in DY3.  10%= number of patients in defined population receiving care according to standard protocol/number of population patients discharged.  ",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes","NA","N","25% of identified patients receiving care according to standard protocol. 2,750 unique patients (individuals) in DY4. %= number of patients in defined population receiving care according to standard protocol/number of population patients discharged.",2750,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-14.1","Measure adherence to processes","NA","N","50% of identified patients receiving care according to standard protocol. Additional 5,650 unique patients (individuals) in DY5. ",5650,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_139485012.1.1","139485012","139485012.1.1","RHP 9","1.1","Baylor University Medical Center",0.02,0.04,0.93,0.87,0.95,0.91,0.02,3.9600000000000003E-2,0.93,0.96040000000000003,0.95,1,0.02,"NA",0.93,"NA",0.95,"NA","Encounters",0,4400,15316,4400,19468,15316,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal:  4400 additional encounters at the Baylor Clinic in DY3.",4400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Baseline:  4400 encounters in DY3.  Goal: Additional 4400 encounters at the Baylor Clinic in DY4.  ",4400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period.","NA","N","Goal: Additional 15,316 encounters at the Baylor Clinic in DY5.  ",15316,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_139485012.1.2","139485012","139485012.1.2","RHP 9","1.9","Baylor University Medical Center",0.02,0.1,0.93,0.9,0.95,1,0.02,1E-4,0.93,0.99,0.95,0.99009999999999998,0.02,"NA",0.93,"NA",0.95,"NA","Encounters",696,500,591,705,1693,800,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Goal: Provide 500 specialty care encounters in DY3.  ",500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline:  500 encounters in DY3. Goal:  Provide an additional 705 specialty care encounters in DY4.    ",705,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline: 1,205 encounters. Goal: Provide 800 specialty care encounters in DY5.   ",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_139485012.2.1","139485012","139485012.2.1","RHP 9","2.2","Baylor University Medical Center",0.02,1.5100000000000001E-2,0.93,0.92700000000000005,0.95,0.94210000000000005,0.02,8.3900000000000002E-2,0.93,0.91600000000000004,0.95,0.99990000000000001,0.02,"NA",0.93,"NA",0.95,"NA","Individuals",0,796,796,665,679,612,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","At least 796 unduplicated patients will be served by Chronic Care Management program in DY3",796,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","Baseline:  796 individuals served in DY3.  Goal:  Additional 665 unduplicated patients (individuals) will be served by Chronic Care Management program in DY4.  ",665,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","Baseline:  1,461 individuals served.  Goal:  Additional 612 unduplicated patients (individuals) will be served by Chronic Care Management program in DY5. ",612,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_139485012.2.2","139485012","139485012.2.2","RHP 9","2.19","Baylor University Medical Center",0.02,0.02,0.93,0.95,0.95,0.97,0.02,1.7000000000000001E-2,0.93,0.9496,0.95,0.96660000000000001,0.02,"NA",0.93,"NA",0.95,"NA","Individuals",0,796,954,665,1829,1011,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients enrolled in BH program","N","796 unduplicated patients will be identified and seen for a BH issue in DY3.",796,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients enrolled in BH program","N","Baseline:  796 individuals served in DY3.  Goal:  Additional 665 unduplicated patients (individuals) will be identified and seen for a BH issue in DY4.  ",665,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-101.1","NA","Number of patients enrolled in BH program","N","Baseline:  1,461 individuals served.  Goal:  Additional 1,011 unduplicated patients (individuals) will be identified and seen for a BH issue in DY5. ",1011,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_139485012.2.3","139485012","139485012.2.3","RHP 9","2.9","Baylor University Medical Center",0.01,0.46,0.84,0.52,0.85,0.98,0.01,0.27,0.84,0.7,0.85,0.97,0.01,"NA",0.84,"NA",0.85,"NA","Individuals",0,1920,2607,2400,3367,2880,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period","NA","N","Goal:  Serve 1,920 individuals in DY3. ",1920,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period","NA","N","Baseline:  1,920 individuals served in DY3. Goal:  Serve an additional 2,400 individuals in DY4.  ",2400,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-10.3","Documentation of increased number of unique patients served by innovative program. Demonstrate improvement over prior reporting period","NA","N","Baseline:  4,320 individual served.  Goal:  Additional 2,880 individuals served in DY5.  ",2880,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_139485012.2.4","139485012","139485012.2.4","RHP 9","2.12","Baylor University Medical Center",0.02,0.16,0.98,0.74,1,0.9,0.02,0.54200000000000004,0.98,0.45800000000000002,1,1,0.02,"NA",0.98,"NA",1,"NA","Individuals",0,30,31,38,48,37,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase percentage of target population reached","The numerator will be the patient volume that we are projecting to serve in this project and the denominator will be uninsured/Medicaid patients with one or more chronic diseases. As mentioned in the provider comment section, the denominator used for the % calculation here is an estimate of the potential target population but does not include some of the criteria (i.e.: ADL dependency) that we are using to qualify patients for this program.","N","Increase percentage of target population reached by 15%.  Serve 30 individuals in DY3.  %= number of individuals of target population reached by the innovative project/number of individuals in the target population. 4% of eligible patients in target population",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving\nstandardized, evidence‐based care according to the approved clinical\nprotocols and care transitions policies","NA","N","Baseline:  30 individuals in DY3.  Goal:  Additional 38 individuals in DY4.  ",38,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.2","Number of patients in target population receiving\nstandardized, evidence‐based care according to the approved clinical\nprotocols and care transitions policies","NA","N","Baseline: 35 individuals served.  Goal:  Serve an additional 37 individuals in DY5.  Total impact of ",37,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_139485012.2.5","139485012","139485012.2.5","RHP 9","2.11","Baylor University Medical Center",0.02,0.01,0.93,0.95,0.95,0.96,0.02,2.1000000000000001E-2,0.93,0.91500000000000004,0.95,0.93600000000000005,0.02,"NA",0.93,"NA",0.95,"NA","Individuals",0,700,831,700,1062,831,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Provide medication management services to 700 patients in DY3. %= Number of Patients that consistently receive medication management counseling at the point of care/number of patients in targeted panel size/patient population (targeted as defined by Performing Provider.). The percentage is correct in how it is written. 700 will be the numerator and the denominator will be the number of patients with a specific chronic disease or medication that are considered high risk and will need medication management services. We estimate this to be almost 60% of our overall patient panel in the primary care clinic. Our denominator will be 3176 patients. 22% of eligible target population",700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Baseline:  700 individuals in DY3.  Goal: Provide medication management services an additional 700 patients (individuals) in DY4.  %= Number of Patients that consistently receive medication management counseling at the point of care/number of patients in targeted panel size/patient population (targeted as defined by Performing Provider.) The percentage is correct in how it is written. 1400 will be the numerator and the denominator will be the number of patients with a specific chronic disease or medication that are considered high risk and will need medication management services. We estimate this to be almost 60% of our overall patient panel in the primary care clinic. Our denominator will be 3188 patients. 44% of eligible patients in target population",700,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-9.1","Increase the number of patients (meeting criteria for chronic condition) contacted or receiving medication management","NA","N","Baseline:  1,400 individuals. Goal: Provide medication management services to an additional 831 patients (individuals) in DY5.  %= Number of Patients that consistently receive medication management counseling at the point of care/number of patients in targeted panel size/patient population (targeted as defined by Performing Provider.) The percentage is correct in how it is written. 2100 will be the numerator and the denominator will be the number of patients with a specific chronic disease or medication that are considered high risk and will need medication management services. We estimate this to be almost 60% of our overall patient panel in the primary care clinic. Our denominator will be 3191 patients. 65% of eligible patients in target population.",831,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_175287501.2.1","175287501","175287501.2.1","RHP 9","2.9","UT Southwestern Medical Center - St. Paul University Hospital",0.159,0.6129,0.3,0,0.45899999999999996,0.6129,0.159,0.16400000000000001,0.03,9.7000000000000003E-2,0.189,0.26100000000000001,0.159,"NA",0.03,"NA",0.189,"NA","Individuals",0,30,30,2500,3805,5000,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-2.2","Number of unique patients enrolled in the patient navigation program","NA","N","Baseline: 0 Goal: 30 individuals.",30,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Baseline:  30 individuals.  Goal:  2500 individuals in DY4.  25%= number ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP/ ED patients without a PCP documented in their medical record.",2500,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Baseline:  2530 individuals served.  Goal:  Additional 5000 individuals served in DY5. T50%= number ED patients without a PCP documented in their medical record that receive referral to a PCP/ED patients without a PCP documented in their medical record. ",5000,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_175287501.2.2","175287501","175287501.2.2","RHP 9","2.10","UT Southwestern Medical Center - St. Paul University Hospital",1,0.157,0,0,1,0.157,1,0.27060000000000001,0,0.72940000000000005,1,1,1,"NA",0,"NA",1,"NA","Encounters",0,200,433,135,170,498,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Baseline: 0. Goal: Complete 200 (100% goal) palliative care consultations (Inpatient and outpatient) in DY3.  %= number of palliative care consults/target number of palliative care consults.",200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Baseline: 200 encounters (100% of goal)  Goal: 135 Consults (encounters) in DY4.  100% Medicaid/Low Income Uninsured",135,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-6.1","Palliative care consults meet targets established by the program","NA","N","Baseline: 200 in DY3. DY5 Goal: 498 new patient consults (encounters) (Inpatient and outpatient) in DY5.  200 consults Medicaid/Low Income Uninsured",498,"Yes","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_175287501.2.3","175287501","175287501.2.3","RHP 9","2.12","UT Southwestern Medical Center - St. Paul University Hospital",0.04,7.0099999999999996E-2,0,0,0.04,7.0099999999999996E-2,0.04,7.4899999999999994E-2,0,5.2999999999999999E-2,0.04,0.12789999999999999,0.04,"NA",0,"NA",0.04,"NA","Individuals",0,2200,2787,2300,2471,2887,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-11.1","Number over time of those patients in target population receiving standardized, evidence‐based interventions per approved clinical protocols and guidelines","NA","N","Baseline:  DY2/Goal: 10% Improvement. ---- 2,200 patients will receive the services including 80 Medicaid patients in DY3. 88%= number of patients that receive all recommended education, care and services as dictated by approved and evidence based care guidelines./number of patients discharged or eligible for care transition services.",2200,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase percentage of target population reached","NA","N","Baseline:  2200 individuals served in DY3.  Goal: 10% Improvement over DY3.  Additional 2,300 patients will receive services including 110 Medicaid patients in DY4.  88%= Number of individuals of target population reached by the innovative project/number of individuals in the target population.",2300,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-15.1","Increase percentage of target population reached","NA","N","Baseline:  4500 individuals served. Goal: Additional 2,887 individuals served in DY5.  88%= number of individuals of target population reached by the innovative project/number of individuals in the target population.",2887,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_195018001.1.1","195018001","195018001.1.1","RHP 9","1.1","Trinity Medical Center",0,"NA",0,"NA",0,"NA",0.01,1.0900000000000001E-4,0.94,0.98899999999999999,0.95,0.98910900000000002,0.01,"NA",0.94,"NA",0.95,"NA","Encounters",0,"NA","NA",800,3106,800,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period","NA","N","Goal:  Provide an additional 800 encounters in DY4. ",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-12.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period","NA","N","Baseline:  800 encounters in DY4.  Goal:  Additional 800 encounters in DY5.  ",800,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_195018001.1.2","195018001","195018001.1.2","RHP 9","1.9","Trinity Medical Center",0,"NA",0,"NA",0,"NA",0.01,8.9999999999999993E-3,0.94,0.99,0.95,0.999,0.01,"NA",0.94,"NA",0.95,"NA","Encounters",0,"NA","NA",75,443,75,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Provide at least 75 specialty care encounters in DY4.",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-23.1","Documentation of increased number of visits. Demonstrate improvement over prior reporting period (baseline for DY2).","NA","N","Baseline:  75 encounters in DY4.  Goal: Provide an additional 75 specialty care encounters in DY5.  ",75,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_195018001.2.1","195018001","195018001.2.1","RHP 9","2.2","Trinity Medical Center",0,"NA",0,"NA",0,"NA",0.01,7.0000000000000007E-2,0.94,0.92800000000000005,0.95,0.998,0.01,"NA",0.94,"NA",0.95,"NA","Individuals",0,"NA","NA",80,126,96,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","At least 80 unduplicated patients (individuals) will be served by Chronic Care Management program in DY4. ",80,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-21.2","Documentation of increased number of unique patients served by innovative program","NA","N","An additional 96 unduplicated patients (individuals) will be served by Chronic Care Management program in DY5.  ",96,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_209345201.2.1","209345201","209345201.2.1","RHP 9","2.9","Methodist Richardson Medical Center",0.15,0.13220000000000001,0.24,0.3226,0.39,0.45479999999999998,0.15,0.11,0.24,0.27,0.39,0.38,0.15,"NA",0.24,"NA",0.39,"NA","Individuals",0,723,3650,1446,2252,5027,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-3.1","Increase in the number or percent of targeted patients enrolled in the program","NA","N","Baseline = 1 /Goal: 723 individuals in DY3. ",723,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Pre-DSRIP baseline: 0. Goal: Serve 1446 individuals in DY4.  50%= number ED patients without a PCP documented in their medical record that receive (documented) referral to a PCP/ ED patients without a PCP documented in their medical record.",1446,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-6.3","Percent of patients without a primary care provider who were referred to a primary care provider in the ED","NA","N","Pre-DSRIP baseline: 0.  Goal: 5027 individuals served in DY5.  70% of DY4 baseline of 1,446 = number ED patients without a PCP documented in their medical record that receive referral to a PCP/ED patients without a PCP documented in their medical record.",5027,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]
[null,null,"9_209345201.2.2","209345201","209345201.2.2","RHP 9","2.2","Methodist Richardson Medical Center",0.15,0.13220000000000001,0.24,0.3226,0.39,0.45479999999999998,0.15,0.11,0.24,0.27,0.39,0.38,0.15,"NA",0.24,"NA",0.39,"NA","Individuals",0,10,24,180,304,189,"NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","P-11.1","Increase the number of patients enrolled in a self‐management program","NA","N","Baseline/Goal: 0 /10 by 9/30/2014.  0.58% = number of patients enrolled in a self-management program for a given chronic condition/number of patients with given chronic condition. ",10,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","ED patients","N","Baseline/Goal: 10/180 individuals. ",180,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","I-17.1","X additional patients receive care under the Chronic Care Model for a chronic disease or for MCC","ED patients","N","Baseline/Goal: 190/189 additional individuals in DY5.  ",189,"No","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","N"]