Practice Stories vs. Exemplar Stories: How to Develop
All practices can benefit from the dialogue created to help them understand how the systems and processes they have put in place can bring value to payers, ACO’s, narrow networks, referral networks, and of course, patients and families.
There are two types of stories – Practice Stories and Exemplar Practice Stories. Not all practices will have all of the elements identified to meet the exemplar criteria below. For those practices, we encourage completion of their Practice Story with the data available and to strengthen their story over time. More in-depth development guidance is included in the Checklist under Resources.
Exemplar practices are in Phase 4, Phase 5, have completed Phase 5 or have completed 85% of their total possible Practice Assessment (PAT) score. In addition, they must have demonstrated improvement in clinical outcomes, have pre & post-data demonstrating reductions in cost and utilization, and have implemented 2 out of the 6 patient and family engagement metrics. With the practice’s permission, exemplar practices will be recognized and submitted to the national TCPi program’s exemplar practice registry.
|Parameter||Practice Story||Candidates for Exemplar Practice Story|
|Eligibility||All practices||Practice meets “exemplary practice” definition|
|Approach||Conversation with or without Value Canvas||Conversation with or without Value Canvas|
|Content||Anything the practice wants to include; data will make their story more compelling and credible. Story stands on its own without the template. Use the Practice Story Guidance form to help you!||Should include quality metrics, cost and utilization metrics and examples of PFE and impact for each. Data should be provided for any claims of excellence, citing comparison to benchmarks where they exist. Story stands on its own without the template. Use the Practice Story Guidance form to help you!|
|Length||1 – 2 pages||1 – 2 pages|
|Faculty Assistance||We are happy to read and comment on your practice stories! Your practice may not have all the information suggested.||We are happy to read and comment on your practice stories! Exemplar from a transformation perspective does not always = Exemplar Practice. Our feedback will help practices see what is missing.|
|Submission to Egnyte||Insert the final story into the text box on the template. Attestation by PF and CHITA.||Insert the final story into the text box on the template. Attestation by PF and CHITA.|
|Faculty Review||NA||For practices that meet our exemplary practice definition AND also have complete content, the faculty will evaluate against criteria for the Exemplar Registry.|
|Revisions||This story belongs to the practice and should be revised by the practice as evidence-based strengths are developed.||This story belongs to the practice and should be revised by the practice as evidence-based strengths are developed. We will post stories that meet CMMI criteria for the registry once before the end of TCPi.|
Resources to Develop Your Practice/Exemplar Story
The first half includes COPTN’s Faculty Checklist. The second half includes the guidelines produced by TCPi National.
We recommend taking advantage of the value canvas to give the practices to help them remember to track their changes and correlate them to value as their performance and their story continues to evolve as they continue to improve. Please email email@example.com to request a canvas for your practice.
This event from February 12, 2019 provided guidance to PTNs to help practices draft powerful and concise exemplary practice stories that offer benchmark performance to payers and patients.
TCPi Practice/Exemplar Story Template Instructions and Information for PTOs
A brief overview of the process is as follows:
- Each folder contains a prepopulated template
- The folder is also an appropriate location to upload supplemental documentation that does not fit well into the template.
- PFs and CHITAs will only see the practices they work with on Egnyte
- If you are new to Egnyte, you should have received an email on Tuesday 11/20 to create an account. If you did not receive an email from Egnyte to create a user account, please email firstname.lastname@example.org
- Each folder contains a prepopulated template
- PF – Practice Story
- CHITA – CQM section
- DFM – Cost & Utilization section – ongoing completion
The attached instructions provide additional resources and details. PFs are strongly encouraged to share their stories with their faculty pair prior to submission.
- There is one task per role per practice. So while the PF can complete their section and corresponding task at a different time, the submission will not be finalized until the CHITA also completes their section and task (or vice versa, if the CHITA completes first).
- While not all practices meet this minimum exemplar phase criteria, templates have been generated for all practices so that teams can work on them as practices continue to progress
Faculty uses the checklist mentioned above to indicate presence of required elements for an Exemplary Registry. Faculty notifies the PF of the story’s status and if any additional edits need to be made.