Agreement

Date: {{ date('m-d-Y') }}

@if($data['details']['program_type'] == 'HPIP' || $data['details']['program_type'] == 'Large') Hospital Performance Incentive Program: @else Small Hospital Incentive Program: @endif {{ $data['grid']['year'] }}

Hospital Quality Lead Name	{{ $data['grid']['facility_name'] }}	Health Plan Clinical Consultant	{{ $data['grid']['healthplan_name'] }}
Hospital Quality Lead Contact Email	{{ $data['grid']['facility_email'] }}	Health Plan Clinical Consultant Email	{{ $data['grid']['healthplan_email'] }}
Hospital Quality Lead Contact Phone	{{ $data['grid']['facility_phone'] }}	Health Plan Clinical Consultant Phone	{{ $data['grid']['healthplan_phone'] }}
Health Plan Comment	{{ $data['grid']['comment'] }}

Measure Selection

@if (count($data['grid_details']) > 0) @php $sections = [ 1 => ['title' => 'Core Measures', 'data' => [], 'points_at_risk' => 0, 'points_earned' => 0], 2 => ['title' => 'Menu Measures', 'data' => [], 'points_at_risk' => 0, 'points_earned' => 0], 3 => ['title' => 'Collaborative Measures', 'data' => [], 'points_at_risk' => 0, 'points_earned' => 0], 4 => ['title' => 'Bonus Measures', 'data' => [], 'points_at_risk' => 0, 'points_earned' => 0], ]; $totalPointsAtRisk = 0; $totalPointsEarned = 0; @endphp @foreach ($data['grid_details'] as $gridDetails) @php $measureType = $gridDetails['measure_type']; if (isset($sections[$measureType])) { $sections[$measureType]['data'][] = $gridDetails; $sections[$measureType]['points_at_risk'] += $gridDetails['point_at_risk']; $sections[$measureType]['points_earned'] += $gridDetails['points_earned']; $totalPointsAtRisk += $gridDetails['point_at_risk']; $totalPointsEarned += $gridDetails['points_earned']; } @endphp @endforeach @foreach ($sections as $section) @if (count($section['data']) > 0) @foreach ($section['data'] as $gridDetails) @endforeach @endif @endforeach @else @endif

Measure ID	Measure Name	Outcome Detail	Baseline Data DOS	Baseline Numerator	Baseline Denominator	Baseline Rate	Final Target Rate	Final Target DOS	Final Numerator	Final Denominator	Final Rate	Points at Risk	Points Earned
{{ $section['title'] }}
{{ $gridDetails['measure_short_name'] }}	{{ $gridDetails['measure_name'] }}	{{ $gridDetails['outcome_details'] }}	{{ $gridDetails['baseline_date'] }} - {{ $gridDetails['baseline_dos_end_date'] }}	@if(Str::startsWith($gridDetails['measure_short_name'], 'H_')) {{ floor($gridDetails['baseline_numerator']) }} @else {{ $gridDetails['baseline_numerator'] }} @endif	{{ $gridDetails['baseline_denominator'] }}	{{ number_format($gridDetails['baseline_rate'], 2) }}	{{ number_format($gridDetails['final_target_rate'], 2) }}	{{ $gridDetails['final_target_dos'] }} - {{ $gridDetails['final_target_dos_end_date'] }}	{{ $gridDetails['final_numerator'] }}	{{ $gridDetails['final_denominator'] }}	{{ $gridDetails['final_rate'] }}	{{ $gridDetails['point_at_risk'] }}	{{ $gridDetails['points_earned'] }}
{{ $section['title'] }} Subtotal												{{ $section['points_at_risk'] }}	{{ $section['points_earned'] }}
Quality Measure Grid Total												{{ $totalPointsAtRisk }}	{{ $totalPointsEarned }}
No data found

Measure QI Design Details

@php $groupedPrograms = collect($data['program'])->groupBy('measure_type'); @endphp @foreach ([1 => 'Core Measures', 2 => 'Menu Measures', 3 => 'Collaborative Measures'] as $type => $header) @if (isset($groupedPrograms[$type])) @foreach ($groupedPrograms[$type] as $program) @if ($program['aim_statement'] != null) @endif @endforeach @endif @endforeach

Measure ID	Measure Name	AIM Statement	Assessment of Current Practice	Establishment of Core Team	Planning
{{ $header }}
{{ $program['category_short_name'] }}	{{ $program['category_name'] }}	{{ $program['aim_statement'] }}	{{ $program['current_practice'] }}	{{ $program['core_team'] }}	{{ $program['planning'] }}

Signature Section {{ $data['grid']['year'] }}

Signature indicates FINAL version of Quality Measurement Grid for submission to Health Plan

Hospital Signature Title: {{ $data['hospitalAdminSignature'] ['agr_title'] }} Name: {{ $data['hospitalAdminSignature'] ['title'] }} Date: {{ $data['hospitalAdminSignature'] ['signature_date'] }}	Health Plan Peer Reviewer Signature 1 Name: {{ $data['payorReviwerSignature'] ['title'] }} Date: {{ $data['payorReviwerSignature'] ['signature_date'] }}	Health Plan Clinical Consultant Signature 1 Name: {{ $data['consultantSignature'] ['title'] }} Date: {{ $data['consultantSignature'] ['signature_date'] }}
Health Plan Medical Director Signature Title: {{ $data['payorMdSignature'] ['agr_title'] }} Name: {{ $data['payorMdSignature'] ['title'] }} Date: {{ $data['payorMdSignature'] ['signature_date'] }}	Health Plan Peer Reviewer Signature 2 Name: {{ $data['payorReviwerSecondSignature'] ['title'] }} Date: {{ $data['payorReviwerSecondSignature'] ['signature_date'] }}	Health Plan Clinical Consultant Signature 2 Name: {{ $data['consultantSecondSignature'] ['title'] }} Date: {{ $data['consultantSecondSignature'] ['signature_date'] }}

The individual or physician signing on behalf of the Hospital represents that he or she has the authority to execute this quality measurement grid and associated financial agreement on behalf of the Hospital and to bind the Hospital to all terms and conditions of this quality measurement grid.

Signature indicates FINAL version of Quality Measurement Grid for submission to Health Plan

Hospital Signature

Health Plan Peer Reviewer Signature 1

Health Plan Clinical Consultant Signature 1

Health Plan Medical Director Signature

Health Plan Peer Reviewer Signature 2

Health Plan Clinical Consultant Signature 2

The individual or physician signing on behalf of the Hospital represents that he or she has the authority to execute this quality measurement grid and associated financial agreement on behalf of the Hospital and to bind the Hospital to all terms and conditions of this quality measurement grid.