Committees

Executive Committee
The Executive Committee is responsible for managing the affairs of the corporation on behalf of the Board and under the direction and authority of the Board. At the meetings of the Board, the committee apprises the Board of the affairs of the corporation. It seeks and nominates qualified candidates for election as officers and directors of the corporation in the event a vacancy in such positions has been declared or is anticipated. The president of the Board of Directors serves as the chairman of this Committee. The Legislative Liaison’s responsibility is limited to maintaining knowledge regarding the issues impacting the Mesa County Physicians IPA, Inc. (MCPIPA) which occur in the legislative or political bodies, and updating the committee on such issues at one of its regular meeting on a quarterly basis.

Clinical Integration Committee
The Clinical Integration Committee was created in September 2010 to evaluate the possibility of creating a Clinical Integration Program for MCPIPA in compliance with the Consent Order between MCPIPA and the Federal Trade Commission (FTC).  They formulated and implemented a plan with approval of the MCPIPA Board of Directors on how to achieve Clinical Integration. During 2011, this committee worked on the creation of the programs and assisted in compilation of the documents necessary for the communication between the FTC and MCPIPA. Going forward this committee will continue work on managing the program; including designing potential contracts with payers, self-insured employer groups and others who could benefit from our Clinical Integration Program.  They will also perform any other work necessary to assist MCPIPA with Clinical Integration under the direction of the Board of Directors and Executive Committee. 

Incentive Design and Development Committee
The Incentive Design and Development Committee (IDDC) provides oversight of the MCPIPA incentive programs. IDDC will design and administer the incentive programs and has representation from both primary care and specialty physicians.  The goals of this committee include:

  • To improve quality and efficiency of patient care delivery by primary care and specialty physicians through the use of financial incentives.
  • Provide improved delivery of care through improved office efficiencies and current philosophies in the field of health care.
  • Improve quality of patient care delivery through quality incentive measures based on current best practices. This could include but not limited to the opportunities for initiation and participation in quality improvement initiatives. 
  • Improve patient access to area physicians.

IDDC is responsible to:

  • Design, facilitate and monitor the terms of the IPA Incentive Program and any programs relating to payments to Members under the terms of incentive plans except for the sanctions program which is handled by another committee.
  • Prior to submission to the Board, vet program designs, guidelines, priorities and terms through the Executive Committee, and consider incorporating such input and suggestions into the programs.
  • Present all final program guidelines, and priorities to the Board for approval prior to implementation

Medical Practice Review Committee
This Medical Practice Review Committee (MPRC) of the Mesa County Physicians IPA, Inc. is responsible for the review and evaluation of the quality of medical or other health care services and the utilization of medical or other health care services in conjunction with any health plan for which the IPA has agreed to provide the services of physicians and other health care professionals. This Committee is authorized to act as a professional review committee under the provisions of state and federal laws.  It operates under the terms of state(1) and federal laws(2), the bylaws of MCPIPA, and the quality improvement policies and procedures of the applicable health plan.

(1) Colorado Statute Section 12-36.5-101 et seq.

(2) The Healthcare Quality Improvement Act of 1986, 42 U.S.C. 11101-11152

Physician Engagement Committee
The Physician Engagement Committee (PEC) is responsible to design, facilitate and monitor programs relating to the engagement of Members.  The committee’s areas of responsibility include planning the R4P All Physician meetings held quarterly or other CME events.  This includes planning the agenda topics and determining the financial aspects of IPA member participation under the R4P Program and any policies related to attendance compensation and/or presenter compensation. Another area of responsibility for PEC is to provide oversite of MCPIPA sanctions policy which is in place for the failure to participate in the IPA Incentive Plans and is in accordance with the Clinical Integration Program Membership Policies. PEC will work in cooperation with any other applicable committees established under the bylaws or pursuant to resolution of the Board and perform other tasks or functions, as requested by the Board or its designee.

Quality, Value, and Outcomes Committee
The QVOC identifies areas that need improvement through data analysis or payor communications. It will design quality initiatives, and recommend to the Incentive Design and Development Committee incorporating those initiatives into the IPA Incentive Programs.  The Quality Value and Outcomes Committee (QVOC) is responsible to: 

  • Create clinical quality and utilization review initiatives and steps to implement and monitor outcomes related to such initiatives.  These initiatives could be determined by contract arrangements with payers or identified through data analysis, or other sources.
  • Set overall utilization review and cost of care management priorities based on data.
  • Review and prioritize data to recommend future quality and cost reduction initiatives.
  • Based on historical claims data, generate financial and analytical reports regarding utilization and cost of medical services to pinpoint needed area of focus for programs or guidelines.
  • Direct and oversee task forces.
  • Recommend to the Incentive Design and Development Committee implementation of the initiatives and priorities into the IPA Incentive Program. 
  • Prior to submission to the Board, vet initiatives and priorities through the Executive Committee, and consider incorporating such input and suggestions.
  • Present all program, guidelines, and priorities to the Board for approval prior to implementation.
  • Report regularly to the Board, and communicate to the Board upon request.
  • Perform any other tasks assigned by the Board.

Task Forces: In order to effectively accomplish its duties, it may become necessary from time to time for the QVOC to involve individuals outside of the committee.  To do so, the QVOC may form one or more “task forces,” comprised of Members or employees of the corporation or other individuals.  The QVOC appoints and removes members of such task forces.  The task forces are formed for a specified duration of time, are charged with specific goals and objectives, and report to the QVOC as requested by the same.  Membership in a task force does not create membership in the QVOC, any other committee of the corporation or in the corporation, and does not otherwise form an agency relationship between the member of the task force and the corporation.  Information on the current task forces is summarized below.

Advanced Imaging Task Force
Mission: To continue to manage the appropriate use of advanced imaging and relieve IPA members from the obligation to preauthorize imaging studies.

Behavioral Health Task Force
Mission:  To enhance patient care through communication with Behavioral Health Providers and
Primary Care Physicians. 

Chronic Pain Task Force
Mission:  To address emergency room utilization and raise awareness of quality issues related to chronic pain.

Data Analytics Task Force
Mission:  To identify the required functionality, purpose and utilization of a Data Analytics tool; determine and provide a recommendation of the best product.

Emergency Room Task Force
Mission:  To achieve the goals listed below, this task force is challenged to improve the state fee-for-service Medicaid utilization rates of patients treated by IPA members, as compared to MCPIPA members’ previous years’ utilization rates.