Objectives. The Goals of the TVT Registry
|
|
- Clarence West
- 6 years ago
- Views:
Transcription
1 STS/ACC TVT Registry From Beginning to Now Joan Michaels, RN, MSN, CPHQ, AACC March Objectives Discuss past and present STS/ACC TVT Registry activities Identify at least two benefits to participating in the TVT Registry 2 The Goals of the TVT Registry Learn from patient-level data Regulatory device surveillance Quality improvement Insights into patient selection, etc. Feedback, benchmarking, and best practices at a site level Patient education and informed decision-making Research important hypotheses tested to expand our understanding Be a driving force in improving our health care system 1
2 2002, Rouen, F.I.M TAVR Moving from concept to clinical execution Oh! my God! Day-8 July 2011 Nov 2011 Dec 2011 May 2012 Feb 2013 Sept 2013 Oct 25, 2013 Jan 17, 2014 May 18, 2014 May 2014 TVT Registry proposed at FDA Advisory Panel for Edwards Sapien Valve FDA Approves Edwards Sapien THV STS/ACC TVT Registry Launched Version 1.0 CMS issued National Coverage Decision STS/ACC TVT Registry Launched Version 1.2 STS/ACC TVT Registry Launched Version 1.3 FDA Approves Abbott MitraClip FDA Approves Medtronic CoreValve Anticipated Decision for NCD for MitraClip STS/ACC TVT Registry Launch for 2.0 Governance Structure of the TVT Registry 2
3 Members David Holmes Michael Mack John Rumsfeld Fred Edwards Eric Peterson Cynthia Shewan Kathleen Hewitt Members Fred Edwards (chair) Dave Cohen Eric Peterson Dave Shahian John Rumsfeld DCRI Project Team Sean O Brien Matthew Brennan Dadi Dai Michael Booth Risk Model Group The primary goal of the Work Group is to develop models (mortality, bleeding) used in TVT Registry Institutional Outcome Reports for benchmarking purposes. Other risk models, such as one estimating individual patient risk may follow. The initial model compares in-hospital mortality across participating centers, potentially identifying outliers as more data accumulate in the Registry. All 13,218 Cases are Commercial TAVR 272 Sites Enrolled in TVT Registry 258 Sites Entering Data 5 Sites > 200 Cases; 24 Sites > 100 Cases Does Not Include All TAVR Cases in US Over 10K Cases from IDE Trials Some Commercial TAVR Cases Before NCD, VA Cases 3
4 Distribution of Sites by Annual Volume Number of Sites Note: Investigative case volume at sites isnot counted Annualized Volume Groups Source: STS/ACC TVT Registry Database Sites Participating in TVT Registry (Currently TAVR) No TAVR sites in Alaska and Wyoming (currently patients served by Seattle and Colorado sites) 1. As of last week 272 TAVR sites fully enrolled. Additional sites being trained by Edwards and Medtronic will be added. 2. Approximately 35 sites who have started commercial MitraClip use are already TAVR-TVT sites. STS/ACC TVT Registry Data Quality Program 4
5 Data Quality Program Pre data collection Data submission Post data submission Software Training Clinical support Data quality reports Adjudication Audit Outlier program Publications Data Quality Program Post Submission Adjudication Verifies and provides additional information for key events (stroke, TIA and repeat intervention, plus CHF admission for MitraClip) National audit program (starts in 2014) Evaluates accuracy and reliability Assesses proper and complete reporting of cases Voluntary and self audits Data Outlier Program Provides outlier alerts to Registry participants Adjudication Process: Additional Data and Physician Review at DCRI 5
6 KCCQ Data Completeness Update Improvements & Expansion in Data Elements and Modular Design Version Reduction of site burden in TAVR data collection based on lessons learned 2. Expansion to include CoreValve technology 3. Development of Mitral Module to include MitraClip technology 4. Formation of Three Separate TVT Registry Modules STS Members Fred Edwards Patrick McCarthy Craig Miller Echo Specialists Paul Grayburn *** Neil Weissman TVT Registry Mitral Module Workgroup Composition ACC Members John Carroll - Chair Samir Kapadia Data Analytic Center (DCRI) FDA - John Laschinger*** STS, DCRI and ACC Staff Cynthia Shewan and Donna McDonald STS Michael Booth and Paul Meehan - DCRI Joan Michaels and Susan Fitzgerald ACC *** Heart Failure Specialists Maggie Redfield JoAnn Lindenfeld FDA CMS Stakeholders Industry ACC and STS leadership Analytic Centers Users (public comment period) Abbott Input Barathi Sethuraman Bhagya Gurusu Liz McDermott 6
7 Mitral Module and CMS CMS held an open comment period for a National Coverage Decision for MitraClip procedures NCD expected May 2014 Data Elements and Definitions Aligned with VARC2 endpoints Harmonized with STS and ACC-NCDR data elements where possible Data elements and definitions reviewed and approved by Industry, CMS and FDA 8 page DCF Health Status (KCCQ) Six Minute Walk 30 day and 1 year follow-up Adjudication of TIA/Stroke Re-interventions Heart failure readmission Data Elements and Definitions 7
8 Reporting from the TVT Registry Presentations at Major Meetings: TCT, STS, CRT, ACC, etc. Abstracts Manuscripts Reporting on TVT Registry Data But Also Demonstrating the Added Impact from Links to Other Registries and Databases ACC 2014 Late-Breaking Clinical Trial: One Year Outcomes from the STS/ACC Transcatheter Valve Therapy (TVT) Registry. David R. Holmes, J. Matthew Brennan, John Rumsfeld, Dadi (David) Dai, Fred Edwards, John Carroll, David Shahian, Frederick Grover, E. Murat Tuzcu, Eric Peterson, Ralph Brindis, Michael Mack. CMS has successfully linked the STS/ACC TVT Registry to inpatient Medicare claims using direct patient identifiers with a roughly 97% record linkage rate across more than 7,500 TAVR cases from Nov 2011 through October Additional Abstract Presentations 8
9 Completeness of Data DCRI Analysis 9/13/2013 n = 7797 cases Data Fields: Range of Complete data Pre-Procedure Status Clinical Data(labs, PFTs): 10 elements 43%- 100% DLCO 43% Pre-Procedure Meds: 5 elements % Pre-Procedure Status: Cath and Echo Data: 30 elements % Left atrial area 32% Improvements in TAVR Module in Version 2.0 Reduction in number of data elements Current version = 343 Version 2.0 = 308 with 38 data elements eliminated Added UDI field Added fields to assess disability from stroke without requiring burdensome Rankin score Social/Recreational Activities Impaired Neurocognitive Functions Essential to Patient Impaired New Aids or Assistance Required Who is Undergoing TAVR in the USA? Demographics: Age, Sex, Race, Ethnicity The Baby Boomers are Coming and US Demographics are Shifting in Race/Ethnicity 9
10 Women What Does the STS-ACC TVT Registry Show? (N= 7710 Patient Records) Expected Percentage of TAVR Patients Who are Predicted to be Women Based on US Census, TAVR Age Data, and Assumed Disease Frequency 61.9% WHY the difference? Actual Percentage of TAVR Patients Who are Women 49.1% Black-African/Americans What Does the STS-ACC TVT Registry Show? 7710 Patient Records Expected Percentage of TAVR Patients Who are Predicted to be Black Based on US Census, TAVR Age Data, and Assumed Disease Frequency 9% WHY the difference? Actual Percentage of TAVR Patients Who are Black 3.6% Research and Publications Committee STS Members Fred Edwards Vinod Thourani Jeffrey Jacobs Todd Dewey ACC Members John Rumsfeld David Cohen Neal Kleiman Ajay Kirtane Registry Operations Center NCDR Ex Officio Members FDA Art Sedrakyan Biostats - Eugene Blackstone DCRI Eric Peterson Staff Tina Kourtis Mary Weideman, Joan Michaels, Kathleen Hewitt, 10
11 Research and Publications Initial Phase: Steering Committee Members to Provide the First Wave of Strategic Presentations and Publications Current Phase: January 2014 the R & P Committee accepted outside research proposals for using the TVT Registry data 80 proposals were received! R & P committee now performing reviews and establishing priorities Post-Approval Studies, IDE s, and Uses of Registry Data for Expansion of Indications STS-ACC actively involved with discussions with FDA How are data collected in observational registries? How can data be used to support post-approval studies and investigative device exemptions ( IDE s )? What are the applicable informed consent requirements? How to best utilize the vast amount of patient-level data while assuring the safety and protection of human subjects and imposing the least burden on the sponsors and participating hospitals? Outcomes from TAVR and Surgical AVR Is Consumer Level Reporting Coming? 11
12 Outcomes of TAVR at Different Sites How and when can the TVT registry provide an analysis of outcomes per site that is credible and actionable? 1. To assist patient, families, and clinicians in site selection 2. To provide CMS, professional societies, and medical device companies on the success of the current site qualification standards used in the NCD 3. To provide guidance on whether the number of TAVR sites should be further expanded with less stringent qualifications 4. To determine learning curve effects, the volume-outcome relationship in TAVR, and the determination of best practices to improve outcomes 5. To start a dialogue on how sites with poor outcomes should be approached. Step #1: Outcomes Must Be Adjusted to The Characteristics of the Patients Being Treated Is the observed outcome equal, less, or more than predicted for a site s patients? The risk-model development group: Fred Edwards and others The first TVTR risk model should be available in May Other Factors Determining Outcomes TAVR technology is changing and the TVT Registry should show substantial changes (reductions) of many complications as new and better valves/delivery systems are approved. The learning curve continues to operate for the whole community and individual sites. Identification of patients who may have underlying characteristics predicting a poor outcome may help guide centers in the key issue of patient selection 12
13 Other Lessons Learned in Judging Sites Statistical assessment of sites with low volumes is problematic. Geographical distribution of sites is key for patient access Assuming 1. Patients, Families, and Clinicians Have Access to TAVR and savr 2. Sites Have Outcomes That Are at Least as Good as Expected How Can The TVT Registry Be Used to Help Patients, Families, and Clinicians in Key Patient-Centric Decisions? Optimizing Health Outcomes in Patients with Symptomatic Aortic Valve Disease. PICORI Grant Awarded Late 2013 Matthew Brennan, MD Principle Investigator DCRI 13
14 Research Goal: Help patients make informed treatment decisionsthat incorporate their preferences and outcomes of interest 1. Creation and assessment of statistical prediction models accurate and valid patient-level predictions of outcomes for patients with severe aortic stenosis treated with SAVR vs. TAVR. 2. Creation of decision assistance tools suitable for use by patients Surgical candidates A second tool for patients who have surgically inoperable disease. 3. Dissemination of these tools into clinical practice using a webbased platform coupled with a pilot evaluation of their effectiveness Questions? 14
Objectives. The Goals of the TVT Registry. STS/ACC TVT Registry Update March 27, John D. Carroll, MD TVT Registry Steering Committee Liaison
STS/ACC TVT Registry Update March 27, 2014 John D. Carroll, MD TVT Registry Steering Committee Liaison Objectives Provide an overview of past and present registry activities Demonstrate the benefits of
More informationRegulatory Science and Sustainable Implementation of National and International Medical Device Registries
Regulatory Science and Sustainable Implementation of National and International Medical Device Registries Focus-- Cardiovascular Registries TAVR: Case Study on the Value of Collaboration Ralph Brindis,
More informationStrategies for an Effective Structural Heart Program: Current and Future Considerations
Strategies for an Effective Structural Heart Program: Current and Future Considerations Eric L. Sarin, MD Co-Director, Structural Heart and Valve Program Co-Director, Cardiovascular Research Inova Heart
More informationOn May 1, 2012, the Centers for Medicare & Coverage Decision. How will this recent announcement affect your patients and practice?
VALVE UPDATE The TAVR National Coverage Decision How will this recent announcement affect your patients and practice? Ted E. Feldman, MD, is Director of the Cardiac Catheterization Laboratory at Evanston
More informationSIMPLE SOLUTIONS. BIG IMPACT.
SIMPLE SOLUTIONS. BIG IMPACT. SIMPLE SOLUTIONS. BIG IMPACT. QUALITY IMPROVEMENT FOR INSTITUTIONS combines the American College of Cardiology s (ACC) proven quality improvement service solutions and its
More informationACC State Chapters Best Practice Guide. Working with States on Clinical Data Requests
ACC State Chapters Best Practice Guide Working with States on Clinical Data Requests Prepared by: Science, Education and Quality Division As of: 3/16/2016 Contents 1. Introduction... 1 2. NCDR Registries
More informationTHE CANADIAN CARDIOVASCULAR SOCIETY QUALITY INDICATORS E- CATALOGUE QUALITY INDICATORS FOR TRANSCATHETER AORTIC VALVE IMPLANTATION (TAVI)
THE CANADIAN CARDIOVASCULAR SOCIETY QUALITY INDICATORS E- CATALOGUE QUALITY INDICATORS FOR TRANSCATHETER AORTIC VALVE IMPLANTATION (TAVI) A CCS CONSENSUS DOCUMENT FINAL V1 Last updated: September 16, 2015
More informationApps at the Point Of Care
Apps at the Point Of Care Andrew Freeman, MD, FACC Director of Clinical Cardiology and Operations National Jewish Health Associate Professor of Medicine National Jewish Health and University of Colorado
More informationACTION Registry-GWTG. NCDR13 Updates 3/22/2013. ACTION Cumulative Records Submitted Q Q Q Q Q3 Records Submitted
ACTION Registry-GWTG NCDR13 Updates 500000 450000 400000 350000 300000 250000 200000 150000 100000 50000 0 ACTION Cumulative Records Submitted 457970 327168 219151 138117 83446 2008 Q3 2009 Q3 2010 Q3
More informationWorkshop #10: IMPACT Registry Data Quality Reports. Presenter Disclosure Information. Objectives 2/25/2013
Workshop #10: IMPACT Registry Data Quality Reports Presenter Disclosure Information Joanne Chisholm RN, BSN, CEN Joshua Kanter MD, FACC Kristina McCoy MSN, CPHQ, NP-C Joan Michaels RN, MSN, CPHQ The following
More informationBricks and Mortar of a Telehealth Initiative
Bricks and Mortar of a Telehealth Initiative Session 279, Date of Session: March 8, 2018 Suzanne Richardson, MSN-HCSM, RN Laurie Eccleston, MPA, RN, CPHIMS 1 Conflict of Interest Suzanne E. Richardson,
More informationPragmatic Trial Designs Capturing Endpoints and Integrating Data from Non-Linked Sources
Pragmatic Trial Designs Capturing Endpoints and Integrating Data from Non-Linked Sources Matthew T. Roe, MD, MHS Duke Clinical Research Institute Conflict of Interest Statement Matthew T. Roe, MD, MHS
More informationAHRQ Quality Indicators. Maryland Health Services Cost Review Commission October 21, 2005 Marybeth Farquhar, AHRQ
AHRQ Quality Indicators Maryland Health Services Cost Review Commission October 21, 2005 Marybeth Farquhar, AHRQ Overview AHRQ Quality Indicators Current Uses of the Quality Indicators Case Studies of
More informationSBAR: NCDR Registries Initiation and Feedback Phase
SBAR: NCDR Registries Initiation and Feedback Phase Title: NCDR Registries CECCV-36 Situation: Less than ~76% of TH procedure sites belong to NCDR Registries. Background: Registries ensure evidenced-based
More informationWho is our TAVR population?
The Structural Heart Disease Patient Experience Jennifer Dollery RN, BSN Structural Heart Disease Program Manager The Ohio State University Wexner Medical Center 1 Who is our TAVR population? 2 Early TAVR
More informationMeasure Applications Partnership
Measure Applications Partnership All MAP Member Web Meeting November 13, 2015 Welcome 2 Meeting Overview Creation of the Measures Under Consideration List Debrief of September Coordinating Committee Meeting
More informationTranscatheter Aortic Valve Replacement (TAVR): A Needs Assessment for Norton Healthcare
University of Kentucky UKnowledge DNP Projects College of Nursing 2016 Transcatheter Aortic Valve Replacement (TAVR): A Needs Assessment for Norton Healthcare Anna Chumbley University of Kentucky, katiechumbley@yahoo.com
More informationInvestigator s Guide to NCDR Research
Investigator s Guide to NCDR Research Table of Contents WELCOME... 4 OVERVIEW... 5 NCDR Data Registries... 5 NCDR Research... 5 NCDR Data Analytics... 5 Human Subject Research and the NCDR... 6 NCDR RESEARCH
More informationCalendar Year 2014 Medicare Physician Fee Schedule Final Rule
Calendar Year 2014 Medicare Physician Fee Schedule Final Rule Non-Facility Cap After receiving many negative comments on this issue from physician groups, along with the House GOP Doctors Caucus letter
More informationFDA Vision for Innovative Surveillance of Orthopedic Implants
FDA Vision for Innovative Surveillance of Orthopedic Implants Danica Marinac-Dabic, MD, PhD Director, CDRH Division of Epidemiology Head, FDA ICOR Initiative Total and Resurfacing Hip Systems: Post-Approval
More informationStructural Heart Program Staffing Considerations- Effective Models for Clinic, Procedure and Post Procedure Care
Structural Heart Program Staffing Considerations- Effective Models for Clinic, Procedure and Post Procedure Care Deborah Campbell Inova Fairfax Medical Campus Edwards Healthcare Leadership Series September
More informationQuality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals
Quality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals DMC Harper- Hutzel Hospital The DMC is an 8 facility academic medical center Harper-Hutzel is
More informationWinning at Care Coordination Using Data-Driven Partnerships
Idriz Limaj, LNHA, RN Chief Operating Officer Winning at Care Coordination Using Data-Driven Partnerships Session #166, February 22, 2017 1 Steven Littlehale, MS, GCNS-BC EVP & Chief Clinical Officer Speaker
More informationPennsylvania Patient and Provider Network (P3N)
Pennsylvania Patient and Provider Network (P3N) Cross-Boundary Collaboration and Partnerships Commonwealth of Pennsylvania David Grinberg, Deputy Executive Director 717-214-2273 dgrinberg@pa.gov Project
More information4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Eric. M. Rogers MEd. RT(R) Managing Consultant The changing health care market THE CHANGING HEALTH CARE MARKET HHS goal of 30% of traditional
More informationINTERMACS has a Key Role in Reporting on Quality Metrics
INTERMACS has a Key Role in Reporting on Quality Metrics Robert L Kormos MD FACS, FAHA FRCS(C) Director Artificial Heart Program University of Pittsburgh Medical Center The Patient Protection and Affordable
More informationA strategy for building a value-based care program
3M Health Information Systems A strategy for building a value-based care program How data can help you shift to value from fee-for-service payment What is value-based care? Value-based care is any structure
More informationNew York State Department of Health Innovation Initiatives
New York State Department of Health Innovation Initiatives HCA Quality & Technology Symposium November 16 th, 2017 Marcus Friedrich, MD, MBA, FACP Chief Medical Officer Office of Quality and Patient Safety
More informationRegulatory Compliance Risks. September 2009
Rehabilitation Regulatory Compliance Risks September 2009 1 Agenda - Rehabilitation Compliance Risks Understand the basic requirements for Inpatient Rehabilitation Facilities (IRFs) and Outpatient Rehabilitation
More informationCatherine Porto, MPA, RHIA, CHP Executive Director HIM. Madelyn Horn Noble 3M HIM Data Analyst
1 Catherine Porto, MPA, RHIA, CHP Executive Director HIM Madelyn Horn Noble 3M HIM Data Analyst University of New Mexico Hospitals» The state s only academic medical center» The primary teaching hospital
More informationPreliminary Evaluation Findings NJHI-Expecting Success in Cardiac Care
Preliminary Evaluation Findings NJHI-Expecting Success in Cardiac Care Presentation to the NJHI-ES Learning Network May 12, 2009 Joel Cantor, ScD Professor and Director Acknowledgements Funded by the Robert
More informationActivity Based Cost Accounting and Payment Bundling
Activity Based Cost Accounting and Payment Bundling 1 Agenda Introduction of Speakers Fast Facts about Jewish Senior Life/Jewish Home of Rochester Determining the need and uses for an Activity Based Cost
More informationOverview. Overview 01:55 PM 09/06/2017
01:55 PM Inactive No Effective Date Date of Last Change 07/16/2017 08:34:13.108 AM Job Profile Name Director of Clinical Quality Informatics for Regulatory Performance- Enterprise Job Profile Summary Job
More informationA Battelle White Paper. How Do You Turn Hospital Quality Data into Insight?
A Battelle White Paper How Do You Turn Hospital Quality Data into Insight? Data-driven quality improvement is one of the cornerstones of modern healthcare. Hospitals and healthcare providers now record,
More informationHow to build a TAVI Team
How to build a TAVI Team TAVI Summit, Seoul, Korea, September 3rd, 2011 Alain Cribier, MD Charles Nicolle Hospital, University of Rouen, France Disclosure Consultant and involved in the Training / Proctoring
More informationAbout the Report. Cardiac Surgery in Pennsylvania
Cardiac Surgery in Pennsylvania This report presents outcomes for the 29,578 adult patients who underwent coronary artery bypass graft (CABG) surgery and/or heart valve surgery between January 1, 2014
More informationThe STAAR Initiative
The STAAR Initiative A quality effort at the heart of system redesign Amy E. Boutwell, MD, MPP The Center for Innovative Healthcare Strategies amy@innovativehealthcarestrategies.org Please note: Dr Boutwell
More informationCV SURGERY 30 DAY RE-ADMISSION. CMS IS WATCHING YOU, AND YOU, AND ME TOO.
CV SURGERY 30 DAY RE-ADMISSION. CMS IS WATCHING YOU, AND YOU, AND ME TOO. THE TEAM UTAH VALLEY HOSPITAL John Mitchell, MD January 16, 2016 Centers for Medicare and Medicaid Services Federally funded inpatient
More informationDescribe the process for implementing an OP CDI program
1 Outpatient CDI: The Marriage of MACRA and HCCs Marion Kruse, RN, MBA Founding Partner LYM Consulting Columbus, OH Learning Objectives At the completion of this educational activity, the learner will
More informationQAPI Making An Improvement
Preparing for the Future QAPI Making An Improvement Charlene Ross, MSN, MBA, RN Objectives Describe how to use lessons learned from implementing the comfortable dying measure to improve your care Use the
More informationMedicare Part C Medical Coverage Policy
Clinical Trial Services Origination: June 28, 1999 Review Date: April 18, 2018 Next Review: April, 2020 Medicare Part C Medical Coverage Policy DESCRIPTION OF PROCEDURE Clinical trials (or clinical research
More informationStakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from
Strategic Plan 27 Executive Summary The following is a summary of the information shared in this Operations Review and Plan. This plan highlights operational achievements and challenges, clinical outcomes
More informationThe Key Principles And Characteristics Of An Effective Hospital Medicine Group
The Key Principles And Characteristics Of An Effective Hospital Medicine Group Management Infra. Adequate Resources Effective Leadership Engaged Hospitalists Quality, Safety, & Efficiency Satisfaction
More informationThe Minnesota Statewide Quality Reporting and Measurement System (SQRMS)
The Minnesota Statewide Quality Reporting and Measurement System (SQRMS) Denise McCabe Quality Reform Implementation Supervisor Health Economics Program June 22, 2015 Overview Context Objectives and goals
More informationMACRA Frequently Asked Questions
Following the release of the Quality Payment Program Interim Final Rule, the American Medical Association (AMA) conducted numerous informational and training sessions for physicians and medical societies.
More informationUsing the National Hospital Care Survey (NHCS) to Identify Opioid-Related Hospital Visits
Using the National Hospital Care Survey (NHCS) to Identify Opioid-Related Hospital Visits Carol DeFrances, Ph.D. and Margaret Noonan, M.S. Division of Health Care Statistics National Center for Health
More information2018 Collaborative Quality Initiative Fact Sheet
2018 Collaborative Quality Initiative Fact Sheet Blue Cross Blue Shield of Michigan Cardiovascular Consortium Overview The Blue Cross Blue Shield of Michigan Cardiovascular Consortium, commonly called
More informationHospital IQR Program ecqm Reporting. November 7, 2013
Hospital IQR Program ecqm Reporting November 7, 2013 Discussion Topics Goals, Focus and Background Hospital IQR Program Requirements Where to begin Chart-Abstracted Deadlines ecqm Deadlines What to do
More informationHealth Care Systems - A National Perspective Erica Preston-Roedder, MSPH PhD
Health Care Systems - A National Perspective Erica Preston-Roedder, MSPH PhD Outline Quality Overview Overview and discussion of CMS programs Increasing transparency Move from P4R to P4P Expanding beyond
More informationThe Medicare Local Coverage Determination Process and Clinical Trials
The Medicare Local Coverage Determination Process and Clinical Trials Richard K. Baer, M.D. Medical Director, National Government Services Health Care Compliance Association 6500 Barrie Road, Suite 250,
More informationMedicare, Managed Care & Emerging Trends
Medicare, Managed Care & Emerging Trends LeadingAge Michigan 2015 Annual Leadership Institute August 12, 2015 Jon Lanczak, Manager Beth Sullivan, Senior Manager Plante Moran, PLLC Overall Theme Healthcare
More informationCPAs & ADVISORS. experience support // ADVANCED PAYMENT MODELS: CJR
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Andy M. Williams Partner BKD Eric M. Rogers Managing Consultant BKD Will McLeod VP of Patient Services McLeod Health Emily Adams Associate
More informationCentralizing Multi-Hospital Mortality Reviews
December 7, 2016 Session Codes: D4 (9:30am-10:45am) & E4 (11:15am - 12:30pm) Centralizing Multi-Hospital Mortality Reviews IHI 28 th National Forum Mark P Jarrett, MD, MBA, MS SVP, Chief Quality Officer,
More informationEpisode Payment Models Final Rule & Analysis
Episode Payment Models Final Rule & Analysis February 15, 2017 Agenda Overview Changes from Proposed Rule Categorization of Episodes Episode Attribution Reconciliation Quality Performance Cardiac Rehab
More informationLESSONS LEARNED IN LENGTH OF STAY (LOS)
FEBRUARY 2014 LESSONS LEARNED IN LENGTH OF STAY (LOS) USING ANALYTICS & KEY BEST PRACTICES TO DRIVE IMPROVEMENT Overview Healthcare systems will greatly enhance their financial status with a renewed focus
More informationDA: November 29, Centers for Medicare and Medicaid Services National PACE Association
DA: November 29, 2017 TO: FR: RE: Centers for Medicare and Medicaid Services National PACE Association NPA Comments to CMS on Development, Implementation, and Maintenance of Quality Measures for the Programs
More informationCare Management in the Patient Centered Medical Home. Self Study Module
Care Management in the Patient Centered Medical Home Self Study Module Objectives Describe the goals of care management Identify elements of successful care management Recognize the 5 step Care Management
More informationThe Clinical Evaluation of Remote Notification to Reduce Time to Clinical Decision (CONNECT) Trial The Value of Remote Monitoring
The Clinical Evaluation of Remote Notification to Reduce Time to Clinical Decision (CONNECT) Trial The Value of Remote Monitoring George H. Crossley, MD President, Mid State Cardiology, a unit of St. Thomas
More informationENGAGING PHYSICIANS FOR IMPROVED OUTCOMES: CLINICAL DOCUMENTATION, FINANCIAL & PATIENT CARE
ENGAGING PHYSICIANS FOR IMPROVED OUTCOMES: CLINICAL DOCUMENTATION, FINANCIAL & PATIENT CARE Northeast Ohio HFMA GHALI May 20, 2016 James Begley, MD, MS Physician Champion, ICD-10 & Medical Records Committee
More informationPatient-Centered Specialty Practice (PCSP) Recognition Program
Patient-Centered Specialty Practice (PCSP) Recognition Program Standards Workshop Part 2 2013 All materials 2013, National Committee for Quality Assurance Agenda Part 1 Content of PCSP Standards and Guidelines
More informationCPAs & ADVISORS PHYSICIAN POPULATION RATIOS: THE KEY TO EVALUATING PHYSICIAN NEED, AND CREATING EFFECTIVE RECRUITING, RETENTION PLANS
CPAs & ADVISORS experience ideas // PHYSICIAN POPULATION RATIOS: THE KEY TO EVALUATING PHYSICIAN NEED, AND CREATING EFFECTIVE RECRUITING, RETENTION PLANS Presented by Scott Bezjak, Partner, BKD, LLP and
More informationMedicare Hospital Inpatient Prospective Payment System for Acute Care Hospitals Final 2016 Rates & Policies 1
Medicare Hospital Inpatient Prospective Payment System for Acute Care Hospitals Final 2016 Rates & Policies 1 Cardiac Rhythm Management (CRM) Market Impacts Introduction On August 3, 2015, the Centers
More informationThe Kaiser Sunnyside Sepsis Story Care Improvement from EGDT through ProCESS and Beyond. Why the focus on Sepsis?
The Kaiser Sunnyside Sepsis Story Care Improvement from EGDT through ProCESS and Beyond Lauren Bridge, RN, MN NEA-BC Why the focus on Sepsis? Mortality, Intensity of Resources, Risk of Readmission Compared
More informationAgenda 2/10/2012. Project AIM. Improving Perinatal Health Outcomes: New York State Obstetric and Neonatal Quality Collaborative
Improving Perinatal Health Outcomes: New York State Obstetric and Neonatal Quality Collaborative Marilyn A. Kacica, MD, MPH Chair Medical Director Division of Family Health NYSDOH Pat Heinrich, RN, MSN
More informationDesigning Reliable Value-based Systems of Care for Chronic Disease and Prevention
Designing Reliable Value-based Systems of Care for Chronic Disease and Prevention Frederick J. Bloom, Jr. MD MMM President, Guthrie Medical Group 1/23/15 Where We Want to Be 1. Affordable coverage for
More informationHome Health Value-Based Purchasing Series: HHVBP Model 101. Wednesday, February 3, 2016
Home Health Value-Based Purchasing Series: HHVBP Model 101 Wednesday, February 3, 2016 About the Alliance 501(c)(3) non-profit research foundation Mission: To support research and education on the value
More informationFuture Proofing Healthcare: Who Knows?
Future Proofing Healthcare: Who Knows? Marcel Loh Chief Executive, Swedish Suburban Hospitals & Affiliates Swedish Health Services 2 3 4 Things do not happen. Things are made to happen. John F. Kennedy
More informationThe Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing
The Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing Sharon P. Stetz MSN Marvella M. Muzik, MS PMHNP, BC Objectives
More informationMedicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015
Medicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015 Steve Neorr Chief Administrative Officer, Triad HealthCare Network Jeff Jones Chief Financial Officer, Cone Health
More informationQuality ID #348: HRS-3 Implantable Cardioverter-Defibrillator (ICD) Complications Rate National Quality Strategy Domain: Patient Safety
Quality ID #348: HRS-3 Implantable Cardioverter-Defibrillator (ICD) Complications Rate National Quality Strategy Domain: Patient Safety 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE:
More informationThe Nexus of Quality and Finance
The Nexus of Quality and Finance Kristen Geissler Pat Ercolano March 4, 2014 Transition from Volume to Value: IHI Triple Aim IHI Triple Aim Improve patient experience of care (quality & satisfaction) Improve
More informationIntroduction to the Malnutrition Quality Improvement Initiative (MQii)
Introduction to the Malnutrition Quality Improvement Initiative (MQii) 1 Overview The Case for Malnutrition Quality Improvement Background on the Malnutrition Quality Improvement Initiative (MQii) The
More informationVeterans Health Administration: Surveillance of Cardiovascular Disease, Diabetes Mellitus, and Chronic Obstructive Pulmonary Disease
Veterans Health Administration: Surveillance of Cardiovascular Disease, Diabetes Mellitus, and Chronic Obstructive Pulmonary Disease Paul D. Varosy, MD Director of Cardiac Electrophysiology VA Eastern
More informationSepsis Quality Improvement Project. October/November 2017
Sepsis Quality Improvement Project October/November 2017 Stony Brook Medicine includes six Health Sciences schools as well as Stony Brook University Hospital, Stony Brook Southampton Hospital, Stony Brook
More informationTaming Length of Stay Challenges Through Analytics
Taming Length of Stay Challenges Through Analytics March 3, 2016 Dr. Michelle Pezzani, Medical Director Utilization Management at El Camino Hospital & Palo Alto Medical Foundation (PAMF) Petrina Griesbach
More informationINTERGY MEANINGFUL USE 2014 STAGE 1 USER GUIDE Spring 2014
INTERGY MEANINGFUL USE 2014 STAGE 1 USER GUIDE Spring 2014 Intergy Meaningful Use 2014 User Guide 2 Copyright 2014 Greenway Health, LLC. All rights reserved. This document and the information it contains
More informationMDEpiNet RAPID Meeting
MDEpiNet RAPID Meeting BUILD, PCORnet & SENTINEL: Background, Data Model and Data Elements Jeffrey Brown, PhD Associate Professor May 25, 2017 1 FDA Sentinel: Background 2007: FDA Amendments Act A mandate
More informationMOC Part IV: Your Guide to Making it Happen.
MOC Part IV: Your Guide to Making it Happen. Joseph P. Drozda, Jr., MD, F.A.C.C. Mercy, MO Paul D. Varosy, MD, F.A.C.C., FAHA, FHRS University of Colorado Denver School of Medicine, CO Disclosures Course
More informationWorkflow and Usability Improve Immunization-Related Data Quality for Providers and Public Health Session 55, March 6, 2018 Kafayat Adeniyi, Public
Workflow and Usability Improve Immunization-Related Data Quality for Providers and Public Health Session 55, March 6, 2018 Kafayat Adeniyi, Public Health Project Manager, CDC Floyd Eisenberg, VP Quality
More informationAdvancing Care Coordination Proposed Rule
Advancing Care Coordination Proposed Rule Released July 25, 2016 Erin Smith, JD VP and Executive Director, PACCR Jourdan Meltzer Research Associate, PACCR August 4, 2016 1 Presentation Overview Three new
More informationRegistry General FAQs
Registry General FAQs September, 2016 Table of Contents 1 Overview... 1 2 Frequently Asked Questions... 2 2.1 General... 2 2.2 Data... 5 2.3 Population Health... 6 2.4 Security and Privacy... 6 2.5 Cost
More informationCMS TRANSPLANT PROGRAM QUALITY WEBINAR SERIES. James Ballard, MBA, CPHQ, CPPS, HACP Eileen Willey, MSN, BSN, RN, CPHQ, HACP
CMS TRANSPLANT PROGRAM QUALITY WEBINAR SERIES Comprehensive Program and 5 Key Aspects James Ballard, MBA, CPHQ, CPPS, HACP Eileen Willey, MSN, BSN, RN, CPHQ, HACP QAPI Specialist/ Quality Surveyor Educators
More informationAldijana Avdić, BSN, RN, PBMS, CPHQ Assistant Director, Patient Safety and Privacy 1
Aldijana Avdić, BSN, RN, PBMS, CPHQ Assistant Director, Patient Safety and Privacy 1 Program Definition The timely application of evidence-based medical and surgical concepts designed to maintain hemoglobin
More informationMoving the Dial on Quality
Moving the Dial on Quality Washington State Medical Oncology Society November 1, 2013 Nancy L. Fisher, MD, MPH CMO, Region X Centers for Medicare and Medicaid Serving Alaska, Idaho, Oregon, Washington
More informationENRICHING THE POLICY-MAKING PROCESS THROUGH MULTISTAKEHOLDER DIALOGUE
ENRICHING THE POLICY-MAKING PROCESS THROUGH MULTISTAKEHOLDER DIALOGUE WHO BI-REGIONAL CONSULTATION ON GOOD GOVERNANCE FOR IMPROVED ACCESS TO MEDICINES 9 Nov 2015 Manila Philippines 1 INTRODUCTION MeTA:
More informationAdditional Considerations for SQRMS 2018 Measure Recommendations
Additional Considerations for SQRMS 2018 Measure Recommendations HCAHPS The Hospital Consumer Assessments of Healthcare Providers and Systems (HCAHPS) is a requirement of MBQIP for CAHs and therefore a
More information5D QAPI from an Operational Approach. Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Pathway Health 2013
5D QAPI from an Operational Approach Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Objectives Review the post-acute care data agenda. Explain QAPI principles Describe leadership
More informationVNAA BLUEPRINT FOR EXCELLENCE BEST PRACTICES TO REDUCE HOSPITAL ADMISSIONS FROM HOME CARE. Training Slides
VNAA BLUEPRINT FOR EXCELLENCE BEST PRACTICES TO REDUCE HOSPITAL ADMISSIONS FROM HOME CARE Training Slides 061015 Why Take Action to Prevent Readmissions? Better patient care and patient experience Home
More informationPreventing Heart Failure Readmissions by Using a Risk Stratification Tool
Preventing Heart Failure Readmissions by Using a Risk Stratification Tool Anna Dermenchyan, MSN, RN, CCRN-K Senior Clinical Quality Specialist Department of Medicine, UCLA Health PhD Student, UCLA School
More informationData Sources for Medical Device Epidemiology
Data Sources for Medical Device Epidemiology Kaiser Permanente Surgical Outcomes & Analysis Maria Inacio, PhD National Implant Registries Today s Talk* I. Necessary data elements for device surveillance
More informationNew federal requirements for posting of clinical trials information
in the news Health Care October 2016 New Clinical Trial Rule Alters Reporting Requirements In this Issue: Introduction... 1 Types of Clinical Trials Subject to the Final Rule... 2 The Responsible Party
More informationThe Memphis Model: CHN as Community Investment
The Memphis Model: CHN as Community Investment Health Services Learning Group Loma Linda Regional Meeting June 28, 2012 Teresa Cutts, Ph.D. Director of Research for Innovation cutts02@gmail.com, 901.516.0593
More informationQuality Circles. Nursing as a Revenue Center NDNQI
IS YOUR ORGANIZATION ACCOUNTABLE? 2011 NDNQI Conference Miami, FL Victoria L. Rich, PhD, RN, FAAN Chief Nurse Executive, University of Pennsylvania Medical Center Associate Executive Director, Hospital
More informationMedication Safety Quality Improvement: Collaboration to Reduce Adverse Drug Events
Medication Safety Quality Improvement: Collaboration to Reduce Adverse Drug Events Jayme Steig, PharmD, RPh Quality Improvement Specialist - Pharmacy Quality Health Associates of North Dakota Disclosure
More informationSTEUBEN COUNTY HEALTH PROFILE. Finger Lakes Health Systems Agency, 2017
STEUBEN COUNTY HEALTH PROFILE Finger Lakes Health Systems Agency, 2017 About the Report The purpose of this report is to provide a summary of health data specific to Steuben County. Where possible, benchmarks
More informationThe CART Transactional Approach
June 23 rd, 2010 FDA Headquarters The CART Transactional Approach High quality, Prospective Registry Design: Issues and Answers for TREAT Thomas T. Tsai, MD, MSc Director of Interventional Cardiology Clinical
More informationState of Rural Healthcare In US
State of Rural Healthcare In US According to the American Hospital Association (AHA): There are 5564 registered hospital in US 4862 are considered community hospitals 1829 are rural hospitals Aging Population
More informationBCBSM Physician Group Incentive Program
BCBSM Physician Group Incentive Program Organized Systems of Care Initiatives Interpretive Guidelines 2012-2013 V. 4.0 Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee
More informationBundled Payments to Align Providers and Increase Value to Patients
Bundled Payments to Align Providers and Increase Value to Patients Stephanie Calcasola, MSN, RN-BC Director of Quality and Medical Management Baystate Health Baystate Medical Center Baystate Health Is
More informationPotential Measures for the IPFQR Program and the Pre-Rulemaking Process. March 21, 2017
Potential Measures for the IPFQR Program and the Pre-Rulemaking Process March 21, 2017 Speakers Michelle Geppi Health Insurance Specialist Centers for Medicare & Medicaid Services Erin O Rourke Senior
More information