Population Health Management. Ashley Rhude RHIA, CHTS-IM HIT Practice Advisor
|
|
- Sherilyn Osborne
- 6 years ago
- Views:
Transcription
1 Population Health Management Ashley Rhude RHIA, CHTS-IM HIT Practice Advisor
2 Mission of OFMQ OFMQ is a not-for-profit, consulting company dedicated to advancing healthcare quality. Since 1972, we ve been a trusted resource through collaborative partnerships and hands-on support to healthcare communities.
3 OFMQ Areas of Expertise Analytics Case Review Education HIPAA IT Consulting Health Information Technology National Quality Measures Quality Improvement
4 HIT Service Lines HIPAA/Meaningful Use Security Risk Assessment - Level 1, 2, and 3 Meaningful Use Assistance Meaningful Use Audit Support Risk Management Consulting and Development Staff HIPAA Security Training Website Development & Secure IT Consulting
5 Ashley Rhude, RHIA, CHTS-IM AHIMA Approved ICD-10-CM/PCS Trainer Ashley holds a bachelor s degree in Health Information Management, as well as Health Care Administration. She is currently a Health Information Technology (HIT) practice advisor for the Oklahoma Foundation for Medical Quality. In this role, she assists providers, hospitals and nursing homes in the implementation and optimization of Electronic Health Records (EHR). Her specialties include: project coordination with EHR vendors, HIT security and privacy, workflow re-design and being an expert in meaningful use.
6 What is Population Health Management? The health outcomes of a group of individuals, including the distribution of such outcomes within the group. Medical care is only one of many factors that affect those outcomes. 6
7 Population Health Management (PHM) The goal of population health is to transform care delivery practices and administrative support to deliver improved outcomes and lower costs across the continuum of care for a specified population. Success will depend on changes in care practices, business processes and cross-organizational communications, all supported by information technology. Member Engagement Operational Performance Management and BI Cross-Continuum Care Delivery and Medical / Care Management Accounting Quality Outcomes Management / Reporting Integration and Infrastructure Source: HIMSS15-CBI-Population-Health-Management-Defined ppt
8 Planning for Population Management This requires a significant change in the way of thinking and the practice patterns of providers. Instead of doing more to earn more, providers will be rewarded for efficiency and quality. 9
9 Pay for Performance Thinking MACRA- Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) reform Medicare payment. 10
10 What is MACRA? Ending the Sustainable Growth Rate (SGR) formula for determining Medicare payments for health care providers services. Making a new framework for rewarding health care providers for giving better care not more just more care. Combining our existing quality reporting programs into one new system. 11
11 MACRA This will help CMS move more quickly toward their goal of paying for value and better care by: Merit-Based Incentive Payment System (MIPS) Alternative Payment Models (APMs)
12 MIPS A new program that combines parts of the Physician Quality Reporting System (PQRS), the Value Modifier (VM or Value-based Payment Modifier), and the Medicare Electronic Health Record (EHR) incentive program into one single program in which Eligible Professionals (EPs) will be measured on: Quality Resource use Clinical practice improvement Meaningful use of certified EHR technology
13 APMs This will give CMS new ways to pay health care providers for the care they give Medicare beneficiaries. For example: From , pay some participating health care providers a lump-sum incentive payment. Increased transparency of physician-focused payment models. Starting in 2026, offers some participating health care providers higher annual payments. Accountable Care Organizations (ACOs), Patient Centered Medical Homes, and bundled payment models.
14 Accountable Care Organizations (ACOs) Groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to the Medicare patients they serve. Coordinated care helps ensure that patients, especially the chronically ill, get the right care at the right time, with the goal of avoiding unnecessary duplication of services and preventing medical errors When an ACO succeeds in both delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program. 15
15 Patient Centered Medical Home (PCMH) The medical home concept. Team-based health care delivery model led by a health care provider that is intended to provide comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes. Recognition is completed by The National Committee for Quality Assurance s (NCQA). 16
16 17 PCMH Recognition Elements
17 18 PCMH Recognition Elements
18 19 PCMH Recognition Elements
19
20 How can Technology help you? EHRs and automation tools should be used to support these essential PHM functions : Population identification Identification of care gaps Stratification Patient engagement Care management Outcomes measurement 21
21 Challenges and Next Steps CHALLENGES Practice standardization Resources Can t stop processes and can t add resources to change Needed to understand practice variation and standardize Informatics knowledgeable in in EMR support teams Challenge to implement tools to free up resources when processes and data aren t standardized (IT, informatics) Rapid cycle iteration is challenging for practice tools without significant resource involvement Decision rights who says this is the new process. NEXT STEPS Enterprise metrics Point-of-care registry and care management Patient consumer engagement utilizing EHR patient portal Source: HIMSS15-CBI-Population-Health-Management-Defined ppt
22 In Conclusion By applying technology, automation or the medical home concept to every aspect of population health management, provider organizations and health systems will be able to deliver quality care to thousands of patients in an efficient and sustainable manner. 23
23 We Are Here To Help! Call: (877) Visit: Questions?
24 Sources Report.pdf Initiatives-Patient-Assessment- Instruments/Value-Based-Programs/MACRA- MIPS-and-APMs/MACRA-MIPS-and-APMs.html tices/patient-centered-medical-homepcmh/pcmh-2014-content-and-scoring-summary HIMSS15-CBI-Population-Health-Management- Defined ppt
25
26 Upcoming WebEx Events Monthly HIT Educational WebEx Wed, May 18 th 12:15pm Overview of MACRA Monthly HIT Educational WebEx Wed, June 15 th 12:15pm Million Hearts and Healthy Hearts Register at
27 Thank you!
Health System Transformation, CMS Priorities, and the Medicare Access and CHIP Reauthorization Act
Health System Transformation, CMS Priorities, and the Medicare Access and CHIP Reauthorization Act Ashby Wolfe, MD, MPP, MPH Chief Medical Officer, Region IX Centers for Medicare and Medicaid Services
More informationThe Quality Payment Program: Overview & Roles and Responsibilities
The Quality Payment Program: Overview & Roles and Responsibilities National Tribal Health Conference Susy Postal DNP, RN-BC Chief Health Informatics Officer September 27, 2017 INDIAN HEALTH SERVICE / OFFICE
More informationHere is what we know. Here is what you can do. Here is what we are doing.
With the repeal of the sustainable growth rate (SGR) behind us, we are moving into a new era of Medicare physician payment under the Medicare Access and CHIP Reauthorization Act (MACRA). Introducing the
More informationRecent Legislative Changes: MU, PQRS, and MIPS
Recent Legislative Changes: MU, PQRS, and MIPS Catherine Chuter Sr. Associate, athenahealth This event is live as of XYZ 2 Projected number of Medicare beneficiaries Source: CMS, 2013 Annual Report of
More informationOklahoma s Public Health Immunization Reporting Updates. By Brittany Curry of OSDH. An Important Reminder. For audio, you must use your phone:
Oklahoma s Public Health Immunization Reporting Updates By Brittany Curry of OSDH An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906 0123. Step 2: Enter code 2071585#. Step
More informationFrequently Asked Questions
Frequently Asked Questions What is the Compass Practice Transformation Network (Compass PTN)? The Compass Practice Transformation Network (Compass PTN) was founded by the Iowa Healthcare Collaborative
More informationBackground and Context:
Session Objectives: Practice Transformation: Preparing for a Value Based Purchasing Environment Susan Brown, MPH, CPHIMS May 2, 2016 Understand the timeline and impact of MACRA/MIPS on health care payment
More informationHere is what we know. Here is what you can do. Here is what we are doing.
With the repeal of the sustainable growth rate (SGR) behind us, we are moving into a new era of Medicare physician payment under the Medicare Access and CHIP Reauthorization Act (MACRA). Introducing the
More informationUsing Updox to Succeed with MIPS
Using Updox to Succeed with MIPS Who is Updox? A Communications Platform built by physicians, for physicians 56,000+ providers and more than 300,000 users--and growing 100+ EMR integrations 72 million
More information2017 Transition Into Value Based Care
2017 Transition Into Value Based Care Provider Meeting August 3 rd, 2017 Objectives Define MACRA, MIPS, and APM Overview of MIPS Performance Categories within the Quality Payment Program (QPP) Provide
More informationCMS Quality Payment Program: Performance and Reporting Requirements
CMS Quality Payment Program: Performance and Reporting Requirements Session #QU1, February 19, 2017 Kristine Martin Anderson, Executive Vice President, Booz Allen Hamilton Colleen Bruce, Lead Associate,
More informationObjectives. Preparing for Value-Based Reimbursement 3/28/2016
Preparing for Value-Based Reimbursement Tracy Bird, FACMPE, CPC, CPMA, CPC-I, CEMC Sr. Advisor Education and Consulting KaMMCO April 12, 2016 1 2 Objectives A look back - how did we get here Existing and
More informationMoving MACRA-MIPS Forward: Role by Role
Moving MACRA-MIPS Forward: Role by Role Todd Searls, President & Founder 10/24/2017 Wanda Kelley, VP Clinical Informatics Rhonda Luetkenhaus, Manager Quality Programs 888.848.9876 info@phc.guru www.praesidioconsulting.com
More informationMedicare Part B Updates and Changes 2016/2017. Presented by Tammy Ewers, CPC Education and Outreach Representative
Medicare Part B Updates and Changes 2016/2017 Presented by Tammy Ewers, CPC Education and Outreach Representative DISCLAIMER This information release is the property of Noridian Healthcare Solutions, LLC.
More informationMACRA, MIPS, and APMs What to Expect from all these Acronyms?!
MACRA, MIPS, and APMs What to Expect from all these Acronyms?! ACP Pennsylvania Council Meeting Saturday, December 5, 2015 Shari M. Erickson, MPH Vice President, Governmental Affairs & Medical Practice
More informationGetting Ready for the Post-SGR World. Presented by: Sybil R. Green, JD, RPh, MHA. West Virginia Oncology Society Spring Meeting May 5, 2016
Getting Ready for the Post-SGR World Presented by: Sybil R. Green, JD, RPh, MHA West Virginia Oncology Society Spring Meeting May 5, 2016 CME/CE Information For Physicians: This activity has been planned
More informationConnected Care Partners
Connected Care Partners Our Discussion Today Introducing the Connected Care Partners CIN What is a Clinically Integrated Network (CIN) and why is the time right to join the Connected Care Partners CIN?
More informationMedicare Physician Payment Reform:
Medicare Physician Payment Reform: Implications and Options for Physicians and Hospitals Background The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law on April 14, 2015.
More informationMACRA MACRA MACRA 9/30/2015. From the Congress: A New Medicare Payment System. The Future of Medicare: A Move Toward Value Driven Healthcare W20.
W20.8XXA The Future of Medicare: A Move Toward Value Driven Healthcare Emily L. Graham, RHIA, CCS-P VP, Regulatory Affairs, Hart Health Strategies Consultant, Coalition of State Rheumatology Organizations
More informationPractice Transformation Networks
Practice Transformation Networks The project described was supported by Funding Opportunity Number CMS-1L1-15-003 from the U. S. Department of Health & Human Services, Centers for Medicare and Medicaid
More informationThe Influence of Health Policy on Clinical Practice. Dr. Kim Kuebler, DNP, APRN, ANP-BC Multiple Chronic Conditions Resource Center
The Influence of Health Policy on Clinical Practice Dr. Kim Kuebler, DNP, APRN, ANP-BC Multiple Chronic Conditions Resource Center Disclaimer Director: Multiple Chronic Conditions Resource Center www.multiplechronicconditions.org
More informationMeaningful Use Audits for Medicare and Medicaid. Shay Surowiak, RN, BSN, CHTS-CP HIT Practice Advisor
Meaningful Use Audits for Medicare and Medicaid Shay Surowiak, RN, BSN, CHTS-CP HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123. Step 2: Enter
More informationMeaningful Use Under MIPS
Meaningful Use Under MIPS July 20, 2016 Agenda Opening Remarks Housekeeping Polling Question Presentations Q&A Polling Question Closing Remarks 2 Introduction to the atom Alliance Multi-state alliance
More informationThe Quality Payment Program Overview Fact Sheet
Quality Payment Program The Quality Payment Program Overview Background On October 14, 2016, the Department of Health and Human Services (HHS) issued its final rule with comment period implementing the
More informationWELCOME. Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association
WHAT IS MACRA? WELCOME Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association WELCOME Anthony Pudlo, PharmD, MBA, BCACP Vice President of Professional Affairs Iowa Pharmacy Association
More informationWhere We re Heading in Health Care. Grace Terrell, MD Founder & Strategist CHESS
Where We re Heading in Health Care Grace Terrell, MD Founder & Strategist CHESS Mission: To be your medical home Vision: To be the model for physician-led health care in America Values: As a physician
More informationValue-Based Payments 101: Moving from Volume to Value in Behavioral Health Care
Value-Based Payments 101: Moving from Volume to Value in Behavioral Health Care Nina Marshall, MSW Senior Director, Policy and Practice Improvement NinaM@TheNationalCouncil.org Bill Hudock Senior Public
More informationWeaving Expanded Roles of the RN into Population Management
Weaving Expanded Roles of the RN into Population Management Lois K. Andrews, DNP, RN-BC, CNS, ACNS-BC, CCRN Sentara Quality Care Network (SQCN), Norfolk, Va. Objectives: Explore the evolution of healthcare
More informationThe Patient-Centered Medical Home Model of Care
The Patient-Centered Medical Home Model of Care May 11, 2017 Louise Bryde Principal Presentation Outline Imperatives for Change Overview: What Is a Patient-Centered Medical Home? The Medical Neighborhood
More informationQUALITY PAYMENT PROGRAM
NOTICE OF PROPOSED RULE MAKING Medicare Access and CHIP Reauthorization Act of 2015 QUALITY PAYMENT PROGRAM Executive Summary On April 27, 2016, the Department of Health and Human Services issued a Notice
More informationVALUE BASED ORTHOPEDIC CARE
VALUE BASED ORTHOPEDIC CARE Becker's 14th Annual Spine, Orthopedic and Pain Management- Driven ASC Conference + The Future of Spine June 9-11, 2016 Swissotel, Chicago, IL LES JEBSON Administrator, Adjunct
More informationCMS Priorities, MACRA and The Quality Payment Program
CMS Priorities, MACRA and The Quality Payment Program Ashby Wolfe, MD, MPP, MPH Chief Medical Officer, Region IX Centers for Medicare and Medicaid Services Presentation on behalf of HSAG November 16, 2016
More informationStatement for the Record. American College of Physicians. Hearing before the House Energy & Commerce Subcommittee on Health
Statement for the Record American College of Physicians Hearing before the House Energy & Commerce Subcommittee on Health A Permanent Solution to the SGR: The Time Is Now January 21-22, 2015 The American
More informationHow CME is Changing: The Influence of Population Health, MACRA, and MIPS
How CME is Changing: The Influence of Population Health, MACRA, and MIPS Table of Contents Population Health: Definition and Use Case The Future of Population Health and Performance Improvement MACRA and
More informationMACRA and the Quality Payment Program. Frequently Asked Questions Edition
MACRA and the Quality Payment Program Frequently Asked Questions 2018 Edition What is MACRA?...3 What is the Quality Payment Program?...3 How do payments work under the QPP?...3 What is at risk under
More information2017 Transition Year Flexibility Improvement Activities Category Options
The Physicians Advocacy Institute s Medicare Quality Payment Program (QPP) Physician Education Initiative 2017 Transition Year Flexibility Improvement Activities Category Options 1 P a g e Ad MEDICARE
More informationOverview of Quality Payment Program
Overview of Quality Payment Program Policies for 2017 & 2018 Performance Years The Medicare program has transformed how it reimburses psychiatrists and other clinicians for providing services, under the
More information= AUDIO. Meaningful Use Audits for Medicare and Medicaid. An Important Reminder. Mission of OFMQ 9/23/2015. Jason Felts, MS HIT Practice Advisor
Meaningful Use Audits for Medicare and Medicaid Jason Felts, MS HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906 0123. Step 2: Enter code 2071585#.
More informationHealth Information Technology
ACO Congress Oct 25, 2010 Los Angeles, CA Patient Centered Medical Home and Accountable Care Organizations Health Information Technology David K. Nace MD, Medical Director, McKesson Corporation Co-Chair,
More informationINTRODUCTION TO POPULATION HEALTH. Kathy Whitmire, Vice President
INTRODUCTION TO POPULATION HEALTH Kathy Whitmire, Vice President 1 Learning Objectives 1. Provide an overall framework for population health 2. Allow clinics to understand why population health is important
More informationTransforming Clinical Care: Why Optimization of Clinical Systems Can t Wait
Transforming Clinical Care: Why Optimization of Clinical Systems Can t Wait A White Paper March 2016 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800-680-7570 Impact-Advisors.com
More informationIs HIT a Real Tool for The Success of a Value-Based Program?
Is HIT a Real Tool for The Success of a Value-Based Program? Sally Montes, MPH, RHIA, CCHP President, SM & Associates, Inc. smontes@sm-asociados.com (787) 306-1149 President, PR HFMA Chapter INTRODUCTION
More informationMACRA Implementation: A Review of the Quality Payment Program
MACRA Implementation: A Review of the Quality Payment Program Neal Logue, Kirk Sadur Centers for Medicare and Medicaid Services, Region IX, September 15, 2017 Disclaimer This presentation was prepared
More informationValue-Based Reimbursements are Here: Are you Ready?
Value-Based Reimbursements are Here: Are you Ready? White Paper ELLIS MAC KNIGHT, MD Senior Vice President/CMO Published by Becker s Hospital Review April 2016 White Paper Value-Based Reimbursements are
More informationA Systematic Approach to Performance Improvement Under MACRA s Quality Performance Program
A Systematic Approach to Performance Improvement Under MACRA s Quality Performance Program White Paper ELLIS MAC KNIGHT, MD, MBA Senior Vice President/CMO May 2017 CONTACT For further information about
More informationMACRA Open Call December 5 th, 2016
MACRA Open Call December 5 th, 2016 Leila Volinsky, MHA, MSN, RN Quality Reporting Program Administrator This material was prepared by the New England QIN-QIO, the Medicare Quality Innovation Network-Quality
More informationPatient Referrals to Self-Management Programs
October 26, 2016 Patient Referrals to Self-Management Programs Janet Tennison PhD, MSW, LCSW Senior Project Manager HealthInsight Quality Innovation Network (QIN) Quality Improvement Organization (QIO)
More informationMeaningful Use 2016 and beyond
Meaningful Use 2016 and beyond Main Street Medical Consulting May 12, 2016 Meaningful use, MACRA, MIPS? Whaaaaat? 1 Reporting Period and Timeline In 2016 all providers are required to use CEHRT versions
More informationKate Goodrich, MD MHS. Director, Center for Clinical Standards & Quality. Center for Medicare and Medicaid Services (CMS) May 6, 2016
Kate Goodrich, MD MHS Director, Center for Clinical Standards & Quality Center for Medicare and Medicaid Services (CMS) May 6, 2016 THE MEDICARE ACCESS & CHIP REAUTHORIZATION ACT OF 2015 Quality Payment
More informationSpring User Conference May Sandestin, FL Detailed Agenda
Day One: Monday May 16, 2016 3 6 p.m. Conference Registration 5 6 p.m. Customer Welcome and Orientation for First-time Conference Attendees 6 8 p.m. Welcome Reception Day Two: Tuesday May 17, 2016 7 a.m.
More informationUnderstanding Medicare s New Quality Payment Program
Understanding Medicare s New Quality Payment Program Your introduction to MACRA and getting started with MIPS 1 Understanding Medicare s New Quality Payment Program 2016 Mingle Analytics. All Rights Reserved.
More informationThe Evolving Landscape of Healthcare Payment: Incentive Programs and ACO Model Optimization. Quality Forum August 19, 2015
The Evolving Landscape of Healthcare Payment: Incentive Programs and ACO Model Optimization Quality Forum August 19, 2015 Ross Manson rmanson@eidebailly.com 701.239.8634 Barb Pritchard bpritchard@eidebailly.com
More informationHow to Succeed Under MACRA The changing face of patient satisfaction. September 2017 PRESENTED BY: THOMAS P. JEFFREY, PRESIDENT
How to Succeed Under MACRA The changing face of patient satisfaction September 2017 PRESENTED BY: THOMAS P. JEFFREY, PRESIDENT Slide 1 How to Succeed Under MACRA The changing face of patient satisfaction
More informationThe Future of Physician Reimbursement
The Future of Physician Reimbursement EBG (PQRS-Quality Measures) yield Outcome Report Yield Increased Quality Yield Decreased Cost yield Increased Patient Satisfaction - CAHPS Consumer Assessment of Healthcare
More informationCenters for Medicare and Medicaid CMS Updates. Christol Green, Anthem Inc.
Centers for Medicare and Medicaid CMS 2016-2017 Updates Christol Green, Anthem Inc. Agenda Topic Page Payment Models - BPCI 3 Sequestration 5 CPC+ Initiative 7 What is MACRA? 12 CMS Social Security Number
More informationAre physicians ready for macra/qpp?
Are physicians ready for macra/qpp? Results from a KPMG-AMA Survey kpmg.com ama-assn.org Contents Summary Executive Summary 2 Background and Survey Objectives 5 What is MACRA? 5 AMA and KPMG collaboration
More information2017/2018. KPN Health, Inc. Quality Payment Program Solutions Guide. KPN Health, Inc. A CMS Qualified Clinical Data Registry (QCDR) KPN Health, Inc.
2017/2018 KPN Health, Inc. Quality Payment Program Solutions Guide KPN Health, Inc. A CMS Qualified Clinical Data Registry (QCDR) KPN Health, Inc. 214-591-6990 info@kpnhealth.com www.kpnhealth.com 2017/2018
More informationDisclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws.
Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws. This should not be used as legal advice. Itentive recognizes that
More informationPhysician Compensation Reform: How You Will Get Paid. Alexandra A. Hall Gregory W. Moore Serene K. Zeni
Physician Compensation Reform: How You Will Get Paid Alexandra A. Hall Gregory W. Moore Serene K. Zeni TOPICS TO COVER Sustainable Growth Rate and The Fix ICD-10 Pay-For Performance Accountable Care Organizations
More informationMACRA for Critical Access Hospitals. Tuesday, July 26, 2016 Webinar
MACRA for Critical Access Hospitals Tuesday, July 26, 2016 Webinar MACRA presenters Harold D. Miller, President & CEO CHQPR Claudia Sanders, Sr. Vice President, Policy Development Andrew Busz, Policy Director,
More informationUpdates to the EHR Incentive Programs Jason Felts, MS, CSCS HIT Practice Advisor
Updates to the EHR Incentive Programs - 2014 Jason Felts, MS, CSCS HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123. Step 2: Enter code 2071585#.
More informationAgenda. Surviving the New Program Requirements and the Financial Penalties Under MIPS 9/9/2016. Steps to take to prepare for MIPS
Surviving the New Program Requirements and the Financial Penalties Under MIPS September 2016 Selena Hood Agenda Steps to take to prepare for MIPS Introduction and Evaluation of the Merit-Based Incentive
More informationMACRA The shift to Value Based Care and Payment. Michael Munger, M.D., FAAFP
MACRA The shift to Value Based Care and Payment Michael Munger, M.D., FAAFP Current State Silos of Care Over Utilization Volume over Value Push Towards Value and Quality 85% Medicare Payments tied to quality
More informationCenters for Medicare & Medicaid Services: Innovation Center New Direction
Centers for Medicare & Medicaid Services: Innovation Center New Direction I. Background One of the most important goals at CMS is fostering an affordable, accessible healthcare system that puts patients
More informationMIPS, MACRA, & CJR: Medicare Payment Transformation. Presenter: Thomas Barber, M.D. May 31, 2016
MIPS, MACRA, & CJR: Medicare Payment Transformation Presenter: Thomas Barber, M.D. May 31, 2016 Michael Porter- Value Based Care Delivery, Annals of Surgery 2008 Principals: Define Value as a Goal Care
More informationCMS: NOW AND LATER. AUGUST 19, 2016 Ryan E. Spikes, RN BSN, CHTS-IM/PW, CHTS, PCMH
CMS: NOW AND LATER AUGUST 19, 2016 Ryan E. Spikes, RN BSN, CHTS-IM/PW, CHTS, PCMH KEY TOPICS 2016 Meaningful Use Requirements What is MACRA? Who is Eligible? What is MIPS? How will Clinicians be Scored?
More informationHow to Align Quality Reporting Across PQRS, MU, and VBPM
Health Care IT Advisor How to Align Quality Reporting Across PQRS, MU, and VBPM Anantachai (Tony) Panjamapirom Senior Consultant, Health Care IT Advisor Debe Gash CIO, St. Luke s Health System March 10,
More informationValue-Based Psychiatric Care
Value-Based Psychiatric Care North Carolina Psychiatric Association Annual Meeting September 15, 2017 Grace E. Terrell, MD Mission: To be your medical home Vision: To be the model for physician-led health
More informationDRIVING VALUE-BASED POST-ACUTE COLLABORATIVE SOLUTIONS. Amy Hancock, CEO Presented to: CPERI April 16, 2018
DRIVING VALUE-BASED POST-ACUTE COLLABORATIVE SOLUTIONS Amy Hancock, CEO Presented to: CPERI April 16, 2018 Cross-Continuum Road-Mapping Post-acute partners are beginning to utilize tools to identify new
More informationPQRS and Alignment Opportunity: Concept to Operationalization March 1, 2016
PQRS and Alignment Opportunity: Concept to Operationalization March 1, 2016 Debe Gash/ VP & Chief Information Officer/ Saint Luke s Health System Anantachai (Tony) Panjamapirom/ Senior Consultant/ The
More informationPhysician Quality Reporting System & VBPM, 2015
Physician Quality Reporting System & VBPM, 2015 Andrew Bienstock Transformation Support Services Manager 1 Agenda 1. PQRS Penalty 2. PQRS Eligibility 3. PQRS Reporting Options 4. Value Based Payment Modifier
More informationMIPS Collaborative: Clinical Practice Improvement Activities April 19, 2017 Francis R Colangelo, MD
MIPS Collaborative: Clinical Practice Improvement Activities April 19, 2017 Francis R Colangelo, MD Outline of Presentation Introduction Overview of MACRA/MIPS Clinical Practice Improvement Activities
More informationMichelle Brunsen & Sandy Swallow May 25, , Telligen, Inc.
MIPS Survive and Thrive: Advancing Care Information Michelle Brunsen & Sandy Swallow May 25, 2017 2016, Telligen, Inc. Objectives Quality Payment Program Updates Advancing Care Information (ACI) Category
More information10/20/2016. Working within the Value-Based World
Working within the Value-Based World MGMA Annual Conference Roundtable Discussion Orthopedics Urology Surgery Monday, October 31, 2016 1 Learning Objectives Summarize key solutions used by other specialty
More informationMACRA Quality Payment Program
The American College of Surgeons Resources for the New Medicare Physician System Table of Contents Understanding the... 3 Navigating MIPS in 2017... 4 MIPS Reporting: Individuals or Groups... 6 2017: The
More informationStrategic Implications & Conclusion
Kelly Court Chief Quality Officer Wisconsin Hospital Association Brian Vamstad Government Relations Consultant Gundersen Health System Overview and Key Takeaways of the Medicare Quality Payment Program
More informationAdvancing Care Information- The New Meaningful Use September 2017
Advancing Care Information- The New Meaningful Use September 2017 ACO Announcements Reminders: ACO Notifications PECOS-Maintain active enrollment 2017 Patient Prospective Lists Upcoming provider/office
More informationWelcome to MACRA/MIPS 2017 New Medicare Quality Program
2017 MIPS Quality Program Welcome to MACRA/MIPS 2017 New Medicare Quality Program Becky Walter, MCS-P KMC University Medicare Quality Payment Program Pay-For-Performance New Incentivized Quality Program
More informationPopulation Health and the Accelerating Leap to Outcomes-Based Reimbursement. Craig J. Wilson
Population Health and the Accelerating Leap to Outcomes-Based Reimbursement Craig J. Wilson Agenda / Goals Define Population Health Management Review emerging reimbursement landscape eg MACRA Review why
More informationQUALITY PAYMENT PROGRAM SMALL UNDERSERVED RURAL SUPPORT LAN WEBINAR JUNE 8, :30-4:30PM ET PREPARING FOR MIPS IN THE SMALL GROUP PRACTICE
1 QUALITY PAYMENT PROGRAM SMALL UNDERSERVED RURAL SUPPORT LAN WEBINAR JUNE 8, 2017 3:30-4:30PM ET PREPARING FOR MIPS IN THE SMALL GROUP PRACTICE 2 HOUSEKEEPING ANNOUNCEMENTS Please mute your computer speakers
More informationThriving in a Value Based Payment World
Thriving in a Value Based Payment World N.S. Damle MD MS FACP Senior/Managing Partner South County Internal Medicine Assistant Professor of Medicine, Alpert Medical School of Brown University Past Chairman,
More informationMarch Data Jam: Using Data to Prepare for the MACRA Quality Payment Program
March Data Jam: Using Data to Prepare for the MACRA Quality Payment Program Elizabeth Arend, MPH Quality Improvement Advisor National Council for Behavioral Health CMS Change Package: Primary and Secondary
More informationComments to the CMS Request for Information, Merit-based Incentive Payment System and Promotion of Alternative Payment Models
November 16, 2015 Centers for Medicare & Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Ave., SW Washington, DC 20201 Attention: CMS 3321- NC Comments
More informationInformatics, PCMHs and ACOs: A Brave New World
Informatics, PCMHs and ACOs: A Brave New World R. Clark Campbell, MSN, RN-BC, CPHIMS, FHIMSS Kathleen Kimmel, RN, BSN, MHA, CPHIMS, FHIMSS Engagement Executive with Health Catalyst Objectives - Define
More informationNicole Harmon, MBA, PCMH CCE Senior Director, PCMH Advisory Services HANYS Solutions Patient-Centered Medical
Nicole Harmon, MBA, PCMH CCE Senior Director, PCMH Advisory Services 2017 HANYS Solutions Patient-Centered Medical Home Advisory Services Overview Current landscape Medical neighborhood Patient-Centered
More informationThe New Frontier: Value- Based Payment Models
The New Frontier: Value- Based Payment Models Target Audience: Pharmacists and Pharmacy Technicians ACPE#: 0202-0000-18-026-L04-P/T Activity Type: Knowledge-based Target Audience: ACPE#: Activity Type:
More informationRE: CMS-1677-P; Medicare Program; Request for Information on CMS Flexibilities and Efficiencies
June 13, 2017 Ms. Seema Verma Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1677-P P.O. Box 8011 Baltimore, MD 21244-1850 RE: CMS-1677-P;
More informationMACRA is Coming: Reimbursement for Quality and the Shift to Population-Based Care
MACRA is Coming: Reimbursement for Quality and the Shift to Population-Based Care AMERICAN NEUROLOGICAL ASSOCIATION October 17, 2017 Marc R. Nuwer, MD PhD Professor and Vice Chair UCLA Lyell K. Jones,
More informationAlternative Payment Models and Health IT
Alternative Payment Models and Health IT Health DataPalooza Preconference May 8, 2016 Kelly Cronin, MS, MPH, Director, Office of Care Transformation, ONC/HHS HHS Goals for Medicare Payment Reform In January
More informationMACRA, QPP, MIPS... more alphabet soup anyone?
A Partner for Lifelong Health Cathy Cordova, MPS, BSN, RN, CPHIMS Director, Clinical Excellence and Value Donna McCarthy, MT (ASCP), MBA Meaningful Use Manager MACRA, QPP, MIPS... more alphabet soup anyone?
More informationUnderstanding PQRS and the Value-Based Modifier: CMS Plan to Achieve High Value Care through Transforming Payment Systems
Understanding PQRS and the Value-Based Modifier: CMS Plan to Achieve High Value Care through Transforming Payment Systems Dr. Ashby Wolfe, Chief Medical Officer Centers for Medicare and Medicaid Services,
More informationChapter 11. Expanding Roles and Functions of the Health Information Management and Health Informatics Professional
Chapter 11 Expanding Roles and Functions of the Health Information Management and Health Informatics Professional 11-2 Learning Outcomes When you finish this chapter, you will be able to: 11.1 Discuss
More informationMaking Sense of Clinical Quality Reporting
Making Sense of Clinical Quality Reporting June 21, 2016 8-9 AM (Hawaii Time) 10-11 AM (Alaska Time) Noon - 1 PM (Mountain Time) Presented by: Mary Erickson, RN, HIT/QI Consultant HTS, a department of
More informationDenise Hudson, NR-CMA Health Informatics Specialist Health Services Advisory Group (HSAG) August 10, 2018
Countdown to MIPS* Data Submission Webinar Series Preparing for Fall Without Falling Behind Denise Hudson, NR-CMA Health Informatics Specialist Health Services Advisory Group (HSAG) August 10, 2018 *Merit-based
More informationSVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation
SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation 2017-2018 SVS QPMC Quality and Performance Measures Committee Policy and Advocacy Council (Chair Sean Roddy) Chair: Brad Johnson,
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 informationQuality Measurement, Population Health and Payment Reform
Quality Measurement, Population Health and Payment Reform The Move from Volume to Value Dale W. Bratzler, DO, MPH, FACOI, FIDSA Professor, Colleges of Medicine and Public Health Associate Dean, College
More informationGoals & Challenges for Outpatient Quality Directors. Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE
Goals & Challenges for Outpatient Quality Directors Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE Objectives Learn a practical way for Quality Directors to align Quality Measures
More informationRe: Health Care Innovation Caucus RFI on value-based provider payment reform, value-based arrangements, and technology integration.
August 15, 2018 The Honorable Mike Kelly The Honorable Ron Kind U.S. House of Representatives U.S. House of Representatives 1707 Longworth House Office Building 1502 Longworth House Office Building Washington,
More informationCMS* Priorities and the Medicare Access and CHIP Reauthorization Act
CMS* Priorities and the Medicare Access and CHIP Reauthorization Act Howard Pitluk, MD, MPH, FACS Vice President Medical Affairs and Chief Medical Officer June 4, 2016 *Centers for Medicare & Medicaid
More information