Meaningful Use Under MIPS

Transcription

1 Meaningful Use Under MIPS July 20, 2016

2 Agenda Opening Remarks Housekeeping Polling Question Presentations Q&A Polling Question Closing Remarks 2

3 Introduction to the atom Alliance Multi-state alliance for powerful change composed of three nonprofit, healthcare QI consulting companies. 3

4 Objectives During this Webinar you will learn: How the ACI category composite score is calculated How to determine which current MU measures are used in the Base Score and which ones are used to calculate the Performance Score How to state your plan for achieving full credit for the ACI category of MIPS 4

5 Housekeeping Items: Chat To ensure maximum sound quality, participant lines have been muted; however we welcome ALL questions and comments via the chat board on the right hand side of your screen To submit questions or comments: Use WebEx chat send messages to the panelists or all participants using the chat feature drop down menu 5

6 Housekeeping Items: Q & A To ask panelists questions directly, and privately The panelist can then decide to answer the question privately (only the person that asked the question will see the response), or the panelist can answer publicly, and all participants will see the question and the answer. 6

7 Housekeeping Items: Polling During today s presentations you may be asked to participate in some polling questions. These questions will come up on the right side of your screen. When you do answer a polling question, be sure to hit the submit button so we can capture your answer. 7

8 Polling Question What is the highest stage of meaningful use that clinicians in your practice achieved? None Acquire, implement, or upgrade (AIU) Stage 1 Stage 2 8

9 Purdue Research Foundation

10 WHAT IS MACRA? In April 2015, the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) was signed 3 Important Changes Repealed the Medicare Part B Sustainable Growth Rate (SGR) formula used for determining Medicare payments for provider services Established new framework for rewarding providers for providing better care, not more care Combined existing quality reporting programs into a new, singular system 2 Streamlined Paths Merit-Based Incentive Program System (MIPS) Qualifying Alternative Payment Models (APMs) In April 2016, CMS issued a Notice of Proposed Rule Making (NPRM) to put in place key parts of the MACRA Quality Payment Program Merit-Based Incentive Program System (MIPS) Advanced Alternative Payment Models (APMs) 10 Purdue Research Foundation

11 WHAT IS MIPS? Combines multiple autonomous Medicare Part B quality reporting programs into a single program This new, single program is based on: Quality (PQRS/VM-Quality Program) Cost/Resource Use (VM-Cost Program) Advancing Care Information (Medicare MU) Clinical Practice Improvement Activities *MACRA does not alter or remove the Medicaid EHR Incentive Program 11 Purdue Research Foundation

12 WHEN IS MIPS? Performance Years & Payment Years First performance year begins in 2017, with accompanying payment adjustments in year lookback, just as in current Medicare MU, PQRS, and VM programs Performance period is one full calendar year PERFORMANCE YEAR PAYMENT YEAR Etc. Etc. 12 Purdue Research Foundation

13 MIPS PERFORMANCE CATEGORIES Annual assessment of Medicare Part B providers in 4 weighted performance categories Quality Cost Advancing Care Information Clinical Practice Improvement Activities Composite Performance Score is then assigned, based on scale Year 1 Performance Category Weighting 15% 10% 50% 25% Quality Advancing Care Information Cost Clinical Practice Improvement Activities Performance decrees payment adjustments, which increase over time 13 Purdue Research Foundation

14 ADVANCING CARE INFORMATION Performance Category Year 1 Weighting: 25% Participate as an individual or as a group Flexible scoring for all measures Scoring based on key measures of HIT interoperability & info exchange Promotion of care coordination for better patient outcomes Key Changes from Program: No all or nothing and threshold measurement Removal of one-size-fits-all perspective Removal of redundant measures Removal of CDS and CPOE objectives Reduction of public health reporting measures MIPS does not change the requirements under the Medicaid EHR Incentive Program!! EPs participating in Medicaid MU must still comply with the established requirements 14 Purdue Research Foundation

15 ADVANCING CARE INFORMATION Scoring Methodology SCORING: Base Score 50 points (out of total ACI category score) Report numerator/denominator or yes/no for each objective & measure 6 measures proposed: Protect Patient Health Information Electronic Prescribing Patient Electronic Access Coordination of Care Through Patient Engagement Health Information Exchange Public Health (Immunizations) & Clinical Data Registry Reporting 15 Purdue Research Foundation

16 ADVANCING CARE INFORMATION Scoring Methodology SCORING: Performance Score 80 points (out of total ACI category score) Select measures that best fit the practice from objectives that emphasize patient care and information access 3 measures proposed: Patient Electronic Access Coordination of Care Through Patient Engagement Health Information Exchange SCORING: Bonus Point May choose to report to other public health agencies beyond immunizations category 16 Purdue Research Foundation

17 ADVANCING CARE INFORMATION 17 Purdue Research Foundation

18 ADVANCING CARE INFORMATION 18 Purdue Research Foundation

19 Source: Quality Payment Program Homepage, CMS Fact Sheet, Advancing Care Information Bonus point for reporting to an optional registry 19 Purdue Research Foundation

20 ADVANCING CARE INFORMATION Source: Quality Payment Program Homepage, CMS Fact Sheet, Advancing Care Information 20 Purdue Research Foundation

21 ADVANCING CARE INFORMATION Considerations for CEHRT 2015 CEHRT 2014/2015 CEHRT 2014 CEHRT MIPS proposed requirements (Stage 3 MU) MIPS proposed alternative requirements (Modified Stage 2 MU) MIPS proposed requirements (Stage 3 MU)* MIPS proposed alternative requirements (Modified Stage 2 MU)* *if appropriate mix of technology is in place to support each measure Modified Stage 2 MU 2015 CEHRT is a requirement for MIPS beginning in Purdue Research Foundation

22 CONTACT Tara Hatfield RN, BSN, CHTS-CP Purdue Healthcare Advisors Managing Advisor Great Lakes Practice Transformation Network Clinical Lead Phone: Purdue Research Foundation

23 Purdue Research Foundation

24 Polling Question Which of the Advancing Care Information components described today do you expect to be the most difficult for your clinicians to achieve a good score? Base Score Patient Electronic Access Coordination of Care through Patient Engagement Health Information Exchange Public Health Registry (Bonus Point) 24

25 On-Demand Learning (ODL) Our On-Demand Learning (ODL) area on allows you to participate in archived events when it is most convenient. Live events are usually posted as an ODL opportunity 10 days after the live session. Requirements to participate? Review the list of ODL opportunities Click Go Submit your name and other information for documentation Click Submit and you ll have access to the ODL of your choice. Share the opportunity with your peers! 25

26 Thank you for joining us! Please complete the survey that will come up as you exit the webinar we value your feedback in developing future events! Please visit us at 26 This material was prepared by atom Alliance, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO), coordinated by Qsource for Tennessee, Kentucky, Indiana, Mississippi and Alabama under a contract with the CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS), a federal agency of the U.S. Department of Health and Human Services. Content does not necessarily reflect CMS policy. 16.A

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