Quality Reporting: PQRS, CQM, GIQuIC. Erin Dettrey Product Manager, Analytics Sylvia Cohen gadvisor Team Lead Laurie Parker GIQuIC Executive Director

Size: px
Start display at page:

Download "Quality Reporting: PQRS, CQM, GIQuIC. Erin Dettrey Product Manager, Analytics Sylvia Cohen gadvisor Team Lead Laurie Parker GIQuIC Executive Director"

Transcription

1 Quality Reporting: PQRS, CQM, GIQuIC Erin Dettrey Product Manager, Analytics Sylvia Cohen gadvisor Team Lead Laurie Parker GIQuIC Executive Director

2 Agenda - Setting the stage - Value Based Modifier - PQRS - ggastro Options - GIQuIC Options - How can you get help?

3 Consequences for not reporting in % Automatic for PQRS (all practice sizes). -2% to -4% for groups 10+ EPs for VBM. -3% for not reporting Meaningful Use. + + For example, a practice with 12 eligible providers who does not report PQRS in 2015, can face up to -9% payment adjustments in 2017 Last day to submit PQRS data for the 2015 reporting year: EHR method: February 29 th, 2016 QCDRs and Registries: March 31 st, 2016

4

5 Value-Based Payment Modifier It is subject to quality-tiering. For the 2015 reporting year the VBM will apply an upward, neutral or downward payment adjustment to practices of 10+ providers. For practice with 1-9, downward adjustments will begin in the 2016 reporting year.

6 PQRS ggastro Solutions Sylvia Cohen gadvisor Team Lead

7 PQRS Reporting options Available Individual Providers Claims Registry - Individual Measures or Measures Groups Qualified Clinical Data Registry (QCDR) EHR reporting EHR data submissions vendor

8 PQRS Reporting Options - GPRO Groups of 2+ EPs who bill to the same TIN Requires registration by June 30th Registry EHR Reporting EHR data submissions vendor GPRO Web Interface (only for groups of 25+ providers) CAHPS for PQRS via Certified Survey Vendor 12 Summary Survey Modules in addition to web interface reporting. (optional for EPs. Required for 100+)

9 Direct EHR Reporting of PQRS Can be done directly from ggastro, using MU Clinical Quality Measures (CQMs) Can be reported as individual providers or as GPRO IACS account needed. Can take time to obtain. Satisfies PQRS and the CQM portion of MU when reported via the QualityNet website for a full calendar year. Requires monitoring of measures and some specific actions to ensure high quality is reported. Downside: CQM submission has a limited number of measures, most of which are not GI specific.

10 List of ecqm measures available in ggastro 1. Closing the referral loop - Receipt of specialist report (CC) 2. Colorectal cancer screening 3. Controlling high blood pressure (CC) 4. Diabetes: Hemoglobin A1C Poor control (CC) 5. Diabetes: Low Density Lipoprotein (LDL) 6. Documentation of current medications in the medical record (CC) 7. HIV/AIDS: Medical visit 8. Ischemic Vascular Disease (IVD): Use of aspirin or another antithrombotic 9. Preventive care screening (BMI) Screening and follow-up (CC) 10. Use of appropriate medications for asthma 11. Use of high-risk medications in the elderly 12. Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (CC) 13. Pneumonia Vaccination Status for Older Adults (CC) (CC) Indicates cross-cutting measure

11 ggastro s CQMs Why no IBD or Hep C measures? IBD and Hep C are not part of the ecqm s list of measures that are electronically reportable via direct EHR. Very few ecqms are relevant to GI. These are only available for reporting as measures group via Registry.

12 GIQuIC Overview of Changes Erin Dettrey- Product Manager, Analytics

13 GIQuIC reporting GIQuIC reporting from ggastro has been available for many years EGD reporting is now included as of 4.58 Many efficiencies and further automation added as of 4.58 Pathology findings automation a huge step forward

14 GIQuIC reporting efficiencies Indications Pathology Findings Sites Follow up Risk Complications 6/15/2015

15 PQRS The GIQuIC Solution Laurie Parker- GIQuIC

16 GIQuIC: A Quality Improvement Registry We created GIQuIC based on a belief that the scientific measurement of the quality of endoscopic procedures will provide valid and reliable comparative information to participating physicians and facilities to support their quality improvement initiatives. ~ Irving M. Pike, MD, FACG, FASGE President, GI Quality Improvement Consortium February 23,

17 PQRS Participation via Registry Qualified PQRS Registry Individual eligible provider reporting Group Practice Reporting Option (GPRO) Includes PQRS measures and measure groups Qualified Clinical Data Registry (QCDR) Individual eligible provider reporting only Can include PQRS or non-pqrs measures (or both) 17

18 QCDR Reporting Requirements and Criteria to avoid the 2017 PQRS payment adjustment Requirement Report at least 9 individual measures At least 2 must be outcome measures GIQuIC Covering at least 3 National Quality Strategy (NQS) domains For 50% or more of applicable patients of each eligible provider (12 months) GIQuIC QCDR The GIQuIC QCDR has 13 individual measures from which to choose The GIQuIC QCDR has 4 outcome measures with those 13 The 13 GIQuIC QCDR measures cover 4 NQS domains To participate in GIQuIC a provider must upload 100% of colonoscopy cases done at the participating site(s) 18

19 PQRS Participation via the GIQuIC QCDR 19

20 Effective Clinical Care Adenoma Detection Rate [Outcome] Percentage of patients age 50 and over undergoing screening colonoscopy with a finding of at least one adenomatous polyp Adequacy of Bowel Preparation [Process] Percentage of colonoscopies with a bowel preparation documented as adequate or better 20

21 Effective Clinical Care Photodocumentation of the cecum, which is also known as cecal intubation rate All Colonoscopies [Process] Percentage of colonoscopies into the cecum including photodocumentation of one or more of the cecal landmarks (ileocecal valve, appendiceal orifice, or terminal ileum) 21

22 Effective Clinical Care Documentation of history and physical rate Colonoscopy [Process] Percentage of colonoscopies with history and physical documented Appropriate indication for colonoscopy [Process] Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented 22

23 Patient Safety Incidence of Perforation [Outcome] Percentage of total patients experiencing a perforation during colonoscopy, recognized immediately (before the patient leaves the facility) 23

24 Communication and Care Coordination Appropriate follow-up interval for normal colonoscopy in averagerisk patients [Process] Percentage of average-risk patients aged 50 to 75 years receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report 24

25 Communication and Care Coordination Appropriate follow-up interval of 3 years recommended based on pathology findings from screening colonoscopy in average-risk patients [Process] Percentage of average-risk patients aged 50 years and older receiving a screening colonoscopy with biopsy or polypectomy and pathology findings of 3-10 adenomas, Advanced Neoplasm ( 10 mm, high grade dysplasia, villous component), Sessile serrated polyp 10 mm OR sessile serrate polyp with dysplasia OR traditional serrated adenoma who had a recommended follow-up interval of 3 years for repeat colonoscopy 25

26 Communication and Care Coordination Appropriate management of anticoagulation in the periprocedural period rate EGD [Process] Percentage of patients undergoing an EGD on an anti-platelet agent or an anticoagulation who leave the endoscopy unit with instructions for management of this medication 26

27 Communication and Care Coordination Appropriate management of anticoagulation in the periprocedural period rate EGD [Process] Percentage of patients undergoing an EGD on an anti-platelet agent or an anticoagulation who leave the endoscopy unit with instructions for management of this medication 27

28 Efficiency and Cost Reduction Repeat screening colonoscopy recommended within one year due to inadequate bowel preparation [Outcome] Percentage of patients with an inadequate bowel preparation who received a recommendation for a repeat screening colonoscopy of one year or less Age appropriate screening colonoscopy [Outcome] Percentage of patients aged 85 years or older undergoing screening colonoscopy 28

29 GIQuIC QCDR Timeline September 15, 2015: Consent forms must be signed by each provider Mid January 2016: All data from 2015 must be entered into the GIQuIC registry Mid February 2016: Providers attest to accuracy of data GIQuIC will be submitting on their behalf Mid March 2016: GIQuIC submits quality measure data on behalf of providers to CMS for PQRS reporting 29

30 GIQuIC Questions: GIQuIC Laurie Parker, GIQuIC Executive Director QualityNet Help Desk gmed 30Summit 2015

31 Where are things going? Erin Dettrey- Product Manager, Analytics

32 Real Time Performance Monitoring Immediate feedback Workflow Changes Improved VBM quadrant positioning Minimize Risk of reduction Know your data

33 Integration of Industry Benchmarks MGMA, gbenchmark, CMS, Triple Society..

34 Thank you.

Frequently Asked Questions (FAQs) about Using GIQuIC as a Qualified Clinical Data Registry 1

Frequently Asked Questions (FAQs) about Using GIQuIC as a Qualified Clinical Data Registry 1 Frequently Asked Questions (FAQs) about Using GIQuIC as a Qualified Clinical Data Registry 1 Following are frequently asked questions received from participants in an informational webinar about using

More information

Stage 2 Meaningful Use: Menu Objectives and Clinical Quality Measures. James R. Christina, DPM Director Scientific Affairs APMA

Stage 2 Meaningful Use: Menu Objectives and Clinical Quality Measures. James R. Christina, DPM Director Scientific Affairs APMA Stage 2 Meaningful Use: Menu Objectives and Clinical Quality Measures James R. Christina, DPM Director Scientific Affairs APMA What Stage Am I In? 2 2 CMS Proposed Rule On May 20, 2014 CMS and Office of

More information

United Medical ACO Participation Criteria

United Medical ACO Participation Criteria United Medical ACO Participation Criteria Items Requiring Practice Reporting 1) Submission of Reports: Practices must report A,B, and C to UMACO A. Thirty-four ACO Quality Measures -See Appendix A B. Average

More information

04/03/2015. Quality Matters: How to Succeed with PQRS in A Short History of PQRS. Participate Or Else..

04/03/2015. Quality Matters: How to Succeed with PQRS in A Short History of PQRS. Participate Or Else.. Quality Matters: How to Succeed with PQRS in 2015 Jeanne Chamberlin, MA, FACMPE Director, MSOC Health A Short History of PQRS 2007: 3 measures on 80% 2% Bonus 2012: 3 measures on 50% / 80% 0.5% Bonus Performance

More information

2015 Updates to the Physician Quality Reporting System (PQRS) & the Value-based Payment Modifier

2015 Updates to the Physician Quality Reporting System (PQRS) & the Value-based Payment Modifier 2015 Updates to the Physician Quality Reporting System (PQRS) & the Value-based Payment Modifier April 7, 2015 12:00 Noon EDT Phone: 1-877-267-1577 Passcode: 994 365 238 Presented by the Philadelphia Regional

More information

Benchmark Data Sources

Benchmark Data Sources Medicare Shared Savings Program Quality Measure Benchmarks for the 2016 and 2017 Reporting Years Introduction This document describes methods for calculating the quality performance benchmarks for Accountable

More information

2016 Physician Quality Reporting System (PQRS) Reporting Updates

2016 Physician Quality Reporting System (PQRS) Reporting Updates 2016 Physician Quality Reporting System (PQRS) Reporting Updates American Psychiatric Association (APA) Daniel Green, MD., F.A.C.O.G Medical Officer, CMS Division of Electronic and Clinician Quality (DECQ)

More information

Quality Measurement and Reporting Kickoff

Quality Measurement and Reporting Kickoff Quality Measurement and Reporting Kickoff All Shared Savings Program ACOs April 11, 2017 Sandra Adams, RN; Rabia Khan, MPH Division of Shared Savings Program Medicare Shared Savings Program DISCLAIMER

More information

PQRS and Alignment Opportunity: Concept to Operationalization March 1, 2016

PQRS 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 information

Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond)

Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Core Measures Required: All 17 objectives Objective: Requirement: Exclusions: Accomplish in Clinical 1. Computerized - Documenting

More information

Improving Quality of Care for Medicare Patients: Accountable Care Organizations

Improving Quality of Care for Medicare Patients: Accountable Care Organizations DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Improving Quality of Care for Medicare Patients: FACT SHEET Overview http://www.cms.gov/sharedsavingsprogram On October

More information

QualityPath Colonoscopy Request for Proposal (RFP)

QualityPath Colonoscopy Request for Proposal (RFP) Introduction QualityPath Colonoscopy Request for Proposal (RFP) 1. Overview of The Alliance The Alliance moves health care forward by controlling costs, improving quality, and engaging individuals in their

More information

How to Align Quality Reporting Across PQRS, MU, and VBPM

How 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 information

Calendar Year 2014 Medicare Physician Fee Schedule Final Rule

Calendar 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 information

2016 PQRS and VBM for Anesthesia and Pain Management

2016 PQRS and VBM for Anesthesia and Pain Management 2016 PQRS and VBM for Anesthesia and Pain Management 2016 PQRS and VBM for Anesthesia and Pain Management 1 Table of Contents PQRS 1 Definitions 2 PQRS Basics 2 MAV 3 Claims-based vs. Registry-based Reporting

More information

Quality in Your Endoscopy Unit. David A. Greenwald, MD Mount Sinai Hospital Nancy S. Schlossberg, BSN, RN, CGRN NYSGE Course 2015 December 17, 2015

Quality in Your Endoscopy Unit. David A. Greenwald, MD Mount Sinai Hospital Nancy S. Schlossberg, BSN, RN, CGRN NYSGE Course 2015 December 17, 2015 Quality in Your Endoscopy Unit David A. Greenwald, MD Mount Sinai Hospital Nancy S. Schlossberg, BSN, RN, CGRN NYSGE Course 2015 December 17, 2015 Two Case Scenarios Patient with concerns about safety

More information

Meaningful Use: a Primer

Meaningful Use: a Primer Health Information Technology Extension Center of Los Angeles Meaningful Use: a Primer Mary Mitchell Director of Meaningful Use Defined as: What is Meaningful Use? A. Use of a certified EHR in a meaningful

More information

MEANINGFUL USE STAGE 2

MEANINGFUL USE STAGE 2 MEANINGFUL USE STAGE 2 PHASED-IN IMPLEMENTATION PROCESS DECEMBER 2014 - PREPARATION MONTH Start this process as early as possible WATCH VIDEO TRAINING SESSIONS: (Sessions available starting December 1,

More information

Registering for PQRS Reporting and Understanding the Implications and Proposed Policies for the Value based Payment Modifier

Registering for PQRS Reporting and Understanding the Implications and Proposed Policies for the Value based Payment Modifier Registering for PQRS Reporting and Understanding the Implications and Proposed Policies for the Value based Payment Modifier Presented by: Centers for Medicare and Medicaid Services Performance Based Payment

More information

Who am I? Presented by Jeff Grant, President HCMA, Inc.

Who am I? Presented by Jeff Grant, President HCMA, Inc. Presented by Jeff Grant, President HCMA, Inc. Who am I? Over 20 years Practice Management, Operations, Revenue Cycle Management & HIT Consulting with nearly 1,000 practices Provides Revenue Cycle Management

More information

3/29/2013. Effective ACO Compliance. Objectives THE HEALTH CARE DILEMMA: ARE ACOS THE ANSWER? HCCA Compliance Institute April 21, 2013

3/29/2013. Effective ACO Compliance. Objectives THE HEALTH CARE DILEMMA: ARE ACOS THE ANSWER? HCCA Compliance Institute April 21, 2013 Effective ACO Compliance HCCA Compliance Institute April 21, 2013 Margaret Hambleton, MBA, CHC, CHPC Sr. Vice President, Chief Compliance Officer St. Joseph Health System 1 Objectives Understand Accountable

More information

The AAAAI Quality Clinical Data Registry: What the office staff needs to know

The AAAAI Quality Clinical Data Registry: What the office staff needs to know The AAAAI Quality Clinical Data Registry: What the office staff needs to know Today We ll Cover The AAAAI Allergy, Asthma & Immunology Quality Clinical Data Registry I. Defining a Qualified Clinical Data

More information

ACO GPRO 2016 Ready to Report Basics GPRO ACO Random Sample Reporting January 17, 2017 to March 17, 2017

ACO GPRO 2016 Ready to Report Basics GPRO ACO Random Sample Reporting January 17, 2017 to March 17, 2017 ACO GPRO 2016 Ready to Report Basics 2016 GPRO ACO Random Sample Reporting January 17, 2017 to March 17, 2017 ACO GPRO 2016 Ready to Report Basics What is an Accountable Care Organization (ACO)? Which

More information

Updated 2017 Medicaid EHR Incentive Program Requirements For Eligible Providers (EP)

Updated 2017 Medicaid EHR Incentive Program Requirements For Eligible Providers (EP) Updated 2017 Medicaid EHR Incentive Program Requirements For Eligible Providers (EP) 1 Illinois Health Information Technology Regional Extension Center (ILHITREC) SUPPORT PROVIDED BY ILHITREC: The Illinois

More information

Accountable Care and the Laboratory Value Proposition. Les Duncan Director of Operations Highmark Health - Home and Community Services

Accountable Care and the Laboratory Value Proposition. Les Duncan Director of Operations Highmark Health - Home and Community Services Accountable Care and the Laboratory Value Proposition Les Duncan Director of Operations Highmark Health - Home and Community Services Agenda The Goals and Status of Delivery System Reform and Alternative

More information

Meaningful Use Certification Details

Meaningful Use Certification Details May 2, 2016 TRIARQ Health 1050 Wilshire, Suite 300 Troy, MI 48084 Meaningful Use Certification Details CHPL Practice Date CERTIFICATION Product Version Classification PRODUCT Type Certified EDITION NUMBER

More information

PQRS Success in 2015:

PQRS Success in 2015: PQRS Success in 2015: The Effects of Applicability Validation (MAV) on s Selection for Hospitalists Why is Applicability Validation (MAV) important? CMS requires all eligible professionals (EPs) successfully

More information

Clinical Quality Measures Barbara Connors, DO, MPH Chief Medical Officer CMS Region III

Clinical Quality Measures Barbara Connors, DO, MPH Chief Medical Officer CMS Region III HIMSS Meaningful Use Regional Meeting Clinical Quality Measures Barbara Connors, DO, MPH Chief Medical Officer CMS Region III 2 Eligibility for EHR Incentive Program Incentive payments for eligible professionals

More information

Practice Implications for Accountable Care Organizations

Practice Implications for Accountable Care Organizations Practice Implications for Accountable Care Organizations An Overview following the Final Rule Gregory M. Marsh, MPH, PMP December 14, 2011 Why CCME? Effective EHR/HIE Implementation will: Improve patient

More information

Prime Clinical Systems, Inc

Prime Clinical Systems, Inc 2.29.16 1 2015 Year Meaningful Use Checklist The attestation period for Meaningful Use Year 2015 is January 4 to March 11, 2016. Here are some helpful tips to assist you: 1. The PCM MU report card updates

More information

CMS Transforming Clinical Practices Initiative and. The Southern New England Practice Transformation Network (SNE PTN)

CMS Transforming Clinical Practices Initiative and. The Southern New England Practice Transformation Network (SNE PTN) CMS Transforming Clinical Practices Initiative and The Southern New England Practice Transformation Network (SNE PTN) MIPS 2017- Selecting Performance Category Measures and Reporting Requirements 1/31/2017

More information

Understanding 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 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 information

MIPS Checkpoint. Beth Hickerson Quality Improvement Advisor. PHA Lunch and Learn May 19, Value Driven. Health Care. Solutions.

MIPS Checkpoint. Beth Hickerson Quality Improvement Advisor. PHA Lunch and Learn May 19, Value Driven. Health Care. Solutions. MIPS Checkpoint Beth Hickerson Quality Improvement Advisor PHA Lunch and Learn May 19, 2017 Check Your MIPS Eligibility QPP.CMS.GOV 2 MIPS Category Weights Over Time : Quality Advancing Care Information

More information

Stage one: Meaningful Use Changes in 2014

Stage one: Meaningful Use Changes in 2014 Stage one: Meaningful Use Changes in 2014 Publication MO-06-06-HOSP GEN This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

More information

Physician Quality Reporting System & VBPM, 2015

Physician 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 information

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009 Medicare & Medicaid EHR Incentive Program Final Rule Implementing the American Recovery & Reinvestment Act of 2009 Conceptual Approach to Meaningful Use Improved Data capture and sharing Advanced Clinical

More information

Registering for 2013 Group PQRS Reporting and Understanding the Implications for the Value based Payment Modifier

Registering for 2013 Group PQRS Reporting and Understanding the Implications for the Value based Payment Modifier Registering for 2013 Group PQRS Reporting and Understanding the Implications for the Value based Payment Modifier Presented by: Centers for Medicare and Medicaid Services Presentation Overview Overview

More information

Clinical Safety & Effectiveness Cohort # 13

Clinical Safety & Effectiveness Cohort # 13 Clinical Safety & Effectiveness Cohort # 13 Development of Gastrointestinal Endoscopic Quality Improvement Program, Quality Metrics & Reporting Tools (Equipment) The Team Division: GI Adewale Ajumobi,

More information

Medicare & Medicaid. William Kassler, MD Chief Medical Officer Centers for Medicare & Medicaid Services Boston, MA

Medicare & Medicaid. William Kassler, MD Chief Medical Officer Centers for Medicare & Medicaid Services Boston, MA Medicare & Medicaid EHR Incentive Program William Kassler, MD Chief Medical Officer Centers for Medicare & Medicaid Services Boston, MA Overview Background / Policy Context EHR Incentive Program basics

More information

Registering for PQRS reporting and understanding implications and proposed policies for the Value Based Payment Modifier

Registering for PQRS reporting and understanding implications and proposed policies for the Value Based Payment Modifier Live Webinar 7/24/2013 Registering for PQRS reporting and understanding implications and proposed policies for the Value Based Payment Modifier Presenters: Sabrina Ahmed Sheila Roman Tonya Smith Michael

More information

Strategic Implications & Conclusion

Strategic 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 information

Accelerating the Impact of Performance Measures: Role of Core Measures

Accelerating the Impact of Performance Measures: Role of Core Measures Accelerating the Impact of Performance Measures: Role of Core Measures Mark McClellan, MD, PhD Director, Engelberg Center for Health Care Reform Senior Fellow, Economic Studies Leonard D. Schaeffer Chair

More information

MACRA and MIPS. How Medicare Meaningful Use and PQRS are Changing

MACRA and MIPS. How Medicare Meaningful Use and PQRS are Changing MACRA and MIPS How Medicare Meaningful Use and PQRS are Changing Link to recorded session: https://attendee.gotowebinar.com/recording/1305549490878052097 Presenting Today: Molly Goodhart Joined Quatris

More information

CMS Quality Payment Program: Performance and Reporting Requirements

CMS 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 information

Decoding the QPP Year 2 Quality Measure Benchmarks and Deciles to Maximize Performance

Decoding the QPP Year 2 Quality Measure Benchmarks and Deciles to Maximize Performance Decoding the QPP Year 2 Quality Measure Benchmarks and s to Maximize Performance Leila Volinsky, MHA, MSN, RN, PCMH CCE, CPHQ Senior Program Administrator New England Regional Lead Quality Payment Program

More information

Proposed 2015 PFS: Quality Updates

Proposed 2015 PFS: Quality Updates SCGX1423 08/14 Proposed 2015 PFS: Quality Updates Johnson & Johnson Health Care Systems Inc. Providing services for: Janssen Biotech, Inc. Janssen Pharmaceuticals, Inc August, 2014 This document is presented

More information

WIO 2015 Summer Symposium 08/07/2015. Update on Medicare Quality Reporting Programs and the IRIS Registry

WIO 2015 Summer Symposium 08/07/2015. Update on Medicare Quality Reporting Programs and the IRIS Registry WIO 215 Summer Symposium 8/7/215 Update on Medicare Quality Reporting Programs and the IRIS Registry Women in Ophthalmology 215 Summer Symposium August 7, 215 Rebecca Hancock Manager, Quality & HIT Policy

More information

The 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 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 information

Quality Measurement, Population Health and Payment Reform

Quality 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 information

The three proposed options for the use of CEHRT editions are as follows:

The three proposed options for the use of CEHRT editions are as follows: July 21, 2014 Marilyn B. Tavenner Administrator Centers for Medicare & Medicaid Services Karen B. DeSalvo, MD, MPH, MSc National Coordinator Office of the National Coordinator for Health Information Technology

More information

Achieving Meaningful Use with Centricity Electronic Medical Record

Achieving Meaningful Use with Centricity Electronic Medical Record GE Healthcare Achieving Meaningful Use with Centricity Electronic Medical Record Version 9.8 Revised July 2015 Centricity EMR DOC1620430 2015 General Electric Company All information is subject to change

More information

CMS* Priorities and the Medicare Access and CHIP Reauthorization Act

CMS* 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

AMBULATORY SURGICAL CENTER WEB-BASED MEASURES: CY 2017 PAYMENT DETERMINATION GUIDELINES

AMBULATORY SURGICAL CENTER WEB-BASED MEASURES: CY 2017 PAYMENT DETERMINATION GUIDELINES AMBULATORY SURGICAL CENTER WEB-BASED MEASURES: CY 2017 PAYMENT DETERMINATION GUIDELINES Contents Guidelines for Data Submission... 2 ASC-6: Safe Surgery Checklist Use... 2 ASC-7: ASC Facility Volume Data

More information

PATIENT CENTERED. Medical Home. Attestation. Facility Compliance

PATIENT CENTERED. Medical Home. Attestation. Facility Compliance 2 0 1 7 Attestation PATIENT CENTERED Medical Home of Facility Compliance State of Wyoming, Department of Health, Division of Healthcare Financing Check the Patient Centered Medical Home (PCMH) Programs

More information

Ophthalmology Meaningful Use Attestation Guide 2016 Edition Updated July 2016

Ophthalmology Meaningful Use Attestation Guide 2016 Edition Updated July 2016 Ophthalmology Meaningful Use Attestation Guide 2016 Edition Updated July 2016 Provided by the American Academy of Ophthalmology and the American Academy of Ophthalmic Executives (AAOE), the Academy's practice

More information

Beyond Meaningful Use: Driving Improved Quality. CHCANYS Webinar #1: December 14, 2016

Beyond Meaningful Use: Driving Improved Quality. CHCANYS Webinar #1: December 14, 2016 Beyond Meaningful Use: Driving Improved Quality CHCANYS Webinar #1: December 14, 2016 Agenda The Current State Measuring Monitoring & Reporting Quality. Meaningful Use 2018 and Beyond The New Quality Payment

More information

Shared Savings Program ACO Public Reporting Instructions. with Pre-Populated Template

Shared Savings Program ACO Public Reporting Instructions. with Pre-Populated Template Shared Savings Program ACO Public Reporting Instructions Introduction with Pre-Populated Template The purpose of this document is to provide ACOs participating in the Shared Savings Program with a public

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Travis Broome AMIA

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Travis Broome AMIA Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Travis Broome AMIA 9-20-2012 What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful use New clinical quality measures

More information

MACRA, MIPS, and APMs What to Expect from all these Acronyms?!

MACRA, 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 information

IT Enabled Quality Measurement IOM Dec 2012

IT Enabled Quality Measurement IOM Dec 2012 IT Enabled Quality Measurement IOM Dec 2012 Kevin Larsen MD, FACP Medical Director of Meaningful Use, ONC December 6, 2012 Our National Quality Strategy Aims Better Health for the Population Better Care

More information

Meaningful Use Stages 1 & 2

Meaningful Use Stages 1 & 2 Meaningful Use Stages 1 & 2 Making Sure You Get the Most Out of Your EHR Tracy McDonald Medicaid EHR Incentive Program Coordinator Agenda Meaningful Use Stages & Incentive Program Timing 2014 Changes to

More information

Entrustable Professional Activity

Entrustable Professional Activity Entrustable Professional Activity 1. EPA Title: Perform medical procedures related to gastrointestinal and liver disease for screening, diagnosis, and intervention 2. Description of Activity Endoscopy

More information

Meaningful Use Participation Basics for the Small Provider

Meaningful Use Participation Basics for the Small Provider Meaningful Use Participation Basics for the Small Provider Vidya Sellappan Centers for Medicare & Medicaid Services Office of E-Health Standards and Services HIT Initiatives Group July 30, 2014 EHR INCENTIVE

More information

2016 Requirements for the EHR Incentive Programs: EligibleProfessionals

2016 Requirements for the EHR Incentive Programs: EligibleProfessionals 2016 Requirements for the EHR Incentive Programs: EligibleProfessionals Vidya Sellappan Division of Health Information Technology Quality Measurement & Value-based Incentives Group Center for Clinical

More information

MACRA Frequently Asked Questions

MACRA 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 information

The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals

The HITECH EHR Meaningful Use Requirements for Hospitals and Eligible Professionals The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals September 1, 2010 Presented and

More information

Meaningful Use Stage 2. Physician Office October, 2012

Meaningful Use Stage 2. Physician Office October, 2012 Meaningful Use Stage 2 Physician Office October, 2012 Why are we here? Meaningful Use overview NOT Stage 1 requirements NOT Interesting facts Stage 1 - The Moving Target Stage 2 Final Rule Penalties Audits

More information

QUALITY PAYMENT PROGRAM YEAR 2 CY 2018 PROPOSED RULE Improvement Activities Component Reporting Requirements. No change.

QUALITY PAYMENT PROGRAM YEAR 2 CY 2018 PROPOSED RULE Improvement Activities Component Reporting Requirements. No change. QUALITY PAYMENT PROGRAM YEAR 2 CY 2018 PROPOSED RULE Improvement Activities Component Reporting Requirements Brief Synopsis: The Improvement Activities (IA) performance category will continue to comprise

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Jason McNamara Technical Director for Health IT HIMSS Meeting April 25, 2013

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Jason McNamara Technical Director for Health IT HIMSS Meeting April 25, 2013 Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Jason McNamara Technical Director for Health IT HIMSS Meeting April 25, 2013 What is in the Rule Changes to Stage 1 of meaningful use Stage

More information

QIN-QIO Sharing Call MIPS in the Real Word: How Your Peers Are Achieving Success. Wednesday, May 17, :00 4:00 PM ET

QIN-QIO Sharing Call MIPS in the Real Word: How Your Peers Are Achieving Success. Wednesday, May 17, :00 4:00 PM ET QIN-QIO Sharing Call MIPS in the Real Word: How Your Peers Are Achieving Success Wednesday, May 17, 2017 3:00 4:00 PM ET Meet Your Speakers Kelsey Baker, BA Quality Reporting Program Coordinator Healthcentric

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Pennsylvania ehealth Initiative All Committee Meeting November 14, 2012

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Pennsylvania ehealth Initiative All Committee Meeting November 14, 2012 Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Pennsylvania ehealth Initiative All Committee Meeting November 14, 2012 What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of

More information

Strategies for Coding, Billing and Getting Paid Appropriately

Strategies for Coding, Billing and Getting Paid Appropriately Strategies for Coding, Billing and Getting Paid Appropriately 2015 Monograph Update California Academy of Family Physicians Another new year and time to make sure your practice is doing everything possible

More information

Re: Payment Policies under the Physician Fee Schedule Proposed Rule for CY 2014; 78 Fed. Reg. 43,281 (July 19, 2013); CMS-1600; RIN 0938-AR56

Re: Payment Policies under the Physician Fee Schedule Proposed Rule for CY 2014; 78 Fed. Reg. 43,281 (July 19, 2013); CMS-1600; RIN 0938-AR56 September 6, 2013 Marilyn B. Tavenner Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue, SW

More information

The Future of Physician Reimbursement

The 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 information

Here is what we know. Here is what you can do. Here is what we are doing.

Here 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 information

Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs)

Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs) Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs) Julia Alejandre, Medicaid / CHIP Health IT Jason Phipps, Medicaid / CHIP Health IT July 20, 2012

More information

Stage 1. Meaningful Use 2014 Edition User Manual

Stage 1. Meaningful Use 2014 Edition User Manual Stage 1 Meaningful Use 2014 Edition User Manual This document, as well as the software described in it, is provided under a software license agreement with STI Computer Services, Inc. Use of this software

More information

Chapter 5 Policies and Procedures to Receive Payment for Treatment of Colorectal Cancers, Large Polyp Removals & Adverse Events

Chapter 5 Policies and Procedures to Receive Payment for Treatment of Colorectal Cancers, Large Polyp Removals & Adverse Events Chapter 5 Policies and Procedures to Receive Payment for Treatment of Colorectal Cancers, Large Polyp Removals & Adverse Events Overview The Colorado Colorectal Screening Program ( the Program ) provides

More information

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009 Medicare & Medicaid EHR Incentive Program Final Rule Implementing the American Recovery & Reinvestment Act of 2009 Purpose of this Presentation To give an overview of the CMS final rule on the EHR Incentive

More information

2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs. September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto

2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs. September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto 2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto Agenda Meaningful Use (MU) in 2016 MACRA and MIPS (high level

More information

Medicaid Electronic Health Records Meaningful Use. Lisa Reuland, Program Manager October 15, 2015

Medicaid Electronic Health Records Meaningful Use. Lisa Reuland, Program Manager October 15, 2015 Medicaid Electronic Health Records Meaningful Use Lisa Reuland, Program Manager October 15, 2015 1 Agenda Medicaid Overview Stage 1: Meaningful Use Stage 2: Meaningful Use CQM Reporting Stage 3: Meaningful

More information

Meaningful Use. UERMMMC Medical Alumni Association Meeting July 17, David Nilasena, M.D., Chief Medical Officer CMS Region VI

Meaningful Use. UERMMMC Medical Alumni Association Meeting July 17, David Nilasena, M.D., Chief Medical Officer CMS Region VI Meaningful Use UERMMMC Medical Alumni Association Meeting July 17, 2015 David Nilasena, M.D., Chief Medical Officer CMS Region VI 2 Topics Proposed Rule: Modifications to Meaningful Use in 2015 through

More information

MACRA 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 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 information

Reporting. For official requirements please consult CMS website at For a full list of resources, please see page 9.

Reporting. For official requirements please consult CMS website at   For a full list of resources, please see page 9. ecqm Reporting Preparation Checklist for 2016 Let s Get Ready! The following information is intended to be a guide to help you prepare to report your Electronic Clinical Quality Measures (ecqms) to the

More information

PROVIDER MANUAL November 2012

PROVIDER MANUAL November 2012 PROVIDER MANUAL November 2012 1 TABLE OF CONTENTS Section I: PROGRAM OVERVIEW 3 Section II: INTRODUCTION 5 Section III: SCREENING ELIGIBILITY GUIDELINES 6 Section IV: PATIENT RIGHTS 7 Section V: PROVIDER

More information

Provide an understanding of what comprises "meaningful use" of EHR technology

Provide an understanding of what comprises meaningful use of EHR technology 1 Provide background on federal electronic health record (EHR) incentives Overview of Health IT Incentives Medicare/Medicaid EHR incentives Provide an understanding of what comprises "meaningful use" of

More information

10/10/2017. Mythbusters: Primary Care Edition (Expanding Opportunities) Amina Abubakar, PharmD, AAHIVP Olivia bentley, PharmD, CFts, AAHIVP

10/10/2017. Mythbusters: Primary Care Edition (Expanding Opportunities) Amina Abubakar, PharmD, AAHIVP Olivia bentley, PharmD, CFts, AAHIVP Mythbusters: Primary Care Edition (Expanding Opportunities) Amina Abubakar, PharmD, AAHIVP Olivia bentley, PharmD, CFts, AAHIVP 1 Disclosures Amina Abubakar, PharmD, AAHIVP, RX Clinic Pharmacy and Olivia

More information

Agenda. Surviving the New Program Requirements and the Financial Penalties Under MIPS 9/9/2016. Steps to take to prepare for MIPS

Agenda. 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 information

Shared Savings Program ACO Public Report

Shared Savings Program ACO Public Report ACO ame and Location Shared Savings Program ACO Public Report University of Health Alliance Accountable Care Organization, LLC 1227 E. Rusholme Street Davenport, 52803 ACO Primary Contact Primary Contact

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Updates October 2, 2012 Rick Hoover & Andy Finnegan

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Updates October 2, 2012 Rick Hoover & Andy Finnegan Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Updates October 2, 2012 Rick Hoover & Andy Finnegan What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful use New

More information

Getting Ready for the Maryland Primary Care Program

Getting Ready for the Maryland Primary Care Program Getting Ready for the Maryland Primary Care Program Presentation to Maryland Academy of Nutrition and Dietetics March 19, 2018 Maryland Department of Health All-Payer Model: Performance to Date Performance

More information

Relevance of Meaningful Use Requirements for Pathologists and Laboratories Pathology Informatics 2011 October 5, 2011

Relevance of Meaningful Use Requirements for Pathologists and Laboratories Pathology Informatics 2011 October 5, 2011 Relevance of Meaningful Use Requirements for Pathologists and Laboratories Pathology Informatics 2011 October 5, 2011 Walter H. Henricks, M.D. Cleveland Clinic Meaningful Use and the Laboratory Outline

More information

Stage 2 Meaningful Use Final Rule CPeH Advocacy Opportunities

Stage 2 Meaningful Use Final Rule CPeH Advocacy Opportunities Stage 2 Meaningful Use Final Rule CPeH Advocacy Opportunities August 29, 2012 Agenda Review EHR Incentive Program and Intended Purpose Walk through Stage 2 Final Rule Changes to Stage 1 Stage 2 Criteria

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO Name and Location Physician Quality Partners, LLC 1505 Doctors Circle Building B Wilmington, North Carolina 28401 ACO Primary Contact Primary Contact Name Lydia Newman, MPP Primary Contact Phone Number

More information

SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation

SVS 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 information

2013 EHR INCENTIVE PROGRAM MANUAL

2013 EHR INCENTIVE PROGRAM MANUAL 0 EHR INCENTIVE PROGRAM MANUAL Billing Technology Results ahsrcm.com info@ahsrcm.com 877 50 6 Table of Contents INTRODUCTION TO EHR & MEANINGFUL USE... CMS EHR INCENTIVE PROGRAM - PARTICIPATION... COMPARISON

More information

Meaningful Use for 2014 Stag St e ag 1 Or Or Stag St e ag e 2 For Fo r 2014? Meaningful Meaningful Use: Stag St e ag e 1 1 Fo r Fo 2014

Meaningful Use for 2014 Stag St e ag 1 Or Or Stag St e ag e 2 For Fo r 2014? Meaningful Meaningful Use: Stag St e ag e 1 1 Fo r Fo 2014 Meaningful Use for 2014 Gerald E. Meltzer MD MSHA Medical Director imedicware Stage 1 Or Stage 2 For 2014? Meaningful Use: Stage 1 For 2014 1 Key Changes for 2014 Patient Electronic Access Clinical Quality

More information

Webinar #5 Meaningful Use: Looking Ahead to Stage 2 and CPS 12

Webinar #5 Meaningful Use: Looking Ahead to Stage 2 and CPS 12 New York State-Health Centered Controlled Network (NYS HCCN) Webinar #5 Meaningful Use: Looking Ahead to Stage 2 and CPS 12 December 10, 2013 Ekem Merchant-Bleiberg, Director of Implementation Services

More information

MIPS Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017

MIPS Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017 CMS Transforming Clinical Practices Initiative and The Southern New England Practice Transformation Network (SNE PTN) MIPS 2017- Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017 2 Review Determine

More information

QPP in the Real Word: How Your Peers Are Achieving Success. Monday, September 25, :00 4:30 PM ET

QPP in the Real Word: How Your Peers Are Achieving Success. Monday, September 25, :00 4:30 PM ET QPP in the Real Word: How Your Peers Are Achieving Success Monday, September 25, 2017 3:00 4:30 PM ET Meet Your Speakers Leila Volinsky MHA, MSN, RN Senior Program Administrator-Quality Payment Program

More information