Quality Payment Program Medicare Quality Innovation Network- Quality Improvement Organization (QIN-QIO) Overview Mountain-Pacific Quality Health October 26 2017 Medicare QIN-QIO PROGRESS MADE CONTRACT AND PROJECTS 2 1
QIN-QIO Contract Tax Dollar Stewardship $5,256,280.53 Saved in Readmissions Diabetes Self- Management 869 Medicare 1,110 Total Increased Recruitment 131% Antibiotic Stewardship Beneficiaries Impacted 61% Providers Assisted >12,000 3 Diabetes Empowerment Education Program (DEEP) TM DEEP classes teach individuals how to take charge of their health and get control of their diabetes while learning through fun and interactive activities. These classes are designed for people with Medicare, but all are welcome. They support (not replace) education from health care providers and certified diabetes educators. 4 2
Three Special Innovation Projects Super-Utilizer: Awarded in 2015 to Montana to work with community resources and wrap services around complex care patients. Project ECHO: Awarded in 2016 to Montana and Wyoming to create a virtual learning and sharing forum for frontier communities focused on care coordination. Advance Care Planning: Awarded in 2016 to Hawaii to work with providers and beneficiaries on end of life planning. 5 Project ECHO (Extension of Community Healthcare Outcomes) A model aimed at increasing access to specialty expertise, knowledge and support in underserved areas. Target audience are CAH clinicians, CEO s, care coordinators and QI directors Audience meets every other Thursday using a very easyto-use platform called ZOOM 6 3
Project ECHO (Extension of Community Healthcare Outcomes) ECHO Faculty include: Jane Brock, MD, MSPH National Coordinating Center (NCC) QIN- QIO Marion Smith, MD, Wyoming Maya Pignatore, PhD, Psychologist, Cheyenne VA Tonja Woods PharmD, CGP Pam Myrum, MS, RN Martha Hayward, Patient and Family Advisor ECHO participants from MT include facilities located in the following areas: Dillon Columbia Falls/Kalispell Baker Fort Benton Malta Montana Primary Care Association (MPCA) Ronan 7 Special Innovation Projects Tax Dollar Stewardship Over $1.6 million in Savings (108 Beneficiaries) MT/WY ECHO 20,408 (beneficiaries), 13 MT and WY CAHs, 4 MT and WY PPS hospitals High Collaboration Advance Care Planning National Recognition Hospital Improvement Innovation Networks, Primary Care Assoc., Flex Program, Community Resources, Dept. of Health, Governor s Office 237 Beneficiaries Super-utilizer SIP Showcased on PBS NewsHour 8 4
American Indian/Alaska Natives Subcontract Leadership Project Infrastructure Community Engagement Restructuring Governing Body Create Communication Processes Creating Community Maps Roadmap to Excellence Tribal Members Impacted Patient Engagement Engaged Dr. Royer 37,260 Enrolled Members Play 4 Prevention 9 Indian Health Services (IHS) Provider Incentives $750,000 National Representation MACRA Boot Camps 3 rd Party Billing Reports 45 Reports Annually Tribal Members Impacted >70,000 Met Meaningful Use 88% Providers 66% Hospitals 10 5
Quality Payment Program (QPP) Contracts Comprehensive Primary Care Plus (CPC+) Subcontractor for Lewin in Hawaii and Montana Funded by CMS Innovation Center Centered on key CPC functions: Access and continuity Care management Comprehensiveness and coordination Patient and caregiver engagement Planned care and population health QPP-Small, Underserved and Rural Support (SURS) Funded by CMS Provides technical assistance to practices with 15 or fewer clinicians Awarded to Alaska, Montana and Wyoming 11 CPC+ Subcontract Practice Retention 98% Community Resources Tackling Social Determinants of Health Spread Advanced Payment Models Beneficiaries Impacted Integrated Behavioral Health 151 Clinics Participating 92,314 90 Clinics 12 6
QPP-SURS Subcontracts Email Recipients 1,792 Number of Events 338 Blog Hits 1,960 13 Quality Reporting/QPP-SURS Open Recruitment Email QualityPaymentHelp@mpqhf.org for information on how to participate Take the Quality Payment Program Assessment (5-10 mins.) http://mpqhf.org/qio/qpp-enroll/ See our resources and learn more about the program http://mpqhf.org/qio/qpp-home-page/ 14 7
Online Resources Blog Subscribe to our many blogs to receive recent information for: Merit-based Incentive Payment System (MIPS), subscribe here Comprehensive Primary Care Plus (CPC+), subscribe here Montana Antimicrobial Stewardship (ABS) Collaborative, subscribe here Email Blasts/Newsletters Email Parker Wood at pwood@mpqhf.org if you would like to receive our email blasts and bimonthly newsletters Archive of tools and resources http://mpqhf.org/qio/quality-improvement-tools-resources/ http://mpqhf.org/qio/qpp-tools-resources/ 15 Outpatient Antibiotic Stewardship Project to combat antibiotic resistant bacteria through antibiotic stewardship. Communities working together to implement the principles of antibiotic stewardship among outpatient settings at the point of care, where antibiotics are being prescribed. 16 8
Outpatient Antibiotic Stewardship Core Elements of Outpatient Antibiotic Stewardship include: Commitment Action for policy and practice Tracking and reporting Education and expertise Current participants in MT: Bozeman Health Clinic Benefis Medical Group, Great Falls St. Vincent s Medical Group, Billings St. Peter s Medical Group, Helena St. Luke Community clinics, Ronan Kalispell Medical Group Ruby Valley Rural Health Medical Clinic Sheridan and Twin Bridges Dr. Downey Orthopedics, Dillon PHS Fort Belknap Service Unit PHS Crow Service Unit 17 Immunizations New tools and resources added for this years flu season. All tools are free and can be printed and shipped to your facility. Tools offered for free: Immunizations postcards/flufit postcards Immunization posters/flufit posters Immunization record I got my flu shot button 18 9
2017 Montana Quality Award Winners Congratulations! 19 Medicare QIN-QIO HOW CAN WE IMPROVE? DISCUSSION 20 10
Blogs Merit-Based Incentive Payment System (MIPS) Comprehensive Primary Care Plus (CPC+) Montana Antimicrobial Stewardship (ABS) 21 Webinars How often should we hold webinars? Email blasts (how often?) Request for Topics 22 11
Newsletters Bimonthly newsletter covering the following topics: Merit-based Incentive Payment System (MIPS) Meaningful Use (MU) HIPAA PASS Privacy and Security Hospitals Immunizations Tools and Resources, etc. 23 Online Tools 24 12
Links Blog - Go to http://mpqhf.org/blog/ to subscribe to the different blog topics Calendar - http://mpqhf.org/qio/montana-calendar/ Online Tools - http://mpqhf.org/qio/quality-improvement-toolsresources/ Mailing List - Email pwood@mpqhf.org if you would like to join our mailing list. You will receive email updates for upcoming webinars and our bimonthly newsletter. 25 Medicare QIN-QIO QUESTIONS? Developed by Mountain-Pacific Quality Health, the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Montana, Wyoming, Alaska, Hawaii and the U.S. Pacific Territories of Guam and American Samoa and the Commonwealth of the Northern Mariana Islands, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. Contents presented do not necessarily reflect CMS policy. 11SOW-MPQHF-MT-AT-17-03 26 13