Maximizing Your Peformance in the Promoting ......2020/07/07 · redistributed to another...

QUALITY PAYMENT PROGRAM SMALL UNDERSERVED RURAL SUPPORT (QPP SURS) WEBINARJULY 14, 11:00 AM ET AND JULY 16, 3:30 PM ET

MAXIMIZING YOUR PERFORMANCE IN THE PROMOTING INTEROPERABILITY CATEGORY FOR SOLO AND SMALL GROUP PRACTICES

MAXIMIZING YOUR PERFORMANCE IN THE PROMOTING INTEROPERABILITY CATEGORY

HOUSEKEEPING ANNOUNCEMENTS▸

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If you are listening to this webinar through your phone, please remember to mute your computer speakers.

You can download the slides from the file pod on your screen.

For assistance, enter your issue in the chat box.

To ask a question, enter your inquiry in the chat box.

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POLLING QUESTIONWhat is your role?▸

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A clinician working in a practice with 15 or fewer cliniciansNon-clinical staff from a practice with 15 or fewer cliniciansA clinician working in a practice with more than 15 cliniciansNon-clinical staff in a practice with more than 15 cliniciansQuality Payment Program (QPP) contractorOther person helping practices prepare for MIPSOther

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POLLING QUESTIONHow familiar are you with the Promoting Interoperability (PI) category for 2020?▸

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Not familiar at allSomewhat familiarI understand it and think I’ll get a good scoreI understand it and think I’ll get an average scoreI understand it and think I’ll get a poor score

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POLLING QUESTIONWhat are your biggest challenges or concerns with receiving a good MIPS score in the PI category?

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CMS WELCOME

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Cynthia Pamon

Centers for Medicare & Medicaid Services (CMS)

Center for Clinical Standards and Quality

MAXIMIZING YOUR PERFORMANCE IN THE PROMOTING INTEROPERABILITY CATEGORY 7

Bruce Spurlock, MDPresident & CEO,Cynosure Health

Seema Rathor, Senior Project Manager/Senior

Practice Faciliator, Comagine

Patty Rose, Senior Quality Advisor, Purdue Healthcare

Advisors

Michelle Brunsen, Lead Health IT Advisor, Telligen


SETTING THE STAGE▸

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Focus: Understanding PI scoring, what is needed to meet the 2020 Objectives and Measures, how to maximize limited resources while improving the care of your patients, and how to earn the best PI score possible.

Strategy: A panel of experts will explain PI objectives and measures, discuss options for submitting your PI data, and offer advice on how to align strategies for earning a good score with your efforts to provide better patient care.

Topic Overview:

PI Objectives and Measures and what is required

PI Reporting Basics

Options for Reweighting

How PI can benefit your patients

How to access free technical assistance resources available right now from CMS or a local Technical Assistance Organization funded by CMS

▸ Using the Chat Box

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FIND YOUR LOCAL TECHNICAL ASSISTANCE ORGANIZATION FOR FREE ASSISTANCE

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Location of Practice Technical Assistance Organization

Contact Information

FL, GA, NC, SC Alliant GMCF [email protected]

IL, IN, KY, MI, MN, OH, WI Altarum [email protected]

ID, WA Comagine Health [email protected]

CT, MA, ME, NH, RI, VT Healthcentric Advisors [email protected]

AZ, CA, HI, NM, VI HSAG [email protected]

DC, MD, NY, VA IPRO [email protected]

AK, MT, NV, OR, UT, WY NRHI NV, OR, UT: [email protected], MT, WY: [email protected]

AL, TN QSource [email protected]

DE, NJ, PA, WV Quality Insights [email protected]

IA, ND, NE, SD Telligen [email protected]

AR, CO, KS, LA, MO, MS, OK, PR, TX

TMF [email protected]

Find your local technical assistance contractor here: https://qpp.cms.gov/about/small-underserved-rural-practices

mailto:[email protected]












https://qpp.cms.gov/about/small-underserved-rural-practices

PANELIST INTRODUCTIONS

10MAXIMIZING YOUR PERFORMANCE IN THE PROMOTING INTEROPERABILITY CATEGORY

Patty Rose, Senior Quality Advisor, Purdue Healthcare Advisors

PANELIST INTRODUCTIONS11MAXIMIZING YOUR PERFORMANCE IN THE PROMOTING INTEROPERABILITY CATEGORY

Seema Rathor, Senior Project Manager/Senior Practice Faciliator,

Comagine

PANELIST INTRODUCTIONS12MAXIMIZING YOUR PERFORMANCE IN THE PROMOTING INTEROPERABILITY CATEGORY

Michelle Brunsen, Lead Health IT Advisor, Telligen

QUESTION:

What exactly is Promoting Interoperability and why is it important?



PROMOTING INTEROPERABILITY▸

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Interoperability, or the use of technology to exchange and make use of information, makes communicating patient information less burdensome and improves outcomes.

The MIPS Promoting Interoperability performance category emphasizes the electronic exchange of health information using certified electronic health record technology (CEHRT) to improve:

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Patient access to their health information;

The exchange of information between providers and pharmacies;

The systematic collection, analysis, and interpretation of healthcare data.

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What are the basics I need to understand about the PI category?



OVERVIEW OF THE 2020 PI CATEGORY▸

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25% of your MIPS Final score

Must use 2015 Edition Certified EHR Technology (CEHRT)

Minimum performance period of any continuous 90- day period within the calendar year

Four Objectives:

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e-Prescribing

Health Information Exchange

Provider to Patient Exchange

Public Health and Clinical Data Exchange

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IMPLEMENTING YOUR EHR TECHNOLOGY▸

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Have 2015 edition CEHRT functionality in place by the first day of your MIPS Promoting Interoperability performance period

Have your EHR certified by ONC to the 2015 Edition CEHRT criteria by the last day of your performance period

Provide your EHR’s CMS Identification code from the Certified Health IT Product List (CHPL), available at https://chpl.healthit.gov/#/search, when you submit your data

Not sure what Edition your EHR is? Review the Certified Health IT Product List

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https://chpl.healthit.gov/#/search


TIPS FOR MAXIMIZING YOUR EHR▸

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Work with your vendor!

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Ensure any new vendor has 2015 CEHRT

Ask for demonstrations or trainings to have a better understanding of the functionality of the EHR

Some vendors have universities

Get back to basics

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Know how to run reports

Understand how to calculate your measures

Recognize when something is not right

Consistent documentation between clinician

Engage your contractor for help

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The PI category has four objectives. How do I meet them?



2020 OBJECTIVES AND MEASURES

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https://qpp-cm-prod-content.s3.amazonaws.com/uploads/807/2020%20PI%20Measures.zip


2020 OBJECTIVES AND MEASURES▸

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Within these objectives, there are six required measures in addition to required attestations.

Opioid Treatment Agreement has been removed for 2020

Query of Prescription Drug Monitoring Program (PDMP) measure requires a yes/no response instead of a numerator and denominator and is BONUS measure again

Some measures have exclusions; if you qualify, you can claim the exclusion instead, 2020 Measure Specifications

You must collect data for all required measures [unless you can claim an exclusion(s)] for the same minimum continuous 90-day period in CY 2020.

The last 90-day performance period begins on October 3, 2020.

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https://qpp-cm-prod-content.s3.amazonaws.com/uploads/807/2020%20PI%20Measures.zip


2020 PI SCORING

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Objectives Measures Maximum Pointse-Prescribing 10Bonus: Query of Prescription DrugMonitoring Program (PDMP) 5 bonus

Support Electronic Referral Loops bySending Health Information 20Support Electronic Referral Loops byReceiving and Incorporating HealthInformation 20

Provider to Patient ExchangeProvide Patients Electronic Access toTheir Health Information 40

Immunization Registry ReportingElectronic Case ReportingPublic Health Registry ReportingClinical Data Registry ReportingSyndromic Surveillance Reporting

e-Prescribing

HealthInformation

Exchange

Public Healthand Clinical Data

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Report to two different public health agencies or clinical data registries for any of the following:


TIPS TO MEET MEASURES▸

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Health Information Exchange (HIE)

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Educate staff about electronic referral loops

Get on the phone with other practices

Implement workflow

Patient Portals

▸Educate your patients about the benefits

Public health and clinical data exchange

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Know your registries

2020 Qualified Registries

2020 Qualified Clinical Data Registries

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https://qpp-cm-prod-content.s3.amazonaws.com/uploads/803/2020%20Qualified%20Registry%20Qualified%20Posting.xlsx

https://qpp-cm-prod-content.s3.amazonaws.com/uploads/1050/2020%20QCDR%20Qualified%20Posting.xlsx

What about submitting my PI data? Are there additional steps I need to take?



2020 REPORTING BASICS

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SECURITY RISK ANALYSIS

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You must conduct or review a security risk analysis on your 2015 Edition CEHRT functionality on an annual basis, within the calendar year of the performance period.

For example, if you have your 2015 CEHRT functionality in place on January 1, 2020, you can perform your security risk assessment on March 1, 2020 and select a 90-day performance period of October 3, 2020 – December 31, 2020.

This includes addressing the security of ePHI data created or maintained by CEHRT, implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician’s risk management process.

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I am in a small practice, do I have to report in the PI category?



AUTOMATIC VS. APPLICATION –BASED REWEIGHTING

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REWEIGHTING CONSIDERATIONS ▸If you are one of the clinician types not required to submit in

the PI category:

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The category weight (or contribution to your final score) is redistributed to another performance category (or categories) unless you choose to submit data.

MIPS-eligible clinicians, groups and virtual groups that qualify for reweighting will be scored in this performance category if they submit any Promoting Interoperability performance category data.

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REWEIGHTING CONSIDERATIONS ▸

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Groups qualify for automatic reweighting when more than 75% of the clinicians in the group or virtual group are hospital-based.

If all of the MIPS-eligible clinicians within a group do not qualify for an automatic reweighting or do not submit an application for and receive a hardship exception, the group will not qualify for an automatic reweighting and will have to report.

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Be mindful of your scores in the other categories. Ask yourself: Is my score high enough that if I reweight, I will be ok?

Just because you are eligible for reweighting doesn’t mean you should.

If you can submit for PI, it’s an easy way to earn points.

How can Promoting Interoperability help my patients?



BENEFITS TO YOUR PATIENTS▸

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Provider to patient exchange—promotes quality of care and care coordination

Patients can contribute to their healthcare

Value in sending and receiving referrals, accessing data, and sending data to other providers and specialists

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TIPS FOR SUCCESS ▸

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Educate your staff

Document properly and consistently

If you can, attend trainings for your EHR

Run reports often and check to see where you are

Direction of healthcare

Establish a relationship with your contractor

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QUESTION:

If I still need help, where can I go?


FREE RESOURCES FOR ASSISTANCE FROM CMS▸

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QPP website: https://qpp.cms.gov/ -- includes information tailored for the needs of small practicesContact the Quality Payment Program at: [email protected] or call 1-866-288-8292Support and Available resources for Small, Underserved, and Rural Practices: https://qpp.cms.gov/about/small-underserved-rural-practicesSmall Underserved Rural Support Technical Assistance Organizations (see list on slide 9)

Contact information is available at: https://qpp.cms.gov/about/small-underserved-rural-practicesAvailable websites of each Technical Assistance OrganizationTypes of help: needs assessments, webinars, technical support, links to peers you can talk with, assistance getting signed up to report through an approved channel that meets your practice’s needs

▸ Resource Library


https://qpp.cms.gov/




https://qpp.cms.gov/about/resource-library

FREE RESOURCES FOR ASSISTANCE FROM CMS▸

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QPP Participation Status Tool2020 QPP Final Rule

2020 MIPS Data Validation Criteria

2020 MIPS Exceptions Application Fact Sheet

The Medicare Promoting Interoperability Program vs. MIPS Promoting Interoperability Performance Category

2020 Promoting Interoperability Measure Specifications

2020 Promoting Interoperability Quick Start Guide


https://qpp.cms.gov/participation-lookup

https://www.federalregister.gov/documents/2019/11/15/2019-24086/medicare-program-cy-2020-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other

https://qpp-cm-prod-content.s3.amazonaws.com/uploads/828/2020%20MIPS%20Data%20Validation%20Criteria.zip

https://qpp-cm-prod-content.s3.amazonaws.com/uploads/1054/2020%20MIPS%20Exception%20Applications%20Fact%20Sheet.pdf

https://qpp-cm-prod-content.s3.amazonaws.com/uploads/1080/PI%20Program%20vs.%20MIPS%20PI%20Perf%20Category%20Infographic.pdf

https://qpp-cm-prod-content.s3.amazonaws.com/uploads/807/2020%20Promoting%20Interoperability%20Specifications.zip

https://qpp-cm-prod-content.s3.amazonaws.com/uploads/822/2020%20Promoting%20Interoperability%20Quick%20Start%20Guide.pdf

WRAP-UP ACTIVITIES▸

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Links to Q&A documents, transcripts, and recordings of the event are available here: https://qppsurs.com/

September 2020 LAN Webinar: Topic is TBD

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September 15th, 2020 3:30 PM to 4:30 PM EST

September 17th, 2020 11:00 AM to 12:00 PM EST

Please provide feedback on this event: Feedback Form


https://qppsurs.com/

https://docs.google.com/forms/d/e/1FAIpQLSdnaS8CRySePooOIucJVTpnn8ND7mlRdWdyS_XfjXRoAu0ZAA/viewform

REFERENCESSlide decks created by event panelists also provided information reflected in this presentation. The input from project panelists is gratefully acknowledged.

Other documents on the https://qpp.cms.gov/ and https://qpp.cms.gov/about/resource-library website provide additional detail about the MIPS program.

Disclaimer: This presentation was current at the time it was published or uploaded onto the web. Medicare policy changes periodically so links to the source documents have been provided within the document for your reference. This presentation was prepared as a service to the public and is not intended to grant rights or impose obligations. This presentation may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of their contents.


https://qpp.cms.gov/

https://qpp.cms.gov/about/resource-library

APPENDIX: ACRONYMSAPM – Alternative Payment Model

ACO – Accountable Care Organization

CERT—Certified EHR Technology

FORHP— Federal Office of Rural

Health Policy

E&M—Evaluation and Management

Services

FFS- Fee for Service

MIPS – Merit-based Incentives

Payment System

MSPB—Medicare Spending Per

Beneficiary

MVP—MIPS Value Pathways

PDMP— Query of Prescription Drug

Monitoring Program

PCMH— Patient Centered Medical

Home

PCP— Primary Care Provider

PI— Promoting Interoperability

PFS-Physician Fee Schedule

IA – Improvement Activities

EHR – Electronic Health Records

TPCC—Total Per Capita Cost

QCDR—Qualified Clinical Data

Registry

QPP – Quality Payment Program

QRDA – Quality Reporting Data

Architecture

QRUR— Quality and Resource Use

Reports

SURS - Small Underserved Rural

Support

TIN—Tax Identification Number

QI-Quality Improvement

QP- Qualifying APM Participant

VBP- Value-Based Purchasing


Maximizing Your Peformance in the Promoting ......2020/07/07 · redistributed to another...

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Transcript of Maximizing Your Peformance in the Promoting ......2020/07/07 · redistributed to another...