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The IHC Compass PTN is a monthly email featuring success stories, TCPI updates and other local/national educational resources.
November 15, 2016
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Welcome to the Compass Practice Transformation Network Newsletter! We give clinicians the support and tools needed to thrive in value-based care.
Getting Ready for MIPS  
 
Should I participate in MIPS as an individual or a group?

Reporting as an individual.
If you send MIPS data in as an individual, your payment adjustment will be based on your performance. An individual is defined as a single National Provider Identifier (NPI) tied to a single Tax Identification Number.
You’ll send your individual data for each of the MIPS categories through an electronic health record, registry, or a qualified clinical data registry. You may also send in quality data through your routine Medicare claims process.

Reporting as a group.
If you send your MIPS data with a group, the group will get one payment adjustment based on the group’s performance. A group is defined as a set of clinicians (identified by their NPIs) sharing a common Tax Identification Number, no matter the specialty or practice site.
Your group will send in group-level data for each of the MIPS categories through the CMS web interface or an electronic health record, registry, or a qualified clinical data registry. To submit data through our CMS web interface, you must register as a group by June 30, 2017.

How do I know if I'm ready to participate in MIPS?

Take these steps to get ready for 2017.

Check that your electronic health record is certified by the Office of the National Coordinator for Health Information Technology. If it is, it should be ready to capture information for the MIPS advancing care information category and certain measures for the quality category.

Consider using a qualified clinical data registry or a registry to extract and submit your quality data.

Use the Quality Payment Program website to explore the MIPS data your practice can choose to send in. Check to see which measures and activities best fit your practice.
 
https://qpp.cms.gov/learn/getprepared
 
Take Action! Complete the Following Items by December 26! 
 
  • At least 90 days of baseline data, and one month prior (November) data on a Compass PTN metric
  • Working with Quality Improvement Advisor to complete Transformation/Strategic Plan
  • Continue completion practice assessments

Make sure to join Healthcare Communities where you can access news or events and any additional information regarding the TCPI and Compass PTN.

 
Success Story for West Holt Medical Clinic   

Joins Compass PTN
West Holt Medical Clinic in North Central Nebraska, joined the Compass Practice Transformation Network because they saw value in being a part of a group, and setting measurable benchmarks for their practice.

WH recently completed a formal practice assessment with the PAT tool. “The results surprised me,” said Marvin Smoot, COO with West Holt Medical Services. “Rural care is generally episodic, and we are moving in the right direction when it comes to population health management and patient centered care.

Putting Policies in Place
As part of managing groups of chronic care patients, WH set an aim to develop policies regarding High Blood Pressure and Diabetic patients with elevated HgbA1c.

“We made policies workable documents for the rural setting. These documents use evidence based practices, including follow up goals to identify how we will monitor patients to improve their health, “Smoot says. “We’ve had success in getting providers to believe in big picture thinking to drive care and reach benchmarks.


 The Importance of Patient Centered Care
Billing has been the biggest challenge in WH’s practice transformation journey. “Even though there is encouragement to move toward population health, it is difficult to change the minds of the group when reimbursement occurs based on cost,” Smoot says.

Following a patient centered approach to healthcare has brought behavioral health access to the clinic. The approach proves that WH needs to meet all areas of patient care – financial, clinical, behavioral and spiritual – otherwise, it will suffer.

Working with the Compass Practice Transformation Network is moving WH toward future payment models. As Medicare and reimbursement are changing, they’ve found the importance of looking at the whole patient.

“We have enjoyed working with the Compass Practice Transformation Network. They continue to challenge me to engage our practice in change,” Smoot says. “With their help, we have successfully brought behavioral health care to our community of 1200, providing weekly access to a provider in a clinic setting.”

West Holt Medical Services provides well-rounded family healthcare with respect and understanding for the physical and emotional needs of our North Central Nebraska communities.


 
Nebraska finds TCPI Success  

Justine O'Neill-Hedlund with ENHANCE Health Network stated “Although still in the initial stages of implementation, involvement from Regional West Medical Center (Regional West) in TCPI demonstrates the importance of committed project “champions” in implementing a rapid cycle test of change. After completing baseline practice assessments across Regional West’s 17 clinics, leadership within Regional West’s quality department identified two projects to implement system-wide---a project to standardize an in-room patient check-out process in order to improve efficiency and meet Meaningful Use expectations, and a project to reduce wrongful insurance denials resulting from front desk check-in procedures. Within a one-month period, Regional West developed a vision statement and action plans for each project. Regional West also developed two work groups tasked with implementing the action plans. These work groups began meeting on a weekly basis in September 2016, and each project began implementation at the clinic level in October 2016. Regional West has been able to quickly progress through its initial performance improvement projects as a result of a high degree of engagement from the organization’s quality department leaders.”




 
Patient Safety Award

IHC Patient Safety Award - Nominations Now Being Accepted
The Iowa Healthcare Collaborative (IHC) is currently accepting nominations for the IHC Patient Safety Award for healthcare providers and healthcare organizations who have demonstrated outstanding leadership and achievement in patient safety. The Patient Safety Award aims to raise the standard of healthcare in Iowa by promoting a culture of continuous improvement in quality, safety and value.
 
This award honors patient safety champions that support the following initiatives:
  • Improve patient safety
  • Reduce the risk of harm
  • Keep patients at the center of care
Nomination Deadline
We encourage you to share this opportunity with your organization or submit a nomination for someone you think should be recognized. The nomination deadline is December 1, 2016. See the brochure for more information.

Categories
Nominations will be accepted for individuals and/or organizations that demonstrate achievement in patient safety in the following categories:
  • Achievement in reducing healthcare-associated infections
  • Achievement in improving care transitions (i.e. readmissions, community care coordination)
  • Achievement in reducing preventable conditions (e.g. hospital-acquired, provider preventable, etc.)
  • Achievement in improving culture of safety/safety across the board (i.e. becoming a high-reliability organization)
  • Achievement in improving person and family engagement

 


 
Compass PTN Virtual Event- From Education to Execution  

 
Join us on December 6th for a compelling educational event with speaker Tom Evans, MD. Diabetes is one of four major clinical focus areas of the Transforming Clinical Practice Initiative (TCPI). 

This event is open to any clinician or staff interested in learning practical ways to transform diabetes care at your clinic. Topics will include the latest evidence-based guidelines, medication management, success stories across the continuum of care, and the patient/family perspective.

Our intent is to support Achievement of TCPI Bold Aims #2, 3, and 4 listed below.

TCPI Aim #2 - Improve health outcomes (e.g., diabetes outcomes) for millions of Medicare, Medicaid and CHIP beneficiaries and other patients

TCPI Aim #3 - Reduce unnecessary hospitalizations for diabetic patients) for 5 million patients

TCPI Aim #4 - Generate $1 to $4 billion in savings to the federal government and commercial payers, from reduced diabetes complications, hospitalizations and better outcomes

Before your holiday calendar fills up, take this opportunity in early December to focus on one of the most serious health conditions facing our nation and health care system. You are invited to register here.

Copyright © 2016 Iowa Healthcare Collaborative Compass PTN,
All rights reserved.

 

 The Compass Practice Transformation Network is supported by Funding Opportunity Number CMS-1L1-15-003 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the views of the U.S. Department of Health and Human Services or any of its agencies.

 
Register Now!

Compass PTN Portal Training
November 16, 2016

Follow this link to register.

TCPI Affinity Group: Business Care for Transformation
November 17, 2016

Follow this link to register.

Compass PTN Portal Training
November 18, 2016

Follow this link to register.

Compass PTN Virtual Event
December 6, 2016

Follow this link to register.

From Patient Engagement to Patient and Family Activation
December 8, 2016

Follow this link to register.

Preventing Lung Cancer: Radon Education in Family Practice
December 14, 2016

Follow this link to register.


 
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