Local Launch Session 1 March 15, 2017 1 Comprehensive Primary - - PowerPoint PPT Presentation
Local Launch Session 1 March 15, 2017 1 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation Speakers Presenters: Meagan Alley, MPH (RLN) Kristen Schuster, BA (Practice Facilitator, Mountain Pacific Quality
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
1
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
2
Speakers Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
3
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
4
Purpose of Local Launch:
Topics for Local Launch:
in-person Learning Session or virtual Learning Session)
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
Section 1
5
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
7
Nicole Banister, MHA, FACHE, is the deputy project director for the CPC+ Regional Learning Network at TMF Health Quality
14 CPC+ regions. As part of her work, Nicole facilitates the learning and diffusion of best practices across 3,000 primary care sites and for 50+ payers, all of whom are working together to achieve care delivery transformation that supports the CPC+ aims of achieving better care, smarter spending, and healthier
Nicole held leadership positions in hospital systems and physician practices that were focused on health care operations, quality improvement, and value-based care. Fun fact: Nicole is an avid trail runner and enjoys camping with her family.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
8
Sandi DeAngelo is the learning system manager for the CPC+ Regional Learning Network at The Lewin Group. For each of the 14 CPC+ regions, Sandi oversees the development and delivery
communities, and learning sessions. In addition, she works with Wendy Bradley (TMF) to coordinate activities with the National Learning Community. Prior to the CPC+ initiative, Sandi worked
Medicaid Innovation, including the following models: Comprehensive Joint Replacement, Strong Start for Mothers and Newborns, Health Care Awards, and the Medicare Care Choice
Fun Fact: Sandi graduated with a high school class of 26, so she has an appreciation for the uniqueness of rural communities, specifically in regards to health care and education.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
9
Wendy D. Bradley, LPC, CCSAC, is the knowledge management and spread coordinator for the CPC+ Regional Learning Network. She is currently the director of behavioral health integration at TMF Health Quality Institute. Wendy has
transformation, much of which has been in the implementation and oversight of behavioral health integration, team-based care, management of high-risk patients, and community engagement approaches to addressing determinants of health. She also serves as a faculty member for the Institute of Health Care Improvement and has supported practices across the U.S. and Europe as they shift toward a whole-person/whole-team approach to health care. Fun Fact: Wendy loves to travel and has lived in seven U.S. states and abroad in one other country.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
Holly Phipps, MSW, former Eastern Region Cluster Lead is currently working to help support RCLs and CLCs across the marketplaces in CPC+. She is a consultant with The Lewin Group and has worked on various CMMI Learning Systems during her two years with the firm, developing a level of expertise through her work managing and planning learning events to developing qualitative data reports. Prior to her work at Lewin, Holly taught elementary school for several years and worked in global mental health to develop training curriculum for medical providers in Haiti as they built a behavioral healthcare system. Fun Fact: Holly grew up on a farm and has a potbelly pig named Charlotte.
10
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
11
Meagan Alley, MPH, Western Region Cluster Lead is currently working to help support RCLs and CLCs across the marketplaces in CPC+. She is a consultant with The Lewin Group and has worked on various CMMI projects during her four years with the firm, such as the Health Care Innovations Awards (HICA), developing a level of expertise through her work managing rapid cycle report
plan requirements. Fun Fact: Meagan hails from Louisiana and Texas and is still not used to DC-area winters.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
12
Mira Friedlander, BA is the Communications and Logistics Coordinator for the Western cluster. She recently came to Lewin from Medica, where she specialized in Minnesota State Medicaid health
Americorps, serving low income families and promoting nutritional education, cooking skills, and a healthy lifestyle through University of Minnesota Extension and Share Our Strength. Fun fact: Mira enjoys rollerblading around the many lakes in Minnesota with her puppy Ryder.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
13
Kristen has spent the last 5 years working in primary care as a practice transformation specialist. She has focused on quality improvement initiatives including Patient-Centered Medical Home(PCMH), Physician Quality Reporting System(PQRS), and Meaningful Use. In addition, she is a super utilizer for eClinicalWorks and specializes in building infrastructure within an electronic medical record in order to capture and report clinical quality data.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
14
Patty is a certified Project Management Professional (PMP) certified EHR professional and a HIMSS certified professional in Health Information Management
implementation of EHRs, reporting for CMS Programs (MU, PQRS, IQR), electronic clinical quality improvement and workflow analysis and process improvement.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
15
Sarah joined Mountain-Pacific Quality Health in 2010 and is a Health Technology and Quality Consultant. Her professional experience includes over 25 years in application and system She has provided planning, assessment and guidance to rural providers, clinics and hospitals to successfully participate in CMS Meaningful Use and Quality programs. She has worked with Indian Health Services the last five years help in navigating through these program requirements. Sarah has a B.S. in Industrial Engineering from Montana State - Bozeman, MBA from University of San Diego and Healthcare IT certification from UC San Diego.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
16
Amber Rogers RN MSN has been an employee at Mountain-Pacific Quality Health since 2015. Her responsibilities include development of community coalitions to decrease gaps in care transitions, navigating the healthcare transition from volume to value and implementing strategies to improve prevention measures- specifically adult immunizations. Prior to employment at Mountain-Pacific Amber was a director at a physician hospital organization where she oversaw grant programs, physician peer review program and development of a clinical quality program. The grants that were implemented were focused towards support of the critical access hospitals in order to improve clinical education, EHR implementation and implementation of integrated behavioral health. Amber also has experience as a nursing director at a PPS with a variety of clinical departments and as the chief nursing officer at a CAH.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
17
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
18
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
19
– Focused opportunities for practice leads, clinical champions and care managers
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
20
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
21
Pack posted on CPC+ Connect on 3/6/17.
CPC+ Connect on 3/6/17.
CMMIConnectHelpDesk@cms.hhs.gov, or via the toll-free number: 1-888-734- 6433, Option 4. Please have your CPC+ Practice ID ready, or include it in the subject line of your email.
Contact the CPC+ Support Team between 8:00 am - 1:00 am ET. Please have your CPC+ Practice ID ready, or include it in the subject line of your email. Toll-Free Number: 1-888-372-3280 or CPCPlus@telligen.com
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
22
developing the regional learning support network.
program is your first step. Critical readings include the CPC+ Phase 1 Implementation Guide (Including the Change Package), CPC + Payment Methodologies, and the CPC+ Care Delivery Reporting Requirements. In addition, you will want to ensure that someone in your practice has access to the CPC+ Practice Portal and that those involved in leading change also have access to the CPC+ Connect site. Links to both and to support are on the previous slide.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
for a lot this first quarter. Am I expected to get all of this done at once? The intent of the practice portal is to collect data on what you are working on
large program and implementing these changes will take time. Practice changes (workflow, staffing, etc.) should be intentional and driven by data.
report 9 of the 14 practice level eCQMs from your Certified Health IT Software Please see the CPC+ Quality Reporting Overview for Performance Year (PY) 2017 document for more details.
23
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
24
In order to successfully drive improvement efforts forward the Practice Lead and Clinical Champion must be clearly identified and involved in leading the change.
– Evaluate system/ practice needs – Determine priorities and align system around goals/projects – Take responsibility for portfolio of projects – Develop internal improvement capacity
– Lead change efforts through initial testing and iteration (early adapters) – Provide feedback on changes – Communication to clinical teams about changes – Lead Development of clinical process and protocols
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
25
the upcoming year
practices and become familiar with the change package
all regional practices contact information, EHR type, practice size and identified strengths, areas for focused improvement, environmental threats, and opportunities—to support practice networking.
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
26
champions and implementation team) – This can be a simple conversation that occurs at an existing meeting
weaknesses (e.g., Strength: same-day access; Weakness: care plans with high-risk patients)
– Do not feel obligated to answer each question
Wednesday, March 22nd COB. The link will be shared here in the chat and on Connect.
SWOT Instructions: Along with your improvement team (team members who will support and implement the changes), complete the SWOT Analysis using change concepts from the change package to guide selections. Send your top three strengths, top three weaknesses (topics for improvement), top three opportunities that will support improvements, and top three threats that may present a challenge to improvement.
STRENGTHS
Use change package to guide selections.
does exceptionally well?
exceptionally well?
does exceptionally well?
WEAKNESSES
Use change package to guide selections.
changes that will transform the practice?
that would transform the practice?
changes that would transform the practice?
OPPORTUNITIES
improvement? (training? community partnership
sources?)
THREATS
challenge for you (e.g., high staff turnover)?
a challenge for you?
doing that might affect you?
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
kschuster@mpqhf.org
– Launch Session 2: March 29th from 12:00p-1:00p MT – Launch Session 3: April 12th from 12:00p-1:00p MT – Learning Session (In Person): May 10th from 8:30a-4:30p MT
– Chat – Connect
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation
Please use the following link to provide feedback and let us know you were here! https://www.research.net/r/CPC_PLUS_Launch You will be directly sent there following the session and it is also being provided in the chat and on Connect!
30