Michigan Oncology Quality Consortium (MOQC) Abstraction & MOQC - - PowerPoint PPT Presentation

Michigan Oncology Quality Consortium (MOQC)

Abstraction & MOQC Pathway Fall 2017 September 5 & 7, 2017 6:00-7:30pm

Discussion

Topic Time Welcome & Roll Call 15 mins Objectives 5 mins Requirements for Fall 2017 Round

• Pre-Abstraction
• Abstraction
• Post Abstraction

40 mins Questions 20 mins Next Steps 5 mins

Roll Call

• Name
• Practice
• New or Experienced with Abstraction?

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Objectives

At the end of this webinar, you will:

• 1. Identify the MOQC Pathway
• 2. Understand MOQC’s expectations for the

abstractor role for this round

• 3. Understand how you or your practice will be paid

for abstraction

• 4. Commit to next steps

For Spring, 2017

THANK YOU!

Three Phases

I. Preparation for Abstraction (Pre-Abstraction) II. Abstraction

• III. Post Abstraction

• I. Pre - Abstraction
• Attended QOPI webinars

– Sign into your QOPI account – Go to QOPI landing page> Round materials and training

• #1

QOPI Participant Training Webinar

• #2

Abstractor Training Webinar

Your Practice’s Landing Page

Practice Name Practice Name and Number

Key Points For MOQC Practices

1. Register Your Practice

– Ensure you select MOQC Participant under “Demographics” – If you are a new practice that has not entered data into QOPI before, there is an attestation screen that appears that you must complete

2. Calculate or check that the Number of physician FTES is accurately calculated and entered are correct because is the basis for the number of charts to be abstracted 3. Register for Fall 2017 Round 4. Choose MOQC C Pa Pathway for abstraction 5. Validate your abstractors in QOPI Practice account

Register Your Practice

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Review each data element under the Red Tile and the Yellow Tile and update to reflect your current practice All must have a green “checkmark” to proceed to Legal Agreement

Practice name Practice ID Physician’s Last Name

Register As MOQC Practice

Select “Yes”

Practice name

This header indicates where in the QOPI program you are

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Calculate Physician FTEs

Monday Tuesday Wednesday Thursday Friday Morning 0.1 0.1 0.1 0.1 0.1 Afternoon 0.1 0.1 0.1 0.1 0.1

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Only for physicians – Exclude NP, PA and Fellows

Use this template for each physician then Add the numbers up to get Total FTES = 1.0

Calculate Physician FTEs

Monday Tuesday Wednesday Thursday Friday Morning X X X X X Afternoon X X X

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Physician #1 = 0.8 Monday Tuesday Wednesday Thursday Friday Morning X X X X X Afternoon Physician #2 = 0.5 = 1.3 FTES Two physician headcount but a 1.3 FTE Each “X” is a 4 hour block of time that a physician sees patients

Enter Physician FTEs Accurately

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Staffing and Patient Services Screen

Hematologist-Oncologist = A physician that sees hematology (cancer and non cancer) patients Medical-Oncologist = A physician that sees solid tumor cancer patients and does not see blood cancer patients Medical/Hematologist Oncologist= a physician that sees both solid tumor and blood cancer patients Number of physicians drives number of unique charts that need to be abstracted from your practice

Register for Round

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When Completed Red, Yellow and Gray Tiles

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Select MOQC Pathway

UN-SELECT TEST MEASURES All other modules must be “NO” The only exception for a MOQC practice is if practice is submitting data for QOPI certification/ recertification; if this is the case, Select “QCP” instead of MOQC Pathway

Update Abstractor List

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Sign into Practice > Administration >> User Management and add Name

Adding or Editing Abstractors

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• All * must be complete email address must be

accurate

• Once complete and checked “save”
• Person will receive email from

ASCO-QOPI with user name and request to set up password Select “abstractor” from drop down under “user role” Double check that email address is correct or abstractor will NOT receive QOPI password information

• I. Prepare Your Patient List
• Sign into

your account

• On QOPI

Landing page – see below

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Also known as the “chart selection criteria”

Prepare List #1 – Fall 2017

Yes Yes Yes Yes Yes Yes Yes

Use all ICD-10s to have enough charts

Prepare List #2 – End of Life

Use only End of Life Criteria to develop this patient or chart list

MOQC is validating if criteria is accurate as of 9/11/2017 as this conflicts with criteria in “red” type

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NEW - MOQC Pathway

• 1. Core
• 2. Breast
• 3. Colorectal
• 4. NSCLC
• 5. Symptom and Toxicity
• 6. End of Life
• Chosen by MOQC oncologists and patients
• Provide focus for improvement

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17 QOPI Measures covering six modules

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Page 1 of 2 of MOQC Measures

MOQC Pathway

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Page 2 of 2

• I. Pre-Abstraction – Final Thoughts
• Set up two patient lists so you can use for each abstraction round by

updating the query with any changes with:

• ICD-10s
• Dates
• New physicians, physician assistants and nurse practitioners
• Once list is created, last step is to select charts for abstraction
• Select charts/patients from list in a random method (e.g. every 2rd or 3rd patient)
• If you run out of charts, abstract Core charts until unique chart requirement is

completed

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• II. Abstraction
• Not documented = not done
• Even if you know physician’s practice, you cannot give

credit for a measure if there is no evidence of documentation

• Keep track of all hours - you will have to report to MOQC
• Use MOQC documents for measure detail (called

measures specifications)

• What is included
• What is excluded

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• II. Abstraction

1. CORE 6e & End of Life (EOL) 38 – Pain addressed appropriately

• Both Core and EOL
• All pain, not just cancer pain
• All three components for pain:
• Pain assessed (notation that patient has no pain)
• Quantified by some type of scale
• Plan of care

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MOQC Measures – Important take-aways

MOQC Measures

• 2. Core 13a1: Stage IV at initial diagnosis or

development of mets & solid tumor

• 3. Core 13o6a
• Oral chemotherapy – not IV or other route
• Initial therapy only
• Is medication adherence assessed?
• 4. Core 22bb: tobacco cessation assistance provided by

practice or patient referred in a year or at most recent office visit

• Note: Excludes vaping & e-cigarette use

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MOQC Measures

• 5. Core28a: Aprepitant/fosaprepitant (Emend) or

netupitant (AKYNZEO)

• 6. Core33: Infertility risks prior to chemotherapy.

What are the inclusive ages for Male, Female?

• 7. EOL 41: Dyspnea
• What other words do providers use for dyspnea?
• Dyspnea must be:
• Assessed
• Addressed or there is documentation that patient did not have dyspnea

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MOQC Measures

• 8. EOL 44: includes day 3
• 9. EOL 47: date of death to hospice enrollment or

palliative care date of discussion < 62 days

• 10. Breast61: IV bisphosphonates or desnosumab
• 11. Breast62c1: serum (blood test) tumor marker
• CEA
• CA15-3
• CA27.29

MOQC is checking on this timeframe

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MOQC Measures

• 12. Colorectal 63: Presence and/or absence of first

degree relative

• What is a 1st degree relative?
• Age of diagnosis for each relative will be asked by QOPI program during

abstraction

• 13. Colorectal 73:
• QOPI will exclude any patient with AJCC Stage IV disease or M-staging

at colon or rectal diagnosis

• Patient had surgical resection and margins clear or noted as positive

(R1, micro or macro positive)

14.NSCLC 89a: Only metastatic disease

• GCSF include:

There are different types of G-CSF, including:

• lenograstim (Granocyte)
• filgrastim (Neupogen, Zarzio, Nivestim, Ratiograstim)
• long acting (pegylated) filgrastim (pegfilgrastim, Neulasta) and

lipegfilgrastim (Longquex) 31

• II. Complete MRN-QOPI

Crosswalk

• Create and keep a cross walk for all abstracted

charts, MRN and assigned QOPI number

• Required for retrospective audit by MOQC or

practice

• Form on www.moqc.org/

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• III. Post Abstraction
• Submit hours to MOQC
• Independent
• Submit hours 48 hours after abstraction round closes, or
• When your practice finishes abstraction
• MOQC Abstractors (have contract with MOQC)
• By Friday September 29th
• By Friday October 27th
• 48 hours after abstraction round closes
• Look for practice data, December, 2017
• Receive electronic notice that data available in QOPI
• MOQC will send 17 measures by practice by region but de-

identified

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End of Webinar

• Next slides only for abstractors subcontracted to

MOQC who abstract

• Their own practice or
• Scheduled by MOQC to practices

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• Must use TSheets to submit time & mileage
• Complete webinar; see www.moqc.org/
• Download app to your phone
• Enter time for:
• Orientation
• Abstraction (No distinction between chart finding and abstraction)
• Contact MOQC if your name or practice is not in TSheets
• If you abstract on your normal work day, mileage will not be paid
• If you travel to a practice to abstract (not your normal workday), mileage will be

paid

• Pay three times for Fall Round
• Place time in TSheets when abstracting
• Must submit time each month by last Friday of September and/or October
• Time will be processed the 1st week of October & November
• November time will be processed the week after the round closes
• Takes 7-10 business days after MOQC has submitted payroll for check to be

available

• Mary will be processing payroll for this round; mkmedley@med.umich.edu

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MOQC Abstractors

Contacts

• Lead abstractors are assigned to every practice
• List posted on www.moqc.org
• Lead abstractors are:
• 1. Louise Bedard

lbedard@med.umich.edu

• 2. Jamie Lindsay

jamiel@med.umich.edu

• 3. Cindy Michalek

cmichale@med.umich.edu

• 4. Cindy Straight

cstraig@med.umich.edu

• 5. Arthi Ramakrishnan

arthrama@med.umich.edu

• Lead abstractor is your resource for all questions
• Email MOQC at lbedard@moqc.org or call

734.764.2860

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Next Steps

• Receive answers to outstanding questions from

webinar

• Notify practices when MOQC Pathway testing is

complete and abstraction can begin

• Go to MOQC website for:
• Assigned practices
• Documents (e.g. Cross Walk of QOPI to MRN number)
• Webinars of QOPI, MOQC and TSheets
• Contact Information for Questions

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