PTO TRAINING JANUARY 8TH, 11:00 AM Call Instructions: Please Mute - - PowerPoint PPT Presentation

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PTO TRAINING JANUARY 8TH, 11:00 AM Call Instructions: Please Mute - - PowerPoint PPT Presentation

Oct 15, 2022 141 likes •485 views

PTO TRAINING JANUARY 8TH, 11:00 AM Call Instructions: Please Mute your phone, microphone, and speakers on your computer/device Turn off the zoom video feature Enter your name/organization in the chat box feature for attendance

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PTO TRAINING

JANUARY 8TH, 11:00 AM

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Call Instructions:

Please

  • Mute your phone, microphone, and speakers on your computer/device
  • Turn off the zoom video feature
  • Enter your name/organization in the chat box feature for attendance
  • Submit questions via the chat box feature
  • Questions will be answered following the presentation
  • Time to ask questions via audio will be offered for those on the phone
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CQM WEBINAR

MONDAY, JANUARY 8 11:00 AM – 12:00 PM

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HIT Assessment Summary Q4 CQM reporting requirements Conflict of Interest Forms

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Q3 CQM data report

AGENDA

Q&A TCPI and ENSW updates

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TCPI UPDATE

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TCPi: Please submit all Clinical Quality Measures by 01/26/18 All CQMs will be submitted through the Healthcare Communities tool TCPi CHITA Field Note

https://ucdenver.co1.qualtrics.com/jfe/form/SV_6PSduWbmzgZWWEJ

NQF PQRS Description

NQF 0024

PQRS 239

Weight assessment and counseling for nutrition and physical activity for children and adolescents.

NQF 0421

PQRS 128

Body Mass Index (BMI) screening and follow-up.

NQF 0028

PQRS 226

Tobacco use assessment and tobacco cessation intervention.

NQF 0018

PQRS 236

Blood pressure control.

NQF 0059

PQRS 001

HbA1c control for patients with diabetes.

NQF 0418

PQRS 134

Screening for clinical depression and follow-up plan.

NQF 1448

PQRS n/a

Developmental screening in the first 3 years of life.

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TCPI NATIONAL QUALITY MEASURE COLLECTION TOOL

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We will be using the TCPi National CQM collection tool this Quarter All CHITAs are being asked to submit CQMs on behalf of their practices All CHITAs should have created their own login to the Healthcare Community website and requested access to the TCPi Community. Once Logged in please select the TCPi community and Outcomes Sharing on the left side of the screen to access the CQM reporting page.

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ENSW UPDATE

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▪ Please ensure all measures are reported by January 31st, 2018 ▪ 12 month and 15 month CQMs. Please work with practices to collect and submit 12 month and 15 month CQMs

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SIM Q3 CQM DATA

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*Q3 of 2017 was an optional reporting period for cohort-2

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*For Diabetes A1c measure we want to see the values for this measure decrease over time

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SIM Q3 CQM DATA REPORT

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▪ Q3 Cohort 1 CQM Reporting Breakdown

▪ 47 Adult (6) 35 Req ▪ 23 Pediatric (4) 19 Req ▪ 13 Adult CPC+ (5) 12 Req

▪ 92 Total Practices

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SIM Q2 CQM DATA REPORT

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▪ Q3 Cohort 2 CQM Reporting Breakdown

▪ 84 Adult (6) 52 Req ▪ 36 Pediatric (4) 10 Req ▪ 16 Adult CPC+ (5) 13 Req

▪ 155 Total Practices

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**This measure is only available for practices that are in both SIM and CPC+

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CQMS WITH DOCUMENTED ISSUES IN Q3

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Some practices reported on multiple issues related to CQM reporting

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Q4 2017 SIM CQM REPORTING REQUIREMENTS

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Q4 REPORTING REQUIREMENTS AND SCHEDULE

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SIM Q4 2017 CQM reporting requirements ▪ Practice sites choose: trailing 12 months or year-to-date ▪ Q4 report due January 31st, 2018 ▪ CQM reporting will be through Split login (still the same Qualtrics survey just different way to access it.)

▪ https://split.practiceinnovationco.org/#/login

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REPORTING SCHEDULE: ADULTS COHORT 1

2016 Q1 (Jan-Mar 16) 2016 Q2 (Apr-Jun 16) 2016 Q3 (Jul-Sep 16) 2016 Q4 (Oct-Dec 16) Test period, practice sites report whatever they can Choose 3 core CQMs:  Asthma  Influenza  Depression OR Maternal Depression  Obesity: Adult Choose 3 core CQMs (same as Q2) Report 4 core CQMs (non-Mathematica):  Asthma  Influenza  Depression OR Maternal Depression  Obesity: Adult and 1 non-core CQM (non-Mathematica):  Diabetes: Hemoglobin A1c  Fall Safety  Hypertension = 5 total CQMs 2017 Q1 (Jan-Mar 17) 2017 Q2 (Apr-Jun 17) 2017 Q3 (Jul-Sep 17) 2017 Q4 (Oct-Dec 17) Choose 5 primary CQMs:  Depression Screening  Diabetes: Hemoglobin A1c  Hypertension  Obesity: Adult  SUD: Alcohol & Other Drug Dependence  SUD: Tobacco Secondary CQMs (if needed):  Asthma (new)  Fall Safety  Maternal Depression Screening  SUD: Alcohol = 5 total CQMs required Report all 6 primary CQMs:  Depression Screening  Diabetes: Hemoglobin A1c  Hypertension  Obesity: Adult  SUD: Alcohol & Other Drug Dependence  SUD: Tobacco Secondary CQMs (if needed):  Asthma (new)  Fall Safety  Maternal Depression Screening  SUD: Alcohol = 6 total CQMs required Same as Y2Q2  Phase in additional secondary CQMs as appropriate = 6 total CQMs required Same as Y2Q2  Phase in additional secondary CQMs as appropriate = 6 total CQMs required Cohort 1 SIM CQM Reporting Schedules: http://www.practiceinnovationco.org/wp-content/uploads/2017/02/SIM-Clinical-Quality-Measures-CQM-Reporting-Schedules-Cohort-1.pdf

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REPORTING SCHEDULE: PEDS COHORT 1

2016 Q1 (Jan-Mar 16) 2016 Q2 (Apr-Jun 16) 2016 Q3 (Jul-Sep 16) 2016 Q4 (Oct-Dec 16) Test period, practice sites report whatever they can choose 3 core CQMs:  Asthma  Depression  Influenza  Maternal Depression  Obesity: Adolescent choose 3 core CQMs (same as Q2) Report 5 core CQMs (non-Mathematica):  Asthma  Depression  Influenza  Maternal Depression  Obesity: Adolescent 2017 Q1 (Jan-Mar 17) 2017 Q2 (Apr-Jun 17) 2017 Q3 (Jul-Sep 17) 2017 Q4 (Oct-Dec 17) Report all 4 primary CQMs:  Depression Screening  Developmental Screening  Maternal Depression Screening  Obesity: Adolescent Secondary CQMs (if needed):  Asthma (new) = 4 total CQMs required Same as Y2Q1  Phase in additional secondary CQMs as appropriate = 4 total CQMs required Same as Y2Q1  Phase in additional secondary CQMs as appropriate = 4 total CQMs required Same as Y2Q1  Phase in additional secondary CQMs as appropriate = 4 total CQMs required Cohort 1 SIM CQM Reporting Schedules: http://www.practiceinnovationco.org/wp-content/uploads/2017/02/SIM-Clinical-Quality-Measures-CQM-Reporting-Schedules-Cohort-1.pdf

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REPORTING SCHEDULE: CPC+ COHORT 1

2016 Q1 (Jan-Mar 16) 2016 Q2 (Apr-Jun 16) 2016 Q3 (Jul-Sep 16) 2016 Q4 (Oct-Dec 16) Same as Cohort 1 SIM Only (see above) Same as Cohort 1 SIM Only (see above) Same as Cohort 1 SIM Only (see above) Same as Cohort 1 SIM Only (see above) 2017 Q1 (Jan-Mar 17) 2017 Q2 (Apr-Jun 17) 2017 Q3 (Jul-Sep 17) 2017 Q4 (Oct-Dec 17) Choose 4 primary CQMs:  Depression: a) Depression Screening (SIM/QPP) OR b) Depression Remission at 12 months (CPC+ group 1)  Diabetes: Hemoglobin A1c (CPC+ group 1 & SIM/QPP)  Hypertension (CPC+ group 1 & SIM/QPP)  SUD: Alcohol & Other Drug Dependence (CPC+ group 2 & SIM/QPP)  SUD: Tobacco (CPC+ group 3 & SIM/QPP) Secondary CQMs (if needed):  Asthma (SIM/QPP)  Fall Safety (CPC+ group 2 & SIM/QPP)  Maternal Depression Screening (SIM/QPP)  SUD: Alcohol (SIM/QPP) = 4 total CQMs required Report all 5 primary CQMs:  Depression: a) Depression Screening OR b) Depression Remission at 12 months  Diabetes: Hemoglobin A1c  Hypertension  SUD: Alcohol & Other Drug Dependence  SUD: Tobacco Secondary CQMs (if needed):  Asthma  Fall Safety  Maternal Depression Screening  SUD: Alcohol = 5 total CQMs required Same as Y2Q2  Phase in additional secondary CQMs as appropriate = 5 total CQMs required Same as Y2Q2  Phase in additional secondary CQMs as appropriate = 5 total CQMs required Cohort 1 SIM CQM Reporting Schedules: http://www.practiceinnovationco.org/wp-content/uploads/2017/02/SIM-Clinical-Quality-Measures-CQM-Reporting-Schedules-Cohort-1.pdf

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REPORTING SCHEDULE: ADULTS COHORT 2

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REPORTING SCHEDULE: PEDS COHORT 2

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REPORTING SCHEDULE: CPC+ COHORT 2

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FIELD NOTE FEEDBACK OCTOBER AND NOVEMBER 2018

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OCTOBER COHORT 1 DATA AGGREGATION

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October Stratus 10 QRUR Reports 3 Milliman Reports 9 Other 32 Unknown/NA 59 Not Used 57

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NOVEMBER COHORT 1 DATA AGGREGATION

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November Stratus 11 QRUR Reports 2 Milliman Reports 5 Other 26 Unknown/NA 37 Not Used 70

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OCTOBER COHORT 1 CQMS WORKED ON

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October Depression 33 Practices Improving data entry 17 Practices Clinical Workflows 11 Practices Diabetes HgbA1c 17 Practices Improving data entry 9 Practices Clinical Workflows 7 Practices None 40 Practices

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NOVEMBER COHORT 1 CQMS WORKED ON

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November Depression 27 Practices Improving data entry 8 Practices Clinical Workflows 20 Practices Diabetes HgbA1c 17 Practices Improving data entry 2 Practices Clinical Workflows 14 Practices None 41 Practices

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OCTOBER COHORT 2 DATA AGGREGATION

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October Stratus 17 QRUR Reports 4 Milliman Reports 17 Other 78 Unknown/NA 63 Not Used 116

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NOVEMBER COHORT 2 DATA AGGREGATION

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November Stratus 10 QRUR Reports Milliman Reports 16 Other 67 Unknown/NA 75 Not Used 94

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OCTOBER COHORT 2 CQMS WORKED ON

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October Depression 29 Practices Improving data entry 12 Practices Clinical Workflows 11 Practices Diabetes HgbA1c 33 Practices Improving data entry 17 Practices Validating CQM 15 Practices None 92 Practices

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NOVEMBER COHORT 2 CQMS WORKED ON

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November Depression 36 Practices Improving data entry 13 Practices Clinical Workflows 18 Practices Diabetes HgbA1c 19 Practices Clinical Workflows 9 Practices Validating CQM 12 Practices None 73 Practices

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JANUARY 2018 EVENTS

▪ January 2018

▪ (Scheduled) ▪ 1/9 – TCPi PTO Touchbase -- 9-10 am Overview Cost/Utilization workshop ▪ 1/9 -- CMGMA Practice webinar -- 11-noon ▪ 1/16 – CHITA Learning Community -- 3-4 pm ▪ 1/17--MGMA Practice Webinar –Connect the Dots; Contracts to Revenue Cycle - noon – 1 pm ▪ 1/18 – Learning Features – Empanelment & Attribution; Resource Hub update -- 10-11 am ▪ 1/23 – CO QPP Coalition Webinar – The 2018 Final Rule -- noon-1 pm ▪ 1/24 – SIM PTO Training -- 9-10 am ▪ 1/25 – MGMA Face to Face session; Thrive in the Value Based World; Financial Keys to Succeed -- 8 am - noon

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University Practice Innovation Team Contact Information

Practice Transformation – Stephanie.Kirchner@ucdenver.edu Learning Community - Kellyn.Pearson@ucdenver.edu CQMs – Andrew.Bienstock@ucdenver.edu SPLIT/Data Related – Lauren.Shviraga@ucdenver.edu ENSW – Daniel.Pacheco@ucdenver.edu TCPi - Kristin.Crispe@ucdenver.edu or Allyson.Gottsman@ucdenver.edu SIM – Taryn.Bogdewiecz@ucdenver.edu or Heather.Stocker@ucdenver.edu Invoicing – Natalie.Buys@ucdenver.edu

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