PTO TRAINING APRIL 3RD, 11:00 AM Call Instructions: Please Mute - - PowerPoint PPT Presentation

PTO TRAINING

APRIL 3RD, 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

CQM WEBINAR

TUESDAY, APRIL 3 11:00 AM – 12:00 PM

Extended CHITA services for COHORT 1 Q1 CQM reporting requirements Conflict of Interest Forms

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Q4 CQM data report

AGENDA

Q&A TCPI and ENSW updates

TCPI UPDATE

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TCPi: Please submit all Clinical Quality Measures by 04/26/18 All CQMs will be submitted through the Healthcare Communities tool TCPi CHITA Field Note – Due for first Quarter.

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.

TCPI NATIONAL QUALITY MEASURE COLLECTION TOOL

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We will be using the TCPi National CQM collection tool this Quarter Please login through SPLIT to access the CQM survey SPLIT training will be held on 4.10.18 during the TCPi PTO call 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.

ENSW UPDATE

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▪ Please ensure all measures are reported by April 30th, 2018 ▪ 12 month and 15 month CQMs. Please work with practices to collect and submit 12 month and 15 month CQMs

SIM Q4 CQM DATA

64.0% 98.0% 98.9% 90.2% 98.9% 64.0% 97.0% 80.0% 79.3% 87.0% 80.65% 99.35% 100.00% 97.40%

50.0% 55.0% 60.0% 65.0% 70.0% 75.0% 80.0% 85.0% 90.0% 95.0% 100.0% 2016 Q1 (optional for cohort 1) 2016 Q2 2016 Q3 2016 Q4 2017 Q1 2017 Q2 2017 Q3 (optional for cohort 2) 2017 Q4

Percentage of active primary care practice sites reporting CQMs each quarter

Cohort 1 - 1 or more CQMs Cohort 1 - Required number of CQMs Cohort 2 - 1 more more CQMs Cohort 2 - Required number of CQMs

SIM Q4 CQM DATA REPORT

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▪ Q4 Cohort 1 CQM Reporting Breakdown

▪ Adult (6) 51 of 53 Req ▪ Pediatric (4) 19 of 22 Req ▪ Adult CPC+ (5) 17 of 17 Req

▪ Total Practices 92

SIM Q4 CQM DATA REPORT

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▪ Q4 Cohort 2 CQM Reporting Breakdown

▪ Adult (6) 95 of 97 Req ▪ Pediatric (4) 35 of 37 Req ▪ Adult CPC+ (5) 20 of 20 Req

▪ Total Practices 154

9 29 35 36 38 82 82 82 105 110 151 168 172 177 200

50 100 150 200 250

SUD: Alcohol Developmental Screening Depression Remission at 12 months* Maternal Depression Screening SUD: Alcohol and Other Drug Dependence Adolescent Obesity Screen Adolescent Obesity Screen (Activity) Adolescent Obesity Screen (Diet) Asthma Medication Management Fall Safety Adult Obesity Screen Diabetes: A1c Hypertension SUD: Tobacco Use Depression Screening and Follow-up

Number SIM primary care practice sites (N=246) that reported on each CQM in Q4 of 2017

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

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 100.00%

18.82% 9.63% 53.01% 55.56% 68.26% 28.16% 55.69% 81.20% 85.64% 99.90% 63.73% 79.41% 14.26% 62.49% 66.61%

Aggregate values of CQMs reported on by SIM primary care practice sites in Q4 of 2017

34.30% 49.20% 55.00% 49.71% 56.32% 58.30% 61.20% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 2016 Q2 2016 Q3 2016 Q4 2017 Q1 2017 Q2 2017 Q3 2017 Q4

Aggregate percent of eligible patients screened for depression over time as reported by the CMHCs and cohorts 1 & 2

Cohort 1 Cohort 2 CMHCs

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MOST COHORT 1 PRACTICES HAVE IMPROVED THEIR DEPRESSION SCREENING AND FOLLOW-UP

57 practices improved on their reported percent of

eligible patients screened for depression

22 practices didn’t report on this measure at all or only

reported on it in either Q4 of 2016 or Q4 of 2017

13* practices reported lower values in Q4 of 2017

compared to 2016 * 2 of these practices reported 1% or less difference between

the two reporting periods and both were above the 2017 reported cohort average (55%)

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Q1 2018 SIM CQM REPORTING REQUIREMENTS

Q1 REPORTING REQUIREMENTS AND SCHEDULE

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SIM Q1 2018 CQM reporting requirements ▪ Practice sites choose: trailing 12 months (preferred) or year-to-date ▪ Q1 report due April 30th, 2018

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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

EXTENDED CHITA SERVICES FOR COHORT 1

UPCOMING DUE DATES

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Reporting Activity Cohort 1 Cohort 2

SIM CQM Reporting

(Cohort 1 & 2 Practice Sites)

April 30, 2018 April 30, 2018 Cohort 1 Final Assessments

(IPAT , Monitor, DQA, MAC, PIP/Closeout)

March 31, 3018

N/A

Cohort 2 Six-month Assessments

(MAC and HIT)

N/A

April 30, 2018 Final Field Note/Progress Report April 30, 2018

N/A

PF Field Notes

N/A

(Complete Final Field Note)

Report Monthly CHITA Field Notes

N/A

(Complete Final Field Note)

Report Monthly

SIM Cohort 1 Specific Invoicing Deadlines

PTO Final Invoice - May 31, 2018 (or prior) Practice Final Invoice – April 30, 2018 (or prior)

UPCOMING EVENTS

April 2018

▪ 4/10 – TCPi PTO Touchbase; SPLIT Training - 9-10 am ▪ 4/10 – CMGMA Practice webinar-Tips for Enhancing Provider Schedules to Increase Revenue 11-12 noon ▪ 4/11 -- SPLIT Training for SIM Cohort 2 Assessments 8-9 am ▪ 4/12 – SIM Office Hours – 10-11 am ▪ 4/17 – CHITA Learning Community-3-4 pm ▪ 4/18 – MGMA Practice Webinar; Hierarchical Condition Categories HCC: What you need to know 12-1 pm ▪ 4/19 – Learning Features Call –10-11 am ▪ 4/24 – CO QPP Coalition Office Hours; Quality Category; Overview of the requirements and scoring for this category in 2018 12- 1 pm ▪ 4/25 – SIM PTO Training – Phase 4: BB6.Y1 – Risk stratify/actively manage patients 9-10 am ▪ 4/26-- SPLIT Office Hours 9-10 am

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FUTURE PTO TRAININGS

SAVE the DATE:

May 18 Collaborative Learning Session; Omni Broomfield 9 am – 3:30 pm May 19 Collaborative Care Model Clinician Training; Omni Broomfield 8:30 am – 12:30 pm June 14 PTO Training; Behavioral Health Integration; Lowry Ctr 9 am – 4 pm

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University Practice Innovation Team Contact Information

Practice Transformation – Stephanie.Kirchner@ucdenver.edu Learning Community - Kellyn.Pearson@ucdenver.edu CQMs & SPLIT/Data Related – support-split@ucdenver.edu ENSW & IT MATTTRs 2 – Daniel.Pacheco@ucdenver.edu TCPi - Kristin.Crispe@ucdenver.edu or Allyson.Gottsman@ucdenver.edu SIM – PracticeInnovation@ucdenver.edu Invoicing – Natalie.Buys@ucdenver.edu All Other Questions – PracticeInnovation@ucdenver.edu

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