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Quality Metrics for Improved Practice Management: There’s an App for That!. Agenda. CECity Executive Summary Emdeon Executive Summary Healthcare Reform Drivers for Enhanced Practice Management Tools Review of Clinical Quality Measurement, Reporting and Improvement Solutions. Confidential.

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Quality metrics for improved practice management there s an app for that

Quality Metrics for Improved Practice Management: There’s an

App for That!


Quality metrics for improved practice management there s an app for that

Agenda

  • CECity Executive Summary

  • Emdeon Executive Summary

  • Healthcare Reform Drivers for Enhanced Practice Management Tools

  • Review of Clinical Quality Measurement, Reporting and Improvement Solutions

Confidential


Quality metrics for improved practice management there s an app for that

CECity

Executive Summary


Quality metrics for improved practice management there s an app for that

CECity Executive Summaryleader in enterprise quality reporting, registries, improvement & lifelong learning

Healthcare’s leading social enterprise cloud platform to address needs under healthcare reform by aligning, simplifying, integrating and cost-effectively scaling

  • Performance Improvement

  • Pay for Performance

  • Professional Certification

  • CECity is…

  • Neutral - layer or bolt onto EMR/HIT as collaborative value-added partner

  • Dot Connector – gateway between EMR, society partners and payors; link to world leaders in performance improvement

  • #1 Footprint - own largest footprint in professional certification, quality reporting & performance improvement space

CECity Deployment Options…

Multi-Tenant

Private Portals

Confidential

Confidential


Quality metrics for improved practice management there s an app for that

CECity’s Performance Management Solution…At the Point of ConvergenceAligning solutions across the “3Ps” to engage providers in improvement


Quality metrics for improved practice management there s an app for that

CECity’s Cost-Effective, Scalable Solution Layers onto EMRsaddressing the burgeoning needs under reform in synergy with existing HIT

Goal oriented

Incentives

Feed Useful Analytics, Gaps, Outliers and Quality Reports BACK for qualityimprovement & research

GAPS

Feed Dataforward from EMRs and other Data Sources

Performance

Learning

Communities of practice andcommunication networks

ePortfolio

Goal: enhance the value of EMRs by seamlessly layering or integrating unique, exclusive and/or necessary services that support the EMR’s quest to measure and manage quality, report for payment or other incentives, and move providers from measurement to improvement


Quality metrics for improved practice management there s an app for that

CECity’s unique footprint and partnershipsmore than technology…relationships, experience, and trust

Partnerships

Commitment Quality & Professionalism


Quality metrics for improved practice management there s an app for that

Why are we here today?


Why are we here today

Why are we here today?

  • Healthcare reform is rapidly shifting from early stage data capture, collection activities (EMR, eRX) to later stage requirements driven by payment reform (MU Stage 2, 3) for ACO, IDN, VBP, MA Stars, and other shared-risk models

  • Customer needs and focus shifting to performance measurement and management (pop health, patient care gap analysis, patient (CG surveys) and practice improvement), value-based payment, external (to EMR) reporting to national specialty registries, rapid cycle learning and compliance

Meaningful Use Stages


Quality metrics for improved practice management there s an app for that

  • Why are we here today?

  • Payment, compliance requirements growing & converging beyond the EMR

  • Providers don’t know what to do, where to turn, how to handle them all!

Public Payors

Protect Members

& Own P4P

Physicians / Groups

Professional, Financial, Self Regulation

PO (Physician Org)

QI and P4P Program

Group / Hospital

QI and P4P Program

Group / Hospital

Care Redesign

Credentialing /

Re-Credentialing

Medicare Advantage Star Ratings

Private Payors

Attract/Protect Members

& Own P4P

OPPE/FPPE

Hospital Accreditation

Protect Patient Quality

Meaningful Use

CQM, Specialized Registries

Hospitals VBP

Readmission,

Never Events

Physician VBP

Federal: PQRS & VBM

Commercial: BTE & P4P

Improve Patient Experience of Care

Shift from FFS to Value Based Contracts and Shared Risk (ACO)

MOL Coming Soon

CME Requirements

Maintenance of Certification

Board Exams

State Licensing Boards

Protect Public from Harm

Specialty Boards

Professional Self Regulation

10

Confidential


Quality metrics for improved practice management there s an app for that

  • Why are we here today?

  • Penalties and Requirements are being ratcheted upwards!

  • Providers need help now, but most are struggling to meet them all on their own

2013/2014

Year of the Penalty


Quality metrics for improved practice management there s an app for that

There’s An App

for That


Quality metrics for improved practice management there s an app for that

Quality Measurement, Reporting and Compliance Solutions

Comprehensive suite of quality products and services to help providerssatisfy their healthcare reform requirements via one integrated, cost-effective solution

  • Integrated Products Satisfy Multiple Requirements

  • Standalone Product Modules

CommercialVBP

Menu Item 6

Specialized Registry Reporting

Meaningful UseStage 2

Clinical Quality Measures

Reporting via Registry

PQRS via QualifiedClinical Data Registry

Federal VBP

Professional


Quality metrics for improved practice management there s an app for that

  • ImpaQt™ One-to-Many Clinical Quality Gateway

  • Connect to a network of specialized registries via one clinical quality gateway

And More includingthe Societyof Societies

ImpaQt™ One to ManyClinical Quality Gateway Registry

EHR


Quality metrics for improved practice management there s an app for that

Meaningful Use Stage 2 – Continuous Reporting to Specialized RegistriesCECity’s position provides unique opportunity to bring value to customers, access to sustainable model for MU2 and QI

Immunization

Registry

Specialized ClinicalRegistries

Cancer

Registry

Data

SpecializedRegistryGateway

(option to add PQRS, CQM)

Data

Value

EMR Data


Bridges to excellence 1 commercial p4p program

Bridges to Excellence® #1 Commercial P4P Program

  • #1 US Pay for Performance Program to Commercial Health Plans

  • Data pipelines established with leading EMRs and HIT companies (GE, Meridios, NextGen, eCW, Athenahealth)

    • Key States: Texas, California, NY, Carolinas


Multiple data entry options dynamic progress monitor

Multiple Data Entry Options & Dynamic Progress Monitor


Detailed progress report by practice and provider

Detailed Progress Report by Practice and Provider


Performance measures clinician view

Performance Measures -Clinician View


Bte recognition scoring

BTE Recognition Scoring


Pqrswizard like turbo tax for pqrs mandated federal value based purchasing program

PQRSwizard® like Turbo-Tax® for PQRS - mandated federal Value-based Purchasing program

  • #1 Cloud-Based PQRS Registry Platform

  • #1 Payment Success Rate (>99.5%)

  • Proven Business Model, Revenue Share for Partners

  • Only 25% eligible provider participation

  • CMS Qualified for Registry, DSV, GPRO, and Qualified Clinical Data Registry (QCDR)

  • CECity is bringing it all together – BTE, PQRS, QCDR, MU2 CQM and Specialized Registries with Societies


Acp specialized registry mu2 cqm pqrs

ACP Specialized Registry MU2, CQM, PQRS


Patient survey patient centered satisfaction outcomes risk assessments

Patient SurveyPatient Centered Satisfaction, Outcomes, Risk Assessments


Quality metrics for improved practice management there s an app for that

MGMA DataDive

Metrics for Practice Management


Quality metrics for improved practice management there s an app for that

Patient Population AnalysisAggregates demographic and diagnoses information


Quality metrics for improved practice management there s an app for that

Practice PerformanceFeatures process and utilization measures with flexible benchmarking.


Quality metrics for improved practice management there s an app for that

Financial Analysis

Revenue, cost, profit based on billings/cost allocation models


Quality metrics for improved practice management there s an app for that

Financial InformationDrill down into any item to view the basis of the calculation.


Quality metrics for improved practice management there s an app for that

Track Changes Over Time

Revenue, cost, profit based on billings/cost allocation models


Quality metrics for improved practice management there s an app for that

Data Connectivity

Choose to automatically populate data through one of the connected data feeds.


Quality metrics for improved practice management there s an app for that

Professional Compliance (Maintenance of Certification) multi-faceted Apps incorporate or link to MOC Part IV and other compliance programs

Send upstream to ABIMSelf Directed PIM for Credit


Quality metrics for improved practice management there s an app for that

Performance Improvement Apps via CECity Access tools and resources from the world’s leaders in quality improvementDeliver them to providers in practice to move from measurement to improved outcomes

Quality Training

PCMH Survey

PI Toolkits


Thank you

Thank You

  • CECity Contact:

  • Ariann Polasky, Director, Provider Products

  • [email protected]

  • Emdeon Contact:

  • Matt Koerlin

  • [email protected]


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