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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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  • CECity Executive Summary

  • Emdeon Executive Summary

  • Healthcare Reform Drivers for Enhanced Practice Management Tools

  • Review of Clinical Quality Measurement, Reporting and Improvement Solutions



Executive Summary

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…


Private Portals



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

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

Goal oriented


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


Feed Dataforward from EMRs and other Data Sources



Communities of practice andcommunication networks


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

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


Commitment Quality & Professionalism

Why are we here today
Why are we here today? EMRs

  • 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

  • Why are we here today? EMRs

  • 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 /


Medicare Advantage Star Ratings

Private Payors

Attract/Protect Members

& Own P4P


Hospital Accreditation

Protect Patient Quality

Meaningful Use

CQM, Specialized Registries

Hospitals VBP


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



  • Why are we here today? EMRs

  • Penalties and Requirements are being ratcheted upwards!

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


Year of the Penalty

There’s An App EMRs

for That

Quality Measurement, Reporting and Compliance Solutions EMRs

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


Menu Item 6

Specialized Registry Reporting

Meaningful UseStage 2

Clinical Quality Measures

Reporting via Registry

PQRS via QualifiedClinical Data Registry

Federal VBP


  • ImpaQt™ EMRs 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


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



Specialized ClinicalRegistries





(option to add PQRS, CQM)



EMR Data

Bridges to excellence 1 commercial p4p program
Bridges to Excellence® Specialized Registries#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

Performance measures clinician view
Performance Measures -Clinician View Specialized Registries

Bte recognition scoring
BTE Recognition Scoring Specialized Registries

Pqrswizard like turbo tax for pqrs mandated federal value based purchasing program
PQRSwizard® Specialized Registrieslike 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 Specialized RegistriesMU2, CQM, PQRS

Patient survey patient centered satisfaction outcomes risk assessments
Patient Survey Specialized RegistriesPatient Centered Satisfaction, Outcomes, Risk Assessments

MGMA Specialized RegistriesDataDive

Metrics for Practice Management

Patient Population Analysis Specialized RegistriesAggregates demographic and diagnoses information

Practice Performance Specialized RegistriesFeatures process and utilization measures with flexible benchmarking.

Financial Analysis Specialized Registries

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

Financial Information Specialized RegistriesDrill down into any item to view the basis of the calculation.

Track Changes Over Time Specialized Registries

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

Data Connectivity Specialized Registries

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

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

Send upstream to ABIMSelf Directed PIM for Credit

Performance Improvement Apps via CECity Specialized RegistriesAccess 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 Specialized Registries