1 / 17

Lunch & Learn: Quality Payment Program

Join Susan Hollander, Senior Director, and Rebecca Van Vorst, Assistant Director of Ambulatory Care at HCQIP, for an informative lunch and learn session on the Quality Payment Program. Learn about eligibility thresholds, MIPS performance categories, and how to participate successfully. Don't miss out on valuable resources and technical assistance provided by IPRO's Quality Payment Program Support Center.

leonardoa
Download Presentation

Lunch & Learn: Quality Payment Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Lunch & Learn: Quality Payment Program Susan Hollander, Senior Director Rebecca Van Vorst, Assistant Director Ambulatory Care, HCQIP September 20, 2018

  2. Quality Payment Program Support Team • Lake Success Office: • Robin Blumenthal, Senior Quality Improvement Specialist • Dominic DiMartini, Quality Improvement Specialist • Susan Hollander, Senior Director, HCQIP • Ti-Kuang Lee, Senior Director, Data Analysis • Shelly Roberts, Administrative Coordinator • Albany Office: • Richard Corcoran, Senior Quality Improvement Specialist • Laura Graham, Quality Improvement Specialist • Brian Pinga, Quality Improvement Specialist • Rebecca Van Vorst, Assistant Director • Lynn Wilson, Quality Improvement Specialist

  3. What is theQuality Payment Program (QPP)?

  4. QualityPayment Program What is theMerit-based IncentivePaymentSystem? Combineslegacyprogramsintosingle,improvedreportingprogram PhysicianQuality ReportingSystem(PQRS)Value-BasedPayment Modifier(VM) MedicareEHRIncentiveProgram(EHR) LegacyProgramPhaseOut LastPerformancePeriod PQRSPaymentEnd 2016 2018

  5. MIPS 2018: Eligible Clinician Types

  6. MIPS 2018: Eligibility Thresholds 2018 Budget changed this to exclude Part B drugs that clinicians administer from this calculation and how payment adjustments will be applied.

  7. MIPS Performance Categories

  8. IPRO’s Quality Payment Program Contracts • 2 contracts • 11th SOW “D1” • Support all large practices in NY, DC, and SC • SURS (Small, Underserved and Rural) • Supports all small practices in NY, DC, VA, and MD • Deliverables • Engage 100% of clinicians • Strategy • Macro-level technical assistance • Micro-level technical assistance CMS has contracted with organizations to provide technical assistance to either: (a) practices of 1-15 clinicians or (b) practices of >15 clinicians. In NY, IPRO has contractual obligations to assist all clinicians, irrespective of practice size. 8

  9. Macro-level Technical Assistance IPRO provides: • Webinars that focus on performance categories (Quality, Improvement Activities, Promoting Interoperability, Cost) • Strategic communication: tailoring and disseminating information via mass emails, focused website pages, conferences, mail • IPRO develops resources (cross task focus, MIPS participation information) CMS has contracted with organizations to provide technical assistance to either: (a) practices of 1-15 clinicians or (b) practices of >15 clinicians. In NY, IPRO has contractual obligations to assist all clinicians, irrespective of practice size. 9

  10. Micro-level Technical Assistance IPRO assists practices with: • Reviewing resources • Choosing measures in each performance category • Reviewing specifications for each measure • Ensuring that their EHR vendor can support the measures they have chosen (Registry and/or CEHRT) • Periodically review measures to ensure they are on track for successful participation • Identify participation opportunities for the Quality and Improvement Activities performance categories 10

  11. Working across tasks towards a singular goal • Several of IPRO’s initiatives are components of the QPP. Cardiovascular Health Anticoagulation Management Adult Immunizations Antibiotic Stewardship Sepsis Care Transitions CKD Awareness and Prevention Combatting Opioid Crisis

  12. QualityPayment Program IPRO’s Quality Payment Program Education Initiatives:Meeting the MIPS Challenge

  13. QualityPayment Program IPRO’s Quality Payment Program Support Center

  14. The QPP’s Relationship with Other Programs • Medicaid • PCMH • APC • TCPI 16

  15. Other ResourcesCMS Value Based Programs: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Value-Based-Programs.htmlCMS Quality Payment Program Website: https://qpp.cms.gov/CMS QPP Resource Libraries: https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/Resource-library.htmlCMS Webinar and AMA Accredited Online Courses: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Quality-Payment-Program-Events.html

More Related