Understanding the PY 2015 ESRD QIP
|
|
- Ambrose Underwood
- 8 years ago
- Views:
Transcription
1 CMS CROWNWeb Application Understanding the PY 2015 ESRD QIP With the Centers for Medicare & Medicaid Services December 19, 2013
2 Today s Hosts Janis Grady, RHIT, CPHQ Contract Officer s Representative (COR) CROWNWeb Outreach, Communication, and Training (OCT) Contract Centers for Medicare & Medicaid Services Oniel Delva, BA, CTT Communications and Training Manager CROWNWeb Outreach, Communication, and Training (OCT) Contract 2 O
3 Today s Presenter The Centers for Medicare & Medicaid Services Anita Segar, MBA, MSHCA, MA Program Lead & Policy Lead ESRD Quality Incentive Program Anita Segar is the Program Lead and Policy Lead for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) at the Centers for Medicare & Medicaid Services (CMS). Anita is responsible for providing leadership and oversight of the program, as well as writing federal regulations and other policies that impact more than 5,000 dialysis facilities nationwide. Anita works closely with components within CMS, other federal agencies, industry stakeholders, and the public in identifying quality gaps and developing policy to improve the care provided to Medicare beneficiaries. 3 O
4 HMS Data Submission Requirements
5 HMS Data Submission 5 CMS has contracted with Healthcare Management Solutions, LLC (HMS) to conduct a data reliability and validity check on various aspects of CROWNWeb data reporting by facilities. Participating facilities will be contacted and asked to submit source documentation from each patient s medical record. Participating facilities can submit requested documents to HMS via one of three options: Protected PDF file on CD/DVD/Flash Drive (preferred method) Secure fax submission Paper submission Submission options are included as part of a request letter submitted to participating facilities. O
6 HMS Data Submission HMS provides each participating facility a password to use when submitting password-protected PDFs. Facilities can convert Word documents to PDF or scan a document and save it as a PDF file. Facilities may need to work with their IT departments when scanning and converting files to PDFs, as scanners and PDF creator software vary. 6 O
7 Password Protecting PDF How to password protect and securely submit data to HMS for its CROWNWeb data validation project: 1. Ensure that you have Adobe Acrobat or another PDF creator software on the computer to be used. (NOTE: To confirm if that computer has a PDF creator software, check under All Programs from the Start menu for an Adobe or other PDF creator folder.) 2. Open your document and click on the file menu, then click on Save As. 7 O
8 Password Protecting PDF 3. Choose a location to save the document. 4. Click the Save as type drop-down menu, and select PDF. The Options button now displays. 8 O
9 Password Protecting PDF 5. Click the Options button. An Options dialog box displays. 6. Click the Encrypt the document with a password checkbox, and click the OK button. 9 O
10 Password Protecting PDF 7. Enter the HMS-provided password located under Option 1: PDF Submission in the Submission Requirements section, and click the OK button. 8. Click the Save button to save the document as a password-protected PDF. 10 O
11 Saving to CD or DVD Example of how to burn files to a CD or DVD: 11 Source: O
12 ESRD QIP: An Overview
13 Value-Based Purchasing Value-Based Purchasing (VBP) is an important driver in changing how care and services are reimbursed It represents a shift from payment based solely on number of patients treated to one that factors in quality of treatment The End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) was CMS s first VBP initiative 13 C
14 ESRD QIP and Other Quality Improvement Efforts The ESRD QIP works in concert with other CMS quality improvement (QI) initiatives: ESRD Conditions for Coverage specify health and safety standards, which serve as the foundation of QI Survey and Certification Program conducts on-site inspections to ensure compliance with Medicare regulations National programs and campaigns, such as the Fistula First initiative, target specific areas for improving dialysis treatment Demonstrations that study the impact of new methods to deliver care, as well as new payment approaches ESRD Networks address local needs and provide technical assistance to facilities in their geographic regions 14 C
15 Impact on Facilities and Patients CMS introduces a financial incentive to facilities that meets quality standards established by CMS Patients and their families can use publicly available data to make the best decisions for their own care Information on facility performance is made available online Performance Score Certificates (PSCs) that show facility performance are displayed (in both English and Spanish) in a prominent location within each facility 15 C
16 Law Creating the ESRD QIP ESRD QIP was established in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) by adding Section 1881(h) to the Social Security Act Program intent: Promote patient health by giving renal dialysis facilities an incentive to deliver high-quality patient care Facilities that do not meet certain performance standards can have their payments from CMS reduced by up to 2% 16 C
17 Program Structure The ESRD QIP is governed by rules for each Payment Year (PY) that: Identifies measures Establishes performance standards that apply to each measure Identifies the performance period (usually two years before the PY) Outlines a methodology for calculating a Total Performance Score (TPS) for each facility Explains how a facility s TPS may result in a payment reduction o Payment reductions apply to services that the facility will render during the PY 17 C
18 The Rulemaking Process 1. CMS publishes a Proposed Rule via Notice of Proposed Rulemaking (NPRM) in the Federal Register Presents proposed measures and evidence-based justifications for why the measures will encourage high-quality clinical practices Reflects various what-if considerations to determine financial impacts on facilities 2. Public has a 60-day period to comment Online via Mail (US Postal Service, commercial express service, hand delivery/courier) 3. CMS takes public comment into consideration and publishes a Final Rule in the Federal Register 18 C
19 Measures The ESRD QIP currently is made up of two categories of measures: Clinical measures score facilities based on the quality of clinical services provided to patients with ESRD Reporting measures score facilities based on whether they collect and/or report particular data during the performance period (this data is used to establish baselines for clinical measures in future PYs) The ESRD QIP measures several elements of care provided to patients, including: Anemia management Vascular access Dialysis adequacy Bone mineral metabolism Patient experience of care 19 C
20 Scoring Clinical measures are scored by comparing a facility s performance during the performance period to: 1) The same facility s performance in the previous year ( improvement score ) 2) National performance two years prior to the performance period ( achievement score ) o The facility s score on the measure is the higher of the improvement or achievement score o Clinical measures make up a higher percentage of the facility s TPS Reporting measures are scored based on whether a facility collects and/or reports predetermined information about its patients This gives facilities an incentive to closely monitor important patient attributes and share information about dialysis treatment Reporting measures make up a smaller percentage of the facility s TPS 20 C
21 Payment Reductions CMS combines scores on all of these measures to create the TPS, which grades a facility s accomplishments overall If the facility s TPS is lower than the minimum TPS determined by CMS for that year, then the facility will get less money for the services they provide during that payment year Payment reductions are capped by statute at 2% 21 C
22 The PY 2015 ESRD QIP Six clinical measures make up 75% of TPS: Anemia Management Vascular Access Type (VAT) (2 measures) Kt/V Dialysis Adequacy (3 measures) Four reporting measures make up 25% of TPS: Dialysis Events (infections) via the Centers for Disease Control and Prevention s (CDC) National Healthcare Safety Network (NSHN) Patient satisfaction via the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) Survey Mineral Metabolism Anemia Management 22 Technical Specifications for every measure available on C
23 PY 2015 ESRD QIP Clinical Measures
24 PY 2015 Clinical Measures Six clinical measures Anemia Management VAT Measure Topic o Arteriovenous Fistula o Catheter Kt/V Dialysis Adequacy Measure Topic o Adult Hemodialysis o Adult Peritoneal Dialysis o Pediatric Hemodialysis PY 2015 clinical measures data comes entirely from Medicare claims Additional data sources for clinical measures (including CROWNWeb) will be used in PY C
25 Clinical Measure Directionality A high rate is not always better for every clinical measure: 25 C
26 Earning Points on Clinical Measures Facility gets the BETTER score from the two methods Achievement Score: Points awarded by comparing the facility s rate during the performance period (CY 2013) with the performance of all facilities nationally during CY 2011 Improvement Score: Points awarded by comparing the facility s rate during the performance period (CY 2013) with its own previous performance during CY C
27 PY 2015 ESRD QIP Reporting Measures (CROWNWeb Data Submission Requirements)
28 PY 2015 Reporting Measures Four reporting measures NHSN Dialysis Event (data source: NHSN System) ICH CAHPS Survey (data source: CROWNWeb attestation) Mineral Metabolism (data source: CROWNWeb reporting) Anemia Management (data source: Medicare claims) Ratio for calculating Anemia Management and Mineral Metabolism reporting measure scores: [(# months reporting data # eligible months) 12] 2 Ratio for calculating NHSN reporting measure score: (# months reporting data 12) 10 (NOTE: Zero points awarded for delivering less than six months of data on this measure) 28 C
29 PY 2015 Reporting Measures Facilities receiving their CMS Certification Number (CCN) after June 30, 2013, are excluded from all reporting measures and will not receive a TPS Facilities receiving their CCN after January 1, 2013, are excluded from the NHSN measure 11-case minimum applies (for all of 2013, not monthly) 29 C
30 Measure Specifications Technical Specifications of every measure available on Description Exclusions Data Sources More Details 30 C
31 Earning Points on Reporting Measures Score full points on each measure by: NHSN reporting 12 months of data ICH CAHPS Survey attesting that the facility conducted the survey (facilities that are not in-center hemodialysis facilities are exempt from this measure) Anemia Management reporting hemoglobin/ hematocrit and erythopoiesis-stimulating agent (ESA) dosage (as applicable) on Medicare claims on a monthly basis Mineral Metabolism reporting serum calcium and serum phosphorus levels of Medicare patients to CROWNWeb on a monthly basis 31 C
32 Example: Mineral Metabolism Facts and Circumstances: Acme Dialysis Facility, Inc. 100 in-center Medicare patients treated 7+ times on a normal month Received its CCN on April 4, 2013 Analysis: 8 eligible months (April is not a whole month ) Reporting requirements met in 5 months (did not meet 97% reporting threshold in May, July, or December) Formula: Month April Number of Patients Reported Not Applicable May 57 of 60 June 89 of 90 July 92 of 100 August 97 of 100 September 98 of 100 October 100 of 100 November 99 of 100 December 95 of = 5.5, rounded to 6 32 C
33 Making Attestations for PY 2015 For the ICH CAHPS Survey attestation: ALL facilities should select a response in the field Yes the measure applies AND we performed the survey per the measure requirements No the measure applies BUT we did not perform the survey N/A the measure does not apply to our facility For the others: ONLY select N/A if the measure does not apply to your facility; otherwise, do not make ANY selection NHSN data is recorded on the NHSN system, which creates the report Anemia Management data is recorded on Medicare claims Mineral Metabolism data is recorded elsewhere on CROWNWeb 33 C
34 PY 2015 Scoring Methodology 34 C
35 Facility Attestation Demo
36 CROWNWeb Attestation Demo How do I complete Facility Attestation requirements in CROWNWeb? CROWNWeb Online Tutorial: Facility Information, Default Preferences, and Attestations CROWNWeb Online Help: Submit a Facility Attestation 36 O
37 CMS Comments and Wrap-Up
38 Final Comments 38 C
39 Questions 39 O
40 Our Next Session CMS Community Town Hall: Topic: TBD Date: January 30, 2014 Time: 2pm - 3pm ET 40 O
41 ESRD QIP Resources MIPPA: PY 2015 Final Rule: ESRD Center on CMS website: Disease-ESRD-Center.html?redirect= /center/esrd.asp ESRD QIP section of CMS website: Assessment-Instruments/ESRDQIP/index.html Dialysis Facility Compare (DFC): Dialysis Facility Reports (DFR): ESRD QIP measure specifications: ww.dialysisreports.org/esrdmeasures.aspx United States Renal Data Service (USRDS): ESRD Network Coordinating Center (NCC): Dialysis Outcomes and Practice Patterns Study (DOPPS): National Quality Forum: 41 O
42 Thank You For Further Information Help Me Form: QualityNet Help Desk: Website: 42 This material was prepared by FMQAI, the CROWNWeb Outreach, Communication, and Training contractor, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. OCT contract # HHSM G. Publication Number: FL-OCT-2013OCTT O
CROWNWeb Data Validation
CMS CROWNWeb Application CROWNWeb Data Validation With Healthcare Management Solutions, LLC November 21, 2013 Today s Host Janis Grady, RHIT, CPHQ Contract Officer s Representative (COR) CROWNWeb Outreach,
More informationCROWNWeb Data Validation
CMS CROWNWeb Application CROWNWeb Data Validation With Healthcare Management Solutions, LLC November 20, 2014 Note: Computer speakers or headphones are necessary to listen to streaming audio. Streaming
More informationBundling and the QIP. Jay B. Wish, MD NKF of Illinois 15 th Annual Interdisciplinary Nephrology Conference October 24, 2014
Bundling and the QIP Jay B. Wish, MD NKF of Illinois 15 th Annual Interdisciplinary Nephrology Conference October 24, 2014 Who Pays for Chronic Dialysis? Short answer you (the taxpayer) do Legislative
More informationCROWNWeb Addressing Common Questions
CMS CROWNWeb Application CROWNWeb Addressing Common Questions Featuring CROWNWeb Outreach, Communication, and Training (OCT) August 30, 2012 Today s Hosts O Janis Grady, RHIT, CPHQ Contract Officer s Technical
More informationWelcome Back Outreach, Communication, and Training. CMS CROWNWeb Application. With CROWNWeb Outreach, Communication, and Training
CMS CROWNWeb Application Welcome Back Outreach, Communication, and Training With CROWNWeb Outreach, Communication, and Training July 30, 2015 Note: Computer speakers or headphones are necessary to listen
More informationCROWNWeb Data Management Guidelines
Connecting the Pieces CROWNWeb Data Management Guidelines Document Control Document Information Information Sequence Number 0001 Document Type Guidelines Release Number 1.0 Release Date April 15, 2015
More informationNational Renal Administrator s Association Health Information Exchange. CROWNWeb Data Error Handling User s Guide
National Renal Administrator s Association Health Information Exchange CROWNWeb Data Error Handling User s Guide Table of Contents 1 Overview... 3 1.1 Purpose... 3 1.2 Intended audience... 3 2 CROWNWeb
More information2016 ESRD Network of New York Annual Meeting
2016 ESRD Network of New York Annual Meeting April 20, 2016 Susan Caponi, MBA, RN, BSN, CPHQ CEO, ESRD Program Carol Lyden, RN, BSN, MS, CNN Director, Quality Improvement Evan Smith, LMSW, MBA Patient
More informationDepartment of Health and Human Services. Part III
Vol. 80 Friday, No. 215 November 6, 2015 Part III Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Part 413 Medicare Program; End-Stage Renal Disease Prospective
More informationMedicare Program; End-Stage Renal Disease Prospective Payment System, Coverage and
This document is scheduled to be published in the Federal Register on 06/30/2016 and available online at http://federalregister.gov/a/2016-15188, and on FDsys.gov DEPARTMENT OF HEALTH AND HUMAN SERVICES
More informationMedicare Program; End-Stage Renal Disease Prospective Payment System, and Quality
This document is scheduled to be published in the Federal Register on 07/01/2015 and available online at http://federalregister.gov/a/2015-16074, and on FDsys.gov DEPARTMENT OF HEALTH AND HUMAN SERVICES
More informationResponses to Questions from Dialysis Patient Citizens Our understanding is that star ratings are not evenly distributed across the country; we have seen unofficial data indicating that there are a disproportionate
More informationPharmaceuticals Under the Medicare Prospective Payment System. Tracy J. Mayne Senior Director Health Economics & Med Informatics DaVita Inc.
Pharmaceuticals Under the Medicare Prospective Payment System Tracy J. Mayne Senior Director Health Economics & Med Informatics DaVita Inc. This is One Step in the Evolution of Dialysis Reimbursement 6
More informationPreview of the Attestation System for the Medicare Electronic Health Record (EHR) Incentive Program
Preview of the Attestation System for the Medicare Electronic Health Record (EHR) Incentive Program The Medicare EHR Incentive Program provides incentive payments to eligible professionals, eligible hospitals
More informationwe are the beneficiaries
August 31, 2013 Marilyn Tavener Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Ave. SW Washington, DC 20201
More informationNQF-Endorsed Measures for Renal Conditions, 2015
NQF-Endorsed Measures for Renal Conditions, 2015 TECHNICAL REPORT December 2015 This report is funded by the Department of Health and Human Services under contract HHSM-500-2012-00009I Task Order HHSM-500-T0008
More informationThere are several ways of creating a PDF file using PDFCreator.
it Information Information Technology Services Introduction Using you can convert virtually any file from any application into Adobe Portable Document Format (PDF). Documents in Adobe PDF preserve the
More informationAnnouncements. Next Webinar
QualityNet Reports and Utilization of the Secure File Transfer for the Ambulatory Surgical Center Quality Reporting (ASCQR) Program Reneé Parks, RN, BSN Project Lead, ASCQR Program October 22, 2014 Announcements
More informationCMS Responses to Questions and Comments about the Dialysis Facility Compare (DFC) Star Ratings
CMS Responses to Questions and Comments about the Dialysis Facility Compare (DFC) Star Ratings Throughout the formulation of the DFC Star Ratings methodology, CMS has invited and welcomed questions and
More informationSeptember 6, 2013. Dear Administrator Tavenner:
September 6, 2013 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC
More informationEncrypting/Password Protecting Documents to be Sent via Email
Encrypting/Password Protecting Documents to be Sent via Email Purpose: Definitions: To be able to safely transmit UWSA-defined Restricted Data to colleagues via email. Restricted Data Restricted Data elements
More informationMedicare Secondary Payer Overview. For Multiple Employer Group Health Plans and their Participating Employers
Secondary Payer Overview For Multiple Employer Group Health Plans and their Participating Employers Welcome As a multiple employer group health plan or an employer participating therein, you must comply
More informationClinical Performance Goals 2010-2011
Clinical Performance Goals 2010-2011 Clinical Performance Goals 2010-2011 Table of Contents Table of Contents... 1 Health Care Quality Improvement Program... 2 Clinical Performance Measures... 6 Chapter
More informationMLN EDUCATIONAL PRODUCTS UPDATE
This issue of the e News will be available in PDF format within 24 hours of its release in the archive with other past issues. CMS asks that you share the following important information with all of your
More informationSECURITIES AND EXCHANGE COMMISSION FORM 6-K
SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 6-K REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13A-16 OR 15D-16 OF THE SECURITIES EXCHANGE ACT OF 1934 For the month of July 2013 FRESENIUS
More informationInterim financial report. 1st quarter 2015
Interim financial report (US-GAAP) 1st quarter 2015 Fresenius Medical Care AG & Co. KGaA Hof an der Saale Germany Page FINANCIAL INFORMATION Management s Discussion and Analysis Forward-looking Statements...
More informationThe 2012 Dialysis Care Industry (KGAA)
2013 Quarterly Report Second Quarter Fresenius Medical Care 2013 Second Quarter Overview p. 3 Interim Financial Report Financial Condition and Results of Operations p. 7 Liquidity and Capital Resources
More informationMedicare Value-Based Purchasing Programs
By Jane Hyatt Thorpe and Chris Weiser Background Medicare Value-Based Purchasing Programs To improve the quality of health care delivered to Medicare beneficiaries, the Centers for Medicare and Medicaid
More informationMedicare Secondary Payer Overview. For Employer Groups
Secondary Payer Overview For Employer Groups Welcome As an employer offering a group health plan, you must comply with the Secondary Payer (MSP) statute and regulations (the MSP laws). These laws establish
More informationESRD Application Access Form Previously known as Part B of the QualityNet Identity Management System (QIMS) Account Form
Previously known as Part B of the QualityNet Identity Management System (QIMS) Account Form You must have a QIMS account in order to access (1) CROWNWeb and/or (2) ESRD Quality Incentive Program (QIP)
More informationUsing Partial Capitation as an Alternative to Shared Savings to Support Accountable Care Organizations in Medicare
December 2010 Using Partial Capitation as an Alternative to Shared Savings to Support Accountable Care Organizations in Medicare CONTENTS Background... 2 Problems with the Shared Savings Model... 2 How
More informationEligible Hospitals Meaningful Use Stage 1
South Dakota Medicaid EHR Incentive Payment Program Eligible Hospitals Meaningful Use Stage 1 User Guide 10/23/12 1 Eligible Hospitals Meaningful Use Stage 1 TABLE OF CONTENTS 1. Welcome Page: Account
More informationCreating a Digital Signature in Adobe Acrobat Created on 1/11/2013 2:48:00 PM
Creating a Digital Signature in Adobe Acrobat Created on 1/11/2013 2:48:00 PM Table of Contents Creating a Digital Signature in Adobe Acrobat... 1 Page ii Creating a Digital Signature in Adobe Acrobat
More informationMedicare Coverage Gap Discount Program Technical Completion Instructions
In order to participate in the Medicare Coverage Gap Discount Program, manufacturers are required to submit: 1. A signed Medicare Coverage Gap Discount Program Agreement 2. Associated Labeler Code data
More informationGuide to the Quarterly Dialysis Facility Compare Preview for April 2016 Report: Overview, Methodology, and Interpretation
Guide to the Quarterly Dialysis Facility Compare Preview for April 2016 Report: Overview, Methodology, and Interpretation February 2016 Table of Contents I. PURPOSE OF THIS GUIDE AND THE QUARTERLY DIALYSIS
More informationMaryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System. Provider User Guide. Version 2
Maryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System Provider User Guide Version 2 December 2012 Table of Contents Table of Figures... 3 Introduction... 4 Getting
More informationHome Health Value-Based Purchasing
Home Health Value-Based Purchasing Home Health Agency Registration December 17, 2015 Presenters Marcie O Reilly, CMS Innovation Center, Centers for Medicare & Medicaid Services Jennifer Wiens, The Lewin
More informationMaryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System. Provider User Guide. Version 3
Maryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System Provider User Guide Version 3 January 2014 Table of Contents Table of Figures... 3 Introduction... 4 Getting
More information2012 Financial Condition and Results of Operations For dialysis
SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 6-K REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13A-16 OR 15D-16 OF THE SECURITIES EXCHANGE ACT OF 1934 For the month of April 2013
More informationAdministrative Code. Title 23: Medicaid Part 216 Dialysis Services
Title 23: Medicaid Administrative Code Title 23: Medicaid Part 216 Dialysis Services Table of Contents Table of Contents Title 23: Medicaid... 1 Table of Contents... 1 Title 23: Division of Medicaid...
More informationArgonaut Other States Coverage Workers Compensation Claims Kit
Argonaut Other States Coverage Workers Compensation Claims Kit Welcome to Argonaut Insurance Workers Compensation Claim Services. We appreciate your business. Please refer to this document for reporting
More informationCreate a PDF File. Tip. In this lesson, you will learn how to:
Create a PDF File Now that you ve seen what an ETD looks like and how to browse the contents, it s time to learn how to convert your own thesis or dissertation into a PDF file. There are several different
More informationDarlene Rodgers, BSN, RN, CNN, CPHQ Executive Director, ESRD Networks 15/17
Darlene Rodgers, BSN, RN, CNN, CPHQ Executive Director, ESRD Networks 15/17 To build strategic partnerships with dialysis providers, ESRDS Network, renal associations, public health professionals, federal
More informationAugust 8, 2014. Dear Dr. Conway:
Dr. Patrick Conway Chief Medical Officer Director, Center for Clinical Standards and Quality Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 Dear Dr. Conway: I am
More informationHow To Map A Location On The Internet
Updates to NHSN for IRF Locations within Acute Care & Critical Access Facilities NHSN version 6.6.1 allows users with inpatient rehabilitation units within acute care and critical access facilities to
More informationCAUTI TAP: Another Way to Hit the Bullseye. Peg Gilbert, RN, MS, CIC Nancy McDonald, RN, BSN, CPHQ
CAUTI TAP: Another Way to Hit the Bullseye Peg Gilbert, RN, MS, CIC Nancy McDonald, RN, BSN, CPHQ What is the TAP Strategy? The Targeted Assessment for Prevention (TAP) strategy is a method developed by
More informationHEALTH POLICY STATEMENT
Page 1 HEALTH POLICY STATEMENT PREAMBLE The American Nephrology Nurses Association (ANNA) is a national organization of registered nurses practicing in nephrology, which includes but is not limited to
More information877-646-5410 meipasshelp@csc.com
877-646-5410 meipasshelp@csc.com emedny.org/meipass Table of Contents 1. Logging into MEIPASS 2. Eligibility 3. EHR Certification Number 4. Core Measures 5. Menu Measures 6. Clinical Quality Measures 7.
More informationMedicare & Medicaid EHR Incentive Programs
Medicare & Medicaid EHR Incentive Programs Stage 2 NPRM Overview Robert Anthony Office of E-Health Standards and Services Marsha Smith Office of Clinical Standards and Quality March 21, 2012 Proposed Rule
More informationCMS s framework for Value Modifier
CMS s framework for Value Modifier Relationship between quality of care, cost composites and the Value Modifier Clinical Care Patient Experience Population/ Community Health Patient Safety Care Coordination
More informationAdobe Digital Signatures in Adobe Acrobat X Pro
Adobe Digital Signatures in Adobe Acrobat X Pro Setting up a digital signature with Adobe Acrobat X Pro: 1. Open the PDF file you wish to sign digitally. 2. Click on the Tools menu in the upper right corner.
More informationNATIONAL PROVIDER CALLS Thu Feb 9 Medicare Spending Per Beneficiary Measure Registration Now Open
This issue of the e-news will be made available in PDF format no later than 24 hours after its release, and can be found in the archive with other past issues. CMS asks that you share the following important
More informationCMS Special Open Door Forum
CMS CROWNWeb Application CMS Special Open Door Forum ICD-10 Crosswalk for Diagnosis Codes to Indicate Primary Cause of ESRD July 15, 2015 2pm ET 3pm ET Today s Speakers The Centers for Medicare & Medicaid
More informationSummary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only)
Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only) Background Enacted on February 17, 2009, the American Recovery
More informationDEPARTMENT OF HEALTH & HUMAN SERVICES Office of Inspector General Region IX Office of Audit Services 50 United Nations Plaza, Room 171 San Francisco, CA 94102 CIN: A-09-01-00084 Dr. Henry E. Elson Vista
More informationNarrow network health plans: New approaches to regulating adequacy and transparency. Michael S. Adelberg
Compliance TODAY October 2015 a publication of the health care compliance association www.hcca-info.org Combating healthcare fraud in New Jersey an interview with Paul J. Fishman United States Attorney
More informationCenters for Medicare & Medicaid Services 1
Affordable Care Act Section 3004 Inpatient Rehabilitation Facility Quality Reporting Program Provider Training Caroline D. Gallaher, R.N., B.S.N, J.D. CMS, Office of Clinical Standards and Quality Division
More informationASN Dialysis Advisory Group ASN DIALYSIS CURRICULUM
ASN Dialysis Advisory Group ASN DIALYSIS CURRICULUM 0 ASN Dialysis Curriculum Staffing in Dialysis Units Gina Randolph, RN, MSN, MBA Affiliations: DaVita, Inc. (employee) 1 What Determines Staffing Needs?
More informationNational Provider Call: Hospital Value-Based Purchasing (VBP) Program
National Provider Call: Hospital Value-Based Purchasing (VBP) Program Fiscal Year 2016 Overview for Beneficiaries, Providers and Stakeholders Cindy Tourison, MSHI Lead, Hospital Inpatient Quality Reporting
More informationCY 2016 OPPS/ASC Proposed Rule: Ambulatory Surgical Center Quality Reporting Program
CY 2016 OPPS/ASC Proposed Rule: Ambulatory Surgical Center Quality Reporting Program Audio for this event is available via internet streaming. No telephone line is required. Computer speakers or headphones
More informationNorth Carolina Medicaid Electronic Health Record Incentive Program
North Carolina Medicaid Electronic Health Record Incentive Program Eligible Professional Adopt, Implement, Upgrade Attestation Guide NC-MIPS 2.0 Issue 1.03 August 18, 2012 The North Carolina Medicaid Program
More informationMedicare Updates Its Dialysis Facility Requirements: 2008 Final ESRD Conditions for Coverage
Medicare Updates Its Dialysis Facility Requirements: 2008 Final ESRD Conditions for Coverage 15-April-2008 AUTHORS: T. Jeffrey Fitzgerald Colleen M. Faddick On April 15, 2008, CMS released the long delayed
More informationNorth Carolina Medicaid Electronic Health Record Incentive Program
North Carolina Medicaid Electronic Health Record Incentive Program Eligible Professional Stage 1 (2014) Meaningful Use Attestation Guide NC MIPS 2.0 Issue Number 1.8 November 19, 2014 The North Carolina
More informationNorth Carolina Medicaid Electronic Health Record Incentive Program
North Carolina Medicaid Electronic Health Record Incentive Program Eligible Professional Adopt, Implement, Upgrade Attestation Guide Year 1 Only NC-MIPS 2.0 Issue 1.12 February 24, 2014 The North Carolina
More informationRecognizing Your Value in the Delivery of Quality Care in Dialysis Patients
Recognizing Your Value in the Delivery of Quality Care in Dialysis Patients Danilo B. Concepcion, CBNT, CCHT-A, FNKF Operations Manager St. Joseph Hospital Renal Center danilo.concepcion@stjoe.org 714-7718944
More informationQuestions and Answers From the Introduction to the ICH CAHPS Survey Webinar Training Session held on February 10-11, 2014
Questions and Answers From the Introduction to the ICH CAHPS Survey Webinar Training Session held on February 10-11, 2014 ICH CAHPS Participation Requirements 1. Will CMS limit the number of approved survey
More informationMedicaid and CHIP Managed Care Notice of Proposed rulemaking (CMS-2390-F): Overview of the NPRM. Centers for Medicaid & CHIP Services
Medicaid and CHIP Managed Care Notice of Proposed rulemaking (CMS-2390-F): Overview of the NPRM Centers for Medicaid & CHIP Services CMS-2390-P Notice of Propose Rulemaking (NPRM) Federal Register display
More informationSection. 37Renal Dialysis Facility
Section 37Renal Dialysis Facility 37 37.1 Enrollment...................................................... 37-2 37.1.1 STAR and STAR+PLUS Program Enrollment.......................... 37-2 37.2 Reimbursement..................................................
More informationValue-Based Purchasing for Home Health Agencies (HHVBP)
Value-Based Purchasing for Home Health Agencies (HHVBP) Tuesday, May 3, 2016 Sharon Hamilton, RN, BA, MS, CRC, NLCPC, CFDS Clinical Consultant Mary Madison, RN, RAC-CT, CDP Clinical Consultant Purpose
More informationGAO END-STAGE RENAL DISEASE. CMS Should Monitor Access to and Quality of Dialysis Care Promptly after Implementation of New Bundled Payment System
GAO United States Government Accountability Office Report to Congressional Requesters March 2010 END-STAGE RENAL DISEASE CMS Should Monitor Access to and Quality of Dialysis Care Promptly after Implementation
More informationNorth Carolina Medicaid Electronic Health Record Incentive Program
North Carolina Medicaid Electronic Health Record Incentive Program Eligible Hospital Attestation Guide for Adopt/Implement/Upgrade and Meaningful Use NC MIPS 2.0 Issue 1.12 December 17, 2015 The North
More informationMEANINGFUL USE. stoltenberg consulting inc. Meeting Stage 2 Meaningful Use Requirements. simplifying healthcare technology. www.stoltenberg.
Meeting Stage 2 Meaningful Use Requirements No matter what form the final rule of Stage 2 MU takes, HCOs can t afford to bide their time Despite the growing number of MU attestations and the impressive
More informationMedicare Electronic Health Record Incentive Payments for Eligible Professionals
Connecting America for Better Health Medicare Electronic Health Record Incentive Payments for Eligible Professionals The American Recovery and Reinvestment Act (Recovery Act) of 2009 provides for incentive
More informationInformation for Eligible Professionals Regarding Program Year 2015 of the Wisconsin Medicaid Electronic Health Record Incentive Program
Update June 2015 No. 2015-24 ffected Programs: BadgerCare Plus, Medicaid To: Advanced Practice Nurse Prescribers with Psychiatric Specialty, Dentists, Federally Qualified Health Centers, Nurse Midwives,
More informationVersion 12. Module 6: Medicare for People with End-Stage Renal Disease - Alaska
Version 12 Module 6: Medicare for People with End-Stage Renal Disease - Alaska Session Objectives This session will help you understand Medicare for people with End-stage Renal Disease Medicare eligibility
More informationKnowledgebase Article
Company web site: Support email: Support telephone: +44 20 3287-7651 +1 646 233-1163 2 EMCO Network Inventory allows you to manage alternative credentials to use while performing different
More informationQUALITY BEGINNER. PQRS Training Module: QUALITY MEASUREMENT 101. Last Updated: August 2014
QUALITY 01 BEGINNER PQRS Training Module: QUALITY MEASUREMENT 101 Last Updated: August 2014 TRAINING MODULE OBJECTIVES Quality Measurement 101 is a training module for providers who are interested in learning
More informationNational Action Plan to Prevent Health Care-Associated Infections: ROAD MAP TO ELIMINATION
National Action Plan to Prevent Health Care-Associated Infections: ROAD MAP TO ELIMINATION 2013 National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination April 2013 http://www.hhs.gov/ash/initiatives/hai/index.html
More informationAll Acute Care Hospitals and End-Stage Renal Disease Clinics. Subject: Billing and Claim Completion Guidelines for Renal Dialysis Services
Indiana Health Coverage Programs P R O V I D E R B U L L E T I N BT200223 MAY 29, 2002 To: All Acute Care Hospitals and End-Stage Renal Disease Clinics Subject: Billing and Claim Completion Guidelines
More informationThis proposed rule clarifies and makes updates to details regarding this program that were finalized in
2014 Ambulatory Surgery Center (ASC) and Outpatient Prospective Payment System (OPPS) A Summary of the Quality Provisions of the Proposed Rule Overview On July 8, 2013, the Centers for Medicare and Medicaid
More informationOCM and SCIP Measure Data Submission Process: How to Submit Data through the QualityNet Secure Portal
OCM and SCIP Measure Data Submission Process: How to Submit Data through the QualityNet Secure Portal Henrietta Hight, BA, BSN, RN, CCM, CDMS, CPHQ PCHQR Support Coordinator Inpatient Value, Incentives,
More informationCMS Hospital Inpatient Quality Reporting Program
Handbook II: CMS Hospital Inpatient Quality Reporting Program This training handbook is a resource for the Hospital Inpatient Quality Reporting (IQR) Program for the Centers for Medicare & Medicaid Services
More informationHealthcare Personnel Safety Component. Healthcare Personnel Vaccination Module Influenza Vaccination Summary. Inpatient Rehabilitation Facilities
Healthcare Personnel Safety Component Healthcare Personnel Vaccination Module Influenza Vaccination Summary Inpatient Rehabilitation Facilities National Center for Emerging and Zoonotic Infectious Diseases
More informationThe American Tax Relief Act of 2012 Summary of Health Care Related Provisions January 2013
of 2012 Summary of Health Care Related Provisions On January 3, President Obama signed the American Tax Relief Act of 2012 (ATRA) to partially avert the so-called fiscal cliff, which would have resulted
More informationValue-Based Payment and Health System Transformation
Value-Based Payment and Health System Transformation National Health Policy Forum Patrick Conway, M.D., MSc CMS Chief Medical Officer Deputy Administrator for Innovation and Quality Director, Center for
More informationMedicare Basics and Medicare Advantage
Medicare Basics and Medicare Advantage Medicare The federal health insurance program for people age 65 and over, some disabled people under 65 years of age, and people with End-Stage Renal Disease (permanent
More informationManaging End-Stage Renal Disease Improving clinical outcomes and reducing the cost of care for Medicare Advantage, Medicaid and Commercial Populations
White Paper Managing End-Stage Renal Disease Improving clinical outcomes and reducing the cost of care for Medicare Advantage, Medicaid and Commercial Populations Optum www.optum.com Page 1 Executive Summary
More informationEnd Stage Renal Disease Networks P R O G R A M O V E R V I E W D E C E M B E R 2 0 0 5
End Stage Renal Disease Networks P R O G R A M O V E R V I E W D E C E M B E R 2 0 0 5 End Stage Renal Disease Networks P R O G R A M O V E R V I E W FORUM OF ESRD NETWORKS 1527 Huguenot Road Midlothian,
More informationThis feature allows you to convert a collection of PDFs into EndNote references using the Digital Object Identifier (DOI).
Add and organise PDF files in your Endnote Library Contents Import PDF files to create new references Import a folder of PDF files to create new references Organise folders of PDFs into Groups during PDF
More informationACO Type Initiatives
If you proposed an ACO initiative, please fill our this Comparison of Elements for Participation in Medicare Shared Savings Program (MSSP) to State SIM ACO Test Proposal From Funding Opportunity Announcement:
More informationInpatient Quality Reporting Program
2015 IPPS Final Rule Webinar AM Questions and Answers Transcript Moderator: Deb Price, PhD, MEd, MSPH Educational Coordinator, Inpatient Quality Reporting (IQR) Program Speakers: Barbara Choo, RN, FNP,
More informationFact Sheet - 2016 Star Ratings
Fact Sheet - 2016 Star Ratings One of the Centers for Medicare & Medicaid Services (CMS) most important strategic goals is to improve the quality of care and general health status for Medicare beneficiaries.
More informationClick this button to place your order.
Medicare 33rd Edition 2016 What you need to know about Medicare in simple, practical terms. Click this button to place your order. 2016 MEDICARE CONTENTS 1 2 3 4 5 6 Published By PAGE INTRODUCTION Are
More informationUser Guide: 2015 Interim Feedback Dashboard
User Guide: 2015 Interim Feedback Dashboard 7/10/2015 Disclaimer This information was current at the time it was published or uploaded onto the web. Medicare policy changes frequently links to the source
More informationREPORT TO THE 26TH LEGISLATURE STATE OF HAWAII 2012
REPORT TO THE 26TH LEGISLATURE STATE OF HAWAII 2012 PURSUANT TO ACT 177(11), SESSION LAWS OF HAWAII, 2011, RELATING TO HEALTHCARE ASSOCIATED INFECTIONS REPORTING Prepared by: State of Hawaii Department
More informationNORTHWEST RENAL NETWORK
NORTHWEST RENAL NETWORK Notifying the Network of Involuntary Discharges and Involuntary Transfers INTRODUCTION Northwest Renal Network (ESRD Network 16) assists providers in managing challenging patient
More informationHOW TO CREATE A SCANNED DIGITAL SIGNATURE AND INSERT INTO A PDF DOCUMENT
HOW TO CREATE A SCANNED DIGITAL SIGNATURE AND INSERT INTO A PDF DOCUMENT Option I Attach your signature as a digital signature 1. Sign a piece of paper PHASE I CREATE THE SIGNATURE Sign a piece of paper
More informationGold Coast Health IT Resource Center. Accountable Care Organization (ACO)
Gold Coast Health IT Resource Center Accountable Care Organization (ACO) August 27, 2013 Copyright 2013 Gold Coast HIT 1 Agenda Upcoming Webinars ACO s Copyright 2013 Gold Coast HIT 2 Upcoming Webinars
More informationIllinois Department on Aging Senior Health Insurance Program (SHIP) (800) 252-8966 Aging.SHIP@illinois.gov
Illinois Department on Aging Senior Health Insurance Program (SHIP) (800) 252-8966 Aging.SHIP@illinois.gov Medicare Improvements for Patients and Providers Act (MIPPA) The Administration for Community
More information