ACO Name and Location Allina Health Minneapolis, Minnesota

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "ACO Name and Location Allina Health Minneapolis, Minnesota"

Transcription

1 ACO Name and Location Allina Health Minneapolis, Minnesota ACO Primary Contact Patrick Flesher Director, Payer Contracting & Pioneer ACO Program Phone: Composition of ACO The Allina Health ACO is comprised of approximately 210 primary care providers located in Anoka, Brown, Hennepin and Ramsey counties. ACO Participants Allina Health Medicare Pioneer ACO providers ACO Governing Body Allina Health board of directors ACO Committees and Key Leadership Personnel Clinical Alignment & Performance Team Amount of Shared Savings/Losses Performance Year 1 (2012): None Performance Year 2 (2013): None ($1.9M in shared savings to Medicare) Performance Year 3 (2014): Results not available until mid-2015 How Shared Savings Are Distributed Reinvest in infrastructure: NA Distribution to ACO participants: NA o Primary Care Professionals: o o Specialists: Hospital:

2 Quality Performance Results Performance Summary Statistics Performance Measure ACO Performance Rate Mean Performance Rate for All ACOs Getting Timely Care, Appointments, and Information (ACO-1) How Well Your Doctors Communicate (ACO-2) Patients Rating of Doctor (ACO-3) Access to Specialists (ACO-4) Health Promotion and Education (ACO-5) Shared Decision Making (ACO-6) Health Status/Functional Status (ACO-7) Risk Standardized, All Condition Readmissions (ACO-8) ASC Admissions: COPD or Asthma in Older Adults (ACO-9) ASC Admission: Heart Failure (ACO-10) Percent of Primary Care Providers who Qualified for EHR Incentive Payment (ACO-11) Medication Reconciliation (ACO-12) Falls: Screening for Fall Risk (ACO-13) Influenza Immunization (ACO-14) Pneumococcal Vaccination (ACO-15) Adult Weight Screening and Follow-up (ACO ) Tobacco Use Assessment and Cessation Intervention (ACO-17) Depression Screening (ACO-18) Colorectal Cancer Screening (ACO-19) Mammography Screening (ACO-20) Proportion of Adults who had blood pressure screened in past 2 years (ACO-21) Beneficiaries with diabetes who met of all the following criteria (composite score 22-26): Beneficiaries with diabetes who met of all the following criteria: Hemoglobin A1c Control (HbA1c) (<8 percent) (ACO-22) Beneficiaries with diabetes who met of all the following criteria: Low Density Lipoprotein (LDL) (< 100 mg/dl) (ACO-23) Beneficiaries with diabetes who met of all the following criteria: Blood Pressure (BP) < 140/90 (ACO-24) Beneficiaries with diabetes who met of all the following criteria: Tobacco Non-Use (ACO-25)

3 Beneficiaries with diabetes who met of all the following criteria: Aspirin Use (ACO-26) Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) (ACO-27) Percent of beneficiaries with hypertension whose BP < 140/90 (ACO-28) Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl (ACO-29) Percent of beneficiaries who use Aspirin or other antithrombotic (ACO-30) Beta-Blocker Therapy for LVSD (ACO-31) Percent of beneficiaries with CAD who met all of the following criteria (composite score 32, 33): Percent of beneficiaries with CAD who met all of the following criteria: Drug Therapy for Lowering LDL-Cholesterol (ACO-32) Percent of beneficiaries with CAD who met all of the following criteria: (ACE) Inhibitor or (ARB) Therapy for Patients with CAD and Diabetes and/or (LVSD) (ACO-33)

4 Quality Performance Results Performance Summary Statistics Performance Measure ACO Performance Rate Mean Performance Rate for All ACOs Getting Timely Care, Appointments, and Information (ACO-1) How Well Your Doctors Communicate (ACO-2) Patients Rating of Doctor (ACO-3) Access to Specialists (ACO-4) Health Promotion and Education (ACO-5) Shared Decision Making (ACO-6) Health Status/Functional Status (ACO-7) Risk Standardized, All Condition Readmissions (ACO-8) ASC Admissions: COPD or Asthma in Older Adults (ACO-9) ASC Admission: Heart Failure (ACO-10) Percent of Primary Care Providers who 88.69% 66.21% Qualified for EHR Incentive Payment (ACO-11) Medication Reconciliation (ACO-12) 14.59% 70.05% Falls: Screening for Fall Risk (ACO-13) 56.41% 39.99% Influenza Immunization (ACO-14) 73.16% 57.28% Pneumococcal Vaccination (ACO-15) 93.36% 55.64% Adult Weight Screening and Follow-up (ACO % 62.29% 16) Tobacco Use Assessment and Cessation 98.37% 84.77% Intervention (ACO-17) Depression Screening (ACO-18) 41.27% 31.81% Colorectal Cancer Screening (ACO-19) 80.07% 60.21% Mammography Screening (ACO-20) 79.30% 62.31% Proportion of Adults who had blood pressure 68.29% 74.55% screened in past 2 years (ACO-21) Beneficiaries with diabetes who met of all 51.07% 22.57% the following criteria (composite score 22-26): Beneficiaries with diabetes who met of all the 83.05% 68.87% following criteria: Hemoglobin A1c Control (HbA1c) (<8 percent) (ACO-22) Beneficiaries with diabetes who met of all the following criteria: Low Density Lipoprotein (LDL) (< 100 mg/dl) (ACO-23) 77.47% 55.23%

5 Beneficiaries with diabetes who met of all the 89.48% 70.23% following criteria: Blood Pressure (BP) < 140/90 (ACO-24) Beneficiaries with diabetes who met of all the 83.48% 70.23% following criteria: Tobacco Non-Use (ACO-25) Beneficiaries with diabetes who met of all the % 75.96% following criteria: Aspirin Use (ACO-26) Percent of beneficiaries with diabetes whose 9.87% 22.13% HbA1c in poor control (>9 percent) (ACO-27) Percent of beneficiaries with hypertension 83.48% 68.47% whose BP < 140/90 (ACO-28) Percent of beneficiaries with IVD with complete 66.61% 55.85% lipid profile and LDL control < 100mg/dl (ACO-29) Percent of beneficiaries who use Aspirin or 93.32% 77.27% other antithrombotic (ACO-30) Beta-Blocker Therapy for LVSD (ACO-31) 88.75% 80.79% Percent of beneficiaries with CAD who met 79.56% 63.63% all of the following criteria (composite score 32, 33): Percent of beneficiaries with CAD who met all 88.25% 72.26% of the following criteria: Drug Therapy for Lowering LDL-Cholesterol (ACO-32) Percent of beneficiaries with CAD who met all of the following criteria: (ACE) Inhibitor or (ARB) Therapy for Patients with CAD and Diabetes and/or (LVSD) (ACO-33) 75.21% 69.92%

ACO Public Reporting

ACO Public Reporting ACO Public Reporting ACO Name and Location AHS ACO LLC (Atlantic Accountable Care Organization) 465 South Street, Suite 205 Morristown, NJ 07960 (973) 971-7499 atlanticaco@atlantichealth.org www.atlanticaco.org

More information

ACO Public Reporting

ACO Public Reporting ACO Public Reporting ACO Name and Location AHS ACO LLC (Atlantic Accountable Care Organization) 465 South Street, Suite 205 Morristown, NJ 07960 (973) 971-7499 atlanticaco@atlantichealth.org www.atlanticaco.org

More information

Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 Reporting Year

Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 Reporting Year Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 Reporting Year Release Notes/Summary of Changes (February 2015): Issued correction of 2014 benchmarks for ACO-9 and ACO-10 quality

More information

OBJECTIVES AGING POPULATION AGING POPULATION AGING IMPACT ON MEDICARE AGING POPULATION

OBJECTIVES AGING POPULATION AGING POPULATION AGING IMPACT ON MEDICARE AGING POPULATION OBJECTIVES Kimberly S. Hodge, PhDc, MSN, RN, ACNS-BC, CCRN- K Director, ACO Care Management & Clinical Nurse Specialist Franciscan ACO, Inc. Central Indiana Region Indianapolis, IN By the end of this session

More information

2013 ACO Quality Measures

2013 ACO Quality Measures ACO 1-7 Patient Satisfaction Survey Consumer Assessment of HealthCare Providers Survey (CAHPS) 1. Getting Timely Care, Appointments, Information 2. How well Your Providers Communicate 3. Patient Rating

More information

Medicare Shared Savings Program Quality Measure Benchmarks for the 2015 Reporting Year

Medicare Shared Savings Program Quality Measure Benchmarks for the 2015 Reporting Year Medicare Shared Savings Program Quality Measure Benchmarks for the 2015 Reporting Year Release Notes/Summary of Changes (February 2015): Issued correction of 2015 benchmarks for ACO-9 and ACO-10 quality

More information

Improving Quality of Care for Medicare Patients: Accountable Care Organizations

Improving Quality of Care for Medicare Patients: Accountable Care Organizations DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Improving Quality of Care for Medicare Patients: FACT SHEET Overview http://www.cms.gov/sharedsavingsprogram On October

More information

Improving Quality of Care for Medicare Patients: Accountable Care Organizations

Improving Quality of Care for Medicare Patients: Accountable Care Organizations DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Improving Quality of Medicare Patients: Overview The Centers for Medicare & Medicaid Services (), an agency within the Department

More information

Chapter Three Accountable Care Organizations

Chapter Three Accountable Care Organizations Chapter Three Accountable Care Organizations One of the most talked-about changes in health care delivery in recent decades is Accountable Care Organizations, or ACOs. Having gained the attention of both

More information

OUR ACO QUALITY RESULTS 2012 AND 2013

OUR ACO QUALITY RESULTS 2012 AND 2013 OUR ACO QUALITY RESULTS 2012 AND 2013 2012-2013 Patient and Caregiver Experience Source 2012 2013 ACO - 1 CAHPS: Getting Timely Care, Appointments and Information Survey 81.98 84.47 ACO - 2 CAHPS: How

More information

THE AMERICAN HEALTH CARE PARADOX

THE AMERICAN HEALTH CARE PARADOX THE AMERICAN HEALTH CARE PARADOX Friday, October 24 th Blue Cross Blue Shield Foundation of Massachusetts LAUREN A. TAYLOR, MPH Co-Author, The American Health Care Paradox Presidential Scholar, Harvard

More information

Steven E. Ramsland, Ed.D., Senior Associate, OPEN MINDS The 2015 OPEN MINDS Performance Management Institute February 13, 2015 10:15am 11:30am

Steven E. Ramsland, Ed.D., Senior Associate, OPEN MINDS The 2015 OPEN MINDS Performance Management Institute February 13, 2015 10:15am 11:30am Steven E. Ramsland, Ed.D., Senior Associate, OPEN MINDS The 2015 OPEN MINDS Performance Management Institute February 13, 2015 10:15am 11:30am The execution or accomplishment of work, acts, or feats The

More information

Mar. 31, 2011 (202) 690-6145. Improving Quality of Care for Medicare Patients: Accountable Care Organizations

Mar. 31, 2011 (202) 690-6145. Improving Quality of Care for Medicare Patients: Accountable Care Organizations DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE

More information

ACO Program: Quality Reporting Requirements. Jennifer Faerberg Mary Wheatley April 28, 2011

ACO Program: Quality Reporting Requirements. Jennifer Faerberg Mary Wheatley April 28, 2011 ACO Program: Quality Reporting Requirements Jennifer Faerberg Mary Wheatley April 28, 2011 Agenda for Today s Call Overview Quality Reporting Requirements Benchmarks/Thresholds Scoring Model Scoring Methodology

More information

Vermont ACO Shared Savings Program: Recommendations for Year 2 Quality Measures

Vermont ACO Shared Savings Program: Recommendations for Year 2 Quality Measures Vermont ACO Shared Savings Program: Recommendations for Year 2 Quality Measures Green Mountain Care Board October 9, 2014 10/9/2014 1 ACOs & SSPs Accountable Care Organizations (ACOs) are composed of and

More information

WHY THERE WILL BE CHANGE HEALTH CARE REFORM

WHY THERE WILL BE CHANGE HEALTH CARE REFORM Provider Partnerships: Surviving the Change Robert W. Markette, Jr. CHC Of Counsel Hall Render Killian Health & Lyman, P.C. One American Square, Suite 2000 Indianapolis, IN 46282 317-633-4884 Rmarkette@hallrender.com

More information

Welcome The AAMC, UHC and FPSC Web Conference on 2014 PQRS Proposed Changes will begin shortly.

Welcome The AAMC, UHC and FPSC Web Conference on 2014 PQRS Proposed Changes will begin shortly. Welcome The AAMC, UHC and FPSC Web Conference on 2014 PQRS Proposed Changes will begin shortly. Please do not place your phones on hold. If you need to leave the event, hang up and dial back into the conference.

More information

Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology

Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology The chart below lists the measures (and specialty exclusions) that eligible providers must demonstrate

More information

Clinical Quality Measure Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW

Clinical Quality Measure Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW Clinical Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW NQF 0105 PQRS 9 NQF 0002 PQRS 66 Antidepressant Medication Management Appropriate Testing for Children with Pharyngitis (2-18 years)

More information

Accountable Care Organizations: Notice of Proposed Rulemaking

Accountable Care Organizations: Notice of Proposed Rulemaking Accountable Care Organizations: Notice of Proposed Rulemaking Presentation by: Pam Silberman, JD, DrPH North Carolina Institute of Medicine April 15, 2011 1 Accountable Care Organizations (ACOs) An ACO

More information

Effective ACO Compliance

Effective ACO Compliance Effective ACO Compliance HCCA Compliance Institute April 21, 2013 Margaret Hambleton, MBA, CHC, CHPC Sr. Vice President, Chief Compliance Officer St. Joseph Health System 1 Objectives Understand Accountable

More information

Psychiatrists and Reporting on Meaningful Use Stage 1. August 6, 2012

Psychiatrists and Reporting on Meaningful Use Stage 1. August 6, 2012 Psychiatrists and Reporting on Meaningful Use Stage 1 August 6, 2012 Quick Overview Functional Measures Providers (tracked by NPI) must report on 15 core objectives and associated measures and 5 objectives

More information

Explanation of CMS Proposed Performance Measurement Framework for ACOs and Comparison with IHA P4P Measure Set April 2011

Explanation of CMS Proposed Performance Measurement Framework for ACOs and Comparison with IHA P4P Measure Set April 2011 Explanation of CMS Proposed Performance ment Framework for ACOs and Comparison with IHA P4P Set April 2011 This briefing outlines Section II E ( and Other Reporting Requirements) of the Shared Savings

More information

2012 Physician Quality Reporting System:

2012 Physician Quality Reporting System: DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services R Official CMS Information for Medicare Fee-For-Service Providers 2012 Physician Quality : Medicare Electronic Health Record

More information

Primary Care in the U.S. Measuring and Improving Primary Care in the United States ISQua Indicators Summit 2012. CMS Measures. Primary Care Measures

Primary Care in the U.S. Measuring and Improving Primary Care in the United States ISQua Indicators Summit 2012. CMS Measures. Primary Care Measures Primary Care in the U.S. Measuring and Improving Primary Care in the United States ISQua Indicators Summit 2012 Cliff Fullerton, MD, MS VP Chronic Disease Baylor Health Care System Number of PCPs in the

More information

Allscripts CQS Planning for 2014 Webinar: FAQs

Allscripts CQS Planning for 2014 Webinar: FAQs Allscripts CQS Planning for 2014 Webinar: FAQs Listed below are questions asked by attendees based on the CQS Planning for 2014 Webinars, held on May 8, May 28, and May 30, 2014. Answers are provided below.

More information

Assessing Value in Ontario Health Links. Part 1: Lessons from US Accountable Care

Assessing Value in Ontario Health Links. Part 1: Lessons from US Accountable Care Assessing Value in Ontario Health Links. Part 1: Lessons from US Accountable Care Organizations Applied Health Research Series Volume 4.1 Health System Performance Research Network Report Prepared by :

More information

Radiology Business Management Association Technology Task Force. Sample Request for Proposal

Radiology Business Management Association Technology Task Force. Sample Request for Proposal Technology Task Force Sample Request for Proposal This document has been created by the RBMA s Technology Task Force as a guideline for use by RBMA members working with potential suppliers of Electronic

More information

Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis

Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis Methodology: 8 respondents The measures are incorporated into one of four sections: Highly

More information

Medicare Physician Group Practice Demonstration

Medicare Physician Group Practice Demonstration Medicare Physician Group Practice Demonstration Heather Grimsley Medicare Demonstrations Program Group Center for Medicare and Medicaid Innovation Centers for Medicare & Medicaid Services April 2011 PGP

More information

Medicare Physician Group Practice Demonstration Overview & Lessons Learned

Medicare Physician Group Practice Demonstration Overview & Lessons Learned Medicare Physician Group Practice Demonstration Overview & Lessons Learned John Pilotte Director, Division of Payment Policy Demonstrations Office of Research, Development and Information Centers for Medicare

More information

Stage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene

Stage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene Stage 1 Meaningful Use for Specialists NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Today s Agenda Meaningful Use Overview Meaningful Use Measures Resources Primary

More information

Clinical Quality Reporting: Value Modifier

Clinical Quality Reporting: Value Modifier Clinical Quality Reporting: Value Modifier General Internal Medicine Grand Rounds August 13, 2013 Gail Albertson, MD Associate Professor of Medicine Chief Operating Office, University Physicians Future

More information

2014 Medicare Physician Fee Schedule Proposed Rule Quality Provisions

2014 Medicare Physician Fee Schedule Proposed Rule Quality Provisions 2014 Medicare Physician Fee Schedule Proposed Rule Quality Provisions The 2014 Medicare Physician Fee Schedule (MPFS) Notice of Proposed Rulemaking (NPRM) was published in the Federal Register on July

More information

Vermont ACO Shared Savings Program Quality Measures: Recommendations for Year 2 Measures from the VHCIP Quality and Performance Measures Work Group

Vermont ACO Shared Savings Program Quality Measures: Recommendations for Year 2 Measures from the VHCIP Quality and Performance Measures Work Group Vermont ACO Shared Savings Program Quality Measures: Recommendations for Year 2 Measures from the VHCIP Quality and Performance Measures Work Group Presentation to VHCIP Steering Committee August 6, 2014

More information

ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION)

ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION) ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION) Hello and welcome. Thank you for taking part in this presentation entitled "Essentia Health as an ACO or Accountable Care Organization -- What

More information

Overview of Clinical Quality Measures Reporting in the Centers for Medicare & Medicaid Services (CMS) Final Rule on Meaningful Use

Overview of Clinical Quality Measures Reporting in the Centers for Medicare & Medicaid Services (CMS) Final Rule on Meaningful Use Overview of Clinical Quality Measures Reporting in the Centers for Medicare & Medicaid Services (CMS) Final Rule on Meaningful Use Clinical Quality Measures Clinical quality measures have been defined

More information

Medicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Summary. http://www.cms.gov/ehrincentiveprograms/

Medicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Summary. http://www.cms.gov/ehrincentiveprograms/ Medicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Summary 2010 What are the Requirements of Stage 1 Meaningful Use? Basic Overview of Stage 1 Meaningful Use: Reporting period

More information

ACO Project Overview and Key Elements. Presented to FSSA September 3, 2013. 2013 Franciscan Alliance, Inc.

ACO Project Overview and Key Elements. Presented to FSSA September 3, 2013. 2013 Franciscan Alliance, Inc. ACO Project Overview and Key Elements Presented to FSSA September 3, 2013 2013 Franciscan Alliance, Inc. Background of Presentation House Enrolled Act 1328 requires the Indiana Family and Social Services

More information

11/2/2015 Domain: Care Coordination / Patient Safety

11/2/2015 Domain: Care Coordination / Patient Safety 11/2/2015 Domain: Care Coordination / Patient Safety 2014 CT Commercial Medicaid Compared to 2012 all LOB Medicaid Quality Compass Benchmarks 2 3 4 5 6 7 8 9 10 Documentation of Current Medications in

More information

Stage 2 June 13, 2014

Stage 2 June 13, 2014 Stage 2 June 13, 2014 1 General Overview of Idaho Medicaid s EHR Incentive Program Stage 2 Meaningful Use (MU) Overview 2014 Reporting Helpful Resources 2 3 Medicaid can pay certain providers an incentive

More information

InteGreat EHR Meaningful Use 2 Features and Reports Jenni Walters, Sr. Business Analyst, McKesson Beth Crews, Business Analyst, McKesson

InteGreat EHR Meaningful Use 2 Features and Reports Jenni Walters, Sr. Business Analyst, McKesson Beth Crews, Business Analyst, McKesson InteGreat EHR Meaningful Use 2 Features and Reports Jenni Walters, Sr. Business Analyst, McKesson Beth Crews, Business Analyst, McKesson Stage 2 Overview On September 4, 2012, CMS published final rule

More information

Manitoba Primary Care Quality Indicators Guide Plain Language Summary - v1.9.1

Manitoba Primary Care Quality Indicators Guide Plain Language Summary - v1.9.1 Manitoba Primary Care Quality Indicators Guide Plain Language Summary - v1.9.1 Prevention 2.01 Cervical Cancer Screening (CIHI Derived from indicator # 50) Percentage of female enrolled patients 21 to

More information

An Introduction to the Medicare EHR Incentive Program for Eligible Professionals

An Introduction to the Medicare EHR Incentive Program for Eligible Professionals EHR Incentive Programs A program administered by the Centers for Medicare & Medicaid Services (CMS) An Introduction to the Medicare EHR Incentive Program for Eligible Professionals cms.gov/ehrincentiveprograms

More information

Accountable Care Organizations: Win-Win Collaboration Between Healthcare Payers and Provider Networks

Accountable Care Organizations: Win-Win Collaboration Between Healthcare Payers and Provider Networks Insurance the way we see it Accountable Care Organizations: Win-Win Collaboration Between Healthcare Payers and Provider Networks Table of Contents 1. Introduction 3 2. How HMOs and Provider Networks Can

More information

"2015 ACO quality measures- What's new? How can we be successful?"

2015 ACO quality measures- What's new? How can we be successful? "2015 ACO quality measures- What's new? How can we be successful?" ACO Announcements Reminders: ACO Notifications, Requests for Tax ID information from PECOS, Upcoming Boardline Upcoming Specialty Initiative

More information

ABELMed EHR-EMR/PM version 12, an ONC HIT 2014 Edition Complete EHR, has been certified for the following 42 clinical quality measures (CQMs).

ABELMed EHR-EMR/PM version 12, an ONC HIT 2014 Edition Complete EHR, has been certified for the following 42 clinical quality measures (CQMs). ABELMed EHR-EMR/PM version 12, an ONC HIT 2014 Edition Complete EHR, has been certified for the following 42 clinical quality measures (CQMs). The information contained in this document is also available

More information

Variations in Spending and Quality The Journey to Accountable Care

Variations in Spending and Quality The Journey to Accountable Care Variations in Spending and Quality The Journey to Accountable Care Elliott Fisher, MD, MPH Director, The Dartmouth Institute for Health Policy and Clinical Practice John E. Wennberg Distinguished Professor,

More information

Accountable Care Organization 2013 Program Analysis

Accountable Care Organization 2013 Program Analysis December 21, 2012 Accountable Care Organization 2013 Program Analysis Quality Performance Standards Narrative Measure Specifications Prepared for Quality Measurement & Health Assessment Group Center for

More information

Addressing Barriers to Integration: Successful Reimbursement Strategies for Behavioral Health Providers in Primary Care

Addressing Barriers to Integration: Successful Reimbursement Strategies for Behavioral Health Providers in Primary Care Addressing Barriers to Integration: Successful Reimbursement Strategies for Behavioral Health Providers in Primary Care Colleen Clemency Cordes, Ph.D. Assistant Director Clinical Associate Professor Nicholas

More information

Accountable Care Organizations: Win-Win Collaboration between Health Plans and Providers

Accountable Care Organizations: Win-Win Collaboration between Health Plans and Providers Accountable Care Organizations: Win-Win Collaboration between Health Plans and Providers Table of Contents 1. Introduction 3 2. How HMOs and Healthcare Provider Can Work Together in ACO Model 4 3. Sharing

More information

AAP Meaningful Use: Becoming a Meaningful User An Outpatient Checklist

AAP Meaningful Use: Becoming a Meaningful User An Outpatient Checklist AAP Meaningful Use: Becoming a Meaningful User An Outpatient Checklist On July 13, 2010, the US Centers for Medicare and Medicaid Services (CMS) released a Final Rule establishing the criteria with which

More information

Many of the changes that have been made to this final rule were directly responsive to CMA s comments.

Many of the changes that have been made to this final rule were directly responsive to CMA s comments. On July 13, 2010, the Centers for Medicare & Medicaid Services (CMS) released the final rule defining meaningful use of an electronic health record (EHR) system. The original version of this rule was released

More information

Medicare 2013 QI Program Evaluation

Medicare 2013 QI Program Evaluation #1 Priority Measures Diabetes Medication Adherence D 3 69% 71% High Risk Meds in the Elderly D 3 8% 3% Sleep medications were added to the measure after the 2013 formulary was accepted. A number of high

More information

ACCOUNTABLE CARE ORGANIZATIONS: AN OPPORTUNITY FOR COMMUNITY PHARMACISTS?

ACCOUNTABLE CARE ORGANIZATIONS: AN OPPORTUNITY FOR COMMUNITY PHARMACISTS? ACCOUNTABLE CARE ORGANIZATIONS: AN OPPORTUNITY FOR COMMUNITY PHARMACISTS? PENNSYLVANIA PHARMACIST ASSOCIATION MID-YEAR CONFERENCE FEBRUARY 20, 2015 Christine M. O Leary, PharmD, BCPS DISCLOSURES Christine

More information

Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method

Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method Stage 1 Meaningful Use Criteria Physicians must meet all 15 Core Set objectives and measures and five of the 10 Menu Set objectives and measures. They also must report clinical quality measures (see separate

More information

An Introduction to the Medicare EHR Incentive Program for Eligible Professionals

An Introduction to the Medicare EHR Incentive Program for Eligible Professionals EHR Incentive Programs A program administered by the Centers for Medicare & Medicaid Services (CMS) An Introduction to the Medicare EHR Incentive Program for Eligible Professionals cms.gov/ehrincentiveprograms

More information

We're Ready for MU2...Are You?

We're Ready for MU2...Are You? Meaningful Use Are you considering purchasing an Electronic Health Record (EHR) or moving from your current vendor? Is your goal to attain Meaningful Use status in order to receive EHR incentive dollars?

More information

Medicare & Medicaid EHR Incentive Programs. Specifics of the Program for Eligible Professionals

Medicare & Medicaid EHR Incentive Programs. Specifics of the Program for Eligible Professionals Medicare & Medicaid EHR Incentive Programs Specifics of the Program for Eligible Professionals Today s Session This training will cover the following topics: EHR Incentive Programs a Background Who Is

More information

Understanding the CMS. "Meaningful Use" Requirements. CME Course Announcements. Why CCME Promotes EHR/ HIE?

Understanding the CMS. Meaningful Use Requirements. CME Course Announcements. Why CCME Promotes EHR/ HIE? Understanding the CMS Final Rule "Meaningful Use" Requirements CME Course Announcements The Carolinas Center for Medical Excellence is accredited by the Accreditation Council for Continuing Medical Education

More information

Meaningful Use: Stage 1: Functional Measures Eligible Professionals (EPs)

Meaningful Use: Stage 1: Functional Measures Eligible Professionals (EPs) Meaningful Use: Stage 1: Functional Measures Eligible Professionals (EPs) What is Meaningful Use? American Recovery and Reinvestment Act of 2009/Health Information Technology for Economic and Clinical

More information

Tuesday, May 6, 2014 12:00 Noon EDT Dial In: 1-877-267-1577 Meeting ID: 997 828 367 No audio available through Webinar

Tuesday, May 6, 2014 12:00 Noon EDT Dial In: 1-877-267-1577 Meeting ID: 997 828 367 No audio available through Webinar Aligning PQRS with Meaningful Use CQMs in 2014 Tuesday, May 6, 2014 12:00 Noon EDT Dial In: 1-877-267-1577 Meeting ID: 997 828 367 No audio available through Webinar 2 Objectives Discuss benefits of aligning

More information

ACO QUICK-REFERENCE SETUP GUIDE

ACO QUICK-REFERENCE SETUP GUIDE ACO QUICK-REFERENCE SETUP GUIDE FOR NON-eCW USERS V 9.0 eclinicalworks, 2013. All rights reserved Contents CONTENTS ACO SETUP 3 Demographics 3 ACO 12 4 ACO 13 5 ACO 14 5 ACO 15 7 ACO 16 8 ACO 17 15 ACO

More information

Test Procedure for 170.304 (j) Calculate and Submit Clinical Quality Measures

Test Procedure for 170.304 (j) Calculate and Submit Clinical Quality Measures Test Procedure for 170.304 (j) Calculate and Submit Clinical Quality Measures This document describes the draft test procedure for evaluating conformance of complete EHRs or EHR modules 1 to the certification

More information

Re: CMS-1345-P; Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations; Proposed Rule

Re: CMS-1345-P; Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations; Proposed Rule Department of Health and Human Services Attention: CMS 1345 P P.O. Box 8013, Baltimore, MD 21244 8013 Re: CMS-1345-P; Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations;

More information

ACO Innovations: Operational Dashboard. Featuring the Winners of NAACOS 4 th Call for Innovation. Brian Silverstein, MD

ACO Innovations: Operational Dashboard. Featuring the Winners of NAACOS 4 th Call for Innovation. Brian Silverstein, MD ACO Innovations: Operational Dashboard Featuring the Winners of NAACOS 4 th Call for Innovation Brian Silverstein, MD October 9,2015 Thank You! - Board - Staff - Members - Attendees - Presenters - Vendors

More information

ANALYSIS OF THE CMS PROPOSED RULE FOR THE MEDICARE SHARED SAVINGS PROGRAM AND ACCOUNTABLE CARE ORGANIZATIONS (2011)

ANALYSIS OF THE CMS PROPOSED RULE FOR THE MEDICARE SHARED SAVINGS PROGRAM AND ACCOUNTABLE CARE ORGANIZATIONS (2011) Occupational Therapy: Living Life To Its Fullest ANALYSIS OF THE CMS PROPOSED RULE FOR THE MEDICARE SHARED SAVINGS PROGRAM AND ACCOUNTABLE CARE ORGANIZATIONS (2011) The Centers for Medicare & Medicaid

More information

Medicare Shared Savings Program A Detailed Analysis of the Final Rule

Medicare Shared Savings Program A Detailed Analysis of the Final Rule Medicare Shared Savings Program A Detailed Analysis of the Final Rule Health care is too important to stay the same. Executive Summary A more balanced program Few initiatives in recent history have cultivated

More information

DATA ANALYTICS SOLUTION & MANAGED SERVICES

DATA ANALYTICS SOLUTION & MANAGED SERVICES DATA ANALYTICS SOLUTION & MANAGED SERVICES Who We Are is the premier provider of custom web solutions and cloud based products to the Healthcare industry. Value Proposition: We are a Florida based I.T.

More information

Medicare & Medicaid EHR Incentive Program Specifics of the Program for Eligible Professionals. August 10, 2010

Medicare & Medicaid EHR Incentive Program Specifics of the Program for Eligible Professionals. August 10, 2010 Medicare & Medicaid EHR Incentive Program Specifics of the Program for Eligible Professionals August 10, 2010 Today s Session This training will cover the following topics: EHR Incentive Programs a Background

More information

MEDICARE. Results from the First Two Years of the Pioneer Accountable Care Organization Model

MEDICARE. Results from the First Two Years of the Pioneer Accountable Care Organization Model United States Government Accountability Office Report to the Ranking Member, Committee on Ways and Means, House of Representatives April 2015 MEDICARE Results from the First Two Years of the Pioneer Accountable

More information

Accountable Care Project EMR Reporting Guide January 6, 2014

Accountable Care Project EMR Reporting Guide January 6, 2014 Accountable Care Project EMR Reporting Guide January 6, 2014 Web Reporting System The system can be accessed at http://www.nhaccountablecare.org. You will need the ID and password assigned to you by NHIHPP

More information

DRAFT. To Whom It May Concern:

DRAFT. To Whom It May Concern: DRAFT Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1345-P, P.O. Box 8013, Baltimore, MD 21244-8013 To Whom It May Concern: As a nonprofit, nonpartisan

More information

Foundations for Achieving Meaningful Use and Breaking Down EHR Barriers

Foundations for Achieving Meaningful Use and Breaking Down EHR Barriers Foundations for Achieving Meaningful Use and Breaking Down EHR Barriers Prepared by: Coker Group Physicians Institute 1849 The Exchange Atlanta, GA 30339 A BOUT THE PHYSICIANS INSTITUTE The Physicians'

More information

Price Transparency Attestation emr4md version 9.7 09/03/2014

Price Transparency Attestation emr4md version 9.7 09/03/2014 Price Transparency Attestation emr4md version 9.7 09/03/2014 mednetmedical.com 1 Price Transparency Attestation Company Name: MedNet Medical Solutions Product Name: emr4md Version #: 9.7 mednetmedical.com

More information

Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare

Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare O N L I N E A P P E N D I X E S 6 Report on comparing quality among Medicare Advantage plans and between Medicare Advantage and fee-for-service Medicare 6-A O N L I N E A P P E N D I X Current quality

More information

Meaningful Use: Making use of Clinical Decision Support. Matt Allison

Meaningful Use: Making use of Clinical Decision Support. Matt Allison Meaningful Use: Making use of Clinical Decision Support Matt Allison Preparing for Meaningful Use ARRA/HITECH Goals Overview Final Rule for MU Stage 1 Medicare Program Utilizing Clinical Decision Support

More information

ATLANTIC and OPTIMUS ACCOUNTABLE CARE ORGANIZATIONs CMS QUALITY MEASURES

ATLANTIC and OPTIMUS ACCOUNTABLE CARE ORGANIZATIONs CMS QUALITY MEASURES CARE / PATIENT SAFETY ATLANTIC and OPTIMUS ACCOUNTABLE CARE ORGANIZATIONs CMS QUALITY MEASURES This tool is for REFERENCE USE ONLY and serves as an Emergency Backup Documentation Tool (downtime procedure

More information

Optum One Life Sciences

Optum One Life Sciences Optum One Life Sciences April 15, 2015 Creating a profound and lasting impact on the health system Lower the cost trend > $100 billion 22 hours per day > 50% > $80 billion Unnecessary costs due to improper

More information

Clinical Quality Measures. for 2014

Clinical Quality Measures. for 2014 Clinical Quality Measures for 2014 Mission of OFMQHIT To advance the implementation and use of vital health information technology to improve healthcare quality, efficiency and safety by assisting physician

More information

Endorsement Summary: Cardiovascular Measures

Endorsement Summary: Cardiovascular Measures January 2012 Purpose of the Project The human and financial costs of cardiovascular disease are enormous. Heart disease is the leading cause of death for men and women in the United States and was estimated

More information

Orchard Software Webinar August 19, 2010. Slide 1

Orchard Software Webinar August 19, 2010. Slide 1 Slide 1 An Update on ARRA and Its Impact on Laboratories Presented By: Curt Johnson VP of Sales & Marketing cjohnson@orchardsoft.com www.orchardsoft.com (800) 856-1948 Orchard Software Webinar August 19,

More information

WHAT ARE CLINICAL QUALITY MEASURES? IMPORTANT TERMS

WHAT ARE CLINICAL QUALITY MEASURES? IMPORTANT TERMS Practice Fusion 2014 Clinical Quality Measure Guide This guide will provide in depth information on the clinical quality measures that are available in Practice Fusion. WHAT ARE CLINICAL QUALITY MEASURES?

More information

Medicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Overview. http://www.cms.gov/ehrincentiveprograms/

Medicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Overview. http://www.cms.gov/ehrincentiveprograms/ Medicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Overview 2010 What is Meaningful Use? Meaningful Use is using certified EHR technology to Improve quality, safety, efficiency,

More information

CQMs. Clinical Quality Measures 101

CQMs. Clinical Quality Measures 101 CQMs Clinical Quality Measures 101 BASICS AND GOALS In the past 10 years, clinical quality measures (CQMs) have become an integral component in the Centers for Medicare & Medicaid Services (CMS) drive

More information

Primary Care Quality Care Indicators - Accuro EMR Prevention

Primary Care Quality Care Indicators - Accuro EMR Prevention Quality Indicators Primary Care Quality Care Indicators - Accuro EMR Prevention Data needs to be entered as indicated in order to auto populate the worksheet Date of colon cancer screening Exemption from

More information

Meaningful Use. Relevance. What is ARRA Meaningful Use? (American Recovery and Reinvestment Act of 2009)

Meaningful Use. Relevance. What is ARRA Meaningful Use? (American Recovery and Reinvestment Act of 2009) Meaningful Use First The What, Now The How S. Hughes Melton, MD President, C-Health, P.C. hmelton@c-healthonline.com Relevance Speedometer, Consumer Reports Your Teenager Provider A and B Google: Rate

More information

Aligning Incentives for Quality: Pharmacy's Role in Achieving Hospital and National Goals. Objectives. National Organizations: Key Linkages

Aligning Incentives for Quality: Pharmacy's Role in Achieving Hospital and National Goals. Objectives. National Organizations: Key Linkages Aligning Incentives for Quality: Pharmacy's Role in Achieving Hospital and National Goals Kasey K. Thompson, Pharm.D. Director, Practice Standards and Quality Division Director, Patient Safety American

More information

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents BMI Percentile (Total)

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents BMI Percentile (Total) Appendix C: New Performance Measures DOM Performance Measures Relevant HEDIS Measure(s) HEDIS 2012 Benchmark 50 th Percentile The 50 th percentile benchmarks are an indicator that half of the health plans

More information

Dashboard Overview Webinar

Dashboard Overview Webinar Regional Information for Shared Excellence (RISE) Initiative Dashboard Overview Webinar Jerry Lassa, MS Statistics May 15 & May 17, 2012 Do You Ever Spend a lot of time reviewing data trying to make sense

More information

12/15/2010. EMR Incentive Program for Eligible Professionals

12/15/2010. EMR Incentive Program for Eligible Professionals 12/15/2010 EMR Incentive Program for Eligible Professionals Topics for Today Meaningful Use Program Overview Who is eligible What is Meaningful Use (MU) How do you qualify How do you sign up How to determine

More information

ACCOUNTABLE CARE ORGANIZATION QUICK-REFERENCE SETUP GUIDE

ACCOUNTABLE CARE ORGANIZATION QUICK-REFERENCE SETUP GUIDE ACCOUNTABLE CARE ORGANIZATION QUICK-REFERENCE SETUP GUIDE V 9.0 eclinicalworks, 2013. All rights reserved Contents CONTENTS ACO SETUP 3 Demographics 3 ACO 12 4 ACO 13 6 ACO 14 7 ACO 15 8 ACO 16 9 ACO 17

More information

TO: FROM: DATE: RE: Mid-Year Updates Note: NCQA Benchmarks & Thresholds 2014

TO: FROM: DATE: RE: Mid-Year Updates Note: NCQA Benchmarks & Thresholds 2014 TO: Interested Organizations FROM: Patrick Dahill, Assistant Vice President, Policy DATE: July 25, 2014 RE: 2014 Accreditation Benchmarks and Thresholds Mid-Year Update This document reports national benchmarks

More information

2014 Medicare Physician Fee Schedule Proposed Rule Summary of Quality Provisions. Overview. Quality Provisions of the 2014 MPFS Proposed Rule

2014 Medicare Physician Fee Schedule Proposed Rule Summary of Quality Provisions. Overview. Quality Provisions of the 2014 MPFS Proposed Rule 2014 Medicare Physician Fee Schedule Proposed Rule Summary of Quality Provisions Overview On July 8, 2013, the Centers for Medicare and Medicaid Services (CMS) released the 2014 Medicare Physician Fee

More information

New Jersey Delivery System Reform Incentive Program

New Jersey Delivery System Reform Incentive Program New Jersey Delivery System Reform Incentive Program The New Jersey Delivery System Reform Incentive Program (DSRIP) is part of New Jersey s Comprehensive Medicaid Waiver. The program provides incentive

More information

Manitoba EMR Data Extract Specifications

Manitoba EMR Data Extract Specifications MANITOBA HEALTH Manitoba Data Specifications Version 1 Updated: August 14, 2013 1 Introduction The purpose of this document 1 is to describe the data to be included in the Manitoba Data, including the

More information

ELECTRONIC HEALTH RECORDS (EHR) DEMONSTRATION. Demonstration Summary

ELECTRONIC HEALTH RECORDS (EHR) DEMONSTRATION. Demonstration Summary DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244-1850 ELECTRONIC HEALTH RECORDS (EHR) DEMONSTRATION Demonstration Summary GOAL

More information

ABCs of Value Based Care Implications for Research

ABCs of Value Based Care Implications for Research ABCs of Value Based Care Implications for Research Francis X. Campion, M.D., FACP Real -World & Late Phase Research January 2015 Copyright 2014 Quintiles Your Presenter Francis X. Campion, M.D., F.A.C.P.

More information

Ohio Health Homes Learning Community Meeting. Overview of Health Homes Measures

Ohio Health Homes Learning Community Meeting. Overview of Health Homes Measures Ohio Health Homes Learning Community Meeting Overview of Health Homes Measures Tuesday, March 5, 2013 Presenter: Amber Saldivar, MHSM Associate Director, Informatics Analysis Health Services Advisory Group,

More information

What to Expect in Next Year & Developing Your ACO Action Plan

What to Expect in Next Year & Developing Your ACO Action Plan What to Expect in Next Year & Developing Your ACO Action Plan Welcome The webinar will start at 3:00 pm ET. It is interactive, so please make sure that you have connected via phone with your audio pin.

More information