POPULATION HEALTH. Annual Wellness Visit (AWV) Matthew Brown, MD Chief Medical Officer Presence Health Partners
|
|
|
- Arthur Hodges
- 7 years ago
- Views:
Transcription
1 POPULATION HEALTH Annual Wellness Visit (AWV) Chief Medical Officer Presence Health Partners November 10, 2015
2 Purpose Presence Health partnered with physicians to form as a means of helping providers make the transition from reimbursement based on a volume of billable events to payments based on the value of care delivered. The purpose of this presentation is to describe strategies, tactics and tools to optimize the value of care delivered to our members. 2
3 Agenda + Why Population Health Why do I Need to Care? + Closing Care Gaps Annual Wellness Visits (AWV) + Best Practices Success Stories + What s in it for Providers? + Practice Tools + Q&A 3
4 WHY POPULATION HEALTH WHY DO I NEED TO CARE? OVERVIEW 4
5 This Matters Shift in Payor Mix Chief Medical Officer, PHP 5
6 How We Will Succeed Three Strategies to Improve Population Health Organize Physicians to Play a Central Leadership Role in Managing the Total Care of the Individual Patients Chief Medical Officer, PHP Equip Providers to Engage, Educate and Activate Patients in Better Self-Management of Their Health and Risk Factors Expand Care Coordination Capacity Through Enhanced Use of Non-physician Team Members 6
7 Managing Target Cohorts Risk Stratification of Attributed Lives into Healthy, At-Risk, Chronic and Complex Cohorts Chief Medical Officer, PHP Risk Mitigation and Management Tools Deployed Beyond the Physician Office Visit 7
8 Filling Gaps in Care Chief Medical Officer, PHP 8
9 THE ANNUAL WELLNESS VISIT (AVW) OVERVIEW 9
10 The Business Case for Annual Wellness Visits Opportunities to Close Gaps in Care + Improve patient health + Reverse underutilization + Existing patients, more revenue + Patient Matthew volume Brown, MD + Exceed Chief plan-incented Medical Officer, quality metrics PHP + Move you Provider Scorecard AWV dial + Decrease leakage/outmigration to better manage patients within Presence Health + Attain/keep attribution for physician + Opportunity to organize risk pools within a practice + Position for population health success 10
11 The AWV is a Preventative Visit Not a Routine Physical Examination + The AWV is a yearly dedicated preventive visit where a patient and their health care provider may discuss a beneficiary s health status and maximize the preventive services that are available to close gaps in care. Chief Medical Officer, PHP + The AWV is not a head to toe physical examination. + It allows for an opportunity to conduct health risk assessment and stratify the patient based on medical needs to improve their risk. 11
12 Essential Components of an AWV + Health Risk Assessment (HRA) + Review of health related risk factors + Standardized screens such as alcohol and depression + Targeted objective measures Chief Medical Officer, PHP + USPSTF recommended screenings + Personalized health plan/goals of care 12
13 Health Risk Assessment (HRA) + Collects self-reported information known to the patient + Can be administered by patient or health professional before, or as part of, the Annual Wellness Visit (AWV) Chief Medical Officer, PHP + Takes no more than 5 minutes to complete + Addresses the following topics: + Demographic data + Self assessment of health status + Psychosocial risks + Behavioral risks 13
14 Review of Health Related Risks + Documentation of significant family history + Review of personal risk factors such as smoking, alcohol usage, drug usage + Discussion of environmental risk factors such as finances, living situation, family and social support Chief Medical Officer, PHP + Reporting on activity level and dietary habits 14
15 Objective Measures + Vitals: BP, Height, Weight, BMI + Targeted physical exam based on identified risks, and health condition + Evidence based tools. Use of Decision calculators to document Chief Medical Officer, PHP specific risks such as Framingham for CV risk. 15
16 USPSTF Recommendations Chief Medical Officer, PHP 16
17 Annual Wellness CPT Visit Codes Chief Medical Officer, PHP 17
18 Annual Wellness ICD10 Visit Codes Chief Medical Officer, PHP 18
19 PRACTICE TOOLS OVERVIEW 19
20 Gaps in Care Opportunity: Annual Wellness Visit 20
21 Practice Tools + Personalized report card that reviews the recommended screenings and interventions. + Tools for patient education interventions such as smoking cessation, alcohol and drug abstinence, STD prevention, etc. + Engagement of resources such as case management, chaplain services, Chief Medical Officer, PHP community resources to address psychosocial, economic, and environmental risk factors. + Review Utilization based interventions: ED usage, inpatient services, and out of network utilization. 21
22 Provider Tools + Forms Existing In Development + Health Risk Assessment (HRA) + Stratification/Case Management + My Personal Health Report Card + Documenting and Coding Preventative Visits Chief Medical Officer, PHP + Letter to patient + FAQs / Need-to-knows + Sample visit template + Well male/woman exam form + After visit summary + ED use education brochure + Network utilization education flier + What you can do to maintain your health + Pathway to health checklist 22
23 BEST PRACTICES SUCCESS STORIES 23
24 Best Practices From Our PODS + Practice A + Two physicians and one NP + Primary care practice + Sees multitude of Medicare, Medicaid, and commercial + No EMR, still on paper + Total incentives earned: $42, Practice Matthew as Brown, a group MD reviews the quality Chief Medical metrics for Officer, commercial PHP payers + Seasoned office staff placed in charge of registry + Regular feedback on physician performance and need for metrics + Creation of a diabetes template that captures the quality metrics + Practice B + Solo practitioner + Diverse practice with commercial, Medicare, and Medicaid patients + Uses EPIC for EMR + Total bonus amount earned: $28,495 + Created diabetes check list that she follows for every patient + Reminder calls are repeated until completion of the recommended task (follow-up) + Her philosophy of care involves being a coach for her patients 24
25 Best Practices From Our PODS + Practice C + Solo practitioner + Diverse patient population: Medicare, and Medicaid and commercial + Uses Practice Fusion for EMR + Total incentive earned: $19,039 + Follows patients every three months regardless of controlled or uncontrolled + Has Matthew a checklist Brown, reminder MD for every patient Chief that Medical helps her Officer, capture PHP the quality metrics + Uses motivation style of interview to promote healthy activities and lifestyle changes + She continues to remind them for incomplete tasks until they are done + Practice B + Three providers, two sites + Pediatrics Practice + Medicaid, Medicare, and commercial program participation + Uses eclinical Works EMR + Total incentive earned: $21,158 + Working towards certification for PCMH + Has assigned clinical leads for each chronic disease projects such as asthma, immunizations, etc. + Registries and populations analytics managed by RN/Office staff + Follow-through on missed appointments and gaps in care + RN morning huddle to review appointments and needed actions + reminders for office visits + Process in place for immunization refusal 25
26 Total Provider Compensation 26
27 Q&A Mary Hervey, Manager Provider Relations/Network Development
28 Thank You! To receive CME credit, please complete the CME evaluation form and follow the submission instructions on the form. 28
Interim Guidance for Health Risk Assessments and their Modes of Provision for Medicare Beneficiaries
Interim Guidance for Health Risk Assessments and their Modes of Provision for Medicare Beneficiaries Paula Staley, MPA, RN; Paul Stange, MPH; Chesley Richards, MD, MPH Office of Prevention through Healthcare
Guide to Population Health Management
Guide to Population Health Management presented by the Healthcare Intelligence Network Note: This is an authorized excerpt from the Guide to Population Health Management. To download the entire guide,
Population Health Management Infrastructure
Population Health Management Infrastructure William Pagano MD, MPH SVP of Clinical Operations Doreen Colella RN, MSN AVP of Quality Interfaces The Azara reporting tool interfaces with multiple systems.
Our Patient-Centered Medical Home a Process, not a Click
Our Patient-Centered Medical Home a Process, not a Click Richard Johnston, M.D. President, Medical Clinic of North Texas, P.A. Medical Clinic of North Texas, P.A. MCNT Physician Owned Primary Care Medical
2016 Wellness Benefits and Incentive Rewards
Simple Steps to Living Well Together 2016 Wellness Benefits and Incentive Rewards Caring for Your Health Worldwide ACHIEVING AND MAINTAINING GOOD HEALTH IMPORTANT STEPS FOR YOUR WELL-BEING The FOREIGN
Meaningful Use. Goals and Principles
Meaningful Use Goals and Principles 1 HISTORY OF MEANINGFUL USE American Recovery and Reinvestment Act, 2009 Two Programs Medicare Medicaid 3 Stages 2 ULTIMATE GOAL Enhance the quality of patient care
National Survey of Physician Organizations and the Management of Chronic Illness II (Medical Groups) NOT FOR EXTERNAL DISTRIBUTION OR USE IN ANY FORM
If you want to use all or part of this questionnaire, please contact Patty Ramsay (email: pramsay@berkeley.edu; phone: 510/643-8063; mail: Patty Ramsay, University of California, SPH/HPM, 50 University
Hypertension Best Practices Symposium
essentia health: east region 1 Hypertension Best Practices Symposium RN Hypertension Management Pilot Essentia Health: East Region Duluth, MN ORGANIZATION PROFILE Essentia Health is an integrated health
Adirondack Region Medical Home Pilot
Adirondack Region Medical Home Pilot John Rugge, M.D Adirondack Health Institute Patient-Centered Primary Care Collaborative February 10, 2011 Demographics Population ~ 200,000 Micropolitan (2)/Rural/Frontier
Medicare Preventive Services National Provider Call: The Initial Preventive Physical Exam and the Annual Wellness Visit.
Medicare Preventive Services National Provider Call: The Initial Preventive Physical Exam and the Annual Wellness Visit March 28, 2012 1 Today s Panel of Experts Jamie Hermansen Health Insurance Specialist
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
Practice Readiness Assessment
Practice Demographics Practice Name: Tax ID Number: Practice Address: REC Implementation Agent: Practice Telephone Number: Practice Fax Number: Lead Physician: Project Primary Contact: Lead Physician Email
INDIVIDUAL HEALTHCARE MANAGEMENT: How to Help Employees Own Their Health
INDIVIDUAL HEALTHCARE MANAGEMENT: How to Help Employees Own Their Health Michelle A. Gourdine, M.D. CEO and Principal Consultant Michelle Gourdine & Associates LLC A Healthcare Consulting Firm OBJECTIVES
Massachusetts Medicaid EHR Incentive Payment Program
Massachusetts Medicaid EHR Incentive Payment Program Agenda Vision & Goals High-level overview where we are going Medicare vs. Medicaid EHR Incentive Programs Performance and Progress Eligibility Overview
Understanding Coding & Reimbursement for SBI. Presented By: Jen Cohrs CPC, CPMA, CGIC Director of Educational Strategies Wisconsin Medical Society
Understanding Coding & Reimbursement for SBI Presented By: Jen Cohrs CPC, CPMA, CGIC Director of Educational Strategies Wisconsin Medical Society CPT codes, descriptions and material only are Copyright
EHR-Enhanced QI: Insights from the NYC DOHMH experience The Primary Care Information Project
TITLE EHR-Enhanced QI: Insights from the NYC DOHMH experience The Joslyn Levy, BSN, MPH Dana Stephenson, MPH New York City Department of Health and Mental Hygiene PCPCC Presentation July 8th, 2010 AGENDA
The 4 Pillars of Clinical Integration: A Flexible Model for Hospital- Physician Collaboration
The 4 Pillars of Clinical Integration: A Flexible Model for Hospital- Physician Collaboration Written by Daniel J. Marino, President & CEO, Health Directions November 14, 2012 Originally published by Becker
Remote Access Technologies/Telehealth Services Medicare Effective January 1, 2016
Remote Access Technologies/Telehealth Services Medicare Effective January 1, 2016 Prior Authorization Requirement Yes No Not Applicable * Not covered by Medicare but is covered by HealthPartners Freedom
HealthCare Partners of Nevada. Heart Failure
HealthCare Partners of Nevada Heart Failure Disease Management Program 2010 HF DISEASE MANAGEMENT PROGRAM The HealthCare Partners of Nevada (HCPNV) offers a Disease Management program for members with
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
I. Insurance Reforms and Expansion of Coverage. Implementation Date Plan years beginning on or after six months after passage of the Act.
University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI) Summary of Selected Tobacco, Prevention, and Public Health Provisions from H.R. 3590, the Patient Protection and Affordable
Note: This is an authorized excerpt from 57 Population Health Management Metrics. To download the entire report, go to
Note: This is an authorized excerpt from 57 Population Health Management Metrics. To download the entire report, go to http://store.hin.com/product.asp?itemid=4817 or call 888-446-3530. 57 Population Health
MedStar Family Choice (MFC) Case Management Program. Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015
MedStar Family Choice (MFC) Case Management Program Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015 Case Management Program Presentation Overview CM Programs Disease Management Complex
VIII. Dentist Crosswalk
Page 27 VIII. Dentist Crosswalk Overview The final rule on meaningful use requires that an Eligible Professional (EP) report on both clinical quality measures and functional objectives and measures. While
Implementing Successful Patient Centered Medical Homes: Transforming Medical Assistant Roles at
Implementing Successful Patient Centered Medical Homes: Transforming Medical Assistant Roles at the Union Health Center National Medical Home Summit March 18, 2014 www.unionhealthcenter.org 275 Seventh
Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases
Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases Epidemiology Over 145 million people ( nearly half the population) - suffer from asthma, depression and other chronic
Provider Delivered Care Management Payment Policy and Billing Guidelines for Medicare Advantage
Provider Delivered Care Management Payment Policy and Billing Guidelines for Medicare Advantage Purpose Beginning April 1, 2012, BCBSM began accepting and paying claims for Provider Delivered Care Management
Georgia Tobacco Quit Line Sharing Best Practices Webinar Series: Accurate Coding for Maximum Reimbursement. February 20, 2014 ~ 12-12:30 p.m.
Georgia Tobacco Quit Line Sharing Best Practices Webinar Series: Accurate Coding for Maximum Reimbursement February 20, 2014 ~ 12-12:30 p.m. 1 Tara T McAdoo, MSM Aim Lead, Physician Office Initiatives
Routine Preventive Services. Covered by Medicare 2012
Routine Preventive Services Covered by Medicare 2012 Brook Golshan, CPC, ACS-EM 2/20/2012 1 Preventive Services Covered by Medicare 2012 Covered by Medicare Part B: Original/Direct Medicare Most of the
Health risk assessment: a standardized framework
Health risk assessment: a standardized framework February 1, 2011 Thomas R. Frieden, MD, MPH Director, Centers for Disease Control and Prevention Leading causes of death in the U.S. The 5 leading causes
Population Health Solutions for Employers MEDIA RESOURCES
Population Health Solutions for Employers MEDIA RESOURCES ABOUT MISSIONPOINT MissionPoint s mission is to make healthcare more affordable, accessible and improve the quality of care for our members. MissionPoint
Community Health Worker Led Diabetes Coaching within the Medical Home
Community Health Worker Led Diabetes Coaching within the Medical Home Christine Snead, RN Erin Kane, MD Baylor Scott & White Health www.alliancefordiabetes.org Objectives Identify tools, resources and
How Coding Impacts the Revenue Cycle
How Coding Impacts the Revenue Cycle Topics to be Covered: How Coding Impacts the Revenue Cycle National Correct Coding Initiative Medically-Unlikely Edits AWV & IPPE with Separate E/M Visits Non-Specific
The Wyoming Pay for Participation Program for Medicaid Health Management
The Wyoming Pay for Participation Program for Medicaid Health Management 2010 Medicaid Congress James Bush, M.D. State Medicaid Medical Officer Wyoming Department of Health Wyoming Medicaid- EqualityCare
Meaningful Use 2014: Stage 2 MU Overview. Scott A. Jens, OD, FAAO October 16, 2013
Meaningful Use 2014: Stage 2 MU Overview Scott A. Jens, OD, FAAO October 16, 2013 Overview General Overview of Stage 2 MU in 2014 Core Objectives for Stage 2 Menu Objectives for Stage 2 Complete summary
Office ID Location: City State Date / / PRIMARY CARE SURVEY
A. Organizational Characteristics PRIMARY CARE SURVEY We want to learn more about the general features of your office. A1. What health-related services does your office provide (check all that apply)?
TESTIMONY TO THE HEALTH IT POLICY COMMITTEE. Advanced Health Models and Meaningful Use Workgroup
TESTIMONY TO THE HEALTH IT POLICY COMMITTEE Advanced Health Models and Meaningful Use Workgroup Nancy Rockett Eldridge, CEO, Cathedral Square Corporation June 2, 2015 Support And Services at Home (SASH)
Innerview Reimbursement in the Physician Office Setting * 2014
OVERVIEW This Guide is intended to assist with the process of billing and coding for Innerview, a Mental Health Clinical Decision Support System used in the primary care setting. Billing, coding and payment
POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk
POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk Julia Andrieni, MD, FACP Vice President, Population Health and Primary
Initial Preventive Physical Examination
Initial Preventive Physical Examination Overview The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 expanded Medicare's coverage of preventive services. Central to the Centers
Key Performance Measures for School-Based Health Centers
Key Performance Measures for School-Based Health Centers As health care reform continues to take shape and additional provisions of the Affordable Care Act are implemented, there is an increasing demand
Attribution Models and Implications
Attribution Models and Implications HFMA Managed Care Education Committee July 16, 2014 Tim Ford Executive Vice President Agenda Why Attribution Matters? Medicare s Attribution Methodology for the MSSP
PQRS Cheat Sheet. Occupational Therapy Reporting- Individual Measures
PQRS Cheat Sheet Occupational Therapy Reporting- Individual Measures Medicare requires that practitioners meet certain quality reporting thresholds and collect enough data to assess trends and performance.
Texas Medicaid EHR Incentive Program
Texas Medicaid EHR Incentive Program Medicaid HIT Team July 23, 2012 Why Health IT? Benefits of Health IT A 2011 study* found that 92% of articles published from July 2007 to February 2010 reached conclusions
Understanding Meaningful Use. Review of Part 1 and Part 2
Understanding Meaningful Use Review of Part 1 and Part 2 Understanding Meaningful Use Pat Wise RN, MA, MS, FHIMSS COL (USA ret'd) Vice President, Healthcare Information Systems Meaningful Use Financial
Martin Arron, MD, MBA Brenda Matti-Orozco, MD. CHP-IPA April 16, 17, 18, 2013
Martin Arron, MD, MBA Brenda Matti-Orozco, MD CHP-IPA April 16, 17, 18, 2013 1. Describe the history and scope of Medicare s preventive services 2. Explain differences between the Welcome to Medicare Initial
Approaches to Asthma Management:
Approaches to Asthma Management: BY CAROL MCPHILLIPS-TANGUM AND CAROLINE M. ERCEG ASTHMA IS A CHRONIC DISEASE that affects millions of people in the United States and disproportionately impacts children,
Medicare Value Partners
Medicare Value Partners Medicare Shared Savings ACO Program Frequently Asked Questions (FAQ) Q: What exactly is a Medicare Shared Savings Program ACO? A: Medicare Shared Savings Program accountable care
FOREIGN SERVICE BENEFIT PLAN
Summary of 2016 Benefits for the FOREIGN SERVICE BENEFIT PLAN Caring for Your Health Worldwide Summary of 2016 Benefits for the FOREIGN SERVICE BENEFIT PLAN High Option Benefits MEDICAL SERVICES SECTION
Accountable Care Organization Workgroup Glossary
Accountable Care Organization Workgroup Glossary Accountable care organization (ACO) a group of coordinated health care providers that care for all or some of the health care needs of a defined population.
CMS Innovation Center Improving Care for Complex Patients
CMS Innovation Center Improving Care for Complex Patients ECRI Institute Dr. Patrick Conway, M.D., MSc CMS Chief Medical Officer and Deputy Administrator for Innovation and Quality Director, Center for
American Diabetes Association Education Recognition Program Overview
American Diabetes Association Education Recognition Program Overview A brief history of the National Standards for Diabetes Self-Management Education and Support and a walk through the 10 DSME/S standards
Physician Practice Connections Patient Centered Medical Home
Physician Practice Connections Patient Centered Medical Home Getting Started Any practice assessing its ability to achieve NCQA Physician Recognition in PPC- PCMH is taking a bold step toward aligning
Care Management Approach for People Who Are at High Risk
Care Management Approach for People Who Are at High Risk Presented by: Ann Larsen RN, CDE Care Manger - Herefordshire Clinic/Trainer Care Management Plus June 11, 2013 Welcome! Type questions into the
Turning on the Care Coordination Switch in Rural Primary Care Practices
Turning on the Care Coordination Switch in Rural Primary Care Practices AHRQ Master Contract Task Order #5 HHSA2902007100016I (9/07-11/09) Care Management Plus research at OHSU is supported by funding
Patient-Centered Medical Home (PCMH) 2014
Patient-Centered Medical Home (PCMH) 2014 Part 1: Standards 1-3 All materials 2014, National Committee for Quality Assurance Agenda Part 1 Content t of PCMH 2014 Standards d and Guidelines Standards 1
MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.
Medicare & Dual Options. 1. Every page of the EMR document must include: a. Member Name b. Patient Identifiers (i.e. Date of Birth) c.
Medicare & SUBMITTING PROGRESS NOTES OR EMR You may use your own progress notes or Electronic Medical Record (EMR) to document the annual comprehensive examination. The EMR must include the elements indicated
More than a score: working together to achieve better health outcomes while meeting HEDIS measures
NEVADA ProviderNews Vol. 3 2014 More than a score: working together to achieve better health outcomes while meeting HEDIS measures We know you ve heard of Healthcare Effectiveness Data and Information
Meaningful Use Stage 1:
Whitepaper Meaningful Use Stage 1: EHR Incentive Program Information -------------------------------------------------------------- Daw Systems, Inc. UPDATED: November 2012 This document is designed to
Population Health Management: Using Quality Metrics to Drive Improved Patient Outcomes
Executive Webinar Series Population Health Management: Using Quality Metrics to Drive Improved Patient Outcomes Presenters: Richard Hodach, MD, PhD, MPH Chief Medical Officer and VP, Clinical Product Strategy
Frequently Asked Questions on the Medicare FQHC PPS 1
Frequently Asked Questions on the Medicare FQHC PPS 1 (Rev. 12-1-15) Topics FQHC PPS Rate and GAFs New Patient, IPPE, and AWV Adjustments Per-diem Payment Exceptions FQHC PPS Payment Codes Preventive Services
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
The Montefiore ACO and Behavioral Health Integration: A Work in Progress. Henry Chung, MD Bruce Schwartz, MD
The Montefiore ACO and Behavioral Health Integration: A Work in Progress Henry Chung, MD Bruce Schwartz, MD Agenda Describe the Montefiore Medical Center delivery system and experience in managing vulnerable
Meaningful Use - The Basics
Meaningful Use - The Basics Presented by PaperFree Florida 1 Topics Meaningful Use Stage 1 Meaningful Use Barriers: Observations from the field Help and Questions 2 What is Meaningful Use Meaningful Use
Electronic Medical Records
Electronic Medical Records Milisa K Rizer, MD, MPH Clinical Director, Integrated Healthcare Information System Associate Professor, Clinical Family Medicine The Ohio State University Medical Center 2011
Practice and Transformation Taskforce: CCIP. Design Group 3, Session 2: Technology Enablers & Monitoring Performance August 20 th, 2015
Practice and Transformation Taskforce: CCIP Design Group 3, Session 2: Technology Enablers & Monitoring Performance August 20 th, 2015 1 Meeting Agenda Item 1. Meeting Objectives Allotted Time 5 min 2.
6/26/2013. Continuing Medical Education Disclaimer
Meaningful Use Stage 2: Understanding the Requirements and Changes June 26, 2013 12:30 1:30 p.m., EDT Marnivia Spencer, CCME EHR Consultant 2013 The Carolinas Center for Medical Excellence All Rights Reserved
APPENDIX C CROSSWALK OF PPC-PCMH-CMS STANDARDS AND ELEMENTS TO MEDICAL HOME CAPABILITIES BY TIER
APPENDIX C CROSSWALK OF PPC-PCMH-CMS STANDARDS AND ELEMENTS TO MEDICAL HOME CAPABILITIES BY TIER C.3 Table C.1. Crosswalk Between Tier Definitions (Table 2) and PPC-PCMH-CMS (Appendix B) PPC-PCMH-CMS
ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT
ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have
MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On August 24, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated final rule for Stage
Population Health Management: Advancing Your Position in the Journey to Value-Based Care
Population Health Management: Advancing Your Position in the Journey to Value-Based Care Webcast Session One: An Integrated Approach to Population Health Management 11 August 2015 Welcome & Introductions
BCBSM Physician Group Incentive Program. Patient-Centered Medical Home and Patient-Centered Medical Home-Neighbor Domains of Function
BCBSM Physician Group Incentive Program Patient-Centered Medical Home and Patient-Centered Medical Home-Neighbor Domains of Function Interpretive Guidelines 2014-2015 V1.0 5.0 Extended Access Goal: All
Idaho Health Home State Plan Amendment Matrix: Summary Overview. Overview of Approved Health Home SPAs
Idaho Health Home State Plan Amendment Matrix: Summary Overview This matrix outlines key program design features from health home State Plan Amendments (SPAs) approved by the Centers for Medicare & Medicaid
Using Health Information Technology to Improve Quality of Care: Clinical Decision Support
Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Vince Fonseca, MD, MPH Director of Medical Informatics Intellica Corporation Objectives Describe the 5 health priorities
caresy caresync Chronic Care Management
caresy Chronic Care Management THE PROBLEM Chronic diseases and conditions, including heart disease, diabetes, COPD and obesity, are among the most common, expensive, and preventable health problems in
Chronic Care Management (CCM) Services. Presented by Noridian Part B Medicare Provider Outreach and Education December 2015
Chronic Care Management (CCM) Services Presented by Noridian Part B Medicare Provider Outreach and Education December 2015 DISCLAIMER This information release is the property of Noridian Healthcare Solutions,
Compensation Techniques Used to Improve Provider Performance and Organizational Alignment. Tuesday, March 24, 2015 9:00 a.m. 3:00 p.m.
Compensation Techniques Used to Improve Provider Performance and Organizational Alignment Tuesday, March 24, 2015 9:00 a.m. 3:00 p.m. 1 Agenda Time Topic Speaker 9:00 to 9:10 Welcome and Introductions
Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over
Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over 1. BMI - Documented in patients medical record on an annual basis up to age 74. Screen for obesity and offer counseling to encourage
New York University School of Medicine Faculty Group Practice Billing and Collection Policies
New York University School of Medicine Faculty Group Practice Billing and Collection Policies General Policy Statement New York University School of Medicine Faculty Group Practice (NYUSM- FGP) oversees
2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY
Measure #128 (NQF 0421): Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan National Quality Strategy Domain: Community/Population Health 2016 PQRS OPTIONS F INDIVIDUAL MEASURES:
Meaningful Use of HIT by RHCs NOSORH Region A Meeting Providence, RI June 18, 2013
Meaningful Use of HIT by RHCs NOSORH Region A Meeting Providence, RI June 8, Learning Objectives Understand the status of adoption of HIT and EHRs by RHCs Discuss how RHCs with EHRs perform on Stage meaningful
The Jefferson Health Plan. Member Organization Wellness Program Incentive Guide July 1, 2015 June 30, 2016
The Jefferson Health Plan Member Organization Wellness Program Incentive Guide July 1, 2015 June 30, 2016 Incentive Programs Program Descriptions: As a means to encourage member groups to enroll in the
Continuity of Care Guide for Ambulatory Medical Practices
Continuity of Care Guide for Ambulatory Medical Practices www.himss.org t ra n sf o r m i ng he a lth c a re th rou g h IT TM Table of Contents Introduction 3 Roles and Responsibilities 4 List of work/responsibilities
Physician payment: present and future The devil of the details
Physician payment: present and future The devil of the details John D. Goodson MD, FACP Massachusetts General Hospital Harvard Medical School The future of PC MD payments 2000 2005 2010 2015 2020 2025
Health Care System. Troyen Brennan, M.D., M.P.H. Executive Vice President & Chief Medical Officer
Creating a More Connected Health Care System Troyen Brennan, M.D., M.P.H. Executive Vice President & Chief Medical Officer Agenda Our Role in the Changing Health Care System CVS/minuteclinic: Growth and
TACKLING POPULATION HEALTH MANAGEMENT with Worksite Wellness & Community Outreach
TACKLING POPULATION HEALTH MANAGEMENT with Worksite Wellness & Community Outreach APRIL 2015 THE PRESIDENT S MESSAGE Daniel T. Yunker Why do we need population health management in the health care delivery
Guide to Health Promotion and Disease Prevention
Family Health Teams Advancing Primary Health Care Guide to Health Promotion and Disease Prevention January 16, 2006 Table of Contents 3 Introduction 3 Purpose 3 Background 4 Developing Health Promotion
Getting from Big Data to Good Data: Creating a Foundation for Actionable Analytics
Getting from Big Data to Good Data: Creating a Foundation for Actionable Analytics Page 1 Ask most health care leaders what drives good patient outcomes and strong financial performance, and you ll likely
State of Payor Network and Reimbursement for Telehealth Services. Tim Maloney, UC Health Vice President of Payor Relations
State of Payor Network and Reimbursement for Telehealth Services Tim Maloney, UC Health Vice President of Payor Relations Introduction Reimbursement for services delivered via telehealth varies greatly
Data: The Steel Thread that Connects Performance and Value
WHITE PAPER Data: The Steel Thread that Connects Performance and Value An Encore Point of View Randy L. Thomas, FHIMSS, Managing Director, Value April 2016 Realization Solutions, David H. Brown, Barbara
ACO Performance Model Increase Revenue while Building for Value Based Care
Value Ahead Integrate - Measure - Improve ACO Performance Model Increase Revenue while Building for Value Based Care Frank Ross CIO, Cumberland Center for Healthcare Innovation Overview of our ACO Cumberland
Advocate Community Providers Physician Engagement Meeting September 15, 2015. Astoria World Manor Astoria, NY
Advocate Community Providers Physician Engagement Meeting September 15, 2015 Astoria World Manor Astoria, NY 1 AGENDA I. ACP Welcome and Update II. ACP DSRIP Incentives III. DSRIP Physician Engagement
BCBSM Physician Group Incentive Program Patient-Centered Medical Home and Patient-Centered Medical Home-Neighbor Domains of Function
BCBSM Physician Group Incentive Program Patient-Centered Medical Home and Patient-Centered Medical Home-Neighbor Domains of Function Interpretive Guidelines V4.0 2012-2013 Table of Contents Page 1.0 PATIENT-PROVIDER
Implementing Chronic Care Management (CCM) - CPT 99490
Implementing Chronic Care Management (CCM) - CPT 99490 Dulcian, Inc. May 2015 The Need Population-based statistics published by the Centers for Medicare and Medicaid Services (CMS) tell the story. Most
Examples of Quality Improvement Projects in Adult Immunization
Examples of Quality Improvement Projects in Adult Immunization The following activities are provided to prompt your thinking about what works best for your practice. When designing a project, consider
Patient Centered Health Home and Data Analytics. Amanda Stangis, Director of Programs, CPCA Andrew Principe, VP Strategy, Arcadia Solutions
Patient Centered Health Home and Data Analytics Amanda Stangis, Director of Programs, CPCA Andrew Principe, VP Strategy, Arcadia Solutions Agenda What is a Health Home? What is the connection between Health
Quality and Performance Improvement Program Description 2016
Quality and Performance Improvement Program Description 2016 Introduction and Purpose Contra Costa Health Plan (CCHP) is a federally qualified, state licensed, county sponsored Health Maintenance Organization
ACCOUNTABLE CARE ORGANIZATION (ACO): SUPPLYING DATA AND ANALYTICS TO DRIVE CARE COORDINATION, ACCOUNTABILITY AND CONSUMER ENGAGEMENT
ACCOUNTABLE CARE ORGANIZATION (ACO): SUPPLYING DATA AND ANALYTICS TO DRIVE CARE COORDINATION, ACCOUNTABILITY AND CONSUMER ENGAGEMENT MESC 2013 STEPHEN B. WALKER, M.D. CHIEF MEDICAL OFFICER METRICS-DRIVEN
Advancing Health Equity. Through national health care quality standards
Advancing Health Equity Through national health care quality standards TABLE OF CONTENTS Stage 1 Requirements for Certified Electronic Health Records... 3 Proposed Stage 2 Requirements for Certified Electronic