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HealthCo Accelerate 2016 speakers deck #1

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Optimizing your EMR ROI from Andrea Cunningham and Staff Training/Role Design from Jean Roque

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HealthCo Accelerate 2016 speakers deck #1

  1. 1. Accelerate 2016 Marylhurst University
  2. 2. Run of Show 7:30 Welcome! Registration, light breakfast, meet and greet 8:00 Andrea Cunningham: Getting ROI From Your EMR 9:00 15 Minute Stretch 9:15 Jean Roque: Staff Training and Role Redesign 10:15 Bio Break 10:30 Sean Hoar: Cyber Threats – Be Aware & Prepare 11:30 Questions + Wrap Up
  3. 3. Andrea Cunningham Director of Professional Services HealthCo Information Systems Getting ROI From Your EMR
  4. 4. EHR Status Poll
  5. 5. Return on Investment - ROI Benefits (Quality + Safety + Efficiency + Profitability + Quality of Work Life) _________________________________________________________________ Costs (Acquisition + Implementation + Annual)
  6. 6. Benefits of EHR Hard Savings – Cost reductions and Increased revenue Soft Savings – Efficiencies gained by optimal use of technology
  7. 7. Costs of EHR Costs – Acquisition – Implementation – Annual – Ongoing process improvement – Penalties
  8. 8. Quality Program Status Poll
  9. 9. Continuing to recognize ROI
  10. 10. • Optimize use • Regular care and maintenance • Plan for the shift in payment models
  11. 11. • Optimize use
  12. 12. • Regular care and maintenance
  13. 13. • Plan for the shift in payment models
  14. 14. 2016 and beyond - the changes • VBPM • Quality Tiering • Preparation • MACRA • MIPS
  15. 15. What is the Value Based Payment Modifier (VBPM)? • Adjustment to payments made based on the quality and cost of care furnished to their Medicare Fee-for-Service (FFS) patients and compared to national averages. • Designed to rewards Value over Volume
  16. 16. VBPM • Included in the 2010 Patient Protection and Affordable Care Act (ACA) • PQRS data and other factors are used to determine a Positive, Negative, 0% adjustment to Medicare FFS payments • Physicians and non physician practitioners are subject to the VBPM penalty – Phased implementation based on clinic size with automatic payment adjustments
  17. 17. • Quality Tiering
  18. 18. VBPM Payment Adjustments for groups X factor
  19. 19. • How do you Prepare?
  20. 20. What can you do in 2016? • Participate in PQRS and use your investment to do this! • Choose quality measures wisely and improve your results • She how you ranked last year by checking you Quality and Resource Use Reports (QRUR) on the CMS site https://www.cms.gov/Medicare/Medicare-Fee-for-Service- Payment/PhysicianFeedbackProgram/Obtain-2013-QRUR.html • Focus on preventative care to keep Medicare costs down
  21. 21. • Looking beyond 2016
  22. 22. • MACRA and MIPS
  23. 23. What if you didn’t have an EHR? Clear ROI Clinical data to support Quality Patient engagement tools to promote care
  24. 24. Questions/ Comments?
  25. 25. Resources: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value- Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2015-07-16-PQRS- Presentation.pdf https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment- Instruments/QualityMeasures/Core-Measures.html https://www.cms.gov/Medicare/Medicare-Fee-for-Service- Payment/PhysicianFeedbackProgram/Downloads/2016-VM-Fact-Sheet.pdf https://www.cms.gov/Medicare/Medicare-Fee-for-Service- Payment/PhysicianFeedbackProgram/Downloads/2016-VM-Overview-PDF-Memo.pdf https://www.cms.gov/Medicare/Medicare-Fee-for-Service- Payment/PhysicianFeedbackProgram/Obtain-2013-QRUR.html
  26. 26. Appendix C
  27. 27. ACA: Affordable Care Act ACO: Accountable Care Organization APM: Alternative Payment Model CHIP: Children’s Health Insurance Program CPC: Comprehensive Primary Care Initiative Practice Sites CQM: Clinical Quality Measure EIDM: Enterprise Identity Management GPRO: Group Practice Reporting Option IACS: Individuals Authorized Access to the CMS Computer Services MACRA: Medicare Access and CHIP Reauthorization Act of 2015 MIPS: Merit-based Incentive Payment System MU: Meaningful Use NMS: National Mean Score PCMH: Patient Centered Medical Home PQRS: Physician Quality Reporting System QCDR: Qualified Clinical Data Registry QRUR: Quality and Resource Use Report VBPM: Value-based Payment Modifier Acronyms referred to in Presentation
  28. 28. Jean Roque Founder & President Trupp HR Staff Training & Role Redesign
  29. 29. EQUIP unleash the power of an aligned and skilled team PRESENTER: JEAN ROQUE OF TRUPP HR
  30. 30. DETERMINING SELECTION CRITERIA able Competencies Knowledge Skills Attributes willing Motivation Interests Drive Passion aligned Your Culture Teamwork Understand the Role
  31. 31. Competency Resultscapable How ABLE is the applicant?
  32. 32. How WILLING is the applicant? Has career path shown: Growth, development, advancement Inconsistencies, anomalies Stagnation, backsliding
  33. 33. How ALIGNED is the applicant? INTEREST + UNDERSTANDING OF YOUR COMPANY MODEL + PRIORITIZE YOUR CORE VALUES LIKELY TO THRIVE IN YOUR WORK ENVIRONMENT
  34. 34. NAVIGATING CHANGE
  35. 35. CHANGE + TRANSITION
  36. 36. Recognize  Diagnose  Address
  37. 37. WILLIAM BRIDGES TRANSITION MODEL
  38. 38. OPTIMIZING PERFORMANCE
  39. 39. PERFORMANCE FACTORS Expectations • What to do? Process • How to do it? Decisions • Where are the boundaries? Consequences • What did my actions cause? What can go wrong?
  40. 40. EMPLOYEE EXPECTATIONS Job Descriptions Performance Goals Processes Procedures Checklists
  41. 41. IMPROVING PROCESSES Prevent an issue Provide clarity Establish standards Clarify roles Templates Scripts Improve systems Quality control
  42. 42. EMPLOYEE ONBOARDING Best time to set employee expectations Performance Expectations Culture + Values Patient Perspective Industry-Specific Technology Processes Team Roles Empowerment
  43. 43. TRUPP HR Jean Roque 503.828.0255 x101 jean.roque@trupphr.com
  44. 44. Sean Hoar Partner, David Wright Tremaine LLP Cyber Threats – Protect Your Clients and Your Business

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