The agenda outlines a day of presentations and discussions at Accelerate 2016 at Marylhurst University, beginning with Andrea Cunningham presenting on getting return on investment from electronic medical records systems, followed by Jean Roque discussing staff training and role redesign, and concluding with Sean Hoar covering cyber threats and how to be aware and prepare for them. There will also be breaks for stretching, snacks, and questions. The day aims to help healthcare providers optimize their technology usage and processes.

1. Accelerate 2016
Marylhurst University

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. Andrea Cunningham
Director of Professional Services
HealthCo Information Systems
Getting ROI From Your EMR

4. EHR Status Poll

5. Return on Investment - ROI
Benefits (Quality + Safety + Efficiency + Profitability + Quality of Work Life)
_________________________________________________________________
Costs (Acquisition + Implementation + Annual)

6. Benefits of EHR
Hard Savings
– Cost reductions and Increased revenue
Soft Savings
– Efficiencies gained by optimal use of technology

7. Costs of EHR
Costs
– Acquisition
– Implementation
– Annual
– Ongoing process improvement
– Penalties

8. Quality Program Status Poll

9. Continuing to recognize ROI

10. • Optimize use
• Regular care and maintenance
• Plan for the shift in payment models

11. • Optimize use

12. • Regular care and maintenance

13. • Plan for the shift in payment models

14. 2016 and beyond - the changes
• VBPM
• Quality Tiering
• Preparation
• MACRA
• MIPS

16. 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

17. 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

18. • Quality Tiering

19. VBPM Payment Adjustments for groups
X factor

20. • How do you Prepare?

21. 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

22. • Looking beyond 2016

23. • MACRA and MIPS

24. What if you didn’t have an EHR?
Clear ROI
Clinical data to support Quality
Patient engagement tools to promote care

25. Questions/
Comments?

26. 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

29. Appendix C

30. 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

31. Jean Roque
Founder & President
Trupp HR
Staff Training & Role Redesign

32. EQUIP unleash the power of an aligned and skilled team
PRESENTER: JEAN ROQUE OF TRUPP HR

35. DETERMINING SELECTION CRITERIA
able
Competencies
Knowledge
Skills
Attributes
willing
Motivation
Interests
Drive
Passion
aligned
Your Culture
Teamwork
Understand the Role

36. Competency
Resultscapable
How ABLE is the applicant?

37. How WILLING is the applicant?
Has career path shown:
Growth, development, advancement
Inconsistencies, anomalies
Stagnation, backsliding

38. How ALIGNED is the applicant?
INTEREST + UNDERSTANDING OF YOUR COMPANY
MODEL + PRIORITIZE YOUR CORE VALUES
LIKELY TO THRIVE IN YOUR WORK ENVIRONMENT

39. NAVIGATING
CHANGE

40. CHANGE + TRANSITION

43. Recognize  Diagnose  Address

44. WILLIAM BRIDGES TRANSITION
MODEL

45. OPTIMIZING
PERFORMANCE

46. 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?

47. EMPLOYEE EXPECTATIONS
Job Descriptions
Performance Goals
Processes
Procedures
Checklists

48. IMPROVING PROCESSES
Prevent an issue
Provide clarity
Establish standards
Clarify roles
Templates
Scripts
Improve systems
Quality control

49. EMPLOYEE
ONBOARDING
Best time to set
employee expectations
Performance Expectations
Culture + Values
Patient Perspective
Industry-Specific
Technology
Processes
Team Roles
Empowerment

54. TRUPP HR
Jean Roque
503.828.0255 x101
jean.roque@trupphr.com

55. Sean Hoar
Partner,
David Wright Tremaine LLP
Cyber Threats – Protect Your Clients
and Your Business