The document summarizes a presentation about Physician Quality Reporting System (PQRS) reporting through Massachusetts eHealth Institute's (MeHI) qualified registry and services. It discusses PQRS eligibility and reporting methods, considerations for selecting measures and reporting options, and MeHI's registry services including assistance with measures selection, data collection and submission to avoid PQRS penalties. It encourages practices to contact MeHI by the March 19th deadline to utilize their qualified registry for PQRS reporting.
7 Strategies to Improve HEDIS Scores and Star RatingsHealthx
In recent years, achieving high scores on HEDIS® measures and Medicare Star Ratings has taken on greater importance for health plans. What was once nice-to-have for marketing purposes has become a must-have for operating in certain lines of business. Here’s why: NCQA Health Plan Accreditation, financial bonuses, and even a plan’s ability to enroll members can be affected by their ratings. If HEDIS Scores and Star Ratings are so important, why don’t more plans work to improve them?
As healthcare is a language “all its own,” PYA Principal David McMillan presented “Learning the New Language of Healthcare" at the Georgia Society of CPAs' 2014 Healthcare Conference.
The alphabet soup of clinical quality measures reporting and reimbursement 2...Bill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
• How the Eligible Hospital and Eligible Professional reimbursement models will change in 2017 and going forward.
• Compare and contrast the requirements for quality measure reporting and identify strategies to ensure compliance.
• The potential impact to hospital reimbursement of current and proposed programs that will affect quality reporting for hospitals and providers.
• How to improve efficiency and quality by aligning measures across initiatives.
• Where to find current information (and breaking news) on each of these Quality Initiatives.
In the past, organizations participating in quality reporting initiatives involved abstractors sifting through a small sample set of unstructured data in paper charts to then manually convert their findings to discrete reportable data. This approach is time consuming and requires extensive amount of resources from both IT and Quality staff. Aligning quality initiatives can improve efficiencies and processes, and contribute to population health management efforts, both locally and nationally.
At the conclusion of this presentation, attendees will be able to apply what they’ve learned about aligning Clinical Quality Measures across initiatives specific to their organization to improve reimbursements, reduce their reporting burden, increase efficiencies, and realize the benefits of Population Health Management.
If you are responsible for hospital quality, IT, clinical quality measure initiatives or have a vested interest in making sure your organization is aligning quality measures reporting, this informational session is a must.
7 Strategies to Improve HEDIS Scores and Star RatingsHealthx
In recent years, achieving high scores on HEDIS® measures and Medicare Star Ratings has taken on greater importance for health plans. What was once nice-to-have for marketing purposes has become a must-have for operating in certain lines of business. Here’s why: NCQA Health Plan Accreditation, financial bonuses, and even a plan’s ability to enroll members can be affected by their ratings. If HEDIS Scores and Star Ratings are so important, why don’t more plans work to improve them?
As healthcare is a language “all its own,” PYA Principal David McMillan presented “Learning the New Language of Healthcare" at the Georgia Society of CPAs' 2014 Healthcare Conference.
The alphabet soup of clinical quality measures reporting and reimbursement 2...Bill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
• How the Eligible Hospital and Eligible Professional reimbursement models will change in 2017 and going forward.
• Compare and contrast the requirements for quality measure reporting and identify strategies to ensure compliance.
• The potential impact to hospital reimbursement of current and proposed programs that will affect quality reporting for hospitals and providers.
• How to improve efficiency and quality by aligning measures across initiatives.
• Where to find current information (and breaking news) on each of these Quality Initiatives.
In the past, organizations participating in quality reporting initiatives involved abstractors sifting through a small sample set of unstructured data in paper charts to then manually convert their findings to discrete reportable data. This approach is time consuming and requires extensive amount of resources from both IT and Quality staff. Aligning quality initiatives can improve efficiencies and processes, and contribute to population health management efforts, both locally and nationally.
At the conclusion of this presentation, attendees will be able to apply what they’ve learned about aligning Clinical Quality Measures across initiatives specific to their organization to improve reimbursements, reduce their reporting burden, increase efficiencies, and realize the benefits of Population Health Management.
If you are responsible for hospital quality, IT, clinical quality measure initiatives or have a vested interest in making sure your organization is aligning quality measures reporting, this informational session is a must.
How to Optimize the Healthcare Revenue Cycle with Improved Patient AccessHealth Catalyst
Despite pandemic-driven limitations, health systems can still find ways to optimize revenue cycle and generate income. When health systems improve and prioritize patient access through a patient-centered access center, they can improve the revenue cycle performance through decreased referral leakage, better patient trust, and optimum communication across hospital departments.
Rather than relying on traditional revenue cycle improvement tactics, health systems should consider three ways a patient-centered access center can positively impact revenue cycle performance:
Advance access.
Optimize resources.
Engage stakeholders.
Patient-Centered Medical Home: Navigating through Recognition and Rewardsathenahealth
Join athenahealth as we delve into Patient-Centered Medical Homes and the complications that come with navigating through the regulations to achieve level three recognition status.
Affiliation Strategies for At-Risk Community HospitalsPYA, P.C.
PYA Senior Healthcare Consulting Manager Michael Ramey presented “Affiliation Strategies for At-Risk Community Hospitals” with Jay Hardcastle, partner at Bradley Arant Boult Cummings at the AHLA Health Care Transactions Program. The presentation helped:
1. Identify factors affecting the continued financial viability of community hospitals.
2. Introduce the importance of board/management being proactive in evaluating potential affiliation alternatives before reaching a dire state.
3. Discuss the request-for-proposal process.
4. Explore legal structures to retain the best value for the community via appropriate models (i.e., management agreement, lease, acquisition, joint operating agreement, joint venture, affiliation).
5. Provide lessons learned from recent hospital transactions.
ICD-10 Transition Presentation: What Health Lawyers Need to KnowPYA, P.C.
PYA Consulting Principal Denise Hall, along with co-presenter Julie Chicoine, recently updated health lawyers about ICD-10 transition readiness at the American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, held March 26-27, 2014.
What do big data and advanced analytics mean for healthcare? This question was answered during the Georgia Society of CPAs (GSCPA) 2015 Healthcare Conference, February 6, at the Cobb Galleria Centre in Atlanta, GA. PYA Principal Marty Brown and PYA Analytics President & CEO Brian Worley presented “Big Data Applications in Healthcare.”
On July 31, 2014, the Centers for Medicare and Medicaid Services (CMS) issued the Final Rule under the Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities to be implemented on October 1, 2014. This seminar will discuss the impact of Fiscal Year 2015 Medicare payment rate increases for Skilled Nursing Facilities (SNFs) and will review the most recent Office of Management and Budget (OMB) statistical area delineations affecting the SNF PPS Wage Index. Learn about the revision to the existing COT OMRA policy. Additionally attendees will be apprised of updates to Chapter 8, Section 30 of the Medicare Benefit Policy Manual (Pub. 100-02) which directs providers on coverage decisions for reasonable and necessary treatment of patient’s illness or injury.
The Center for Medicare and Medicaid Innovation released a Request for Information (RFI) in late 2013 entitled the “Evolution of ACO Initiatives at CMS.” These are the second of two batches of responses received by the Center for Medicare and Medicaid Innovation to the RFI.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
ICD-10 Is Really Here: What Does That Mean To Compliance Officers?PYA, P.C.
PYA Principal Denise Hall presented “ICD-10 Is REALLY Here: What Does that Mean to Compliance Officers?” at the THA 2015 Fall Compliance Conference. The presentation helps providers get “in tune” with the latest in ICD-10 compliance:
* A brief discussion of ICD-10 and its impact on healthcare.
* Compliance risks with the transition to the ICD-10 system.
* Mitigation of compliance risk and denial activities during and post-implementation.
* ICD-10’s impact on value-based purchasing and quality-based payment models.
Presentation Covers Physician Practice CompliancePYA, P.C.
PYA Consulting Manager Valerie Rock presented “Compliance in the Physician Practice.” She discussed the importance of having a compliance plan, coding and billing monitoring, audit schedules, and provider expectations.
MACRA: Restructuring Medicare ReimbursementPaul B. Tripp
Everyone must rethink their approach to the delivery of care. It is no longer a viable option to maintain the fee-for- service (FFS) mindset. New measures from CMS will push healthcare to the next level of reform where the patient is increasingly at the center of care and care payment.
Exclusive Contracting and Incentivizing Quality in Your Hospitalist ProgramPYA, P.C.
PYA Principal Carol Carden co-presented a session along with Mark Easterly, Vice President of Legal Services for Houston Methodist, on “Exclusive Contracting and Incentivizing Quality in Your Hospitalist Program" at the AHLA Physicians and Hospitals Law Institute.
The CMS Innovation Center hosted a webinar on Tuesday, March 4, 2014 to discuss the Winter Open Period. This webinar included available information about the models, as well as the process and requirements for submitting requests for participation.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Presentation Explores Many Contexts of Community BenefitPYA, P.C.
PYA Principal David McMillan gets to the bottom of the definition of community benefit in “Community Benefit: One Term, Many Contexts,” a presentation given at the 2013 AICPA Healthcare Industry Conference.
How to Optimize the Healthcare Revenue Cycle with Improved Patient AccessHealth Catalyst
Despite pandemic-driven limitations, health systems can still find ways to optimize revenue cycle and generate income. When health systems improve and prioritize patient access through a patient-centered access center, they can improve the revenue cycle performance through decreased referral leakage, better patient trust, and optimum communication across hospital departments.
Rather than relying on traditional revenue cycle improvement tactics, health systems should consider three ways a patient-centered access center can positively impact revenue cycle performance:
Advance access.
Optimize resources.
Engage stakeholders.
Patient-Centered Medical Home: Navigating through Recognition and Rewardsathenahealth
Join athenahealth as we delve into Patient-Centered Medical Homes and the complications that come with navigating through the regulations to achieve level three recognition status.
Affiliation Strategies for At-Risk Community HospitalsPYA, P.C.
PYA Senior Healthcare Consulting Manager Michael Ramey presented “Affiliation Strategies for At-Risk Community Hospitals” with Jay Hardcastle, partner at Bradley Arant Boult Cummings at the AHLA Health Care Transactions Program. The presentation helped:
1. Identify factors affecting the continued financial viability of community hospitals.
2. Introduce the importance of board/management being proactive in evaluating potential affiliation alternatives before reaching a dire state.
3. Discuss the request-for-proposal process.
4. Explore legal structures to retain the best value for the community via appropriate models (i.e., management agreement, lease, acquisition, joint operating agreement, joint venture, affiliation).
5. Provide lessons learned from recent hospital transactions.
ICD-10 Transition Presentation: What Health Lawyers Need to KnowPYA, P.C.
PYA Consulting Principal Denise Hall, along with co-presenter Julie Chicoine, recently updated health lawyers about ICD-10 transition readiness at the American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, held March 26-27, 2014.
What do big data and advanced analytics mean for healthcare? This question was answered during the Georgia Society of CPAs (GSCPA) 2015 Healthcare Conference, February 6, at the Cobb Galleria Centre in Atlanta, GA. PYA Principal Marty Brown and PYA Analytics President & CEO Brian Worley presented “Big Data Applications in Healthcare.”
On July 31, 2014, the Centers for Medicare and Medicaid Services (CMS) issued the Final Rule under the Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities to be implemented on October 1, 2014. This seminar will discuss the impact of Fiscal Year 2015 Medicare payment rate increases for Skilled Nursing Facilities (SNFs) and will review the most recent Office of Management and Budget (OMB) statistical area delineations affecting the SNF PPS Wage Index. Learn about the revision to the existing COT OMRA policy. Additionally attendees will be apprised of updates to Chapter 8, Section 30 of the Medicare Benefit Policy Manual (Pub. 100-02) which directs providers on coverage decisions for reasonable and necessary treatment of patient’s illness or injury.
The Center for Medicare and Medicaid Innovation released a Request for Information (RFI) in late 2013 entitled the “Evolution of ACO Initiatives at CMS.” These are the second of two batches of responses received by the Center for Medicare and Medicaid Innovation to the RFI.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
ICD-10 Is Really Here: What Does That Mean To Compliance Officers?PYA, P.C.
PYA Principal Denise Hall presented “ICD-10 Is REALLY Here: What Does that Mean to Compliance Officers?” at the THA 2015 Fall Compliance Conference. The presentation helps providers get “in tune” with the latest in ICD-10 compliance:
* A brief discussion of ICD-10 and its impact on healthcare.
* Compliance risks with the transition to the ICD-10 system.
* Mitigation of compliance risk and denial activities during and post-implementation.
* ICD-10’s impact on value-based purchasing and quality-based payment models.
Presentation Covers Physician Practice CompliancePYA, P.C.
PYA Consulting Manager Valerie Rock presented “Compliance in the Physician Practice.” She discussed the importance of having a compliance plan, coding and billing monitoring, audit schedules, and provider expectations.
MACRA: Restructuring Medicare ReimbursementPaul B. Tripp
Everyone must rethink their approach to the delivery of care. It is no longer a viable option to maintain the fee-for- service (FFS) mindset. New measures from CMS will push healthcare to the next level of reform where the patient is increasingly at the center of care and care payment.
Exclusive Contracting and Incentivizing Quality in Your Hospitalist ProgramPYA, P.C.
PYA Principal Carol Carden co-presented a session along with Mark Easterly, Vice President of Legal Services for Houston Methodist, on “Exclusive Contracting and Incentivizing Quality in Your Hospitalist Program" at the AHLA Physicians and Hospitals Law Institute.
The CMS Innovation Center hosted a webinar on Tuesday, March 4, 2014 to discuss the Winter Open Period. This webinar included available information about the models, as well as the process and requirements for submitting requests for participation.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Presentation Explores Many Contexts of Community BenefitPYA, P.C.
PYA Principal David McMillan gets to the bottom of the definition of community benefit in “Community Benefit: One Term, Many Contexts,” a presentation given at the 2013 AICPA Healthcare Industry Conference.
Did you know that ALL of your Medicare reimbursements will be docked if you don't participate in the PQRS reporting program? This applies to mental / behavioral heath and substance abuse providers - get the full scoop in our guide.
PYA Consulting Manager Linda ClenDening helped connect the dots between the data at the 2013 AHIMA Convention and Exhibit in Atlanta. She spoke during the Innovation educational track on the topic: “Beyond Meaningful Use: Connecting Quality Data Requirements to Business Operational Improvements.”
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The 10th Annual Utah Health Services Research Conference: Data: What's available and how we are use it is changing. By: Danielle A. Lloyd, MPH - Premier
Health Services Research Conference: March 16, 2015
Patient Centered Research Methods Core, University of Utah, CCTS
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
MeHI Privacy & Security Webinar 3.18.15MassEHealth
Top Reason Why Providers Fail Meaningful Use Audits: Inadequate Security Risk Analysis
Providers are losing incentive dollars by not meeting the Meaningful Use Privacy & Security Measure.
Get on track with your Security Risk Assessment and attest to Meaningful Use with MeHI’s support & solutions:
• Assess your practice’s privacy and security status
• Develop remediation plans to resolve gaps
• Communicate resolution steps to the providers involved
• Track progress in addressing outstanding issues
Let us help you conduct a security risk analysis and address deficiencies and potential threats and ensure that your practice is compliant and that patient data is safe-guarded.
MeHI Mass HIway: Quick Guide to Using WebmailMassEHealth
The Mass HIway is the state's health information exchange which enables healthcare providers to send and receive information securely. If a provider practice has not yet implemented an EHR or is waiting on an EHR interface configuration they may choose webmail to connect to the Mass HIway. Webmail is a connection type option that allows providers to communicate via the Mass HIway through.
Meaningful Use Stage 2 and Health Information Exchange (HIE)MassEHealth
Transformational intent of Meaningful Use (MU) and the increased trend toward interoperability in MU Stage 2 (MU2); MU2 objectives with an HIE component and their MU2 measures; Approaches to achieving the transitions of care; Available public health registries and their current status and submission pathway; How to find a trading partner and best practices to engaging
MeHI Regional Health IT Meetings - Worcester, MA - Nov, 2013MassEHealth
Presentation from the Massachusetts eHealth Institute Regional Health IT meeting in Worcester, MA in November, 2013. Featuring Larry Garber from Reliant Medical Group.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Dehradun ❤CALL Girls 8901183002 ❤ℂall Girls IN Dehradun ESCORT SERVICE❤
MeHI PQRS Webinar 2.10.15 Presentation Slides
1. Physician Quality Reporting System (PQRS)
Reporting with MeHI’s Registry and Services
February 10, 2015
Today’s presenters:
Al Wroblewski, Client Services Relationship Manager
Jillian Landry, PQRS Advisor
2. 2
Disclaimer
This presentation was current at the time it was presented, published or
uploaded onto the web. This presentation was prepared as a service to
the public and is not intended to grant rights or impose obligations. This
presentation may contain references or links to statutes, regulations, or
other policy materials. The information provided is only intended to be a
general summary. It is not intended to take the place of either the written
law or regulations. We encourage attendees to review the specific
statutes, regulations, and other interpretive materials for a full and
accurate statement of their contents.
Massachusetts eHealth Institute
3. 3
Agenda
Who We Are
PQRS Context
Your Practice and PQRS
PQRS Eligibility
Reporting Methods
Reporting Considerations
MeHI’s Qualified Registry
Future of PQRS and Quality Reporting
Next Steps
Questions
Massachusetts eHealth Institute
4. 4
Who We Are
Massachusetts eHealth Institute
A division of the Massachusetts Technology Collaborative, a public economic
development agency, MeHI is:
The state's entity for health care
innovation, technology and
competitiveness
Helping accelerate the adoption of
eHealth technologies
̶ Supporting the safety, quality and
efficiency of health care in MA
̶ Advancing the dissemination of
HealthIT throughout MA, including
deployment of electronic health
records (EHR) systems in all health
care provider settings networked
through a statewide health
information exchange (HIE)
THE INNOVATION INSTITUTE
at the MassTech Collaborative
MeHIMASSACHUSETTS
eHEALTH INSTITUTE
MBIMASSACHUSETTS
BROADBAND INSTITUTE
• Tech Hub Collaborative
• Big Data Consortium
• Advanced Manufacturing
Collaborative
• Innovation Index
• Mass Broadband 123
• MassVetsAdvisor
• Interoperable EHR Adoption
• Connected Communities
• Meaningful Use Support
• eHealth Cluster
5. 5
Who We Are
Massachusetts eHealth Institute
Your trusted Health IT advisor
Chapter 305 created MeHI, which is overseen by the Health Information
Technology Council
Chapter 224 further delineates MeHI’s role in advancing HealthIT and
supporting organizations in reaching Meaningful Use of EHR technology
MassHealth contracted with MeHI to administer key components of the
Medicaid EHR Incentive Payment Program
We’re here to help!
MeHI assists the provider community in navigating the increasingly complex
landscape of HealthIT and government regulations
Our staff has gained considerable insight into the HealthIT needs of
providers and the most effective methods of delivering assistance
6. 6 Massachusetts eHealth Institute
Who We Are
Engage in thought leadership
Educational outreach, informational webinars and training courses
Subject matter expertise on topics of interest to provider organizations
Support healthcare providers in achieving Meaningful Use of EHR technology
Meaningful Use Gap Analysis
Registration and Attestation support
Secure document storage and audit preparation
Support providers with Physician Quality Reporting System (PQRS) reporting
Qualified registry for submitting PQRS measures
Collaborate with external partners to offer
Patient engagement resources
Privacy and security tools
Other HealthIT resources
7. 7
PQRS Context
The Purpose of PQRS
In an effort to improve the quality and lower the cost of health care,
the Centers for Medicare and Medicaid Services (CMS) is moving
toward performance-based reimbursement and away from the fee-
for-service (FFS) payment model
PQRS is one of several initiatives designed to accomplish that goal
PQRS is a reporting program that uses a combination of incentive
payments and negative payment adjustments to promote reporting
of quality information by eligible professionals (EPs)
Massachusetts eHealth Institute
8. 8
PQRS Context
How does PQRS work?
Eligible Professionals (EPs) report data on quality measures for
covered Physician Fee Schedule (PFS) services furnished to
Medicare Part B FFS beneficiaries
EPs must report on each unique NPI/TIN combination
Providers participating with a Medicare Accountable Care
Organization (ACO) are eligible for the 2014 PQRS incentive and
avoid the 2016 PQRS payment adjustment based on the ACO’s
reporting for 2014
Massachusetts eHealth Institute
9. 9
Knowledge Check
I work for 2 different organizations, so I have 2 different
NPI/TINs I bill under. Which one do I use for reporting?
Massachusetts eHealth Institute
Eligible Professionals must report for each NPI/TIN combination
they used to bill Medicare during the 2014 calendar year in order
to avoid the 2016 PQRS payment adjustment.
10. 10
PQRS Context
PQRS Incentives and Payment Adjustments
2014 program year incentive: 0.5%
– Incentive payments for 2014 are issued separately as a single
consolidated payment in 2015
2014 program year payment penalty: -2.0%
– Payment adjustments for reporting year 2014 apply to Medicare
reimbursements in 2016
2014 reporting year is the last year to earn an incentive
Payment penalties will continue
– Failure to report PQRS in 2015 will result in a payment adjustment in
2017, and so on
These penalties are in addition to MU penalties and Value-Based
Modifier penalties
Massachusetts eHealth Institute
11. 11
Your Practice and PQRS
Why should I participate in PQRS?
– Earn an incentive for 2014 reporting
– Avoid penalties
Value-Based Modifier (VM)
– Currently applies to group practices with 10+ EPs practicing under a
single Tax ID
– Going forward, will apply to all practices, including single providers
– Can result in additional penalties of up to -2%
Example: Group of 10+ practice bills $2,000,000 to Medicare
• If successful in PQRS reporting, incentive = $10,000
• If NOT successful in PQRS reporting
– PQRS Penalty: -$40,000 AND
– Value-Based Modifier Penalty: -$40,000
• Total Penalty for not reporting = $80,000
Massachusetts eHealth Institute
12. 12
Your Practice and PQRS
Value-Based Modifier, PQRS
Massachusetts eHealth Institute
PQRS Value Modifier
Incentive Penalty
10-99 EPs 100+ EPs
Reporting
PQRS
NOT
Reporting
PQRS
Reporting
PQRS
NOT
Reporting
PQRS
Physicians
0.5% of
MPFS
-2.0% of
MPFS
+2.0 (x),
+1.0 (x),
or neutral
-2.0% of
MPFS
+2.0 (x),
+1.0 (x),
neutral
-2.0 (x), or
-1.0(x)
-2.0% of
MPFS
Practitioner
0.5% of
MPFS
-2.0% of
MPFS EPs included in the definition of “group” to
determine group size for application of the
value modifier in 2016 (10 or more EPs); VM
only applied to reimbursement of physicians in
the group
Therapists
0.5% of
MPFS
-2.0% of
MPFS
13. 13
Knowledge Check
What is the payment adjustment specifically for the Value-
Based Modifier ?
Massachusetts eHealth Institute
The Value-Based Modifier payment adjustments are based on quality
tiering. Quality tiering is the analysis used to determine the type of
adjustment (upward, downward or neutral) and the range of adjustment
based on performance on quality and cost measures. Quality tiering will
determine if a group practice’s performance is statistically better than, the
same as, or worse than the national mean. The exact amount of the
adjustment cannot be determined until the data is analyzed and quality
tiering is complete. For more information on the Value-Based Modifier,
please visit: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-
Payment/PhysicianFeedbackProgram/ValueBasedPaymentModifier.html
14. 14
Your Practice and PQRS
Steps for your practice
1. Determine eligibility
2. Choose a reporting method
3. Choose measures
4. Collect and organize data
5. Submit data
Massachusetts eHealth Institute
15. 15
PQRS Eligibility
PQRS is relevant to you if you furnish services to Medicare Part B FFS
beneficiaries and are considered an Eligible Professional:
Massachusetts eHealth Institute
16. 16
Knowledge Check
Is there a minimum number of Medicare patients I need to see
to qualify for PQRS?
Massachusetts eHealth Institute
Eligible Professionals who had at least 1 eligible Medicare Part
B FFS patient encounter during 2014 qualify for a PQRS
incentive payment, and will be subject to a -2% payment
adjustment in 2016 for failure to report.
17. 17
Reporting Method Options
Individual eligible professionals (EPs)
Individual EPs still have time to participate in 2014 PQRS through
the following reporting methods:
• Qualified registry
• Qualified Clinical Data Registry (QCDR)
• Direct EHR using Certified EHR Technology (CEHRT)
• CEHRT via Data Submission Vendor
Individual EPs may also participate via claims-based reporting;
however, it is too late to use this method for Program Year 2014
Deadlines for PQRS data submission:
– Direct EHR or CEHRT via Data Submission Vendor – Feb 28, 2015
– MeHI’s Qualified Registry – March 19, 2015
– QCDR – March 31, 2015
Massachusetts eHealth Institute
18. 18
Reporting Method Options
Group Practice Reporting Option (G-PRO)
A group is defined as 2 or more individual EPs who have reassigned
their billing rights to the group TIN
Groups can report PQRS data using the following methods:
• Qualified registry
• Direct EHR using CEHRT
• CEHRT via Data Submission Vendor
• Web interface (groups of 25+ only)
• Clinician & Group Consumer Assessment of Healthcare Providers
and Systems (CG CAHPS) via CMS-certified survey vendor
(groups of 25+ only)
Deadline to register as a group for PQRS Program Year 2014 was
October 3, 2014
– Deadline for Program Year 2015 is June 30, 2015
– Registration must be through the CMS Physician Value-Physician
Quality Reporting System (PV-PQRS) Registration System
Massachusetts eHealth Institute
19. 19
Reporting Considerations
Individual Measures and Measures Groups
Individual Measures
• Report on at least 50 percent of eligible encounters
• All measures must have a >0% performance rate
• 3 measures = eligible to avoid 2016 payment adjustment (-2%)
• 9 measures across 3 NQS domains = eligible for 2014 incentive
(+0.5) AND avoid 2016 payment adjustment (-2%)
• If reporting using G-PRO, must report Individual Measures
Measures Groups
• EP chooses 1 measures group of related measures
• Report on all applicable measures for 20 eligible patients (majority
must be traditional Medicare Part B beneficiaries)
• All measures must have a >0% performance rate
Massachusetts eHealth Institute
20. 20
Knowledge Check
I have a low Medicare volume, so I don’t have 20 patients (or
11 Medicare patients) for any Measures Group. Can I report
on less than 20 patients and at least avoid the payment
adjustment?
Massachusetts eHealth Institute
For 2014, EPs reporting a Measures Group must report all applicable
measures for 20 eligible patients (11+ Medicare FFS patients) in order to
avoid the 2016 PQRS payment adjustment. If an EP does not have
enough patients to achieve this with a certain measures group, the EP
can choose another measures group that can be reported for 20 patients
(11+ Medicare FFS patients). Otherwise the EP will need to report
individual measures using all 2014 Medicare patients.
21. 21
Reporting Considerations
Measures-Applicability Validation (MAV)
If an EP reports less than 9 measures, or nine or more measures
covering less than 3 domains, the MAV process will be applied
MAV determines if an EP is eligible for an incentive despite
reporting less than 9 measures, or nine or more measures covering
less than 3 domains
To receive an incentive in the above circumstances, the EP or group
must either:
– 1. satisfactorily report all applicable measures within a clinical cluster
(clinically related measures)
-or-
– 2. satisfactorily report on measures not included within a clinical cluster
AND pass the clinical relation/domain test based on the measures
within the clinical cluster
Massachusetts eHealth Institute
22. 22
Reporting Considerations
The following factors should be considered when selecting measures
for reporting:
Clinical conditions usually treated
Types of care typically provided – e.g., preventive, chronic, acute
Settings where care is usually delivered – e.g., office, emergency
department (ED), surgical suite
Quality improvement goals
Other quality reporting programs in use or being considered
Massachusetts eHealth Institute
23. 23
MeHI’s Qualified Registry
MeHI offers a CMS Qualified Registry for PQRS submission
Easiest, most efficient way to report
Registry is the ONLY way to report with a Measures Group for 20
patients – all other reporting methods are limited to Individual Measures
Subject matter experts to assist you along the way
– Interpretation of Medicare eligibility and reporting requirements
– Measures selection guidance by specialty
– Support for performing data collection, data entry, and submission
– Data Collection Sheets for Measures Group reporting
– Customized support for reporting Individual Measures
MeHI can help you strategize and prepare for future reporting years to
avoid future penalties
Massachusetts eHealth Institute
24. 24
The Future of PQRS and Quality Reporting
PQRS will continue
– Requirements may become more stringent
– Measures will be better aligned across programs
– Reporting will likely move toward practice level vs individual
– The measure load will likely increase
Going forward, all EPs will be subject to the Value-
Based Modifier program which will assess incentives
and penalties based on the quality of measures reported
– Both cost and quality data included in calculating payments
– Quality tiering is the analysis used to determine the type and
amount of the adjustment (upward, downward or neutral)
Massachusetts eHealth Institute
25. 25
The Future of PQRS and Quality Reporting
Significant quality benchmarks will come into play
The dollar amount of incentives and penalties will continue
increasing
Reimbursement will be tied to quality performance
Data will become available to the public and performance of
practices and providers will be shared
Massachusetts eHealth Institute
Source: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/physician-compare-initiative/Downloads/Physician_Compare_Public_Reporting_Timeline.pdf
26. 26
Next Steps
To get started with MeHI’s PQRS Registry and Services
– Contact us at 1-855-MASS-EHR or massehr@masstech.org
– Visit our website to learn more and complete our PQRS interest
form at mehi.masstech.org/services/pqrs-services
Deadline to submit PQRS data using MeHI’s Qualified
Registry is March 19, 2015
Massachusetts eHealth Institute
29. 29
Appendix
Massachusetts eHealth Institute
Type of Service # Providers
Price per
Provider
Cost per
Practice
Remote with MU Guidance 1 to 10 $299 -
Remote with MU Guidance 11 to 49
$269
(10% discount)
-
Remote with MU Guidance 50+
$239
(20% discount)
-
Remote without MU Guidance 1 to 10 $399 -
Remote without MU Guidance 11 to 49
$359
(10% discount)
-
Remote without MU Guidance 50+
$319
(20% discount)
-
Premium Services NA NA $500
Pricing for MeHI’s Qualified Registry
