Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.

1. Quality Payment Program – Tips & Tricks
iOS
ANDROID
WINDOWS
CRM
MICROSOFT
SOCIAL
CRM
DESIGN
EXPERIENCE
CLOUDJAVA
RWD
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QPP – An Overview 2
Disparate programs such as EHR incentive program, PQRS and VBM tied together to yield ONE score
Advanced APMs MIPS
ACI Quality IA Cost
EHR incentive
program
PQRS Value-ModifierNEW
2019 Report using a 2015 edition CEHRT

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The BIG 3 - Standards 3
CCDA CQMs API Access
60% of the 2015 certification
effort is related to these

4. Suggestions
Coming through our experience
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Focus on workflows 5
 Link CDS and Quality measures
 Consistent treatment protocols
through decision support system
 Patient experience & satisfaction
data surveys
 Build elaborate vocabularies
 Automate workflows
 Data & workflow standardization
 Submission to PHA
 Pick bonus measures/criteria
 Flexibility to choose measures
 Care coordination for high risk patients
Feedback-driven system
Standardization
Provision for better scoring
In a nutshell
Don’t just try to ‘comply’ to the
regulation.
Streamline workflows to improve
 Qualityof care
 Provider performance
 Productivity
That’s QPP for you!

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Security & Documentation 6
Storage
(Ex: local files)
API Security
Sharing PHI
(DIRECT, PP, CCDA, API)
Audit Logging
(eRx/DIRECT/ Patient Portals)
More stringent
(Than MU)
 Identify GAP measures from past certifications
 Identify & access WCAG Level A/AA conformance
 Documentation for self declared measures
 GAP measures documentation
 Document WCAG Level A/AA conformance
 Quality to ISO mapping deviations
 Safety enhanced design documentation
 Privacy attestation needs

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Manage Certification – A Quick Guide 7
Our Insights
Test Data Documentations Test Scripts Testing Tool Certification Waves
• Be ready with pre-load test
data
• Conduct internal mocks
• Create dummy patients for
required measures. Eg: Family
health hx, Patient education
• Avoid time during
certification
• Share documents
for review. Eg:
Negative scenarios
for CCDA & FHIR
• Frequent updates in
scripts
• Because of open to
interpret measures
• Make sure to test
keeping in mind
version upgrades
• Run by testing tool a day
prior
• Tools updated without
prior intimations. Eg:
NIST, CYPRESS, ETT tools
• Follow test scripts and
proctor guidelines
• Avoid displaying other
workflows
• Proctor might go
beyond test scripts
The only source of knowledge for ONC certifications is EXPERIENCE

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Ways to Accelerate – Mastering Certification 8
Testing and Certification
• Mocks with test data. A dry run with ALL partner solutions before certification
• Plan each wave separately. Preform code merge to avoid go live delay later.
• Prepare training documentation
• If using partner certification IDs, educate providers to use them during attestations
Planning
• Focus on the design and standards
• Focus on both Medicare and Medicaid program
• Finalize partners, communicate with them and analyze integration effort early on (For eg: eRx, DIRECT messaging, Patient Portal)
• Chalk out workflows for providers to improve care quality & save time
Implementation
• Develop Major components first and then dependent ones
• Initiate Security, Quality and Attestation documentation
• Engage with proctor

9. What’s next?
US healthcare beyond QPP
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What’s next ? – Beyond 2015 CEHRT? 10
 Provider score benchmarking
 Gear up for innovative
models of Care (AAPMs,
CPC+, PCMH, etc.)
 Get usability and usage
feedback
 Automate non-value adding
tasks
 Analyze scores to improve
solutions
 Prepare for VBC reimbursements
 Engage patients
 Synchronize quality measures
and workflows
 Identify variance in care
 Tie financials to care process
gaps
 Use performance data to
improve workflows in future
 Standardization of care plans
 ‘Follow’ the patient
 Providers coordination
through information sharing
 Patient engagement
 Unified view of patient
across settings
 Integrate data from ecosystem
 Stratify, identify risks
 Disciplined care management
 Provide care givers with key
utilization indicators
 Focus on preventive care
QPP
VBC
Care Coordination
Population Health
The future will definitely reply on what we do today – Breathe in the Future, Breathe out the Past
Trust us on this, its writing on the walls

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Capabilities
Artificial
intelligence and
Machine
Learning
Clinical, RCM,
Operations,
Financial etc.
Pre-emptive
interventions
Administrative
Clinical
Financial
QPP
(Dashboard/Scoring)
Care Coordination
Care Planning
EMPI
CCMTelemedicine
EDI 7030
Smart
Forms
Patient Engagement
mobile apps
IoT
Population Health
Management

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For more information, contact amit.m@Nalashaa.com
Nalashaa Solutions llc.
555, US Highway One South, Ste 170, Iselin, NJ 08830
+1-732-602-2560 Ext: 200
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