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TCPI SAN UPDATE:  Updated VCSQI Website!

In an effort to provide you with access to resources and other announcements, we’ve updated our website at www.vcsqi.org.  As a result, our bi-weekly newsletter will focus only on critical announcements and updates, with links to our website and others for more details about topics.


TCPI Goals:  Improve Quality, Reduce Costs, & Focus on Patient-Centered Care

Welcome to New Practices Joining the VCSQI SAN 2.0
  • Delray Center for Healing – Delray Beach, FL – Behavioral Health
  • Premier Integrated Health – Indianapolis, IN – Chiropractic
  • Socastee Eye Clinic – Myrtle Beach, SC – Optometry
  • T.V. Seshan, MD, PC – White Plains, NY – Neurology
  • Welch Road Imaging – Menlo Park, CA – Diagnostic Radiology


Addressing the Opioid Misuse Crisis is a priority of VCSQI SAN 2.0 and CMS!

Two Requests for VCSQI SAN 2.0 Practices:
  1. Please Complete 2 Brief Surveys on Opioid Prescribing and Person/Family Engagement (PFE)

Please complete these surveys by END OF DAY TODAY Tuesday, December 5

  • Please complete each survey only ONCE per practice. Here are PDFs of both surveys so that you can print/view them to confirm your responses with your staff. Once you have your responses, please go to the survey links below to enter your practice’s responses online.


  • The first survey (25 questions at most) focuses on your practices’ opioid prescribing practices.  Even if you do not prescribe opioids, please answer the first few questions that will allow you to indicate you do not prescribe opioids. You will not need to answer any questions after that.

Print out survey to review before taking online: VCSQI Opioid Prescribing Practices Survey- 11-06-2017

  • The second survey focuses on person/patient and family engagement; there are only 11 questions.

Print out survey to review before taking online: VCSQI PFE Survey-11-06-2017




  1. Take the Pledge Today to Join the Effort to Reduce Opioid Misuse

In alignment with national action towards improving medication management and opioid misuse, TCPI launched the Medication Management and Opioid (MMO) Initiative in alignment with the TCPI 7 Aims.  Please consider taking this pledge to review your opioid prescribing practices and contribute to this national effort. Follow this link to take the pledge.

Read more about the Campaign to Reduce Opioid Misuse at http://www.healthcarecommunities.org/


Patient and Family Engagement & Resources


How to Better Engage Patients and Families: The Malizzos Effort to Save Lives After Deadly Medical Mistake Spurs Relatives to Join Hospital Panel, Not Sue

December 7, 2017, 5:45 pm EST

Join the VCSQI membership meeting to hear nationally-known patient advocates Bob and Barb Malizzo tell their story and share ideas for how to better engage your patients and their families.  Read the full Chicago Tribune story of their experience and efforts here: http://media01.commpartners.com/NQF/11_17_11/Chicago_Tribune_Malizzo_Story.pdf

Follow this link to join the meeting December 7 online:  https://zoom.us/j/4200618741

The discussion will be recorded and also available later online.


Practice Transformation Success Story:

OPA Medical Uses Lean Standard Work with Behavioral Health Providers to Improve Whole Person Health

Following an assessment of practice operations, OPA Medical in Oxon Hill, MD prioritized the need to establish a better relationship with behavioral health providers and establish a referral process that met the needs of all providers.  Working with their VCSQI Transformation Improvement Advisor, the team at OPA Medical received training in the Lean tool of Standard Work, and developed a formal process that outlined:

  1. What specifically needed to be done and when,
  2. How each step in the referral process should be completed and documents, and
  3. Why each step is important to complete.

Once medical leadership reviewed and approved the process, the team at OPA Medical shared this new process with the behavior health offices they referred to regularly to solicit feedback, input, and buy-in.  The new process was quickly implemented and has resulted in:

  1. Consistent communication from the PCP to behavioral health providers when referring new patients,
  2. More timely documentation and communication from the behavior health providers to OPA Medical.
  3. More timely treatment and follow up for the patient, minimizing potential risk.


VCSQI’s TCPI Transformation Roadmap

VCSQI has outlined a TCPI Transformation Roadmap to methodically guide a practice through the 5 phases of transformation. The Roadmap outlines specific activities of our work with you, including the initial preparation.  In this VCSQI Learning Session, the New Roadmap to Transforming Your Practice is explained. Ivan Berkel, MBA, CLSSBB, CPHQ, VCSQI Transformation Improvement Advisor, shares a structure and pathway to help your practice move through the 5 TCPI phases of transformation in order to improve the value of care AND move out of MIPS and into an Alternative Payment Model.

Click here to watch the recorded webinar.

Click here to download the Roadmap pdf handout



Click here to join or log in to the Healthcare Communities website and check the calendar for a full list of webinars and learning sessions.


 Overcoming Challenges to MIPS Participation

Tuesday, December 12, 2017, 3:30 pm ET  – Register Here


Thursday, December 14, 2017 at 11:00 am ET  – Register Here

Solo clinicians and practices with 15 or fewer clinicians have time and resource constraints making it challenging to prepare for the Merit-based Incentive Payment System (MIPS) submission by March 31, 2018. This event will focus on what can be done now to prepare for MIPS even if your practice has done little so far or lacks a certified electronic health record (EHR). Learn how to avoid a penalty even if you have not collected any 2017 data yet. Claims, EHR, and registry submission methods will be reviewed visit us. Register for only one session most convenient for you.


Now Available: 2 New Accredited Online Courses:
  • Quality Payment Program 2017: Merit-Based Incentive Payment System (MIPS) Advancing Care Information (ACI) Performance Category Web-Based Training (WBT) Course 
  • Quality Payment Program: Merit-based Incentive Payment System (MIPS) Participation in 2017 (November 2017)

Learn more about the CMS Online Courses Here:  CMS MLN FAQs-Booklet-ICN909182


New Quality Payment Program Resources Available on CMS.gov
& Extreme/Uncontrollable Circumstances QPP Waiver Info

CMS has posted new Merit-based Incentive Payment System (MIPS) resources on CMS.gov:


Upcoming Webinar by NNE-PTN: “Decreasing Readmissions Part II: Using Lean to Improve the Discharge Process”

December 19, 12 – 1 pm ET  



Quote for the Week:

“The first step in exceeding your customer’s (patient’s) expectations is to know those expectations.” — Roy H. Williams, author


About VCSQI SAN 2.0:  Primary Goal

The goal of the VCSQI SAN 2.0 is to assist participating practices progress through the 5 phases of the Quality Payment Program (QPP) practice transformation process.  Starting with review of your baseline practice assessment, we will guide you and your practice leaders through practice improvement activities and changes. Our goal is to successfully keep your practice moving from one phase to the next to optimize your CMS reimbursements in the QPP, and improve quality, reduce costs and focus on patient-centered care.


To see all VCSQI SAN 2.0 Participating Practices, click here. 


VCSQI SAN 2.0 Enrollees’ Progress:
  • 42 practices enrolled
  • 293 providers enrolled
  • 31 practices have completed assessment
  • 40% Phase 1
  • 55% Phase 2
  • 5%   Phase 3


VCSQI SAN 2.0 December 2017 – All Rights Reserved



Avoid Payment Penalties and Improve Quality of Care

Learn how VCSQI SAN 2.0 will help your practice transform in the new Quality Payment Program.

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