TCPI Goals: Improve Quality, Reduce Costs, & Focus on Patient-Centered Care
This Week’s Key Messages:
- Are You Ready to Submit 2017 MIPS Data to CMS?
- Save the Date — VCSQI Sponsored Webinar: Health Activation on Jan. 16
- VCSQI Person/Family Engagement & Opioid Survey Results & Next Steps
- Call for PFE and Opioid Workgroups Participants
- Watch Patient Advocates Bob & Barb Malizzo Tell “Michelle’s Story”
- Check out the updated VCSQI Website!
Happy New Year to All and Welcome to New Practices Joining the VCSQI SAN 2.0
- Neil M Bealka Jr MD PA – Gatesville, TX – Opthalmology
- Jeffrey Hurwitz MD – Hagerstown, MD – Family Practice
- Knoxville Comprehensive Breast Center – Diagnostic Radiology
It’s Time to Sign in to Quality Payment Program to Verify Your Credentials & Submit 2017 MIPS Data
Good news! You can now begin the process to submit 2017 MIPS data. Click here for all details from CMS. QPP-2017-Data-Submission-Factsheet
Sign in to the Quality Payment Program to report data. The submission window opened on January 2, 2018. The CMS Web Interface submission window opens on January 22, 2018.
Go to www.qpp.cms.gov to start the process. In the upper right corner of the landing page you will see a new “Sign In” tab that will take you to the page below (screen shot).
You must have an Enterprise Identify Management (EIDM) user name and password, which you may already have from previous PQRS data submission activities. If not, the site will direct you to a link where you can begin the steps to secure an EIDM. DO THIS RIGHT AWAY since it may take a couple weeks to receive your user name and password. And again, you have until March 31st to enter all of the MIPS information. We are here to help you with all of it. For questions or problems signing in to the Quality Payment Program: Email the Quality Payment Program Service Center at QPP@cms.hhs.gov
Save the Date — VCSQI Sponsored Webinar: Health Activation
Tuesday, January 16, 2018, 1 pm ET / 10 am PT
In this one-hour VCSQI Sponsored webinar, Mary Minniti, BS, CPHQ, Senior Policy and Program Specialist from the Institute for Patient and Family Centered Care (IPFCC) will address patient activation and share care team processes for patient and family engagement to achieve greater health activation in self-care and medication management kontantkort. Debbie has already sent a calendar invitation to all primary administrative and clinical contacts from our participating practices. Feel free to forward it to other staff members.
VCSQI Person/Family Engagement Survey Results and Next Steps
Thank you to those who completed VCSQI’s survey on Person/Family Engagement (PFE). There was a total of 15 responses with clear trends related to the PFE metrics and assessment milestones.
Key findings are noted below, with the percent of practices included:
- 40% use some type of technology to communicate with patients (e.g., email, text, portal, e-visits)
- 27% can demonstratethe practice of shared decision making with patients
- 13% assess patient level of activation
- 27% assess patient health literacy
- 40% promote patient-centric medication management
- 27% include patients on some type of committee
- 33% have a formal system for obtaining feedback from patients AND can show how they’ve used the feedback.
The percent of respondents who asked for more assistance with specific topics are below:
- Patient-centric medication management (73%)
- Assessment of patient activation (53%)
- Assessment of health literacy (47%)
- Shared Decision Making (40%)
Please review this information with your clinical staff. We realize that some of our newer practices were not aware of this survey, but still should review the questions as displayed on the PPT slides on the link below and consider their answer for each.
Person/Patient and Family Engagement Survey Link: https://www.surveymonkey.com/r/DQP2LC3
VCSQI Survey Results on Opioid Prescribing Practices
Thank you to those who completed VCSQI’s survey on Opioid Prescribing Practices. There was a total of 20 responses with interesting results. Twelve of the 20 respondents do have clinicians who prescribe opioids. However only 10 of those 12 practices continued to respond to questions, so other than the inpatient-focused questions, most questions have a denominator of only 10.
We realize that some of our newer practices were not aware of this survey, but still should review the questions as displayed on PPT survey summary slides and consider their answer for each.
- 9/10 do NOT have a standardized opioid prescribing protocol
- 5/10 do NOT assess the patient risk for addiction; 5/10 conduct an interview to assess risk
- 6/10 limit the number of opiate pills prescribed
- 7/10 prescribe more than 5 days of opiate pills
- All 10 follow up with the patient, but the timing varies:
- 3/10 follow up with the patient within 3 days; 2/10 within one week; 5/10 follow up with patients after one week.
- 8/10 do NOT have a signed opioid treatment agreement with the patient
- Most practices with inpatient services manage their patients’ medications during hospitalization and at discharge.
- 4/10 do NOT provide education to the patient/family about the risks associated with taking opioids
- 6/8 do NOT discuss safe disposal of opioids
- 7/10 do NOT use any measures to assess opioid prescribing practices and patient use
These aggregate results suggest that there is an opportunity to share, learn, and improve opioid prescribing practices.
In January we will launch an Opioid Prescribing/Management Workgroup to assist all practices review and improve their prescribing patterns, and to share resources and learn from each other. We’ll set a regular time of the month to hold meetings via phone/video calls. We are interested in representatives from each participating practice.
Please name an individual from your practice who will participate. Even if the individual cannot participate on every call, we’ll at least include them on the email distribution list for information and updates about the workgroup’s activities. In addition, we’ll be forming a subgroup of cardiothoracic (CT) surgical clinicians to specifically address opioid prescribing guidelines for CT surgery patients.
Call for PFE and Opioid Workgroups Participants
This month VCSQI is launching a PFE Workgroup to address PFE metrics, share resources and learn from each other. We’ll set a regular time of the month to hold meetings via phone/video calls. We are interested in representatives from each participating practice, including a patient and/or family member if you’d like to engage one on the calls.
Please name an individual from your practice who will participate. Even if the individual cannot participate on every call, we’ll at least include them on the email distribution list for information and updates on PFE to keep everyone informed. We will also keep our website current on this topic. Please reply to your email from Debbie (Nadzam) Melnyk with name/contact information, or let Ivan Berkel know when you speak with him next.
How to Better Engage Patients and Families: The Malizzo’s Effort to Save Lives After Deadly Medical Mistake Spurs Relatives to Join Hospital Panel, Not Sue
Watch nationally-known patient advocates Bob and Barb Malizzo share ideas for how to better engage your patients and their families as they tell “Michelle’s Story” at the December VCSQI membership meeting. Click here for recording of presentation.
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
Patient Engagement & Patient Activation Resources
Here are the links to two American College of Physicians Practice Advisor modules that the Institute for Patient and Family Centered Care helped create, as well as the link to ACP’s 3-part PFE webinar series. PTN staff and PTN enrolled clinicians have free access to the Practice Advisor tool and can easily sign up to create an account to access these modules. Please email Monica Lizarraga, MPH at email@example.com if assistance is needed.
Patient Centered Primary Care Collaborative PFE Resources:
- PCPCC SAN TCPI most recent tools which includes the handout for potential patient advisors: https://www.pcpcc.org/tcpi
- Activating Patient Engagement in Care Delivery: https://www.pcpcc.org/webinar/activating-patient-engagement-care-delivery-performance-metrics-guide-patient-centered-care
- PCPCC SAN Library of Resources:https://www.pcpcc.org/tcpi/resources-2
- Enhancing Medication Safety and E-tool Use: https://www.pcpcc.org/webinar/effective-partnerships-enhancing-medication-safety-and-e-tool-use-performance-metrics-guide
Have You Sent Your Selected Measures Baseline Data to VCSQI Yet?
Eddie Fonner and/or Ivan Berkel will be asking you for aggregate baseline data for each of the metrics you’ve decided to use in the TCPI project. Please respond to them as soon as possible. Baseline data should represent a time period prior to the start of your improvement activities with VCSQI.
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. Ivan Berkel, VCSQI Transformation Improvement Advisor will help guide you through the phases.
Clinical Measures Inventory Tool (CMIT)
CMS has implemented an innovative tool that provides enhanced visibility into the portfolio of CMS measures. Read more about this tool here.
Quote of the Week:
“Reliable cost-related data, insights, decision making, and monitoring are required to transform costs” – 2017 State of Cost Transformation in U.S. Hospitals, Kaufmann Hall & Associates
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.
VCSQI SAN 2.0 Enrollees’ Progress:
- 42 practices enrolled
- 293 providers enrolled
- 31 practices have completed assessment
- 22 practices in Phase 1
- 5 practices in Phase 2
- 4 practices in Phase 3
VCSQI SAN 2.0 January 2018 – All Rights Reserved