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Home » CMS TCPI SAN 2.0 » TCPI SAN UPDATE: VCSQI Patient & Family Engagement Presentation; Data Management Webinar; QPP Resources in New Location Online

TCPI SAN UPDATE: VCSQI Patient & Family Engagement Presentation; Data Management Webinar; QPP Resources in New Location Online

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

Welcome to New Practices Joining the VCSQI SAN 2.0

  • Davidson Dermatology – St. Pleasant, SC – Dermatology
  • John Gump, DC, PC – Beaver Falls, PA – Chiropractic
  • Miami Beach Anesthesiology Associates – Miami Beach, FL – Anesthesiology
  • Performance Orthopaedics – Toms River, NJ – Orthopedic Surgery
Patient and Family Engagement & Resources

Read the full story here: http://media01.commpartners.com/NQF/11_17_11/Chicago_Tribune_Malizzo_Story.pdf

 How to Better Engage Patients and Families: The Malizzos Effort to Save Lives
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. Follow this link to join the meeting online:


The discussion will be recorded and also available later online.


Patient and Family Engagement (PFE) Webinar Series Recordings from American College of Physicians

This three-part webinar series on key PFE topics includes health literacy, collaborative medication management, and patient and family engagement. This was developed as a collaboration between the ACP SAN and the Institute for Patient- and Family-Centered Care (IPFCC).

ACP PFE Webinar Mini Series recordings:


ACP Practice Advisor:


(Click on ‘Sign Up’ to obtain free access as part of a PTN).

ACP Center for Patient Partnership in Healthcare/Patient Education resources


Patient and Family Centered Care Toolkit:



VCSQI Sponsored Webinars / Learning Sessions

Data Management and Quality Reporting

Eddie Fonner, VCSQI Executive Director and Assistant Project Director for the VCSQI SAN 2.0 grant program, outlines and explains data uploads and specifications for quality measures to be reported for TCPI project.  Please forward to others who are involved in data collection and submission activities.

View November 14, 2017 Webinar Recording Here.


To Help You Meet Practice Assessment Milestone #15, Listen to the Recording of this VCSQI Sponsored Webinar
Basic Quality Improvement Principals: “If you aren’t measuring it, you aren’t improving it!”

This VCSQI SAN 2.0 webinar on Basic Quality Improvement Principals is for all practices’ clinicians and office staff. Guest speaker is Brenda Kennedy, DHA, MBA, BSN, RN, FAIHQ, from the TCPI national faculty group. This will help practices meet Practice Assessment Tool criterion #15 –  that asks if staff has been trained and empowered to participate in Quality Improvement Projects.   Video recording from September 26 here.    Audio recording here.


VCSQI SAN 2.0 Request: Participating Practices Complete 2 Brief Surveys

The first one focuses on your practices’ opioid prescribing practices (25 questions max, depending on your answers to some of them).  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.

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

We request only one completed survey of each for your practice.  Since you will need to gather up responses with input from your clinical staff prior to actually going to the survey monkey link, we thought you might want to do this for both surveys in one sitting.

VCSQI Opioid Prescribing Practices Survey- 11-06-2017

VCSQI PFE Survey-11-06-2017

Here are pdf’s of both surveys so that you can print/view them prior to going to the surveymonkey link to actually complete the surveys.  Please complete these surveys by Wednesday, November 22.

Opioid Prescribing Practices Survey Link:


Person/Patient and Family Engagement Survey Link:


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

Impacting the Opioid Crisis through Improved Prescribing Practices

In this one-hour VCSQI SAN 2.0 sponsored webinar Dr. Jared Skillings from American Psychological Association and Dr. Robert Bales, Family Medicine Cleveland Clinic and Assistant Professor of Family Medicine provide an overview of the crisis, current trends, general considerations when prescribing opioids, and non-pharmacological pain management techniques.

Here is the October 24, 2017 Webinar Recording:


Take the New Pledge to Join the Effort to Reduce Opioid Misuse

In alignment with national action towards improving medication management and opioid misuse, TCPI is focused on improving health outcomes, reducing unnecessary utilization, and generating cost savings for government and private payers. TCPI launched the Medication Management and Opioid Initiative in alignment with the TCPI 7 Aims. We ask our enrolled clinicians to complete the pledge and make a commitment to review opioid prescribing practices.  Please follow this link and take the pledge now.

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



Upcoming Learning Sessions

Find Out More About New CMS Meaningful Measures Initiative
November 28, 2017, 1-2 pm, EST

Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma recently announced a new approach to quality measurement, called “Meaningful Measures.” The Meaningful Measures Initiative will involve identifying the highest priorities to improve patient care through quality measurement and quality improvement efforts.

On November 28, Dr. Pierre Yong, Director of the Quality Measurement and Value-Based Incentives Group (QMVIG) in the Center for Clinical Standards and Quality at CMS, and Dr. Theodore Long, Acting Senior Medical Officer of QMVIG, will explain the new initiative.

To register: https://engage.vevent.com/index.jsp?eid=3523&seid=113

Please note: Space for this webinar is limited. Register now to secure your spot.

To learn more about the Meaningful Measures Initiative, please visit the CMS website.


Quality Payment Program Year 2 Final Rule Call
Thursday, November 30, 2017, 1:30 – 3:00 p.m. ET

For Medicare Part B Fee-For-Service clinicians, office managers and administrators; state and national associations that represent healthcare providers; and other stakeholders.

The Quality Payment Program allows clinicians to choose the best way to deliver quality care and participate based on their practice size, specialty, location, or patient population. During this call, learn about the Quality Payment Program Year 2 provisions in the final rule with comment and interim final rule with comment; participants should review the final rules prior to the call. A question and answer session follows the presentation.

Register: https://blh.ier.intercall.com/


How to Control Costs for the MIPS Resource Use Component
December 1, 2017, 8 – 9:30am PT / 11am – 12:30pm ET

CAPG is pleased to present a new complimentary webinar series for physicians participating in the Quality Payment Program, part of the Medicare Access and CHIP Reauthorization Act (MACRA). Through a co-branding agreement with the Centers for Medicare & Medicaid Services (CMS), the sessions combine CMS expertise on the regulation content with CAPG members’ knowledge of how clinicians are responding on the ground to the important changes it brings.

Theodore G Long, MD, MHS, Acting Senior Medical Officer, Quality Measurement and Value-Based Incentives Group from CMS will review the MACRA policies for the MIPS cost category and clarify the final rule statements. Meena Bansal, MD, Deputy Chief Medical Officer, Mount Sinai Health Partners and Chief Medical Officer, Mount Sinai Care, LLC, and Samuel Bauzon, MD, MMM, CPE, Senior Medical Director of Clinical Documentation and Quality Initiatives, Southwest Medical Associates from CAPG will share best practices and lessons learned, what has worked well and where are the opportunities.

Register:  http://eventcenter.commpartners.com/se/Rd/Rg.aspx?367504


Physician Compare 30-Day Preview Period Extended to Dec. 1, 2017

On October 18, CMS opened the 30-Day Preview Period for the 2016 performance information targeted to be publicly reported on Physician Compare starting in December 2017. The preview was scheduled to end on November 17 at 8pm ET. Due to a technical issue preventing the data from properly displaying in the preview portal, the Provider Quality Information Portal (PQIP), all data were not viewable for the first week of preview. This display issue has now been resolved. We are extending preview through Friday, December 1 at 8pm ET to provide more time for clinicians and groups to preview their performance data as a result of this technical issue. For more information about preview and the measures available for preview, visit the Physician Compare Initiative page. For assistance with accessing PQIP, or obtaining your EIDM user role, contact the QualityNet Help Desk at 866-288-8912 or qnetsupport@hcqis.org.  If you have any questions about Physician Compare, public reporting, or the preview period, please contactt PhysicianCompare@Westat.com.

How to update your listing on Physician Compare

The primary source for general information on Physician Compare is the Provider Enrollment, Chain, and Ownership System (PECOS). To update your listing on Physician Compare, including general information such as practice location(s) and phone number(s), you must first update your information in Internet-based PECOS. It can take up to 2 to 4 months for changes in PECOS to be reflected on Physician Compare. Please verify that all of your information is up-to-date. To learn more about which information can be updated via PECOS, and which data can be updated by contacting the Physician Compare support team, visit the Physician Compare Initiative page.


Accredited Course Now Available Online:

Quality Payment Program Advanced Alternative Payment Models

A new, online and self-paced overview course on the Quality Payment Program is now available through the MLN Learning Management System.   Gain knowledge and insight on the program all while earning valuable continuing education credit. For information on how to login or find training, please visit our MLN Learning Management System FAQ sheet.  The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit for this course expires August 1, 2020. AMA PRA Category 1 Credit™ is a trademark of the American Medical Association.  Please click here for accreditation statements


Quality Payment Program Resources in New Location on CMS.gov

To make it easier for clinicians to search and find information on the Quality Payment Program, CMS has moved its library of Quality Payment Program resources to CMS.gov. Clinicians will be able to search the library for Quality Payment Program resources by title, topic, or year.  Resources include fact sheets, user guides, and other materials to help clinicians successfully participate in the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).  In case you missed it, CMS recently posted the MIPS Claims Data Submission Fact Sheet and Eligible Measure Applicability Toolkit.

Go to the QPP Resource Library on CMS.gov to review new and existing Quality Payment Program resources.

New Resources

For More Information visit qpp.cms.gov to check your participation status, explore measures, and to review guidance on MIPS, APMs, what to report, and more.


Eligible Hospitals and CAHs: How to View Your Meaningful Use Data

CMS is streamlining the Medicare attestation process by migrating the meaningful use attestation system from the Medicare & Medicaid EHR Incentive Program Registration and Attestation System to the QualityNet Secure Portal (QNet).  As part of this transition, meaningful use data is now in view-only mode on the EHR Incentive Program Registration and Attestation System. Starting January 2, 2018, eligible hospitals and CAHS will be able to access this meaningful use data on QNet.


Share Your Quick Wins & Success Stories

Tell us about steps you are taking for process improvement that are achieving results in improving patient care and clinician satisfaction in providing care. We want to share your successes and encourage others to adopt identified ways to provide better care.  We’ll be listening and watching for your successes.  You can also share them with Ivan on your regular calls, or via email at ivan.r.berkel@gmail.com.



Quote for the Week:

If you want to go fast, go alone. If you want to go far, go together.” — Great Lakes TCPI PTN


What Do You Want to Hear More About?

Let us know what you want to learn more about and if you have questions for your colleagues enrolled in the VCSQI SAN 2.0!  Contact us at vcsqi.org@gmail.com or (913) 909-3140. 


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.


Participating Practices: 
  • Alamogordo Ear, Nose, and Throat – Alamogordo, NM – Facial Plastic Surgery
  • Allergy and Dermatology Specialists – Surprize, AZ – Dermatology
  • Amos Medical – Laurel, MD – Internal Medicine
  • Ashok Agarwahl, MD – Hemet, CA — Cardiology
  • BKC Pain Specialists – Marion, OH – Family Practice
  • Cardiothoracic Surgeons Inc. – Indianapolis, IN – Cardiac Surgery
  • Cedar Edge Chiropractic, CO
  • Coastal Eye Associates – Freedom, CA – Ophthalmology
  • CVT Surgical – Baton Rouge, LA – Cardiac Surgery
  • Davidson Dermatology – St. Pleasant, SC – Dermatology
  • East Tremont Vascular — Bronx, NY – Vascular Surgery
  • Faith Regional Urology Services – Norfolk, NE – Urology
  • John Gump, DC, PC – Beaver Falls, PA – Chiropractic
  • Graduate Vascular and Endovascular Surgeons, Philadelphia, PA
  • Havasu Cardiac Surgery, Havasu, AZ
  • Houston Methodist Cardiovascular Surgery Associates, Houston, TX
  • JF Southwest Heart Clinic, Houston, TX
  • Macomb Infectious Disease Specialists – Shelby Township, MI – Infectious Disease
  • Mark Gennaro, MD – Huntington, NY — Vascular Surgery
  • McLeod Chiropractic – Three Rivers, MI – Chiropractic
  • Miami Beach Anesthesiology Associates – Miami Beach, FL – Anesthesiology
  • Mid-Atlantic Cardiothoracic Surgeons, Norfolk, VA
  • Middleboro Podiatry – Middleboro, MA – Podiatry
  • Nebraska Heart Institute, Lincoln, NE
  • Neurological Specialists – Tulsa, OK — Neurology
  • Nevada Ear, Nose, and Throat Center – North Las Vegas, NV – ENT
  • OPA Medical, Oxon Hill, MD – Family Practice
  • Options Physical Rehabilitation Center – Nutley, NJ – Internal Medicine
  • Orlando Cardiovascular Surgeons, Orlando, FL
  • Performance Orthopaedics – Toms River, NJ – Orthopedic Surgery
  • Professional Village Family Medicine – Sterling Heights, MI – Family Practice
  • Sentara Heart Hospital, Norfolk, VA
  • Raney Zusman Medical Group – Newport Beach, CA – Cardiac Surgery


VCSQI SAN 2.0 Enrollees’ Progress:
33 Practices Enrolled
204 Providers
20 have completed assessment
85 percent of Practices in Phase 1
15 percent of Practices in Phase 2
Resources for Participating Practices:
  • VCSQI Overview on MACRA, MIPS, and APMs:


  1. Registration on HealthcareCommunities.org: http://www.healthcarecommunities.org/Help/FAQs/Registration/HowtoRegisterontheHCPortal.aspx
  2. TCPI Resources:
    1. Change Package: http://www.healthcarecommunities.org/Communities/MyCommunities/TCPI/TCPI/ChangePackage.aspx
    2. Change Driver Diagram: http://vcsqi.org/wp-content/uploads/2017/03/TCPI_DriverDiagram_Color_March16_vpdf
    3. Practice Assessment Tool: http://vcsqi.org/wp-content/uploads/2017/03/NCC-PAT-2.2_Specialist_xlsx
  3. Alternative Payment Model Design Toolkit: http://vcsqi.org/wp-content/uploads/2017/03/QPP_How_to_Design_an_APM.pdf
  4. Access to exclusive patient educational resources, clinician protocol library, and clinical/financial reporting portal on VCSQI.org – coming soon

Please contact us at vcsqi.org@gmail.com with any questions, comments, or requests for additional information.

VCSQI SAN 2.0 November 2017 – All Rights Reserved







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