(913) 909-3140

Home » CMS TCPI SAN 2.0 » TCPI SAN UPDATE: Learning Sessions Offered in MIPS Reporting & PFE

TCPI SAN UPDATE: Learning Sessions Offered in MIPS Reporting & PFE

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

Our 2nd Bi-Weekly Update:

Welcome to the VCSQI SAN 2.0 – Helping You to Transform Your Practices!

We will send a regular update to our primary contact person for each enrolled practiceIt will include VCSQI news and information (new enrollees, progress across our enrollees, due dates, learning sessions, etc.) and national updates (links to national webinars that may be of interest) and recently released news and resources.  This will be an email that our primary contact can simply forward to other practice clinicians and staff members. We anticipate sending these out bi-weekly on Tuesday morning. We’ll make every effort to make it succinct, interesting and, most importantly, helpful to you!

VCSQI SAN 2.0 Primary Goal

The goal of the VCSQI SAN 2.0 is to assist enrolled 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.

Newly Added Goal:  Addressing the Opioid Misuse Epidemic

Addressing the Opioid Misuse Epidemic is another new goal CMS has asked all TCPI contractors to focus on.  All clinicians and practices should review national opioid prescribing guidelines to consider revising your own prescribing practices that can make a difference to help impact this major national crisis.

See more information on opioid prescribing below.


Welcome to Our New Practice!

  • Nebraska Heart Institute

Enrolled Practices:

  • Orlando Cardiovascular Surgeons
  • Graduate Vascular and Endovascular Surgeons
  • Havasu Cardiac Surgery
  • Sentara Heart Hospital
  • Mid-Atlantic Cardiothoracic Surgeons
  • Houston Methodist Cardiovascular Surgery Associates


More About Orlando Cardiovascular Surgeons

Cardiovascular Surgeons, PA, a private practice cardiothoracic surgical group located in Orlando, Florida has served Central Florida citizens since 1970.  Six surgeons provide cardiothoracic surgical services at Florida Hospital – Orlando.  Each surgeon is assigned a Physician Assistant or Advanced Registered Nurse Practitioner to provide consultative and assistant-at surgery services.  Cardiovascular Surgeons, PA, surgeons specialize in adult cardiac procedures, which include coronary artery bypass grafts, valve repairs and replacement, percutaneous valve procedures, laser lead extractions, thoracic and vascular surgical procedures and complex aneurysm cases.  In 2016, Cardiovascular Surgeon, PA surgeons performed over 1850 heart, 300 thoracic, and 650 other procedures.

More About Havasu Cardiac Surgery

Dr. Pankaj Kulshrestha has a solo practice of cardiothoracic and vascular surgery located in Lake Havasu City, AZ (population 55,000). His total yearly volume is 300 cases with 120 hearts. Patients come from every part of USA and Canada as well as from the local population. Havasu Cardiac Surgery is a privately owned corporation with one employee providing 24-hour coverage directly without using any answering service, and complete postoperative care for Havasu Regional Medical Center, which has no intensivist to cover the ICU. Dr. Kulshrestha takes all calls directly from the ICU nurses and single-handedly provides post discharge care for 3 months and beyond.

VCSQI SAN 2.0 Enrollees’ Progress

  • 6/7 — have completed baseline practice assessment
  • 2/7  –now in Phase 2
  • 6/7 – reviewing assessment and creating plans

Learning Sessions:  Register and Save the Date 

The Mechanics of MIPS Data Submission Tuesday, August, 1 3:30-4:30 pm ET & Thursday, August 3, 11 am-12 pm ET

Deciding how to submit your MIPS data may be overwhelming and complex. Did you know that you can submit data for each of the MIPS categories using a different submission method?  Join this webinar, moderated by Bruce Spurlock, M.D., President & CEO of Cynosure Health Solutions and featuring a panel of clinicians and experts, to learn more about options for submitting MIPS data. The mechanics of using registries, electronic health records (EHRs), claims, or other processes to submit data will be described along with the pros and cons of each option, and practical tips for efficiently submitting MIPS data.

Register by clicking on the link that corresponds with the date you plan to participate.

Patient & Family Engagement Learning Session August 11, 2-3 pm ET

Save Friday, August 11, 2017 from 2-3 pm for a webinar on “How to Establish a Patient & Family Advisory Council.”   Guest speaker will be national expert Chrissie Blackburn.  Please contact vcsqi.org@gmail.com to register and receive webinar sign-in link and more information.

Basic Quality Improvement Principals Learning Session September 26, 4-5 pm ET

A webinar on Basic Quality Improvement Principals for all practices’ clinicians and office staff. Guest speaker will be Brenda Kennedy, from the TCPI national faculty group. This will help practices meet the criterion that asks if staff have been trained and empowered to participate in Quality Improvement Projects. For both clinicians and office staff, it will include a workplace template if a practice does not have one.

Now Available: QPP Accredited Online Course 

Quality Payment Program 2017 Meritbased Incentive Payment System: Improvement Activities Performance Category

A new, online and self-paced overview course on the Quality Payment is now available through the MLN Learning Management System. Learners will receive information on:

         The Improvement Activities performance category requirements, and how this category fits into the larger Quality Payment Program

         The steps you need to take to report Improvement Activities data to CMS

         The basics about scoring of the Improvement Activities performance category

This course is the third course in an evolving curriculum on the Quality Payment Program, where learners will gain knowledge and insight on the program all while earning valuable continuing education credit. Keep checking back with us for updates on new courses. First time learners will need to register for the MLN Learning Management System. Once registered, learners will be able to access additional courses without having to register.  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 June 1, 2020. AMA PRA Category 1 Credit™ is a trademark of the American Medical Association.

Accreditation Statements     Please click here for accreditation statements

More Learning Sessions:

Better Understand Participation in the New QPP

Advancing Care Information:  How to Implement the New Meaningful Use Component of MIPS, a webinar recently presented with Dr. Ashby Wolfe, Elizabeth Holland, Dr. Larry deGhetaldi and Ray Manahan.

View following this link: http://www.webmeeting-express.com/se/Rd/AC.aspx?1673483949

TCPI Clinician Transformation Events – Save the Dates

Mark your calendars for two upcoming TCPI Clinicians webinar events: August 22/23 and November 7/8 from 6:30 pm – 9:00 pm ET (same time both dates). Offered Injection Molding on https://wundermold.com/ is the best in the state.  These events are designed specifically for clinicians who are committed to transforming their practice with TCPI. They are scheduled for evening hours to allow for as many clinicians to participate without interrupting their workday. Please be sure to send these dates to your clinicians now so they too will mark their calendars and attend!

The purpose of the August clinician events is for CMS to be in dialogue with TCPI-enrolled primary care and specialty care clinicians dlouhygaragedoorrepair.com. CMS wants to hear reactions from the TCPI Clinician community as to how they feel about practice transformation and where they are in their transformation progress and moving into QPP. The topics for these calls are driven by the TCPI AIMs – clinical and operational improvement for patients and clinical practices. Specifically, in August 2017, the calls will be focused on:

  • QPP and the resources available to clinicians to master QPP (TCPI!)
  • The most important changes a practice must make to thrive in the future and practice readiness to participate in TCPI (The TCPI drivers)
  • Addressing the U.S. opioid crisis and the significance of medication management.  How will my practice be engaged?

TCPI Clinician Event 1: Click on the dates below to register

August Primary Care Clinician Events

         Tuesday, August 22nd 6:30pm – 7:30pm ET

         Tuesday, August 22nd 8:00pm – 9:00pm ET

August Specialty Care Clinician Events

         Wednesday, August 23rd 6:30pm – 7:30pm ET

         Wednesday, August 23rd 8:00pm – 9:00pm ET

TCPI Clinician Event 2: Click on the dates below to register

November Primary Care Clinician Events

         Tuesday, November 7th 6:30pm – 7:30pm ET

         Tuesday, November 7th 8:00pm – 9:00pm ET

November Specialty Care Clinician Events

         Wednesday, November 8th 6:30pm – 7:30pm ET

         Wednesday, November 8th 8:00pm – 9:00pm ET

Subscribe to Join the Quality Payment Program & TCPI Healthcare Communities for Updates and More Resources

Subscribe to access resources shared, webinars, data and best practices to help you and your practice transition to the new QPP.

Click here to learn more and register to join QPP to receive the latest news and updates.

Click here to learn more and register to join TCPI Healthcare Communities


Opioid Misuse is a National Epidemic

Source: JONES CM Unpublished analyses of NSDUH 2011-2014 and CDC /NVSS 2015

Opioid Prescribing: Where You Live Matters

The amount of opioids prescribed in the United States peaked in 2010 and then decreased each year through 2015. Despite the overall decrease, the amount of opioids remains at high levels and varies from county to county in the U.S., according to the latest Vital Signs report. The amount of opioids prescribed in the U.S. is still too high, with too many opioid prescriptions for too many days at too high a dosage.

Did You Know? Start Low and Go Slow

The national opioid crisis has prompted CMS to ask all TCPI contractors to work with their enrolled prescribers to improve opioid prescribing practices.  While this action won’t solve all of the issues creating the crisis, it will help to reduce addiction while still treating pain appropriately.

CMS strongly encourages all clinicians and practices to review national opioid prescribing guidelines and your opioid prescribing practices to assess how you can make a difference to help address and impact this major national problem.

New Mobile App provides opioid prescribing guidelines. Click here to view and download.

Question for Your Practice?

Would you like to have pocket-sized printed copies of the CDC prescribing guidelines to hand out to your clinician care team members?  If so, how many copies would you like to receive?

Let us know with a reply to http://vcsqi.org@gmail.com

VCSQI Resources: Cardiac Surgery Evidence-Based Protocols

VCSQI Readmissions Reduction Protocol

CMS currently estimates that avoidable hospital readmissions account at $17.4 billion, or 17{407ac5a1c3664d12063f649ef13ac264ddc5691f1aad397cd50a48bf859e3803} of the $102.6 billion Medicare budget. The Median number of patients readmitted after CABG from the STS national database is 10{407ac5a1c3664d12063f649ef13ac264ddc5691f1aad397cd50a48bf859e3803}. VCSQI data on readmissions after CABG (2002-2014) ranges from 7.1{407ac5a1c3664d12063f649ef13ac264ddc5691f1aad397cd50a48bf859e3803} to 9.1{407ac5a1c3664d12063f649ef13ac264ddc5691f1aad397cd50a48bf859e3803}. Beginning in 2017, CMS will reduce payments to hospitals with excessive readmissions after CABG surgery. Hospitals that have implemented some form of readmission reduction programs were able to reduce readmission by 10 to 30{407ac5a1c3664d12063f649ef13ac264ddc5691f1aad397cd50a48bf859e3803}.  Read the full report here

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.

Quote of the Week:

“You need to be aware of what others are doing, applaud their efforts, acknowledge their successes, and encourage them in their pursuits. When we all help one another, everybody wins.” – Jim Stovall

Stovall is best known for his bestselling novel and movie, The Ultimate Gift.  Stovall is blind and advocate on behalf of people with blindness.

Resources for Enrolled Practices:

  • VCSQI Overview on MACRA, MIPS, and APMs:


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

Together We Can Make a Difference

VCSQI SAN 2.0 Goals

  1. Support 5,000 clinicians in Year One
  2. Reduce unnecessary hospitalizations and ED visits
  3. Generate $75 million in Healthcare savings in 3 years
  4. Sustain efficient care delivery by reducing unnecessary testing and procedures
  5. Providing evidence-based guidelines and LEAN methodologies

VCSQI SAN 2.0 August 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.

Get More Information