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Home » CMS TCPI SAN 2.0 » Today at 1 pm ET/ 10 am PT: Health Activation Webinar, Time to Submit MIPS Data, Participate in TCPI Survey

Today at 1 pm ET/ 10 am PT: Health Activation Webinar, Time to Submit MIPS Data, Participate in TCPI Survey

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

This Week’s Key Messages:
  • Today – Health Activation Webinar, 1 pm ET / 10 am PT
  • Have you accessed the CMS QPP MIPS Data Entry Portal Yet?
  • Please Participate in the 2018 TCPi National Survey of Practices
  • By February 2018, All TCPI Practices Should Have Data Strategy
  • Call for PFE and Opioid Workgroups Participants
  • Rick Koss Joins VCSQI SAN 2.0 Team



Happy New Year to all and Welcome to New Practices Joining the VCSQI SAN 2.0

Hammond Eye Clinic – Hammond, LA – Optometry

Sarwan S. Kahlam, MD – Hackettstown, NJ – Gastroenterology


TODAY — 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 & Program Specialist from the Institute for Patient and Family Centered Care (IPFCC) will address patient activation and share care team processes for person and family engagement to achieve greater health activation in self-care and medication management. 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.

Follow this link to join the webinar:     https://zoom.us/j7737825292



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.





Have You Accessed the CMS QPP MIPS Data Entry Portal Yet?

If you are planning to participate in MIPS, it’s time to access the portal and begin your data entry process.  You have until March 31st to enter final data.  Here are a few key facts to keep in mind:

  • A clinician is eligible to participate in MIPS if in 2017 the clinicians saw at least 100 Medicare beneficiaries and billed at least $30,000. (Clinicians include physicians, chiropractors, podiatrists, dentists, optometrists, nurse practitioners, certified registered nurse anesthetists, and physician assistants)
  • If you are eligible and do nothing (no data submission), you will receive a negative 4% adjustment for 2019.
  • You can secure a neutral payment adjustment for 2019 simply by either entering ONE data point for ONE patient ONE time, or by attesting to one quality improvement activity.
  • To secure a positive adjustment, you need to submit more data through the QPP portal.
  • Click here https://qpp.cms.gov/ to land on the home page for the Quality Payment Program (it shows a female clinician talking with a female patient). In the upper right corner is a ‘Sign In’ section.  Once you click there you will see that you need a user name and password – and EIDM number.  There is a link further down on this page to assist you if you need this number.  You may already have one if you have previously participated in PQRS. 

We can help you if you need further clarification on the data to enter by the end of March.



If You’re Asked, Please Participate in the 2018 TCPi National Survey of Practices
A $25 thank-you for completion will be provided

On behalf of CMS, an independent research firm (Mathematica Policy Research) that serves as the Evaluation and Analysis contractor for TCPi is conducting a survey of practices to support national-level program evaluation and improvement. (Here is a link to the TCPi Evaluation 2018 Practice Survey Fact Sheet.) If you see an email from Mathematica about the survey over the next few weeks, it means you were selected randomly to participate in a 15-minute online effort. Every response is important, because we know practices’ experience with TCPi (through VCSQI) and practice transformation differ a great deal by type of practice, size, market, and other factors—don’t let the voice of practices like yours be left out of this important feedback to CMS! (The sampling is statistically-based to be representative of the program, so only sampled practices may participate.)  Thank you for your cooperation.



By February 2018, All TCPI Practices Should Have Data Strategy

“By February 2018 all TCPI enrolled practices should have a data strategy in place, should be using data to direct and improve care, and should be sharing performance data monthly with your PTN … even if you do not have a functioning electronic health record system.”

– Dr. Robert Flemming, Director, TCPI


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.


Call for Person & Family Engagement and Opioid Workgroups Participants

Opioid Workgroup Call January 25, 1 – 2 pm ET

PFE Workgroup Call February 7, 1 – 2 pm ET

This month VCSQI is launching an opioid prescribing workgroup to meet on the 4th Thursday of every month from 1-2 PM Eastern Time.  In February we will launch monthly calls for a Person and Family Engagement (PFE) Workgroup to meet the first Wednesday from 1-2 PM Eastern Time.  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 PFE calls.

Debbie will be sending calendar invitations for both workgroup calls to the point person of each participating practice. Please forward these invitations to other staff who your practice has identified to participate.


Rick Koss Joins VCSQI SAN 2.0 Team Bringing Leadership Experience in Patient Safety Health Care Quality

Rick Koss brings over 20 years of experience leading Joint Commission initiatives to measure and analyze the organizational structures, processes and outcomes associated with patient safety and the quality of health care. He provided leadership and direction for professional research, statistical and technical staff in efforts to identify and understand organizational and cultural factors related to improving patient care.   Link to full bio on website.


CMS Announces New Bundled Payment Model to Improve Quality, Coordination, and Cost-Effectiveness for Both Inpatient and Outpatient Care

A new voluntary episode payment model, Bundled Payments for Care Improvement Advanced, has been announced by the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation. This will test a new iteration of bundled payments for 32 Clinical Episodes and aim to align incentives among participating health care providers for reducing expenditures and improving quality of care for Medicare beneficiaries. BPCI Advanced will qualify as an Advanced Alternative Payment Model (APM) under the Quality Payment Program.

The first cohort of Participants will start participation in the Model on October 1, 2018, and the Model Period Performance will run through December 31, 2023. CMS will provide a second application opportunity in January 2020.  Read more here.

CMS will hold a Q&A Open Forum on Tuesday, January 30, 2018 from 12 – 1 pm EDT to learn more about the model and how to apply. Please register in advance here – https://preaward.adobeconnect.com/e3cdwg6hgx9f/event/registration.html


Overview of Access Measures & Data Sources for Quality Measures

To help ensure that beneficiaries have access to and receive excellent care and that the quality of care is assessed fairly in CMS programs regardless of their demographic characteristics, CMS is collecting more data for a better understanding of patterns in healthcare disparities and lack of access to care. For more information on access measures, see the full article on the MMS website.

Data Sources for Quality Measurement

Data is essential for quality measurement. Selecting the best source(s) of data for a quality measure is critical. The data source affects the reliability, validity, and feasibility of the measure. Using multiple data sources for one measure is possible, but the measure specification must provide detail as to how each data source is to be used. Primary data sources for quality measurement are administrative records. patient medical records (paper and electronic), health information technology (IT), patient assessments, registries, and patient-reported data.  For more information on data sources, see the full article on the MMS website.


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.


Cybersecurity Webinar Presented by American Medical Association SAN

Wednesday, January 24, 2018, 1 2 pm ET

Cybersecurity is not only a technical issue — it’s also a patient safety issue. In this one-hour webinar, learn how AMA will focus on patient safety, and how physicians can be empowered advocates for their patients.   Click here to register.


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.



Quote of the Week:

“In quality improvement work, creating change takes persistence. It is slow and some of the largest failures lead to the greatest innovations.” — LCDR Fred Butler Jr.


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: 
  • 44 practices enrolled
  • 238 providers enrolled
  • 37 practices have completed assessment
  • 40% Phase 1
  • 55% Phase 2
  • 5%   Phase 3

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