12-14-2016 quality net: the centers for medicare ... · the centers for medicare & medicaid...

12-14-2016 Quality Net:The Centers for Medicare & Medicaid Services (CMS)

Healthcare Quality ConferenceContinuing Education (CE) Activity Information & Instructions

Instructions for Continuing Education Credit Learning Management System (LMS) Instructions 1

Registering To Take a Post-Assessment 1To register (if you do NOT have an account) 1To login (if you already have an account) 1Finding the Post-Assessment 2

Accessing Your Transcript and Certificate 2Hardware/Software Requirements 2CMS Privacy Policy 2Help 2

Information by Session Supercharging PDSA: How to Deliver Real Change That Sticks 3Improving Antibiotic and Opioid Use: Sharing Experiences and Opportunities 7Catching Everyone in America’s Safety Net: Collecting Data on Sexual Orientation and Gender Identity in Health Care Settings 10Moving from Quantity to Quality in Transforming Clinical Practice initiative and Understanding APMs in context of the Quality Payment Program 13Successful Project and Benefits Management 16Applying Lean Thinking via Analytics to Drive Improvements 18Quality Measurement in Specialty Care – Oncology as a Case Study 23

Centers for Medicare &

Medicaid Services Continuing Education Program

2

Instructions for Continuing Education Credit

The Medicare Learning Network® (MLN) recently upgraded its Learning Management and Product Ordering System (LM/POS).

If you were already registered in the former MLN Learning Management System (LMS), you do not need to create a new login or password for the LM/POS. However, the appearance of the system and instructions for registering, logging-in, accessing courses, and obtaining certificate information have all changed.

For more information on the new LM/POS, please visit https://www.cms.gov/ Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/ LMS-Upgrade.pdf.

Learning Management System (LMS) Instructions In order to receive continuing education credits (CEU) for a conference session, you must pass the post-assessment and complete the evaluation. The continuing education post-assessments and evaluations are being administered through the Medicare Learning Network®.

Post-assessments are located on the Medicare Learning Network® (MLN) Learning Management and Product Ordering System (LM/POS). Participants will need to login or register to access the post-assessments.

Registering To Take a Post-Assessment If you have previously taken Medicare Learning Network® (MLN) web-based training (WBT)courses, you may use the login ID and password you created for those courses. If you are a new user, you will need to register.

To register (if you do NOT have an account): 1. Go to the LM/POS Homepage https://learner.mlnlms.com;2. Click on “Create Account;” and3. Enter information for all the required fields (with the red asterisks) and click “Create.”

*NOTE: When you get to the ‘Organization’ field, click on Select. From the ‘Select Organizations’ screen, leave the ‘Find Organization’ field blank and click Search. Select ‘CMS-MLN Learners Domain - Organization’ and click Save.

Please add [email protected] to your address book to prevent MLN communication from going into your spam folder.

To login (if you already have an account): 1. Go to the LM/POS Homepage https://learner.mlnlms.com; and 2. Enter your login ID and password and click on “Log In.”

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/LMS-Upgrade.pdf



https://learner.mlnlms.com

mailto:MLN%40cms.hhs.gov?subject=




3

Finding the Post-Assessment: 1. Go to the LM/POS Homepage https://learner.mlnlms.com 2. Enter your login ID and password and click on “Log In” 3. Click on “Training Catalog” in the menu beneath the MLN logo 4. Enter the "course/session title" in the “search for” box and click "search" 5. Click on the title 6. Click “Enroll” 7. Click “Access Item” 8. Scroll down on the page and click on the link titled “Post-Assessment” 9. Click “Open Item”10. A new window will open. Click “Post-Assessment” in this new window for it to display 11. Complete the assessment and click “close” 12. Click the grey and white “x” in the upper right-hand corner to close the window 13. Click “OK” when prompted about closing the window

Accessing Your Transcript and Certificate To complete the course and get your certificate, you must complete the course evaluation. Please click here for instructions for completing the evaluation and accessing your transcript and certificate.

For questions regarding continuing education credit contact [email protected] via email.

Hardware/Software Requirements Please click here for hardware and software requirements.

CMS Privacy Policy Please click here for CMS’ Privacy Policy.

Help For assistance with questions regarding the post-assessment, your certificate, the Medicare Learning Network® (MLN) Learning Management and Product Ordering System (LM/POS), or continuing education in general, please contact CMSCE at [email protected] via email.


https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNEdWebGuide/Downloads/MLN-WBT-Certificate-INX.pdf

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNEdWebGuide/Downloads/MLN-WBT-Certificate-INX.pdf

mailto:CMSCE%40cms.hhs.gov?subject=

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNEdWebGuide/Downloads/Hardware_and_Software_Requirements_WBT.pdf

https://www.cms.gov/about-cms/agency-information/aboutwebsite/privacy-policy.html

mailto:CMSCE%40cms.hhs.gov?subject=



4

Information by Session

Supercharging PDSA: How to Deliver Real Change That Sticks (Activity #: IP-12142016-1)

Activity DescriptionAcross the health care industry, quality and improvement specialists know how hard it is to make change that is both effective (more efficient and provides better care) and fully adopted by stakeholders. How might we optimize change processes to really ‘stick’ and, better still, create a platform for catalyzing patient and provider engagement? How might we design new systems and processes that make it easy for patients and providers to adopt the behavior changes we seek? These are challenges rooted in the human experiences of systems.

The most effective approaches to health service and system innovation have harnessed the proven tools of design, combining qualitative ethnographic research and rapid iterative experience prototyping to deliver change that is not only effective but also welcomed by stakeholders.

This master class will explore case studies demonstrating these methods and tools, include interactive exercises to practice these techniques, and look at how they apply to the improvement of health care systems.

Target AudienceThis activity is designed for all health care professionals.

Learning ObjectivesBy the end of this session, the participant should be able to:

• Identify methods to reframe healthcare challenges using Design Thinking • Recognize the generative potential of qualitative research techniques and rapid experience prototyping

ParticipationRegister for the Centers for Medicare & Medicaid Services (CMS) Quality conference, attend the session, and access and complete the post-assessment and evaluation.

Speaker Bios & DisclosuresAll planners and developers of this activity have signed a disclosure statement indicating any relevant relationships and financial interests. This activity was developed without commercial support.

Svava Atladóttir, MS, presenter, holds degrees in biomedical and manufacturing engineering, and brings experience from IDEO.ORG (IDEO), working with clients such as Kimberly-Clark, Genentech, Edwards Lifesciences, and Dr. Reddys. She also has experience working as a Medical Device Engineer for GE Medical Systems, Inc. and Abbott Vascular. Her systems thinking perspective balances opportunities with the realities of the medical device world, by finding the right materials and vendors, creating organizational change. Ms. Atladóttir's experience also



5

includes working with health care systems, ranging from designing medical devices to working directly with hospitals to create innovative solutions and implementing changes within highly regulated systems.

Ms. Atladóttir earned a Master's Degree in Biomedical and Manufacturing Engineering at Boston University.

Ms. Atladóttir has disclosed that she is Co-Owner of Future Medical Systems, LLC, a consultancy providing design services to the health care industry, and serves as a Consultant to Future Medical Systems, LLC clients. She also disclosed that she is a Stock Shareholder for Jawbone.

Lara Chehab, MPH, presenter, is employed by the University of California at San Francisco. She is the Research Director and Co-Founder of The Better Lab, a new venture that uses human-centered design to study and fix healthcare challenges. Ms. Chehab has experience designing and implementing quality improvement programs in primary care practices across the United States.

Ms. Chehab earned a Master of Public Health degree in Epidemiology, with a focus on Health Policy, at Columbia University.

Ms. Chehab has nothing to disclose.

Robert Lister, presenter, has nearly 20 years of experience of innovating products, services, and care models, utilizing the tools of Design Thinking to create new solutions in the health care sector. He created solutions that delivered better care and outcomes, while respecting the complex networks of stakeholders in the health care environment. Mr. Lister has experience working with some of the world’s leading hospitals on models of care. He also worked with pharmaceutical and medical device companies to create new care experiences.

Mr. Lister joined world-leading innovation consultancy IDEO.ORG (IDEO) as a Mechanical Engineer, in 2001. He also became a Designer, specializing in drug delivery and medical devices in 2001. As a designer, Mr. Lister established and lead IDEO's Global Medical Products Design Group. Mr. Lister subsequently joined AT&T as Director of Design to help establish their new international innovation center, The Foundry, in 2011. At The Foundry, he established a new team across three centers, which led to Mr. Lister becoming a Co-Founder of Future Medical Systems, LLC, a consultancy providing experience design services for the health care sectorin 2013.

Mr. Lister mentors teams for the Institute for Design (d.School) and BioDesign Fellowship at Stanford University (Stanford) and co-leads The Design Farm, a non profit educational initiative to teach design thinking to teens. In addition, he served as a Visiting Scholar for the Clinical Excellence Research Center (CERC) Design Fellowship at Stanford in 2016.

Mr. Lister earned a Bachelor of Science degree in Engineering and Design at Brunel University.

Mr. Lister has disclosed that he is a Co-Owner of Future Medical Systems, LLC, a consultancy providing design services to the health care industry, and serves as a Consultant for Arrinex, Pulson, and clients of Future Medical Systems, LLC. He also disclosed that he is a Stock



6

Shareholder for Pulson and Arrinex.

Karen Matsuoka, PhD, MA, presenter, serves as the Chief Quality Officer for Medicaid and the Children's Health Insurance Program (CHIP) for the Centers for Medicare & Medicaid Services (CMS) and directs efforts to assist States in providing a safe, efficient, and effective patient-centered care for program beneficiaries, other uninsured and vulnerable populations, and the overall National health care system.

Dr. Matsuoka brings multi-sector and interdisciplinary expertise to this work and has held positions in the Maryland Department of Health and Mental Hygiene, the Brookings Institution, the White House Office of Management and Budget, and the United States Congress' Ways and Means Health Subcommittee. At Stanford University (Stanford), Dr. Matsuoka led and facilitated several design workshops and engagements with organizations and providers that serve Medicaid beneficiaries. She was recently invited back to Stanford as a Visiting Fellow in the Institute for Design (d.School) and Clinical Excellence Research Center (CERC), applying human-centered design approaches to health system redesign issues.

Dr. Matsuoka earned her Doctor of Philosophy degree in Social Policy, as a Rhodes Scholar, at Oxford University. She also earned a Master of Arts degree in Philosophy, with an emphasis on Comparative Social Policy, at Stanford University.

Dr. Matsuoka has nothing to disclose.

Andrey Ostrovsky, MD, presenter, is a Social Entrepreneur and practicing Physician. He serves as the Chief Medical Officer for the Center for Medicaid and CHIP Services (CMCS). Prior to working for Medicaid, he co-founded and sold his software company, Care at Hand, an award-winning predictive analytics platform that used insights of non-medical staff to prevent aging people from being hospitalized. Under his leadership, Care at Hand published several peer-reviewed studies, enabled home and community-based service providers to sustain their care transition programs, and saved Medicare and Medicaid millions of dollars by preventing hospitalizations.

Dr. Ostrovsky has served on several boards and committees dedicated to interoperability standards, quality improvement and measurement, and innovation including the National Quality Forum, Office of the National Coordinator, and the Commonwealth Fund. Prior to Care at Hand, he led teams at the World Health Organization (WHO), United States Senate, and San Francisco Health Department toward health system strengthening through technology.

Dr. Ostrovsky holds a Doctor of Medicine degree and undergraduate degrees in Chemistry and Psychology, Magna cum Laude, from Boston University. He completed his pediatrics residency training in the Boston Combined Residency Program at Boston Medical Center and Boston Children's Hospital, where he was a Clinical Instructor at Harvard Medical School. He is currently a teaching Faculty Member and Attending Physician at the Children's National Medical Center.

Dr. Ostrovsky has nothing to disclose.

Lucie Richter, MA, presenter, was employed by design innovation firm IDEO.ORG (IDEO) as a Design Researcher and Strategist on medical products, services and experiences from 2006 through 2011. Afterwards, she worked for goBalto, Inc. as Director of User Research, applying Design Thinking methods in the creation of new products and services. Ms. Richter consulted



7

independently for organizations ranging from startups and academia to large tech between August 2012 through October 2014. She has lead complex human-centered innovation programs at Future Medical Systems, LLC since November 2014. Her area of expertise is solving gnarly challenges, such as medication administration safety in hospitals, serving high utilizing patients, and activating patients to seek emergency medical services for conditions such as stroke.

Ms. Richter has more than 10 years of experience as an Experience Designer, innovating products, services, and care models and applying the tools of design thinking to the most complex and regulated markets. She has created solutions that delivered better care and outcomes, while respecting the complex networks of stakeholders in the health care environment and working with pharmaceutical companies, medical device companies, and some of the world’s leading hospitals on models of care.

Ms. Richter earned a Master's Degree from the School of Oriental and African Studies at the University of London.

Ms. Richter has disclosed that she is a Co-Owner of Future Medical Systems, LLC, a consultancy providing design services to the health care industry. She also disclosed that she is a In-Kind Stock Shareholder for Lumo Body Technology and Mobilix LLC.

Amanda Sammann, MD, presenter, is the Assistant Professor of Surgery in Residence at the University of California, San Francisco's School of Medicine. Dr. Sammann is a Surgeon, Designer, and Researcher, who uses a centered design approach to real world health care challenges. She is also the Founder and Executive Director of The Better Lab, a new venture that uses human-centered design to study and fix healthcare challenges.

Dr. Sammann earned a Doctor of Medicine degree at the University of California, San Francisco and a Master of Public Health degree at Columbia University.

Dr. Sammann has disclosed that she has a financial relationship the Centers for Medicare & Medicaid Services (CMS).

Continuing Education Credit AvailableThe Centers for Medicare & Medicaid Services (CMS) is evaluating this activity for continuing education (CE) credit. The number of credits awarded will be calculated following the activity based on the actual learning time. Final CE information on the amount of credit will be available to participants within the Learning Management and Product Ordering System (LM/POS) after the live activity.

Accreditation StatementsPlease click here for accreditation statements.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNEdWebGuide/Downloads/ACCME-IACET-Accreditation-Statements.pdf



8

Improving Antibiotic and Opioid Use: Sharing Experiences and Opportunities

(Activity #: IP-12142016-2)

Activity DescriptionThis master class will explore the current problems of antibiotic and opioid overuse. Presenters will outline some of the key barriers to improving prescribing of these agents and will emphasize some of the commonalities. Presenters will also discuss some of the key current activities aimed at improving the use of these medications. The goal of this session will be to share experiences that might have cross-over or even synergistic potential.



• Recognize the current magnitude of opioid and antibiotic overuse/inappropriate use • Identify interventions, tools, and solutions for addressing these problems



Deborah Dowell, MD, MPH, presenter, has been employed by the Centers for Disease Control and Prevention (CDC) as a Team Lead and Senior Medical Advisor, since January 2014. Dr. Dowell is also an Internal Medicine Physician. She conducted research on the effects of clinical guidelines and policies on prescribing and served as the Lead Author of the "2016 CDC Guideline for Prescribing Opioids for Chronic Pain." She has developed education for clinical providers on opioid prescribing in various formats such as printed materials, web-based trainings, and slide presentations. In addition, Dr. Dowell has conducted workshops and webinars on opioid prescribing for pharmacologists, clinicians, and health care researchers and administrators.

Dr. Dowell earned a Doctor of Medicine degree at Columbia University's College of Physicians & Surgeons and Master of Public Health degree, with honors (Delta Omega Alpha), at Johns Hopkins Bloomberg School of Public Health.

Dr. Dowell has nothing to disclose.



9

Mary G. Greene, MD, MPH, MBA, presenter, is a Pediatrician and Fellow of the American Academy of Pediatrics. She serves as the Director of the Governance Management Group in the Centers for Medicare and Medicaid Services' (CMS') Center for Program Integrity (CPI) and leads CPI-wide strategic and operational planning. Dr. Greene's work includes tracking and managing program integrity vulnerabilities, developing Medicare and Medicaid program integrity policy, regulations, and external reports, developing action plans to reduce improper payments, and monitoring performance. She also leads the development of CMS' Opioid Strategy. Her leadership has forged consensus both inside and outside of the Center on program integrity strategies, operational efficiencies, and vulnerability mitigations. Prior to joining CMS, Dr. Greene led strategy and operational support projects to help stand up new programs, gain efficiencies, build collaborations and foster professional development.

Dr. Greene earned a Doctor of Medicine degree at the Yale University School of Medicine and completed her clinical training at the Johns Hopkins Hospital. She also earned a Master of Public Health degree at the Yale University's School of Public Health and a Master of Business Administration degree at Loyola College in Maryland.

Dr. Greene has nothing to disclose.

Captain Lauri Hicks, DO, presenter, is a Medical Epidemiologist in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention's (CDC's) National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) and serves as a Captain in the United States Public Health Service (USPHS). After completing her residencies, Dr. Hicks served a two year position as an Epidemic Intelligence Service Officer at the CDC and a Post-Doctoral Fellowship in infectious diseases at Brown University. After completing her studies, she returned to the CDC to lead respiratory outbreak response and the Legionnaires’ Disease Program. Dr. Hicks became the Medical Director for the “Get Smart: Know When Antibiotics Work” Program, which aims to educate healthcare providers and the public about appropriate antibiotic use in 2008. She leads research on antibiotic use and resistance trends and serves as the campaign spokesperson. Dr. Hicks became the Director for CDC’s Office of Antibiotic Stewardship in the Division of Healthcare Quality Promotion to improve integration of stewardship across the healthcare continuum in 2015.

Dr. Hicks earned a Doctor of Osteopathic Medicine degree at the Philadelphia College of Osteopathic Medicine. She completed her internal medicine and chief medicine residencies at the University of Connecticut.

Dr. Hicks has nothing to disclose.

Arjun Srinvasan, MD, presenter, has worked at the Centers for Disease Control and Prevention (CDC) since 2013, where he is currently the Associate Director for Healthcare Associated Infection Prevention Programs. In this role, he works on efforts to prevent infections and improve antibiotic use. Dr. Srinvasan has extensive experience on antibiotic stewardship in hospitals. He founded the Antibiotic Stewardship Program at Johns Hopkins Hospital in 2001. Since joining the CDC, Dr. Srinvasan has worked on various projects, publications and policies related to hospital antibiotic use.

Dr. Srinvasan earned a Doctor of Medicine degree at Vanderbilt University.



10

Dr. Srinvasan has nothing to disclose.






11

Catching Everyone in America’s Safety Net: Collecting Data on Sexual Orientation and Gender Identity in Health Care Settings

(Activity #: IP-12142016-3)

Activity DescriptionThis master class will serve as an introduction to lesbian, gay, bisexual, and transgender (LGBT) terminology, health issues, and ways to improve health quality for the LGBT population through data collection of sexual orientation and gender identify (SOGI) information. The material will begin with covering the basic terminology for lesbian, gay, bisexual, and transgender people and the difference between sexual orientation and gender identity. Followed by, why it is important to ask people about their sexual orientation and gender identity in clinical settings, LGBT health needs and disparities, and why SOGI data should be collected.

Throughout the training participants will gain valuable information about the Mapping Medicare Disparities (MMD) Tool, and how SOGI data would enhance it. The presentation will then discuss different ways to collect SOGI data in the clinical setting and recommend different ways to start implementing sexual orientation and gender identity questions into work flows with and without electronic health records.

The content of this class is applicable for any medical provider or health system and may be of particular interest for those serving the elder population, since special consideration is provided for working with older adults who may also be uncomfortable discussing their sexual orientation and gender identity.



• Identify several lesbian, gay, bisexual, and transgender (LGBT) specific health disparities and health needs • Recognize why collecting sexual orientation and gender identity data improves health care quality



Christina N. Dragon, MSHP, presenter, has served as the Sexual and Gender Minority Data Lead and Subject Matter Expert (SME) for the Centers for Medicare & Medicaid Services Office of



12

Minority Health (CMS OMH) since March 2016. Previously, Ms. Dragon worked on the National public health initiative, Healthy People 2020, at the National Center for Health Statistics (NCHS)as the Analyst for LGBT (lesbian, gay, bisexual, and transgender) Health, Social Determinants of Health, and other topic areas.

Ms. Dragon completed her Master's Degree thesis in the field of LGBTQ (lesbian, gay, bisexual, transgender, and queer (and/or questioning) individuals/identities) Health, with a focus on provider training for individuals working with and asking patients about their sexual orientations and gender identities. While at CMS OMH, Ms. Dragon has led the development of a web based training for the Medicare Learning Network® on how to collect sexual orientation and gender identity data in clinical settings. Additionally, Ms. Dragon presented CMS OMH's sexual and gender minority portfolio at the 2016 Gay and Lesbian Medical Association Conference in St. Louis, Missouri and will be presenting a similar poster at the 2016 American Public Health Association's Annual Meeting in Denver, Colorado.

Ms. Dragon earned a Master of Science in Public Health, with an emphasis on Health Education and Communication and LGBTQ Health, at Johns Hopkins Bloomberg School of Public Health.

Ms. Dragon has nothing to disclose.

Samuel C. “Chris” Haffer, PhD, presenter, is currently serving as Senior Manager for the Director of the Data and Policy Analytics Group in the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH). In this role, Dr. Haffer directs and manages operational activities that relate to identifying and eliminating health disparities in under served populations. He develops new programs and initiatives, evaluates existing programs, and serves as an expert and principal source of advice and guidance to the OMH Director on health disparities, data analysis, research, and evaluation.

Dr. Haffer's experience also includes serving as a Program Director and Senior Technical Advisor in the CMS Office of Information Products & Data Analytics, where he led the Medicare Claims Data Public Use File Program and created free claims-based public use files. He also created the Medicare Data Sharing Program that allows performance measurement organizations access to Medicare claims data for developing report cards for health care providers, from 2011 through 2013. Dr. Haffer also served as Director of the National Medicare Health Outcomes Survey Program from 1997 through 2011.

Dr. Haffer is an Internationally recognized expert in the measurement and reporting of geriatric health outcomes, who authored or co-authored nearly two dozen articles in prominent peer reviewed journals. His research has focused on racial, ethnic, gender, and socioeconomic disparities in health outcomes of the elderly. He is currently exploring the impact of sexual minority status on health in the Medicare population.

Dr. Haffer earned a Doctor of Philosophy degree in Public Policy and a Master of Professional Studies (MPS) in Health Policy at the University of Maryland Baltimore, where he also served as Adjunct Associate Professor of public policy.

Dr. Haffer has nothing to disclose.



13






14

Moving from Quantity to Quality in Transforming Clinical Practice initiative and Understanding APMs

in context of the Quality Payment Program (Activity #: IP-12142016-4)

Activity DescriptionThis master class presents why and how practices can move from Quantity to Quality-based care and flourish within Alternative Payment Models (APMs). Discussion will focus on what defines APMs and how clinicians and practices are empowered to share, adapt, and develop comprehensive quality improvement strategies. The Transforming Clinical Practice Initiative (TCPI) is the bridge to APMs and quality-based care using consultation, hands-on quality improvement support, tools, and peer-based learning networks that enable both primary care and specialty practices to demonstrate improved care delivery; and as a result, prepare for successful performance in the health care value-based payment environment.



• Identify how the Transforming Clinical Practice Initiative (TCPI) improvement model prepares practices to move from quality to quantity-based care and to flourish within an Alternative Payment Model (APM) • Recognize how the TCPI improvement infrastructure enables both primary care and specialty practices to demonstrate improved care delivery



Lieutenant Commander (LCDR) Fred Butler, Jr, MBA, MPH, presenter, is a National leader in the areas of quality improvement, clinical and operational management, and effective use of knowledge management and information systems. As Senior Advisor for Quality Improvement for the Transforming Clinical Practice Initiative (TCPI), LCDR Butler leads a National development, management, and improvement contract that includes Practice Transformation Network cooperative agreements. TCPI provides support to more than 140,000 clinicians. Prior to joining TCPI, he served as Communication Lead and Senior Contracting Officer Representative (COR) for the United States Department of Health and Human Services (HHS) Partnership for Patients Initiative, with 3,700 hospitals keenly focused on achieving 40% reduction in preventable



15

Hospital Acquired Conditions (HACs) and a 20% reduction in 30-day hospital readmissions.

Prior to his current work at the Centers for Medicare & Medicaid Services (CMS), LCDR Butler served as a civilian employee with the HHS Health Resources and Services Administration for 14 years. He led change in several large scale National quality improvement efforts, including the Patient Safety and Clinical Pharmacy Services Collaborative, Organ Donation and Transplantation Collaborative, and the Health Disparities Collaboratives.

LCDR Butler has received several honors for generating results. He received the Secretary’s Distinguished Service Award for Execution of Major Projects and was a Federal Executive Board Silver Award winner in 2015. LCDR Butler received the Hubert H. Humphrey Award for Service to America, in recognition of the outstanding achievements that contributed to the improvement of the health and quality of the Nation in 2014. He was also awarded the Health Resources and Services Administration’s 2007 Administrator’s Award for Excellence, for innovative leadership, demonstrated results improving the health status of medically under-served, and sustained exemplary performance in support of the HRSA Health Disparities Collaboratives across our nation.

LCDR Butler earned a Master of Business Administration degree and a Master of Public Health degree at George Washington University.

LCDR Butler has nothing to disclose.

Robert Flemming, PhD, presenter, has been employed by the Centers for Medicare & Medicaid Services' (CMS') Innovation Center since September 2013. Dr. Flemming worked on the Patient-Centered Medical Home (PCMH) models, led the Home Health Value-Based Purchasing Model design and clearance. Dr. Flemming serves as the Director for the Transforming Clinical Practice Initiative (TCPI) and is an expert in this activity.

Dr. Flemming earned a Doctor of Philosophy degree in Health Services Research, Management, and Policy at the University of Florida.

Dr. Flemming has nothing to disclose.

Sarah McHugh, MPH, presenter, has been employed by the Centers for Medicare & Medicaid Services' (CMS') Innovation Center since February 2014. She worked on Accountable Care Organization (ACO) models and led development of the Comprehensive Primary Care Plus (CPC+) model. Ms. McHugh is currently serving as the CPC+ Team Lead and is leading the team implementing the model. Her previous experience also includes working in politics and on Capitol Hill.

Ms. McHugh earned a Master of Public Health degree, with an emphasis on Health Management and Policy, at the University of Michigan.

Ms. McHugh has nothing to disclose.

Adam C. Richards, MA, presenter, has been employed by the Quality Improvement and Innovation Group at the Centers for Medicare & Medicaid Services (CMS) since August 2016. Mr. Richards served as an Educational Consultant on population health management, data analytics,



16

and health policy in the private sector from August 2014 through July 2016. He has developed educational resources on the Quality Payment Program in various formats, such as printed materials, eLearning modules, train-the-trainer programs, webinars, and slide presentations. Prior to joining CMS, Mr. Richards designed training modules and short videos on population health management principles and techniques, health care payment models, risk adjustment, and quality improvement.

Mr. Richards earned a Master of Arts degree in History at Millersville University.

Mr. Richards has nothing to disclose.






17

Successful Project and Benefits Management (Activity #: IP-12142016-5)

Activity Description This master class will look at the elements of project management and industry practices. There will be a discussion about why project management is a critical component of any endeavor. The concept of benefits management and how this concept affects project outcomes will also discussed.

Target Audience This activity is designed for all health care professionals.

Learning Objectives By the end of this session, the participant should be able to:

• Identify basic project management concepts • Recognize the benefits of good project management practice• Recognize high level project management tools



Mark S. Kaufman, MS, presenter, has been employed by the MITRE Corporation since 2009. He was employed as an Associate Department Head for Program Management from 2010 through 2015. Mr. Kaufman has been the Department Head for Enterprise Program and Risk Management since 2015. Prior to being employed by MITRE, Mr. Kaufman served as the Vice President for Program Management at Affiliated Computer Service, a Fortune 500 company.

Mr. Kaufman is a recognized Subject Matter Expert (SME) in project management. He currently retains the Project Management Professional (PMP) certification. Mr. Kaufman has been called upon to conduct project assessments and has experience in the development and delivery of project management training.

Mr. Kaufman earned a Master of Science degree in Electrical Engineering, with an emphasis on Computer Architectures, at the University of Maryland.

Mr. Kaufman has nothing to disclose.

Vincent Truett, MPA, presenter, is a Principal in the MITRE Corporation Enterprise Program & Risk Management Department. In addition, he is the Project Leader for MITRE’s Program



18

Collaboration Center (PCC) Phase III contract with the Centers for Medicare & Medicaid Services' (CMS') Center for Clinical Standards and Quality (CCSQ).

Mr. Truett has over 25 years of professional experience managing and supporting programs and projects in the public, private, and non-profit sectors. He has supported program management offices (PMOs) and successfully managed multi-contractor teams and individuals as a Program Manager, Deputy Program Manager, and Project Manager. His commercial contracting experience includes program and project management work with Booz Allen Hamilton, Deloitte Consulting, and Perot Systems Government Services. During Mr. Truett’s eight years with the United States Government Accountability Office (GAO), he performed as a Senior Evaluator on significant defense reviews and evaluations of Department of Defense (DoD) offices and commands.

Mr. Truett holds an Master of Public Administration degree from Virginia Tech and a Bachelor of Science degree from Savannah State University. In addition, he is a certified Project Management Professional (PMP), Certified Scrum Master (CSM), and certified in ITIL v3.

Mr. Truett has nothing to disclose.






19

Applying Lean Thinking via Analytics to Drive Improvements (Activity #: IP-12142016-6)

Activity Description The Lean methodology focuses on creating more value from the customer’s perspective while minimizing waste. In order to achieve this goal, engagement needs to happen all throughout the process to truly understand how changes impact not only the end customer but other stakeholders. This session will provide an overview of leadership's role in empowering and engaging its staff to identify and communicate opportunities for improvement.

It will also discuss Lean work at the Centers for Medicare & Medicaid Services (CMS) focused around driving Immediate Advocacy for its beneficiaries. Participants will be provided real-time feedback on the Division of Beneficiary Healthcare Improvement & Safety's proposed solutions to solve for resolving beneficiary complaints through the Beneficiary and Family Centered Care-Quality Improvement Organization (BFCC QIO) case review process and see how CMS is using Lean tools to reduce long-term catheter use for dialysis patients.



• Describe multiple Lean problem solving tools • Identify several examples of how the Centers for Medicare & Medicaid Services (CMS) and Quality Improvement Organizations (QIOs) use Lean to problem solve and bring value to their work



Kara Barcelo, MBA, presenter, performed a detail with the Centers for Medicare & Medicaid Services (CMS) Lean Team, while employed with the United States Department of Health and Human Services (HHS) in the Office of the Chief Information Officer, from October 2014 through January 2014. She has been employed by CMS as of June 2015, with her first assignment as the IT Project Manager for CROWNWeb. In addition , Ms. Barcelo has been full-time in support of CCSQ Lean efforts, serving as the Project Support Governance Workgroup Lead for the Information Systems Group and Division of PQRS and ESRD Systems' Lean Ambassador and Center Operations Lead since June 2016. Ms. Barcelo is a Lean change agent in training and developing CCSQ staff in the Lean Management Operating System (LMOS), which supports a



20

culture of continuous improvement and a community of problem solvers.

Ms. Barcelo earned a Master of Business Administration degree at the Keller Graduate School of Management at DeVry University. She is also a CMS certified Lean Ambassador and a Master Certificate in Enterprise Lean Solutions.

Ms. Barcelo has nothing to disclose.

Thomas Bond, MBA, presenter, has been employed by Livanta as a functioning Assistant Program Director since November 2015. At Livanta, Mr. Bond is leading a systematic company-wide effort to implement Lean principles in each department of the company. His previous work experience includes working in the Human Resources Department at the University of Washington School of Medicine, a World Health Organization affiliate, and the Bureau of Land Management. Mr. Bond also has extensive experience in public speaking and training in the area of cross-cultural communication.

Mr. Bond earned a Master of Business Administration degree at the University of Phoenix.

Mr. Bond has nothing to disclose.

Rita Bowling, MBA, MSN, RN, presenter, has been employed by KEPRO, the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC QIO) for Area 3 since 1999. She has been serving as a Project and Program Director for the Area 3 BFCC-QIO since 2014. During her years as Project Director, Ms. Bowling held Certified Professional in Healthcare Quality (CPHQ) certification. Her role as Project Director gave her multiple opportunities to train and oversee quality improvement projects throughout the State of Ohio, allowed her to work with key stakeholders throughout the State, and lead and staff in successful healthcare improvement projects. Her current role as Program Director has allowed Ms. Bowling to provide monitoring and oversight to continuous quality improvement projects within the organization and to standardize processes across all contract sites.

Ms. Bowling earned a Master of Business Administration degree at Baldwin Wallace. She also earned a Master of Science degree in Nursing at Wayne State University.

Ms. Bowling has nothing to disclose.

Angel Davis, MBA, MS, RN, presenter, has been employed by the Centers for Medicare & Medicaid Services (CMS) since June 2012. She began her career with CMS as a Senior Policy Analyst in the Medicaid Division of Pharmacy. She worked in the Center for Program Integrity in the Medicaid Contractor Monitoring Group as well as working on the implementation of the "Physician Sunshine Act" from 2012 through 2014. Ms. Davis joined the Quality Improvement Group, serving as the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC QIO) Subject Matter Expert (SME) in 2014. She also serves as the SME for the Beneficiary and Family Centered Care National Coordinating Center (BFCC NCC) and the Quality Improvement Initiatives (QIIs) SME for the Quality Innovation Network Quality Improvement Organization (QIN-QIOs) contracts.

Ms. Davis has been a Registered Nurse for more than 20 years. In her current role as the BFCC NCC SME, she has been instrumental in the development of the BFCC NCC National level



21

dashboard, which captures the case review activities of the BFCC-QIOs. She is also responsible for presenting the information to various stakeholders within CMS.

Ms. Davis earned a Master of Business Administration degree and a Master of Science degree in Healthcare Administration at the University of Maryland. She also earned a Bachelor of Science degree in Nursing at University of Maryland School of Nursing.

Ms. Davis has nothing to disclose.

Josh Dominick, MPA, presenter, has been employed by KEPRO, a Medicare Quality Improvement Organization, and the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC QIO) as the Senior Health Data Analyst since November 2014. Prior to joining KEPRO, Mr. Dominick worked as a Data Analyst for Safeguard Services, a Medicare Zone Program Integrity Contractor and the Pennsylvania Bureau of Program Integrity, analyzing fraud, waste, and abuse trends in the Medicare and Medicaid programs.

Mr. Dominick has spent the last 10 years working in the healthcare field in various capacities to improve efficiency and economics. He has a strong interest in data analytics and business intelligence solutions to put data to work and make it actionable for various stakeholders.

Mr. Dominick earned his Master of Public Administration degree, with an emphasis on public policy analysis and process improvement, at Shippensburg University.

Mr. Dominick has nothing to disclose.

Renee Dupee, JD, presenter, has spent the last 15 years working to improve health care outcomes through the use and implementation of quality improvement. Her government career began in the field of Organ Donation and Transplantation at the Health Resources and Services Administration (HRSA), where she worked with a dynamic team of dedicated professionals to save 15,000 additional lives. The team accomplished this by culling and spreading best practices of high performing organ procurement organizations and transplant centers. Using that knowledge base, Ms. Dupee joined the Centers for Medicare & Medicaid Services' (CMS') Quality Improvement Group, where she works to ensure that persons receiving dialysis and/or living with end stage renal disease (ESRD) are receiving the best quality of care and access to care. Ms. Dupee is currently serving as the Team Lead for the ESRD Network Program.

Ms. Dupee's primary research and professional interests include best practice evaluation, quality improvement from a systems perspective, reducing health disparities, improving transplantation rates, and end of life and palliative care. She has prepared and developed education for Medicare beneficiaries, providers, and other stakeholders in various formats such as printed materials, web-based Training (WBT) courses, and slide presentations. Ms. Dupee has conducted seminars, teleconferences, and one-on-one training on the ESRD Network Program and the Medicare laws and regulations that impact people living with ESRD.

Ms. Dupee earned a Juris Doctor degree at the Suffolk University School of Law and a Bachelor of Science degree in Political Science at Hampton University.

Ms. Dupee has nothing to disclose.



22

Confidence Gbarayor, Ph.D., MPH, is an Epidemiologist and Health Services Researcher with over 15 years of combined experience in this field. Dr. Gbarayor joined the Centers for Medicare & Medicaid Services (CMS) as a Health Insurance Specialist in 2010. In this role, she served as the Lead Data Analyst for the Medicare Part D Prescription Drug Program for six years. Dr. Gbarayor is currently serving with the Center for Clinical Standards and Quality (CCSQ) at CMS, where she is the Beneficiary and Family Centered Care (BFCC) Coordinator in the Quality Improvement and Innovation Group (QIIG). Dr. Gbarayor's previous experience includes working for the United States Food and Drug Administration (FDA) as an Epidemiologist . She also served as a Commissioned Officer in the United States Public Health Service (USPHS).

Dr. Gbarayor has extensive education and hands-on experience in the area of data analytics. She has conducted training in the area of health services research and epidemiology and published in peer-reviewed journals.

Dr. Gbarayor received her Doctor of Philosophy in Pharmaceutical Health Services Research, with a concentration in Pharmacoepidemiology, at the University of Maryland School of Pharmacy. She also earned a Master of Public Health degree in Epidemiology at the George Washington University School of Public Health and a Bachelor of Science degree in Biochemical Pharmacology at the State University of New York at Buffalo, School of Medicine and Biomedical Sciences.

Dr. Gbarayor has nothing to disclose.

Debbra Hattery, MSN, presenter, has worked at the Centers for Medicare & Medicaid Services (CMS) for 18 years and has a variety of Medicare program experience. She began her career at CMS in the Clinical Standards Group, writing conditions of participation for hospitals. During her tenure with CMS, Ms. Hattery has also worked in program integrity, post-payment medical review, and a variety of leadership positions in the Center for Clinical Standards and Quality (CCSQ) for the past 13 years. She is currently the Deputy Director of the CCSQ.

Prior to assuming the Deputy Director role, Ms. Hattery was the Director of the Information Systems Group at CCSQ. She was responsible for providing leadership for the information technology systems and investments that support quality data collection, processing, and reporting for the Quality Improvement Organization (QIO) program, Physician Quality Reporting System (PQRS), hospital inpatient and outpatient quality reporting, Ambulatory Surgery Center (ASC), psychiatric facility reporting, End Stage Renal Disease (ESRD) coverage and benefits, post-acute patient assessment instruments, survey and certification complaint and survey data, and the Hospital and ESRD Value-Based Purchasing programs.

Ms. Hattery earned a Master's Degree in Nursing and Health Policy at the University of Maryland.

Ms. Hattery has nothing to disclose.

Denise Mikin, MBA, presenter, has been employed by KEPRO, a Beneficiary and Family Centered Care Quality Improvement Organization & National Coordinating Center (BFCC QIO/NCC), as a Project Director from 2001 through 2016. She has been the Executive Director of the BFCC-NCC since 2014 and serving the Centers for Medicare & Medicaid Services Quality Improvement Organization (CMS QIO) program for over 15 years. Ms. Mikin has over 20 years of project management experience and 17 years of quality and process improvement experience. During this time she has gained experience with a variety of quality methodologies, including Six Sigma,



23

LEAN, the Plan-Do-Study-Act (PDSA), Total Quality Management (TQM), Rapid Cycle Testing, Human Factors Engineering, and Root Cause Analysis.

Ms. Mikin earned a Master of Business Administration degree and a Bachelor of Science degree in Chemistry at John Carroll University.

Ms. Mikin has nothing to disclose.






24

Quality Measurement in Specialty Care – Oncology as a Case Study (Activity #: IP-12142016-7)

Activity Description This master class uses oncology care as a case study to discuss quality measurement in specialty care. It outlines the challenges in quality measurement in specialty care. Speakers representing different stakeholders will discuss how these challenges shaped early measurement in cancer care, how we currently measure quality in cancer care, and how we eventually hope to be able to measure quality in cancer care.



• Identify both challenges unique to quality measurement in specialty and oncology care • Identify challenges shared with quality measurement in all settings • Identify opportunities for improving quality measurement in specialty care



Ronald M. Kline, MD, FAAP, presenter, is a Medical Officer at the Center for Medicare and Medicaid Innovation (CMMI). He is part of the program teams directing the Oncology Care Model and the Medicare Care Choices Model, as well as a Centers for Medicare & Medicaid Services (CMS) representative to the Cancer Moonshot Initiative. As a Robert Wood Johnson Foundation (RWJF) 2013/2014 Health Policy Fellow, Dr. Kline focused on health policy in the Office of Senate Finance Committee Chair Ron Wyden and CMMI.

Dr. Kline has been a clinical Pediatric Hematologist-Oncologist for over 25 years. He served as the Pediatric Medical Director for Comprehensive Cancer Centers of Nevada immediately prior to accepting his RWJF fellowship. Dr. Kline continues to be clinically active as a Medical Officer, volunteering in the pediatric hematology-oncology clinics at Walter Reed Military Medical Center and Johns Hopkins Hospital. He also works as a Pediatric Hospitalist and Emergency Department Physician at the Greater Baltimore Medical Center.

Dr. Kline earned a Doctor of Medicine degree and a Bachelor of Arts degree in Biology at the University of California, Los Angeles.



25

Dr. Kline has nothing to disclose.

Rebecca Metzger, presenter, is employed by Telligen, who provides program implementation and monitoring services through a sub-contract with RTI to the Centers for Medicare & Medicaid Services (CMS) in support of the Oncology Care Model. Ms. Metzger is currently providing support for CMS Quality Measures initiatives and population health management solutions. She has 10 years of leadership experience providing support to CMS in implementation of quality initiatives across many care settings and CMS demonstrations. Ms. Metzger's leadership experience includes implementing population health programs focused in improving the quality of care, while reducing costs for Medicare, commercial insurers, and Medicaid populations.

Ms. Metzger earned a Bachelor of Science degree in Psychology at Drake University.

Ms. Metzger has nothing to disclose.

Eduardo Ortiz, MD, MPH, presenter, is the Director of Quality, Measures and Guidelines at the American Society of Clinical Oncology (ASCO). He is board-certified in internal medicine and has expertise in clinical medicine, evidence-based medicine, quality measures and improvement, guideline development, systematic review methodology, informatics, outcomes research, and public health. Dr. Ortiz's previous experience also includes serving as the Medical Director and Senior Fellow at Atlas Research, a veteran-owned small business that provides consulting services for Federal agencies to assess and improve the quality of health care. He also served as the Director of Clinical Development and Informatics at ProVation Medical and Wolters Kluwer Health, were he led the development and implementation of evidence-based order sets in the inpatient, outpatient, and emergency department settings in more than 700 academic and private clinical care organizations.

Dr. Ortiz has been an author on more than 40 journal articles, book chapters and government reports. He has delivered over 90 presentations at Regional, National, and International meetings. He has held academic faculty appointments at Georgetown University, Johns Hopkins, Harvard, George Washington University, and the University of California, San Diego.

Dr. Ortiz earned a Master’s Degree in Public Health at University of Utah Health Sciences Center. He completed a fellowship in General Internal Medicine and Medical Informatics and Salt Lake City Veterans Administration Medical Center.

Dr. Ortiz has nothing to disclose.

Tracy Spinks, presenter, has been employed by the University of Texas MD Anderson Cancer Center, a National Cancer Institute-designated (NCI-designated) comprehensive cancer center since 2010. Ms. Spinks currently serves as the Program Director for Cancer Care Delivery. She is responsible for the development of oncology focused health policy, cancer-specific outcomes, and alternative payment models. Ms. Spinks also serves as the Program Director for the Alliance of Dedicated Cancer Centers' Quality Committee, where she provides tactical direction for measure development. Her previous experience includes providing management and litigation consulting services to clients in oil and gas, manufacturing, and other industries.

Ms. Spinks has over six years of experience in cancer quality measurement. She is well versed in cancer quality measurement and measure development. She presents on cancer related topics



26

at local and National conferences each year. She served as a Consultant for the Institute of Medicine on the topic of cancer quality measurement in 2012.

Ms. Spinks earned a Bachelor of Business Administration degree in Management Information Systems and European Studies at the University of Houston.

Ms. Spinks has nothing to disclose.

Andrew York, PharmD, JD, presenter, is a Pharmacist and Attorney in the Patient Care Models Group (PCMG) of the Center for Medicare and Medicaid Innovation (CMMI). Dr. York works on the program team for the Centers for Medicare & Medicaid Services (CMS) Oncology Care Model (OCM), where he led the development of the OCM Quality Strategy. He serves as a Subject Matter Expert (SME) on OCM clinical and quality measures. Prior to working at CMMI, Dr. York was an Oak Ridge Institute for Science and Education (ORISE) Health Policy Fellow at the Department of Health and Human Services (HHS) Office of Disease Prevention and Health Promotion (ODPHP), where he helped develop the HHS National Action for Adverse Drug Event Prevention.

Dr. York has developed education and training materials for quality measurement for the Oncology Care Model in various formats, including printed materials, webinars, and slide presentations. He has conducted webinars, office hours, and one-on-one training for OCM providers on quality data collection and submission.

Dr. York earned Doctor of Pharmacy degree at the University of Maryland School of Pharmacy and his Juris Doctor degree at the University of Maryland Francis King Carey School of Law.

Dr. York has nothing to disclose.




12-14-2016 quality net: the centers for medicare ... · the centers for medicare & medicaid...

Documents