healthco accelerate 2016 speakers deck #1
TRANSCRIPT
![Page 1: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/1.jpg)
Accelerate 2016Marylhurst University
![Page 2: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/2.jpg)
Run of Show7:30 Welcome! Registration, light breakfast, meet and greet
8:00 Andrea Cunningham: Getting ROI From Your EMR
9:00 15 Minute Stretch
9:15 Jean Roque: Staff Training and Role Redesign
10:15 Bio Break
10:30 Sean Hoar: Cyber Threats – Be Aware & Prepare
11:30 Questions + Wrap Up
![Page 3: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/3.jpg)
Andrea CunninghamDirector of Professional ServicesHealthCo Information Systems
Getting ROI From Your EMR
![Page 4: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/4.jpg)
EHR Status Poll
![Page 5: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/5.jpg)
Return on Investment - ROI
Benefits (Quality + Safety + Efficiency + Profitability + Quality of Work Life)
_________________________________________________________________
Costs (Acquisition + Implementation + Annual)
![Page 6: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/6.jpg)
Benefits of EHR
Hard Savings– Cost reductions and Increased revenue
Soft Savings– Efficiencies gained by optimal use of technology
![Page 7: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/7.jpg)
Costs of EHRCosts
– Acquisition– Implementation– Annual – Ongoing process improvement– Penalties
![Page 8: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/8.jpg)
Quality Program Status Poll
![Page 9: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/9.jpg)
Continuing to recognize ROI
![Page 10: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/10.jpg)
• Optimize use
• Regular care and maintenance
• Plan for the shift in payment models
![Page 11: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/11.jpg)
• Optimize use
![Page 12: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/12.jpg)
• Regular care and maintenance
![Page 13: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/13.jpg)
• Plan for the shift in payment models
![Page 14: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/14.jpg)
2016 and beyond - the changes• VBPM• Quality Tiering• Preparation• MACRA• MIPS
![Page 15: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/15.jpg)
![Page 16: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/16.jpg)
What is the Value Based Payment Modifier (VBPM)?
• Adjustment to payments made based on the quality and cost of care furnished to their Medicare Fee-for-Service (FFS) patients and compared to national averages.
• Designed to rewards Value over Volume
![Page 17: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/17.jpg)
VBPM• Included in the 2010 Patient Protection and Affordable Care Act
(ACA)
• PQRS data and other factors are used to determine a Positive, Negative, 0% adjustment to Medicare FFS payments
• Physicians and non physician practitioners are subject to the VBPM penalty – Phased implementation based on clinic size with automatic payment adjustments
![Page 18: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/18.jpg)
• Quality Tiering
![Page 19: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/19.jpg)
VBPM Payment Adjustments for groups
X factor
![Page 20: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/20.jpg)
• How do you Prepare?
![Page 21: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/21.jpg)
What can you do in 2016?
• Participate in PQRS and use your investment to do this!• Choose quality measures wisely and improve your results• She how you ranked last year by checking you Quality
and Resource Use Reports (QRUR) on the CMS site https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Obtain-2013-QRUR.html
• Focus on preventative care to keep Medicare costs down
![Page 22: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/22.jpg)
• Looking beyond 2016
![Page 23: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/23.jpg)
• MACRA and MIPS
![Page 24: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/24.jpg)
What if you didn’t have an EHR?Clear ROI Clinical data to support QualityPatient engagement tools to promote care
![Page 25: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/25.jpg)
Questions/ Comments?
![Page 26: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/26.jpg)
Resources:https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html
https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2015-07-16-PQRS-Presentation.pdf
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Core-Measures.html
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Downloads/2016-VM-Fact-Sheet.pdf
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Downloads/2016-VM-Overview-PDF-Memo.pdf
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Obtain-2013-QRUR.html
![Page 27: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/27.jpg)
![Page 28: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/28.jpg)
![Page 29: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/29.jpg)
Appendix C
![Page 30: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/30.jpg)
ACA: Affordable Care ActACO: Accountable Care Organization APM: Alternative Payment Model CHIP: Children’s Health Insurance ProgramCPC: Comprehensive Primary Care
Initiative Practice Sites
CQM: Clinical Quality MeasureEIDM: Enterprise Identity Management GPRO: Group Practice Reporting Option IACS: Individuals Authorized Access to the
CMS Computer Services
MACRA: Medicare Access and CHIP Reauthorization Act of 2015
MIPS: Merit-based Incentive Payment System
MU: Meaningful UseNMS: National Mean ScorePCMH: Patient Centered Medical HomePQRS: Physician Quality Reporting System QCDR: Qualified Clinical Data Registry QRUR: Quality and Resource Use ReportVBPM: Value-based Payment Modifier
Acronyms referred to in Presentation
![Page 31: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/31.jpg)
Jean RoqueFounder & PresidentTrupp HR
Staff Training & Role Redesign
![Page 32: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/32.jpg)
EQUIP unleash the power of an aligned and skilled teamPRESENTER: JEAN ROQUE OF TRUPP HR
![Page 33: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/33.jpg)
![Page 34: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/34.jpg)
![Page 35: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/35.jpg)
DETERMINING SELECTION CRITERIA
ableCompetencies
Knowledge
Skills
Attributes
willingMotivation
Interests
Drive
Passion
alignedYour Culture
Teamwork
Understand the Role
![Page 36: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/36.jpg)
Com
pete
ncy
Resu
lts c
apab
le
How ABLE is the applicant?
![Page 37: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/37.jpg)
How WILLING is the applicant?
Has career path shown:Growth, development, advancementInconsistencies, anomaliesStagnation, backsliding
![Page 38: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/38.jpg)
How ALIGNED is the applicant?
INTEREST + UNDERSTANDING OF YOUR COMPANYMODEL + PRIORITIZE YOUR CORE VALUES
LIKELY TO THRIVE IN YOUR WORK ENVIRONMENT
![Page 39: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/39.jpg)
NAVIGATING CHANGE
![Page 40: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/40.jpg)
CHANGE + TRANSITION
![Page 41: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/41.jpg)
![Page 42: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/42.jpg)
![Page 43: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/43.jpg)
Recognize Diagnose Address
![Page 44: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/44.jpg)
WILLIAM BRIDGES TRANSITION MODEL
![Page 45: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/45.jpg)
OPTIMIZINGPERFORMAN
CE
![Page 46: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/46.jpg)
PERFORMANCE FACTORSExpectations• What to do?
Process• How to do it?
Decisions• Where are the
boundaries?
Consequences• What did my actions
cause?
Source: Garold L.Markle, Catalytic Coaching, Quorum Books (2000)
What can go wrong?
![Page 47: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/47.jpg)
EMPLOYEE EXPECTATIONS
Job Descriptions
Performance Goals
Processes
Procedures
Checklists
![Page 48: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/48.jpg)
IMPROVING PROCESSESPrevent an issue
Provide clarity
Establish standards
Clarify roles
Templates
Scripts
Improve systems
Quality control
![Page 49: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/49.jpg)
EMPLOYEE ONBOARDINGBest time to set employee expectations
Performance ExpectationsCulture + ValuesPatient PerspectiveIndustry-SpecificTechnologyProcessesTeam RolesEmpowerment
![Page 50: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/50.jpg)
![Page 51: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/51.jpg)
![Page 52: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/52.jpg)
![Page 53: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/53.jpg)
![Page 55: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/55.jpg)
Sean HoarPartner, David Wright Tremaine LLP
Cyber Threats – Protect Your Clients and Your Business
![Page 56: HealthCo Accelerate 2016 speakers deck #1](https://reader035.vdocuments.us/reader035/viewer/2022062823/5872a89f1a28ab07208b7371/html5/thumbnails/56.jpg)