QUALITY PAYMENT PROGRAM SMALL UNDERSERVED RURAL SUPPORT (QPP SURS) WEBINARAPRIL 16, 11:00 AM ET AND APRIL 18, 3:30 PM ET

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS FOR SOLO AND SMALL GROUP PRACTICES

LESSONS LEARNED: HOW TO SUCCEED IN MIPS

HOUSEKEEPING ANNOUNCEMENTS

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

POLLING QUESTIONWhat is your role?▸

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A clinician working in a practice with 15 or fewer clinicians

Non clinical staff from a practice with 15 or fewer clinicians

A clinician working in a practice with more than 15 clinicians

Non clinical staff in a practice with more than 15 clinicians

Quality Payment Program (QPP) contractor

Other person helping practices prepare for MIPS

Other

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

POLLING QUESTIONWhat MIPS topics are you most interested in learning about from your peers?

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

POLLING QUESTIONWhat are your biggest expected challenges or concerns with receiving a high MIPS score?

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

CMS WELCOME6

Adam C. Richards

Division of ESRD, Population & Community Health

Center for Clinical Standards and Quality

Centers for Medicare & Medicaid Services

LESSONS LEARNED: HOW TO SUCCEED IN MIPS

Bruce Spurlock, MDPresident & CEO,Cynosure Health

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Paige Stover, Office Manager, Lawrenceville

Family Practice

Christa Thompson, CPHIMS, Practice Solutions Advisor,

QSource

Dr. Deepanshu Garg, MD, MBA

LESSONS LEARNED: HOW TO SUCCEED IN MIPS

SETTING THE STAGE▸

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Focus: Meeting MIPS requirements while effectively serving your community and meeting financial goals

Strategy: Discussion with panelists from small practices like yours to share their MIPS experience, insights, and strategies to overcome challenges.

Topic Overview:

Initial ChallengesTips to succeed in the performance categoriesStrategies to effectively engage with staff and other cliniciansBenefits to your patients

Using the Chat Box

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

FIND YOUR LOCAL TECHNICAL ASSISTANCE ORGANIZATION FOR FREE ASSISTANCE

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Location of Practice Technical Assistance Organization

Contact Information

FL, GA, NC, SC, Alliant GMCF QPPSURS@alliantquality.orgIL, IN, KY, MI, MN, OH, WI Altarum qppinfo@altarum.orgCT, MA, ME, NH, RI, VT Healthcentric Advisors NEQPPSURS@healthcentricadvisors.orgAZ, CA, HI, NM, VI HSAG HSAGQPPSupport@hsag.comDC, MD, NY, VA IPRO ny-qppsupport@atlanticquality.orgAK, MT, NV, OR, UT, WY NRHI qpp@healthinsight.orgAL, TN QSource techassist@qsource.orgID, WA Qualis Health QPP-SURS@qualishealth.orgDE, NJ, PA, WV Quality Insights qpp-surs@qualityinsights.orgIA, ND, NE, SD Telligen qpp-surs@telligen.comAR, CO, KS, LA, MO, MS, OK, PR, TX

TMF QPP-SURS@tmf.org

LESSONS LEARNED: HOW TO SUCCEED IN MIPS

PANELIST INTRODUCTIONS AND INITIAL MIPS EXPERIENCES

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Introductions

Initial MIPS experiences

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QUESTION:

What were some initial challenges your practice faced when getting started with MIPS and how did you overcome those?

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

INITIAL CHALLENGES—CLINICIAN AND PRACTICE MANAGER PERSPECTIVES

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The unknown

Competing priorities

EHR and working with a vendor

Provider burden

Engaging staff

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

INITIAL CHALLENGES—TECHNICAL ASSISTANCE PERSPECTIVE

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Knowing where to get help

Group vs. Individual reporting

Choosing the right Quality Measures

Your options if you don’t have an EHR

Transition from paper charts

Getting set up in the QPP Portal

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QUESTION:

What tips do you have for success in the Quality Performance Category

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

TIPS FOR SUCCESS— QUALITY▸

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Deep dive into measures

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What is best for your practice

Make sure everyone understands the measures

Understand how to use your EHR or registries

Align MIPS with what you are already doing

2019 Qualified Clinical Data Registries2019 Qualified Registries2019 Cross Cutting Quality Measures

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QUESTION:

What tips do you have for success in the Improvement Activities Category

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

TIPS FOR SUCCESS— IMPROVEMENT ACTIVITIES▸Consider big ticket activities such as PDMP, patient experience and satisfaction

▸ Improvement Activity Inventory

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Make it easier to meet requirements:

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PHQ strategies

Point of Care testing (A1c machine in office)

Partner with local resources such as hospitals and radiologists

Don’t forget to document!

▸Data Validation Criteria

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QUESTION:

What tips do you have for success in the Promoting Interoperability Category

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

TIPS FOR SUCCESS— PROMOTING INTEROPERABILITY

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Don’t focus on exceptions or exclusions

Get with your IT company and understand the security risk analysis

Look at your EHR reports

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QUESTION:

What tips do you have for success in the Cost Category?

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

TIPS FOR SUCCESS— COST

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Look and the summary of care information from specialties in your area and to see where patients have been

Partner with local hospitals and receive daily reports of your patients that have gone to the ER

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Call patient and make sure they followed up with specialist

Educate patients about ER use

On call staff 24/7

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QUESTION:

What strategies do you have to effectively engage with staff and other clinicians?

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LESSONS LEARNED: HOW TO SUCCEED IN MIPS

STRATEGIES TO ENGAGE WITH STAFF23

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Get to know your staff

Team Approach

Strong Support Staff— someone lead the effort

Friendly competition

Sit down with staff and review each measure

Shadow staff

QUESTION:

How have these MIPS related activities benefited your patients?

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BENEFITS TO PATIENTS▸

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Better tracking of patients: following up with specialists etc…

Improved screening for breast and colorectal cancer and diabetes

24/7 access

Medicaid patients

Opioid monitoring

Decreasing hospitalizations

Tracking outpatient care

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QUESTION:

What advice do you have for small practices who are striving to increase their MIPS score?

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ADVICE FOR A BETTER MIPS SCORE▸

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Compare performance at the group and individual level

Continuously monitor your data; score yourself in first quarter

Run Clinical Reports to Pinpoint Opportunities for Care Improvement

Send patients reminders

Contact your TAC!

Capture free text data

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QUESTION:

If I still need help, where can I go?

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FREE RESOURCES FOR ASSISTANCE FROM CMS▸

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QPP website: https://qpp.cms.gov/--includes information tailored for the needs of small practices

Contact the Quality Payment Program at: QPP@cms.hhs.gov or call 1-866-288-8292

Support and Available resources for Small, Underserved, and Rural Practices: https://qualitypaymentprogram.cms.gov/about/small-underserved-rural-practices

Small Underserved Rural Support Technical Assistance Organizations (see list on slide 9)

Contact information is available at: https://qpp.cms.gov/about/small-underserved-rural-practices

Available websites of each Technical Assistance Organization

Types of help: needs assessments, webinars, technical support, links to peers you can talk with, assistance getting signed up to report through an approved channel that meets your practice’s needs

FREE Technical Assistance funded by CMS is also available for larger group practices and for clinicians interested in participating in an Alternative Payment Model. More information on those programs is available at: https://qpp-cm-prod-content.s3.amazonaws.com/uploads/25/TA%20Resource%20Guide%202017%2004%2024_Remediated.pdf

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FREE RESOURCES FOR ASSISTANCE FROM CMS▸

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2019 Final RuleResource Library2019 Qualified Clinical Data Registries (QCDRs) and Qualified Registries2019 Cross-Cutting Quality Measures2019 Medicare Part B Claims Measure Specifications and Supporting Documents2019 Clinical Quality Measure Specifications and Supporting Documents2019 Promoting Interoperability Measure Specifications2019 Merit-based Incentive Payment System (MIPS): Summary of Cost Measures2019 Improvement Activities Inventory

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WRAP-UP ACTIVITIES▸

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Links to Q&A documents, transcripts, and recordings of the event are available here: https://qppsurs.wordpress.com/resources/May: How to Maximize Your Score in the Cost Category: Advice for Solo and Small Group Practices

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Tuesday, May 14, 2019, 3:30 p.m. – 4:30 p.m. ET

Thursday, May 16, 2019, 11:00 a.m. – 12:00 p.m. ET

Please provide feedback on this event: Feedback Form

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REFERENCESSlide decks created by event panelists also provided information reflected in this presentation. The input from project panelists is gratefully acknowledged.Other documents on the https://qpp.cms.gov/ and https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/Resource-library.html website provide additional detail about the MIPS program.Disclaimer: This presentation was current at the time it was published or uploaded onto the web. Medicare policy changes periodically so links to the source documents have been provided within the document for your reference. This presentation was prepared as a service to the public and is not intended to grant rights or impose obligations. This presentation may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of their contents.

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APPENDIX: ACRONYMSAPM – Alternative Payment ModelACO – Accountable Care Organization ACI – Advancing Care InformationCERT—Certified EHR TechnologyCMS – Centers for Medicare & Medicaid ServicesER— Emergency RoomEOB— Explanation of BenefitsEIDM— Enterprise Identity Data Management MIPS – Merit-based Incentives Payment SystemPCMH— Patient Centered Medical Home

PI— Promoting Interoperability PQRS— Physician Quality Reporting SystemIA – Improvement ActivitiesEHR – Electronic Health Records QCDR—Qualified Clinical Data RegistryQPP – Quality Payment ProgramQRDA – Quality Reporting Data ArchitectureQRUR— Quality and Resource Use ReportsSURS - Small Underserved Rural Support TIN—Tax Identification Number

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