PTO TRAINING JANUARY 7TH, 11:00 AM Call Instructions: Please • Mute your phone, microphone, and speakers on your computer/device • Turn off the zoom video feature • Enter your name/organization in the chat box feature for attendance • Submit questions via the chat box feature Questions will be answered following the presentation • Time to ask questions via audio will be offered for those on the phone • *6 - Toggle mute/un-mute • *9 - Toggle raise/lower hand • 1
CQM WEBINAR MONDAY, JANUARY 7TH 11:00 AM – 12:00 PM
AGENDA TCPI updates Conflict of Interest Forms Q3 CQM data report 3 Q4 CQM reporting requirements eCQM project update Extended CHITA Services Q&A
TCPi: Please submit all Clinical Quality Measures by 01/28/19 All CQMs will be submitted through the Healthcare Communities tool TCPi CHITA Field Note – Due for fourth Quarter. NQF PQRS Description Weight assessment and counseling for nutrition NQF 0024 and physical activity for children and adolescents. PQRS 239 NQF 0421 Body Mass Index (BMI) screening and follow-up. PQRS 128 Tobacco use assessment and tobacco cessation NQF 0028 intervention. PQRS 226 Blood pressure control. PQRS 236 NQF 0018 NQF 0059 HbA1c control for patients with diabetes. PQRS 001 Screening for clinical depression and follow-up NQF 0418 plan. PQRS 134 Developmental screening in the first 3 years of NQF 1448 life. PQRS n/a 4
We will be using the TCPi National CQM collection tool from here on out Please login through SPLIT to access the CQM survey 5
Aggregate percent of eligible patients screened for depression over time as reported by the CMHCs and cohorts 2 & 3 80.00% 74.60% 70.00% 61.20% 64.97% 60.00% 50.00% 52% 56.32% 45.50% 40.00% 30.00% 20.00% 10.00% 0.00% 2017 Q2 2017 Q3 2017 Q4 2018 Q1 2018 Q2 2018 Q3 Cohort 2 Cohort 3 CMHCs Primary care target 7
Aggregate percent of patients with diabetes and who have poor HbA1c control in cohort practices sites and CMHCs 60.00% 50.00% 41.60% 40.00% 28.64% 35.24% 30.00% 27.40% 29.80% 20.00% 21.70% 10.00% 0.00% 2017 Q2 2017 Q3 2017 Q4 2018 Q1 2018 Q2 2018 Q3 Cohort 2 Cohort 3 CMHCs Primary care target Lower values are desired for this measure 8
Aggregate percent of eligible 1-3 year-olds screened for developmental concerns over time as reported by cohorts 2 & 3 100.00% 90.00% 86.07% 85.45% 80.00% 75.25% 70.00% 60.00% 50.00% 40.00% 2017 Q3 2017 Q4 2018 Q1 2018 Q2 2018 Q3 Cohort 2 Cohort 3 9
Percentage of active primary care practice sites reporting CQMs each quarter 99.35% 96.64% 100.00% 89.16% 97.40% 90.00% 87.92% 83.78% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 2017 Q3 (optional for 2017 Q4 2018 Q1 2018 Q2 2018 Q3 cohort 2) Cohort 2 - 1 more more CQMs Cohort 2 - Required number of CQMs Cohort 3 - 1 more more CQMs Cohort 3 - Required number of CQMs
Across the cohorts: ▪ 59 cohort 2 practices reported issues ▪ 35 cohort 3 practices reported issues ▪ 3 CMHCs reported issues By the numbers: ▪ 66 practice sites had issues related to the EHRs or EHR vendor ▪ 20 practice sites had issues related to measure workflows ▪ 26 practice sites had “Other Issues” ▪ Many practices reported multiple issues 11
▪ Having to pull data manually ▪ Lack of EHR vendor support around some or all measures ▪ New EHR systems ▪ Measures not built into current systems ▪ Concern about measures being correct 12
Q4 2018 SIM CQM REPORTING REQUIREMENTS
SIM Q4 2018 CQM reporting requirements ▪ Practice sites choose: trailing 12 months (preferred) or year-to-date ▪ Q4 report due January 31st, 2019 14
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ECQM TOOL PHASE 2
ECQM TOOL - HDCO UPDATE ▪ Update from HDCO 18
EXTENDED CHITA SERVICES COHORT 1 ▪ Work in underway with 35 practices ▪ Monthly call for CHITAs on this project third Tuesday of the month in December, January, February and March ▪ Questions? 19
FUTURE PTO TRAININGS ▪ 1/8 – TCPi PTO Touchbase; 9-10 am ▪ 1/15 – CHITA Learning Community; 3-4 pm ▪ 1/16 - MGMA Practice Webinar; Cost and quality: How does My Practice Stack Up; noon – 1 pm ▪ 1/17 – Learning Features; Maintenance of Certification: What is it and how do you Leverage it as a Practice Facilitator? ; 10-11 am ▪ 1/18 – MGMA Face to Face session; Denver Catalyst Center 3513 Brighton Blvd, Denver, CO 80216 Thrive in the Value Based World; Financial Keys to Succeed 8 am - noon ▪ 1/22 – CO QPP Coalition Webinar; noon- 1 pm ▪ 1/23 – SIM PTO Training; COHORT 2 & 3; Discuss challenges for BB3, BB6, BB7 and Introduce/Review/Expand BB8, BB9, BB10; 9-10 am ▪ 1/24 - SPLIT Office Hours; 9-10 am 20
FINAL SIM PRACTICE/PTO CLS ▪ March 7 – Denver Metro, Omni Broomfield ▪ March 8 – Western Slope, Grand Junction 21
RECURRING 2019 MEETINGS ▪ TCPi PTO Touchbase, 2 nd Tues 9-10 am https://ucdenver.zoom.us/j/528399801 ▪ CHITA Learning Community; 3 rd Tues 3-4 pm https://ucdenver.zoom.us/j/649728337 ▪ MGMA Practice Webinar; 3 rd Wed 12 -1 pm Pam sends invites ▪ Learning Features: 3 rd Thurs 10-11 am Registration URL: https://ucdenver.zoom.us/webinar/register/WN_nrGnzDtjT2ypsPNqD9U7jA ▪ CO QPP Coalition; 4 th Tues 12:00 to 1 pm Registration URL: https://ucdenver.zoom.us/webinar/register/WN_i9Z7g8GYRUKt2EW8zuYywg ▪ SIM PTO Training; 4 th Wed 9-10 am Registration URL: https://ucdenver.zoom.us/webinar/register/WN_OnsUIG79RjO4_kpA2BTdsA ▪ SPLIT Office Hours; 4 th Thurs 9-10 am Registration URL: https://ucdenver.zoom.us/webinar/register/WN_6Up2d-TTSNWmXbDxOIKlrw ▪ After registration add event to your personal calendar. 22
University Practice Innovation Team Contact Information Practice Transformation – Stephanie.Kirchner@ucdenver.edu Learning Community - Kellyn.Pearson@ucdenver.edu CQMs – Andrew.Bienstock@ucdenver.edu SPLIT/Data Related – PracticeInnovation@UCDENVER.EDU ITMATTRs 2 – Daniel.Pacheco@ucdenver.edu TCPi - Kristin.Crispe@ucdenver.edu or Allyson.Gottsman@ucdenver.edu SIM – Taryn.Bogdewiecz@ucdenver.edu or Heather.Stocker@ucdenver.edu Invoicing – Natalie.Buys@ucdenver.edu 23
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