PTO TRAINING JULY 9TH, 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 1
CQM WEBINAR MONDAY, JULY 9TH 11:00 AM – 12:00 PM
AGENDA TCPI updates Conflict of Interest Forms Q1 CQM data report 3 Q2 CQM reporting requirements eCQM project Q&A
TCPi: Please submit all Clinical Quality Measures by 07/26/18 All CQMs will be submitted through the Healthcare Communities tool TCPi CHITA Field Note – Due for second Quarter. NQF PQRS Description Weight assessment and counseling for NQF 0024 nutrition and physical activity for children and adolescents. PQRS 239 Body Mass Index (BMI) screening and follow- NQF 0421 up. PQRS 128 Tobacco use assessment and tobacco NQF 0028 cessation 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- NQF 0418 up plan. PQRS 134 Developmental screening in the first 3 years NQF 1448 of life. PQRS n/a 4
We will be using the TCPi National CQM collection tool this Quarter Please login through SPLIT to access the CQM survey SPLIT training will be held on 4.10.18 during the TCPi PTO call All CHITAs are being asked to submit CQMs on behalf of their practices All CHITAs should have created their own login to the Healthcare Community website and requested access to the TCPi Community. Once Logged in please select the TCPi community and Outcomes Sharing on the left side of the screen to access the CQM reporting page. 5
Percentage of active primary care practice sites reporting CQMs each quarter 98.9% 99.35% 98.9% 100.0% 94.6% 93.40% 97.40% 90.0% 91% 80.0% 84.8% 87.0% 80.0% 70.0% 64.0% 64.0% 60.0% 50.0% Cohort 1 - 1 or more CQMs 40.0% Cohort 1 - Required number of CQMs 30.0% 20.0% Cohort 2 - 1 more more CQMs 10.0% Cohort 2 - Required number of CQMs 0.0% 2016 Q1 2016 Q2 2016 Q3 2016 Q4 2017 Q1 2017 Q2 2017 Q3 2017 Q4 2018 Q1 (optional for (optional for cohort 1) cohort 2)
▪ Q1 Cohort 1 CQM Reporting Breakdown ▪ Adult (6) 45 of 52 Req ▪ Pediatric (4) 16 of 22 Req ▪ Adult CPC+ (5) 17 of 18 Req ▪ Total Practices 92 8
▪ Q1 Cohort 2 CQM Reporting Breakdown ▪ Adult (6) 65 of 104 Req ▪ Pediatric (4) 15 of 36 Req ▪ Adult CPC+ (5) 9 of 12 Req ▪ Total Practices 152 9
Number SIM primary care practice sites (N=245) that reported on each CQM in Q1 of 2018 Depression Screening and Follow-up 197 SUD: Tobacco Use 183 Hypertension 176 Diabetes: A1c 165 Adult Obesity Screen 149 Fall Safety 97 Asthma Medication Management 103 Adolescent Obesity Screen (Diet) 87 Adolescent Obesity Screen (Activity) 87 Adolescent Obesity Screen 87 SUD: Alcohol and Other Drug Dependence 39 Maternal Depression Screening 34 Depression Remission at 12 months* 27 Developmental Screening 32 SUD: Alcohol 10 0 50 100 150 200 250 *This measure is only available for practices that are in both SIM and CPC+
Aggregate percent of eligible patients screened for depression over time as reported by the CMHCs and cohorts 1 & 2 70.00% 61.20% 65.38% 61.83% 60.00% 56.32% 50.00% 55.00% 49.20% 40.00% 30.00% 34.30% 20.00% 10.00% 0.00% 2016 Q2 2016 Q3 2016 Q4 2017 Q1 2017 Q2 2017 Q3 2017 Q4 2018 Q1 Cohort 1 Cohort 2 CMHCs 11
Aggregate percent of patients with diabetes and who have poor HbA1c control in cohort practices sites and CMHCs 60.00% 50.00% 40.00% 33.80% 33.64% 28.64% 30.00% 27.73% 23.00% 20.00% 21.70% 19.40% 10.00% 0.00% 2016 Q2 2016 Q3 2016 Q4 2017 Q1 2017 Q2 2017 Q3 2017 Q4 2018 Q1 Cohort 1 Cohort 2 CMHCs Lower values are desired for this measure 12
Aggregate values of CQMs reported on by SIM primary care practice sites in Q1 of 2018 100.00% 90.00% 79.9% 80.00% 70.00% 63.42% 60.00% 50.00% 40.00% 30.00% 24.8% 20.00% 10.00% 0.00%
▪ 26 practice sites had issues related to the EHR vendor ▪ 10 practice sites had issues related to measure workflows ▪ 4 practice sites had “Other Issues” 14
Q2 2018 SIM CQM REPORTING REQUIREMENTS
SIM Q2 2018 CQM reporting requirements ▪ Practice sites choose: trailing 12 months (preferred) or year-to-date ▪ Q2 report due July 31st, 2018 16
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ECQM TOOL PHASE 1
FUTURE PTO TRAININGS ▪ 7/10 – TCPi PTO Touchbase; Cost & Utilization Learning Lab - 9-10 am ▪ 7/13 – TCPi/SIM CLS Western Slope ▪ 7/17 – CHITA Learning Community-3-4 pm ▪ 7/19 -- Learning Features Call; Billing & Coding 101 – 10-11 am ▪ 7/25 – SIM PTO training-9-10 am – CANCELLED due to Stratus Training ▪ 7/26-- SPLIT Office Hours 9-10 am 23
PRACTICE/PTO TRAININGS ▪ 7/13 – - TCPi/SIM CLS Western Slope ▪ 7/17 -- SPLIT Cohort 3 Practice Training 8-9 am ▪ 7/17 – CMGMA Practice Webinar-11-12 noon ▪ 7/18 – MGMA Practice Webinar – SIM/TCPI CHOOSING WISELY- SHARED DECISION MAKING 12-1 pm ▪ 7/19 -- SIM Cohort 3 Practice Webinar - 7:30-8:30 am ▪ 7/20 -- The Collaborative Care Model, Clinician Training Grand Junction; 10 am – 2 pm ▪ 7/24 – Colorado QPP Coalition Office Hours webinar Improvement Activities Category; noon - 1 pm ▪ 7/25 -- SIM Stratus Training (in person in Denver) ▪ 7/26-- SPLIT Office Hours 9-10 am ▪ 7/27 -- SIM Cohort 3 Practice Webinar – noon-1pm ▪ 7/31 – SPLIT Cohort 3 Practice Training – noon – 1 pm 24
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 – Lauren.Shviraga@ucdenver.edu ENSW – 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 25
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