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Health Endeavors
Monthly Product Training
May, 2017
How to stay current?
• Monthly User Group Updates
• Monthly Training Series
• Monthly Client Status Calls/Project List
• Weekly Email Newsletter Updates– Verify Email is correct in Account Profile
– Check SPAM/Junk folder
– Goes out each Friday morning to all users email address in Account Profile
Health Endeavors Monthly User Group UpdatesJoin us for a webinar beginning on May 25, 2017 at 3:00 PM CDT.
Register now!
https://attendee.gotowebinar.com/register/7306427766434407938
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ACO
• Patients Assigned and Assignable to ACO
Division• Grouping of
TINS
TIN
• ACO Participants: Facilities, Medical Practice, Hospital
TIN Sub-Group
• e.g, 2,000 patients in 1 TIN grouped by locations
NPI
• Each patient assigned to individual provider for financial and quality accountability
Organizational Structure & Patient Assignment
Thursday, May 18 Agenda
QM 2017 Quality Metrics
QM Import Chart (Priorities, Preferences)
QM 2017 Interface
QM Performance Score
QM Progress Score
QM Total Score
QM Priority Matrix
Advancing Care Information (ACI) Registry Activation
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2017 Quality Metrics
CAHPS/Claims-Based/GPRO
Central Repository
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Resource Center 2017 GPRO Deep Dive
Approaches to GPRO
1. Do nothing and hope for the best
2. 8 weeks of manual chart abstraction (hope for better)
3. Year Round Plan of Action (good to great)
Provider & Staff Education
EHR Gap Analysis
Central Repository of Data
Distribution of Performance Scorecards to NPIs
Patient Gaps in Care
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Resource Center 2017 GPRO Deep Dive
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Quality Measures Central Repository
Lab File HL7 v2 (parsed with multi
delimiters) and HL7 v3 (xml)
Health Endeavors Spec or Spec File
Upload
Manual KeyClaims (CCLF) Data Imports
EHR Extract, Transform, Load
(ETL)
[Access to EHR Database]
HE Business Requirements
Document
(xlx, xlxs, txt, csv)
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QM Import Chart
Priorities and Preferences
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QM 2017 Interface
Gap Analysis
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Performance Scoring
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Quality Measures Completion Progress
pg 18
Quality Measures Total Score
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Quality Measures
Priority Matrix
Advancing Care Information
ACO Alignment with
Quality Payment Program
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2017 Transitional Year
MIPS or APM or Advanced APM
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MIPS APM Advanced APM
Not APM MSSP ACO Track 1
Not Qualifying APM Participant (QP)
CJR CEHRT Track
MSSP ACO Track 2
MSSP ACO Track 3
NextGen ACO
CPC+
OCM 2-Sided Risk
ERSD 2-Sided Risk
5/19/2017
After 2017 Transitional Year
MIPS or APM or Advanced APM
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MIPS APM Advanced APM
Not APM MSSP ACO Track 1
Not Qualifying APM Participant (QP)
CJR CEHRT Track
AMI, CABG, SHFFT, CR (2018)
MSSP ACO Track 1+ (2018)
MSSP ACO Track 2
MSSP ACO Track 3
NextGen ACO
CPC+
OCM 2-Sided Risk
ERSD 2-Sided Risk
5/19/2017
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Advanced APM
Incentive Payment
MIPS
Adjustments
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New Release – NPI Management Center
Click here for video release
https://healthendeavors.wistia.com/medias/3aye1zuip8
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Contact Us
Health Endeavors
8955 Pinnacle Peak Rd, Suite 103
Scottsdale, AZ 85255
1-888-862-0366