million hearts® model orientation...
TRANSCRIPT
Million Hearts® Model
Orientation Webinar Control Group
Emily Hall, MPH
LT Ryan Marie Smith, MPH, CHES
Updated April 2018
A few logistics before we start…
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Ask questions throughout the session
by clicking the green Q&A button on the
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Please take the 2 minute post-
event survey for this training. Your
feedback will help us improve
future events.
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Today’s Agenda and Objectives
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We will cover the following topics:
This session aims to achieve the following objectives:• Introduce general features of the Million Hearts® Model (MH Model)
• Share timeframe for upcoming events and deliverables
• Help you understand resources available to you as an MH Model Participant
• Begin to create an MH Model Community
• Answer your questions
Welcome and Introduction 10 min
Highlights of Your Million Hearts® Model Journey 15 min
Resources to Support You Along the Way 10 min
Preparing for Your Journey: Next Steps 5 min
Answers to Your Questions 15 min
Feedback on the Event 1 min
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Welcome and Introduction
Welcome to the Million Hearts® Model
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Dr. Darshak Sanghavi, Director, Prevention and Population Group, CMMI
“By participating, you’re part of an effort to help over one million Medicare patients get smarter and better care—and reducing the toll of heart attacks and strokes. Thank you!”
Nina Brown-Ashford, Director, Division of Health Care Delivery,
Prevention and Population Group, CMMI
“We are excited that you have agreed to join us over the next five years! It’s the participation of institutions, such as yours, that allow us to improve the way we deliver care for millions of Medicare beneficiaries across the nation.”
Million Hearts® Model Aims to Keep Hearts Healthy, Nationwide
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MH Model by the numbers….
Participants
Beneficiaries
supported
States + DC &
Puerto Rico
heart attacks & strokes
prevented by 2021
Providers
1
2
6
1
4
11
211
5
6
20
8
61
3
1
5
16
6
9
10
10
10
6
951512
20
11
711
9
1212
1117
518
19
45
3023
33
Contribute to
513
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Quick Poll: Where are you calling in from today?
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Where are you calling in from?
A
D
C
B
E
A
Type it in the green Q&A box!
D
B
Million Hearts® Model Will Benefit You and Your Beneficiaries in Many Ways
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Funding
Peer
Recognition &
Leadership
Information
& Resources
Relationships
Mission-focus• You can carry out your passion for the healthy heart mission by
participating in the Million Hearts® Model.
• Your role as a control group participant is critical to help prove the MH
Model’s effectiveness.
• You can gain peer recognition as part of an elite group participating in
this innovative Model.• And your organization can help lead the way in the nationwide effort
to improve healthcare service while minimizing costs.
• As an MH Model participant, you will have access to cutting edge
news about the Model.• The MH Model will help you access tools and resources through the
Million Hearts® Initiative.
• You can build strong relationships with the Centers for Medicare &
Medicaid Services (CMS), and better understand CMS rules and
regulations to facilitate your involvement in future models.
• Incentive payments will help you cover some of the administrativecosts of implementing the Model.Funding
Peer
Recognition &
Leadership
Information
& Resources
Relationships
Mission-focus
Funding
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Highlights of your Million Hearts® Model Journey
Overview of the MH Model Design
260 Intervention practices
256 Control practices
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If the MH Model
provides the right
support…
…then participating
organizations will change
how they deliver care…
…and beneficiaries will
reduce their risk of heart
attack & stroke
The MH Model aims to reduce the incidence of first-time heart attacks and
strokes among high-risk beneficiaries by 7% within five years.
The MH Model is testing a hypothesis of population-based preventive health care:
First CMMI
prevention Model
Five-year,
randomized
controlled design
Milestones Along the MH Model Journey
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Check
organizational
compliance on
POST Portal.
Update provider list
in POST Portal
Receive
payment
Access
information
from the MH
Initiative
Input data into MHM Data
Registry to provisionally
enroll beneficiary. Beneficiary check-up.
Gather data.
Upload data for
beneficiaries
aligned to
practice into
MHM Data
Registry
Call Help Desk
with question
about payment.
Receive cutting edge updates
about the MH Model
Upload new data into MH Data
Registry at annual check up
Continue these activities
throughout the MH Model
Receive
payment
Enrolling Beneficiaries in the MH Model
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Beneficiary Eligibility Criteria
Beneficiary is living
Beneficiary is enrolled in
Medicare Fee-for-Service
Parts A and B
Beneficiary is age 40 -79 at
time of enrollment
Beneficiary is not enrolled
in the hospice benefit
Medicare is primary payer
(beneficiary cannot be
enrolled in Medicare
Advantage)
Beneficiary does not have
End Stage Renal Disease
Beneficiary has not had a
heart attack or stroke
You should also know:
CMS will validate beneficiary data using the Chronic
Conditions Warehouse claims data
A beneficiary may be aligned to only one practice at a time
If a beneficiary is enrolled by more than one practice, an MH
Model Program Officer will adjudicate alignment
Provisionally enrolling new beneficiaries in the Model consists of three
easy steps:
Assess the beneficiary against the MH
Model Beneficiary Eligibility Criteria
Upload demographic, clinical, and attestation
data for the beneficiary into the MH Registry
Submit beneficiary enrollment data in the
MHM Data Registry at least once every sixmonths
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2
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POST Portal
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The POST Portal will be your source for MH Model and compliance
information. After Go-Live your practice will use POST to:
Update practice contact information and
NPI (one-time only)
View payment-related information, such
as total payments disbursed
View beneficiary information, such as
total beneficiaries enrolled in Model Receive Model documents and
compliance notifications
Contact SalesForce Help Desk
Phone: 1-888-734-6433
Press Option 5
Email: [email protected]
Need help getting access to
POST Portal?
MHM Data Registry
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The MHM Data Registry will serve as the secure data hub for your
practice throughout the MH Model. Your practice will use the MHM Data
Registry to:
Provisionally enroll beneficiaries in
the MH Model by submitting
beneficiary data
Update practice information
required for payment
Track your submissions
Receive important reminders and
notifications
MH Model Payments
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CMS values your time and participation in the MH Model. You will receive a
reporting payment for each eligible beneficiary.
Payment Type
Description
Value
Timing
Reporting Payment
Incentive to enroll
beneficiaries and
collect clinical data
$20 per beneficiary
enrolled and aligned
to your practice per
year
Payments to practices
will be made twice
annually
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Resources Available to Support You Along
the Way
MH Model Help Desk
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The MH Model Help Desk is your go-to resource for all your MH Model related questions.
The Help Desk can direct you to other support resources for further information.
Phone: 1-844-711-CMMI
(1-844-711-2664)
Press Option 3
Email: [email protected]
Hours: Monday – Friday
8:30AM to 6:00PM EDT
?Policy and program questions
Beneficiary alignment and
adjudication questions
CAP and compliance questions
Payment questions
Technology platform and IT
questions
MH Model
question?Contact the MH Help
DeskGet an answer
For POST Portal questions, contact
SalesForce Help Desk
Phone: 1-888-734-6433, option 5
Email: [email protected]
Million Hearts® Model Project Officers (MHPOs)
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Each MH Model participant will be assigned to an MH Project Officer
who will be responsible for four specific tasks.
Provide technical
assistance & support
Monitor progress
towards Model aims
Verify compliance with
Model requirements
Engage external
stakeholders
MHPOs will be assigned before Go-Live.
Watch for an email notification.
• Review progress reports
• Request ad hoc analysis to gain insights
• Manage CAPs
• Adjudicate beneficiary alignments
• Provide updates on Model progress
• Answer questions
• Generate support for MH Model
• Answer questions submitted to Help Desk
• Resolve issues
• Help overcome challenges
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Preparing for Your MH Model Journey:
Next Steps
What’s Next?
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Watch the video!
“Understanding
Beneficiary Enrollment
& Alignment”
Training
Review and
Q&A Webinar
MHM Data
Registry
Go-Live
Orientation Webinars
You are
here
Videos, web-based trainings and other events
will help prepare your organization to
succeed when the MHM Data Registry goes
live and data collection begins.
Take the web-based
training! “Using the
MHM Data Registry
in Practice”
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Answers to Your Frequently Asked
Questions
Answers to Questions You’ve Asked -Randomization
Question Answer
I have not received any information on
randomization. Did I miss something?
• Randomization packets were sent out on June 24
from the MHModel mailbox.
• Please check your organization’s POCs, and then
contact the HelpDesk if they did not receive a
randomization email.
Is it possible to switch groups - from
Intervention to Control, or from Control to
Intervention?
• No. We have carefully randomized practices
between the two groups.
• Any changes would threaten the integrity of the
model's design and subsequent evaluation.
• Your onboarding packet explains further details
about randomization and the Model design.
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Answers to Questions You’ve Asked –Logistics and Contact Info
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Question Answer
Who should attend the orientation webinar
and future training events?
• We encourage broad attendance. All MH Model
events are open to any member of your
organization that is involved in the MH Model.
• When we send out invitations, we will specify if
the event or resource is targeted to a particular
audience (e.g. clinical or data managers).
How can our organization update our
POCs? What should my organization do if
our listed POC has not received any
emails from the MH Model Team?
• All point of contact (POC) updates must be made
through the CMMI SalesForce HelpDesk.
• To ensure that we have your correct email
address on file, please contact the CMMI
SalesForce HelpDesk at the phone or email
below.
• [email protected] or 1-888-734-
6433, option 5.
Answers to Questions You’ve Asked –Model Policies and Procedures
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Question Answer
When will I begin collecting beneficiary
data?
• The Model is currently scheduled to go live in late
2016/early 2017.
• You will receive additional training before and after
the Go-Live date.
When and how do I upload beneficiary data
for this Model?
• This fall you can participate in the web-based
training “Using the MHM Data Registry in Practice”.
• There will also be a live Q&A sessions right after
go-live.
I have questions about enrolling
beneficiaries into this Model. How can
I learn more about this?
• Detailed information will be shared in a video titled
“Understanding Beneficiary Enrollment and
Alignment”. We will be sending it out via email this
fall.
Answers to Questions You’ve Asked –Model Policies and Procedures
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Question Answer
What payments will my organization receive
for participating in the MH Model, and when
will we receive them?
• Detailed information is in the orientation package
that was sent to you.
• You can also send in questions to the HelpDesk.
I found a lot of useful information on the
Million Hearts® Initiative website
(http://millionhearts.hhs.gov/). Can I use
resources from this site?
• Absolutely! This site is for the broader Million
Hearts® Initiative.
• You are free to explore it and disseminate any
information that you find useful to members of your
organization.
Answers to Questions You’ve Asked –Technology and Access
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Question Answer
I cannot open an email sent by
the MH Model Team.
• Contact the Help Desk and we will help you resolve the issue
or resend the email. The contact information is listed below.
• [email protected] or 1-844-711-2664 (press Option 3).
I am having trouble registering
for MH Model events. What
can I do?
• Live event registration links will be sent out as part of the event
announcement/invitation.
• You may have to disable your browser's pop-up blocker before
navigating to the registration page. If you have difficulties,
please contact the Help Desk at the phone or email listed
below.
• [email protected] or 1-844-711-2664 (press Option 3).
Answers to Questions You’ve Asked –Technology and Access
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Question Answer
I am not able to access the MH
POST Portal. What do I do?
• We are currently uploading your POC information into POST
Portal.
• Please try to access POST Portal again after your orientation
webinar. If you still cannot access POST Portal, contact the
CMMI SalesForce HelpDesk at the phone or email listed
below.
• [email protected] or 1-888-734-6433, option
5.
What information will be
contained in the MH Model
POST Portal?
• Currently, the MH Model POST Portal contains only your
organization's provider list.
• Later we will add information regarding any corrective action
plans (CAPs) that your organization is subject to or is in the
process of resolving.
Live Q & A
• What else would you like to know?
• Type your questions in the green Q&A box.
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Tell Us What You Think: Quick Feedback
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Thank You!
More questions? Contact the MH Model Help Desk!
Phone: 1-844-711-CMMI
(1-844-711-2664)
Press Option 3
Email: [email protected]
Hours: Monday – Friday
8:30AM to 6:00PM EDT