The Kentucky Diabetes Prevention and Control Program (KDPCP) at the Kentucky Department for Public Health (KDPH) recently received a multi-year grant from the Centers for Disease Control and Prevention (CDC) to improve diabetes clinical outcomes. Through the grant, the state of Kentucky has chosen to focus on the implementation of a robust Diabetes Clinical Quality Improvement Learning Collaborative (DLC). We have one space left for a motivated practice. The FINAL DEADLINE to join is Monday, September 23rd.


Contact us at 859-323-3090 or email Kentucky REC.

The Basics:

  • 12 month Learning Collaborative
  • Health care organizations learn from each other and experts in the field
  • Participants will undertake small tests of change to reach self-identified objectives within their own organizations

Focus: Health care organizations will make “breakthrough” increases in the adoption and use of clinical systems and care practices to improve health outcomes in people with diabetes


Health Care Systems/Clinical Practices can improve clinical outcomes for your patients and practice. This learning collaborative can contribute to and augment your other quality improvement programs and initiatives to improve healthcare, reduce cost, and move to value based care.


1. Requirements: practice established for at least one year; minimum two full time employees; have at least 100 adult patients with diabetes diagnosis
2.  Complete an application
3.  One year commitment


The Kentucky Department for Public Health (KDPH) serves as the lead agency for facilitation of the CDC grant.

The KY Regional Extension Center (KY REC) serves as the lead agency for the pilot and will facilitate meetings and serve as expert consultant in electronic health record workflow.
The Kentucky Health Information Exchange (KHIE) serves as an important partner to set up LHDs and YMCA with CareAlign DSM accounts/mailboxes to support bi-directional exchange of secure patient health information with select practices.

Questions? Contact us at 859-323-3090 or Kentucky REC.

More details can be found here.
Application can be accessed here.


Excerpted and edited from CMS Daily Digest Bulletin available at

If you participated in the Merit-based Incentive Payment System (MIPS) in 2018, your performance feedback, which includes your MIPS final score and payment adjustment factor(s), is now available for review on the Quality Payment Program website. The MIPS payment adjustment you will receive in 2020 is based on your final score. A positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished under the Medicare Physician Fee Schedule in 2020.

MIPS eligible clinicians or groups (along with their designated support staff or authorized third-party intermediary), including APM participants, may request that CMS review their performance feedback and final score calculation through a process called targeted review. The deadline to submit your request is September 30, 2019 at 8:00 PM (EDT).

When to Request a Targeted Review

If you believe an error has been made in your 2020 MIPS payment adjustment factor(s) calculation, you can request a targeted review until September 30, 2019 at 8:00 PM EDT. The following are examples of circumstances in which you may wish to request a targeted review:
• Errors or data quality issues for the measures and activities you submitted
• Eligibility and special status issues (e.g., you fall below the low-volume threshold and should not have received a payment adjustment)
• Being erroneously excluded from the APM participation list and not being scored under the APM scoring standard
PLEASE NOTE: The above is not a comprehensive list of circumstances.

CMS encourages you to contact the Quality Payment Program if you believe a targeted review of your MIPS payment adjustment (or additional MIPS payment adjustment) is warranted. We’ll help you to determine if you need to submit a targeted review request.

How to Request a Targeted Review

You can access your MIPS final score and performance feedback and request a targeted review by:
• Go to the Quality Payment Program website
• Log in using your HCQIS Access Roles and Profile System (HARP) credentials; these are the same credentials that allowed you to submit your MIPS data. Please refer to the QPP Access User Guide for additional details, including if you do not have a HARP account or role.

When evaluating a targeted review request, CMS may require additional documentation to support the request. If your targeted review request is approved, CMS may update your final score and/or associated payment adjustment (if applicable), as soon as technically feasible. CMS will determine the amount of the upward payment adjustments after the conclusion of the targeted review submission period.

Please note that targeted review decisions are final and not eligible for further review.
For More Information

To learn more about the steps for requesting a targeted review, please review the following:
2018 Targeted Review Fact Sheet
2018 Targeted Review Frequently Asked Questions


If you have questions about your performance feedback or MIPS final score, or whether you should submit a targeted review request, please contact the Quality Payment Program by:
• Phone: 1-866-288-8292/TTY: 1-877-715-6222
• Email:

Contact us at Kentucky REC with your questions about the Quality Payment Program. Our team of experts is here to help: 859-323-3090.




Kentucky RECUK Healthcare’s Kentucky Regional Extension Center, the Kentucky Department of Public Health, and the Kentucky Diabetes Prevention and Control Program are pleased to announce chosen practices to participate in the year-long Kentucky Diabetes Learning Collaborative (DLC) funded by a grant from the Centers for Disease Control and Prevention (CDC). The grant focus is to improve diabetes clinical outcomes.

Selected participants are:
• Bluegrass Medical Care in Bowling Green, Kentucky
• KentuckyCare in Paducah, Kentucky
• One Cross Medical Clinic in Campbellsville, Kentucky
• Pennyroyal Healthcare Services dba Community Medical Clinic in Princeton, Kentucky
• Sterling Health Care in Mt. Sterling, Kentucky
• TJ Regional Health in Glasgow, Kentucky
• Regional Health Care Affiliates dba Health First Community Health in Providence, Kentucky

These practices represent 27 health care locations, 85 health care providers, and 7,856 patients with diabetes.

The goal of the Diabetes Learning Collaborative will be to assist health care organizations in making “breakthrough” increases in the adoption and use of clinical systems and care practices to improve health outcomes in people with diabetes.

Targeted clinical outcomes will include improvement in glycemic and blood pressure control. Targeted clinical system changes will include clinical decision support within the electronic health record (EHR) for Diabetes Self-management Education and Support (DSMES) referral, the establishment of bi-directional referral processes with DSMES providers, and other evidence-based care practices. Clinical participants will track referrals for DSMES, A1C and blood pressure values, and other clinical measures selected by participating practices.

The structure for this collaborative learning will be based on the Institute for Healthcare Improvement (IHI) Breakthrough Series. At the heart of this approach are three models. The Learning Model makes participating practices part of a network of experts and fellow-learners. The Chronic Care Model, (developed by Ed Wagner MD, MPH, and former Director of the MacColl Institute for Healthcare Innovation), outlines all the elements of good chronic care. The Model for Improvement enables teams to rapidly test and implement changes to improve care.

Starting in October 2019, participants will join in conference calls, in person meetings, peer site visits, hands on technical assistance, and webinars with experts and other organizations in the collaborative.

Please join us in congratulating these practices for being selected to participate in this innovative project to improve the health of Kentucky residents.


Researchers at the University of Kentucky and University of Arkansas for Medical Sciences are conducting a study to learn more about rural primary care providers’ thoughts about prescribing buprenorphine to treat opioid use disorders.

We seek to talk to rural primary care providers (MDs, DOs, NPs, and PAs) who DO and DO NOT treat patients with buprenorphine. Individual, private telephone interviews will be scheduled at your convenience during the day or evening. Each participant receives modest compensation for his/her time.

If you are interested in participating or have any questions, please email or call 501-526-8328. You may read more about the study here.


CMS Released their proposed rule for the 2020 Quality Payment Program on July 30. It outlines many changes for Year 4 (Program Year 2020) of the QPP. These include:

  • increased performance thresholds
  • changes to the Quality and Cost Performance Categories
  • introducing a new framework – MIPS Value Pathways (MVPs)

The new framework is planned to become effective in Program Year 2021. It’s goals include aligning and connecting measures across the four performance categories, allowing more flexibility for specialty providers, and reducing data collection and reporting burdens.

During our webinar, we will examine the CMS Notice of Proposed Rule Making (NPRM) for Year 4 of the Quality Payment Program. We will discuss the major proposed changes, how they differ from Year 3 (Program Year 2019) requirements, and how these changes could impact clinician practices. The comment period for the CY 2020 Proposed Rule ends September 27, 2019, with the final rule expected Fall 2019.

Webinar – QPP NPRM: Year 4 Proposed Rule
Thursday Aug 29, 12:30 – 1:30 p.m. ET

Contact us at Kentucky REC with your questions about the Quality Payment Program. Our team of experts is here to help: 859-323-3090.




Practice Goals: Quality Focused! Patients Number One Priority!
How do we get there? PCMH & PCSP Programs!


Join us for an in-depth conversation with leaders from NCQA recognized Kentucky practices to gain insider perspective on the PCMH and PCSP transformation journey. They will bring valuable information on the financial benefits, staff and patient satisfaction, and workflow improvements that recognition has brought to their organization!

Patient-Centered Medical Home (PCMH) and Patient-Centered Specialty Practice (PCSP) are excellent practice transformation models for organizations. The program can take you from goals to reality in your commitment to improving access, communication, and care coordination. NCQA recognized practices succeed in cutting costs, while increasing both quality outcomes and patient satisfaction. Now is the perfect time to pursue recognition since your organization can also receive full points in the Improvement Activities category of MIPS in the Quality Payment Program.

To learn from your peers about these exciting PCMH/PCSP program benefits, join us for a FREE webinar September 10.

Don’t miss the opportunity to be a part of something special as we work to transform healthcare in Kentucky!

Tuesday September 10, 12-1 p.m. ET

Contact us at Kentucky REC with your questions about PCMH and PCSP. Our team of experts is here to help: 859-323-3090.