The 2022 Program update for the Quality Payment Program has been released in the latest Physician Fee Schedule Notice for Proposed Rulemaking (NPRM). Our experts at the Kentucky REC will host a webinar on all of the updates to the Quality Payment Program MIPS track, and the Alternative Payment Model pathway.

CMS is moving from a siloed approach with individual categories, to a more aligned program using pathways for Alternative Payment Models (APMs). As expected, CMS is also providing more guidance in the MIPS Pathway model. Going forward, the MIPS pathway will include population health measures, promoting interoperability, and other measures that impact chronic health conditions.

During our webinar we will share:

  • proposed updates to the MIPS Pathway model
  • proposed updates to Alternative Payment Models (APMs)
  • the ending of the transition years of the program
  • alterations in quality measures that can be reported
  • changes in who is considered an eligible clinician

WEDNESDAY AUGUST 18 12:00 – 1:00 PM ET

Below find links to the Proposed Rule, the fact sheet, and resources for additional information. The comment period for the NPRM closes September 13, 2021.

2022 Physician Fee Schedule Proposed Rule

2022 Quality Payment Program Proposed Rule Overview Fact Sheet

Proposed Rule Resources

From CMS: Submit a Formal Comment by September 13

You must officially submit your comments in one of the following ways:
• Electronically, through
• Regular mail
• Express or overnight mail
• Hand or courier

Electronic comments are due no later than 11:59 p.m. ET on September 13, 2021 and mailed comments must be received by 5:00 p.m. ET, September 13, 2021.

Contact the experts at Kentucky REC for all your QPP, MIPS, and APM questions. We’re here to help: 859-323-3090.


Interested in improving care outcomes for Pediatric Patients with Asthma?

The Kentucky REC, as a trusted partner with the Kentucky Department for Public Health, is participating in an exciting grant opportunity funded through the Centers for Disease Control (CDC). The goals are to improve the reach, quality, effectiveness, and sustainability of asthma control services, and to reduce asthma morbidity, mortality, and disparities throughout the state of Kentucky using the CDC’s EXHALE module.

This unique opportunity focuses on improving asthma care and education for pediatric patients, partnering with and improving school-based & community-based access to resources, and stream-lining referral processes for continuity of care in pediatric patient populations with asthma. The program lasts from June 1, 2021 – June 30, 2022.

The program includes:
• Advisory support for Quality Improvement
• Access to Asthma Self-Management Education and Support resources
• Practice tools
• Training opportunities for participating clinicians and staff
• Financial support: $2,500 for participation July 2021 – June 2022
• Deadline to Apply: July 31st, 2021

Contact us at Kentucky REC or call 859-323-3090 to learn more about how you can participate.



DATE CHANGE! This webinar was originally scheduled July 28. However, as of July 27, CMS has not released the 2020 Feedback Reports. Therefore we are re-scheduling for September 1st.

Your QPP Feedback Report for the 2020 Program Year contains a lot of information to help you identify areas for improvement. Our Kentucky REC expert advisors will guide you through the Feedback Report and explain how you can use the information to help you finish 2021 well, and push you into a strong start for 2022!

We will discuss how to unpack the information from CMS to understand your payment adjustment, and identify both opportunities and strengths across the four performance categories. We’ll also share how you can leverage that information to help you plan for the future.


Contact the experts at Kentucky REC for all your QPP, MIPS, and APM questions. We’re here to help: 859-323-3090.


UK HealthCare, UofL Health, the Kentucky Department for Public Health’s Heart Disease and Stroke Prevention Program (KHDSP), and other state partners have been awarded the prestigious Paul Coverdell National Acute Stroke Program Grant by the Centers for Disease Control and Prevention. This $1.8 million grant aims to optimize both stroke prevention among those at high risk as well as improve the care and outcomes for stroke patients throughout Kentucky.

The grant will be spread out over three years and will allow the coordination and expansion of existing efforts to improve stroke-related health outcomes. Kentucky health care systems and community providers will work together to implement comprehensive stroke systems for those at high risk for stroke and those who have had a stroke.

“This award could not come at a better time, because Kentucky has among the highest rates of stroke-related deaths in the country,” said Dr. Larry B. Goldstein, chairman of the University of Kentucky Department of Neurology and co-director of the Kentucky Neuroscience Institute. “Over 2,000 Kentuckians die from stroke or stroke-related complications each year. Health behaviors and conditions that contribute to stroke are present at high rates in Kentucky with contributions from smoking, obesity, diabetes, hypertension, excessive alcohol use, and physical inactivity. Although there are several existing stroke programs in Kentucky, we are excited that this project will coordinate and expand upon these efforts to improve stroke outcomes for Kentuckians.”

Goldstein, who is also the principal investigator for the grant project, says the Coverdell award will also allow them to specifically target areas of the Commonwealth that are disproportionately affected by stroke, such as the Appalachian counties. The mortality rate due to stroke in that region is 14% higher than the national average and 8% higher than the rest of the state.

KHDSP and the Stroke Encounter Quality Improvement Project (SEQIP) have made significant strides over the last 10 years improving stroke systems of care in the Commonwealth and growing access to stroke care by increasing the number of certified stroke centers in the state, increasing delivery of acute stroke treatments that can reverse or minimize stroke deficits, and sharing best practices to help facilitate care delivery during hospitalization and after discharge. In a similar fashion, the UK/Norton Healthcare Stroke Care Network (SCN) works with area hospitals to provide clinical guidance and oversight to providers with the goal of ensuring stroke patients receive the right treatment at the right time.

This grant will coordinate and expand these existing efforts in Kentucky to improve stroke-related health outcomes by working with Kentucky health care systems and community providers to implement comprehensive stroke systems for those at high risk for stroke and those who have had a stroke.

“This award validates the voluntary efforts of stroke center personnel, EMS representatives, community partners, KHDSP staff and colleagues in public health, as well as all other stakeholders who have worked tirelessly, across geopolitical boundaries, in a collaborative effort since SEQIP’s inception in 2009 to advance stroke systems of care in our state,” said Kari Moore, chair of SEQIP and project co-investigator. “We are excited to continue to build upon these efforts supported by the Coverdell award.”

“The Paul Coverdell National Acute Stroke Program will allow expansion of our statewide efforts to serve rural and underserved citizens of the Commonwealth, to reduce disparities, and monitor our progress,” said Dr. Kerri S. Remmel, chair of the University of Louisville Department of Neurology and co-chair of the KHDSP Task Force. “The program will facilitate continuous quality improvement in the full continuum of care from the moment a patient has a stroke through their emergency services, hospitalization, and rehabilitation to their outpatient preventive care. We are extremely enthusiastic about collaborating with our partners in the Coverdell Program to improve stroke systems of care in Kentucky.”

As part of the Coverdell initiative, the Kentucky Stroke Improvement Cooperative (KSIC) will be created to provide leadership for improving the quality of stroke care in the Commonwealth. Building from the KHDSP Task Force and SEQIP, the UK and UofL Stroke Programs, and the SCN, this group will lead the collaborative effort to transform Kentucky’s stroke care and outcomes by improving health approaches and practices.

This will be accomplished by utilizing collaborative workgroups to turn knowledge into behavior change and to increase the use of evidence-based guidelines for health systems change. KSIC will accomplish its purpose by increasing public awareness of stroke and related issues in the community.

  • Identifying and eliminating disparities that affect the health outcomes of Kentuckians.
  • Providing education about stroke and its management.
  • Serving as a link between the community and stroke care and supportive resources.
  • Utilizing data to prioritize coalition goals and activities.
  • Increasing diversity of its members.

The KSIC will be a catalyst for enhancing activities of other organizations promoting the health and well-being of all Kentuckians at risk, having and living with the effects of stroke.

“There has been a lot of great work across the Commonwealth to improve the care of stroke patients,” said Brent McKune, managing director of the UK HealthCare Kentucky Regional Extension Center and project co-investigator. “The Coverdell funding gives us the opportunity to provide a coordinated effort to provide support and improve processes to ensure a high quality of care.”

Since its inception in 2005, the Coverdell Program has funded programs to ensure that all Americans receive the highest quality stroke care, a leading cause of death and long-term disability, by supporting coordinated stroke systems of care.

Joining nine other states currently funded by the Paul Coverdell National Acute Stroke Program, Kentucky’s program will:

  • Increase access and participation in the statewide Kentucky Heart Disease and Stroke Prevention Task Force from the current 38 hospitals to help close the gap in stroke care for high-burden populations. In addition to focusing on hospitals, the project will expand participation to encompass the community, primary care clinics, EMS, rehabilitation centers and long-term care facilities.
  • Expand coordination between existing programs including the Kentucky Stroke Encounter Quality Improvement Project, the statewide UK/Norton Healthcare Stroke Care Network, and the 36 certified Stroke Centers in Kentucky.
  • Expand existing systems of care to coordinate and extend access to rural and underserved populations.
  • Increase the dissemination of evidence-based guidelines for improvement of hypertension, obesity and diabetes control, which are the leading risk factors for stroke disproportionately affecting high-burden populations.
  • Reduce stroke disparities and deaths over the long term and improve outcomes throughout Kentucky with a focus on Appalachia and underserved communities at highest risk.

“We look forward to this exciting work and hope to lead the way in improving stroke-related care for the people of the Commonwealth of Kentucky,” Goldstein said.

This project is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $600,000 per year for three years, with 100 percent funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.

You can read the original article HERE.

From UK NOW, By Hillary Smith and Megan Housley – June 24, 2021



Since we are halfway through the year, now is a good time to check-in on your Promoting Interoperability Performance. From verifying staff workflows and documentation, to understanding measures and system triggers within your EHR, it is important to take time to ensure reporting accuracy to optimize performance in the back stretch of 2021. Data validation processes not only apply to quality measures, but they can also be readily applied to PI objectives and corresponding measures. This will help you confirm data integrity and reinforce your confidence in your organization’s data and performance.

As a continuation of our webinar series exploring the application of data validation across the MIPS performance categories, join us for a discussion on ways you can apply this technique to the Promoting Interoperability Performance category. We will take an in-depth look at understanding the requirements for meeting PI objectives and measures, as well as how to take a systematic approach to verify your data to ensure accuracy, reliability, completeness and verifiability.

QPP Year 5 Webinar: Promoting Interoperability Performance – Applying Data Validation Techniques*
Wednesday, June 23, 2021 @ 12PM ET

*This webinar is for Kentucky REC contracted QPP clients only. If you are interested in this topic and would like to learn more about becoming a client, please contact us at (859)323-3090 or email us at We aim to be your trusted healthcare advisor!



The use of Telehealth has exploded since the beginning of the Covid public health emergency. As we move forward, are you ready to make Telehealth a permanent service for your patient population? Do you have patients asking for a telehealth visit versus in person? Are you concerned about the requirements of becoming HIPAA compliant? Is coding, billing and reimbursement a concern? Let the Kentucky Regional Extension Center help you develop a HIPAA compliant telemedicine permanent solution as our experts help you weed through state and federal guidelines. We provide our clients with staff education, policy and procedure support, vendor selection and post-installation support.

Our Telehealth clients recognize that Telehealth is the future of health care. With the use of telemedicine, providers are seeing increased benefits in patient care, including expanded access, improved patient outcomes, and patient convenience. Let us help you establish HIPAA compliant policies, billing practices and office workflows around both audio only visits and video visits. The Public Health Emergency will end (hopefully soon), and it’s time to be ready with a compliant system that enhances the outstanding care you provide. Join us July 15th to learn more about creating a long term plan for Telemedicine for your organization.

Webinar – TELEHEALTH: Moving Forward
Thursday July 15 1:00 – 2:00 PM ET

Contact the experts at Kentucky REC with all your Telemedicine and Telehealth questions. We’re here to help: 859-323-3090.