KENTUCKY REGIONAL EXTENSION CENTER

Is Patient-Centered Medical Home Recognition Right for Your Practice?

Is Patient-Centered Medical Home Recognition Right for Your Practice?

Is Patient-Centered Medical Home Recognition Right for Your Practice?

The pursuit of patient-centered care is increasingly crucial in healthcare today. Practices are continually seeking ways to enhance the patient experience, improve outcomes, and streamline care delivery. One avenue gaining prominence in this quest is Patient-Centered Medical Home (PCMH) recognition. But is it the right fit for your practice? Let’s explore what PCMH recognition entails and the considerations to help you make an informed decision.

Understanding Patient-Centered Medical Home (PCMH)

At its core, PCMH is a model of care delivery that emphasizes comprehensive, coordinated, and patient-centered care. Recognized by organizations such as the National Committee for Quality Assurance (NCQA), PCMH recognition signifies a commitment to excellence in primary care.

The key principles of PCMH include:
• Team Based Care
• Whole Person Care
• Accessible Services
• Care Coordination
• Patient Engagement

Is PCMH Recognition Right for Your Practice?

While PCMH offers numerous benefits, it may not be suitable for every practice. It takes a significant commitment to successfully pursue recognition.

Consider these factors when evaluating whether PCMH recognition aligns with your practice’s goals and capabilities:

Commitment to Transformation PCMH requires commitment to transforming your culture and operations. It involves ongoing improvement efforts, staff training, and patient engagement initiatives.
Patient Population Consider whether your patient population would benefit from the comprehensive, coordinated care approach offered by PCMH. Patients with complex medical needs, chronic conditions, or frequent interactions with your organization may derive significant value from PCMH practices.
Financial Considerations Assess the potential financial implications of pursuing PCMH recognition, including initial investment costs, ongoing maintenance expenses, and potential reimbursement incentives from payers.
Alignment with Strategic Goals Evaluate how PCMH recognition aligns with your practice’s strategic goals, mission, and vision. Analyze if it will support your objectives to improve patient satisfaction, enhance care quality, and achieve better health outcomes.

Making an Informed Decision

The decision to pursue PCMH recognition should be based on a thorough assessment of your practice’s readiness, resources, and alignment with patient-centered care principles. A good next step in the process is to engage key stakeholders within your organization (including providers, staff, and patients), in discussions about the potential benefits and challenges of PCMH implementation.

Complete this Brief One Minute Survey to see if PCMH is right for you.

Contact YOUR Experts at the Kentucky REC with your questions and for further information. Call us at 859-323-3090.

QPP 2024 Webinar April 16: Data Completeness & Validation Processes

QPP 2024 Webinar: DATA COMPLETENESS & VALIDATION PROCESSES FOR QUALITY MEASURE OPTIMIZATION*
Tuesday APRIL 16, 2024 @ 12PM ET

CMS finalized several significant changes in the 2024 PFS Final Rule affecting eligible clinicians and groups reporting to the Quality Payment Program. One of those updates was the increase of the data completeness threshold from 70% to 75% effective beginning with the 2024 performance year.

This change, coupled with the challenges to maximize performance across all four performance categories to avoid negative payment adjustments, reinforces the importance of ensuring your data is accurate, reliable, and complete. This webinar will help you understand how to verify that your data is being captured correctly, learn the principles behind and importance of data validation, and how optimizing your reporting is the foundation of quality improvement.

Interested in becoming a QPP client? As a client, you receive exclusive access to our analysis of all aspects of the Quality Payment Program. To speak with the team on how we can best support you, feel free to contact us HERE.

Mark your calendars for “Data Completeness & Validation Processes for Quality Measure Optimization” on Tuesday, April 16 at 12pm EST.

Contact YOUR Experts at the Kentucky REC for all your QPP, MIPS/MVP, and APM Track questions. We are here to help. Call us at 859-323-3090.

*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 KYRec@uky.edu. We aim to be your trusted healthcare advisor!

CMS Reopens QPP EUC Application for 2023

CMS Reopens Quality Payment Program EUC Application for Program Year 23 Due to Cyberattack

CMS recently announced the reopening of the Extreme and Uncontrollable Circumstances Exception Application due to a cyberattack impacting the revenue cycle & payment management platform, Change Healthcare Cyberattack, occurring in late February 2023.

This application reopening aligns with the previously announced extension of the PY23 QPP submission window. This EUC option will only be available to those ECs and groups experiencing impacts from the cyberattack that would prevent them from completing the PY23 QPP submission before the extended deadline.

The EUC application will be available through the QPP Portal until the submission window closes on April 15, 2024 at 8pm ET.

Sign in access to the QPP Portal is available here: https://qpp.cms.gov/login

Contact the KYREC today for questions or assistance in completing your PY23 QPP submission. Call us at 859-323-3090 or use the link below.

 

CMS Extends QPP Reporting Window for Program Year 2023

On Tuesday, March 12, 2024, CMS announced an extension of the 2023 performance period data submission window for the Merit-based Incentive Payment Systems (MIPS) track of the Quality Payment Program (QPP).

The data submission period will now close two weeks later than previously announced. Performance data for groups and eligible clinicians may be submitted now until April 15th, 2024 at 8pm ET via the QPP Portal. Once the window closes for the 2023 performance year, ECs and groups will no longer be able to correct data entry or upload errors.

Sign in access to the QPP Portal is available here: https://qpp.cms.gov/login

At the KYREC, our expert advisors recommend that QPP Security Officials and/or personnel assigned in Staff User roles within an organization review all submitted MIPS data prior to the closure of this window to ensure the accuracy of attestation information. This includes conducting a review of any data submitted by a Third-Party Intermediary (TPI) reporting on behalf of the EC or group across all applicable performance categories. Reviewing the integrity of your data submission now may help avoid negative payment adjustments in the future.

Have questions on how to submit your PY23 MIPS performance data? Contact the KYREC today to talk with one of our experienced advisors before time runs out. Call us at 859-323-3090.
 

QPP 2024 Webinar March 12: Deep Dive into eCQM Quality Measure Optimization

QPP 2024 Webinar: DEEP DIVE INTO ECQM QUALITY MEASURE OPTIMIZATION*
Tuesday MARCH 12, 2024 @ 12PM ET

Join your trusted KY REC advisors to learn all about electronic clinical quality measures (eCQMs). Many practices and eligible clinicians use eCQMs to submit for the quality performance category of the QPP, other payor programs and to monitor outcomes. We will walk you through how to find and use eCQM specifications, measure flow sheets, and discuss how to use these tools to develop a process improvement plan for the quality measures that are meaningful to you.

We will also review how to use your EHR vendor resources to ensure that you are accurately capturing patients that are included in your quality measures to maximize your performance.

Interested in becoming a QPP client? As a client, you receive exclusive access to our analysis of all aspects of the Quality Payment Program. To speak with the team on how we can best support you, feel free to contact us HERE.

Mark your calendars for “Deep Dive into eCQM Quality Measure Optimization” on Tuesday, March 12 at 12pm EST.

Contact YOUR Experts at the Kentucky REC for all your QPP, MIPS/MVP, and APM Track questions. We are here to help. Call us at 859-323-3090.

*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 KYRec@uky.edu. We aim to be your trusted healthcare advisor!

QPP Public Webinar Available Today! 2024 Final Rule

QPP Year 8: FINAL RULE HIGHLIGHTS
Available Today: Wednesday February 21, 2024 @ 12PM ET

Every year, CMS enacts changes to the Quality Payment Program. The CMS 2024 Medicare Physician Fee Schedule (PFS) Final Rule, released in November of 2023, is no exception. Important updates include:

  • Finalized 5 new MVPs
  • PI Category – expanded the reporting window
  • Cost Category – added measures
  • Downward adjustments to PFS payment rates
  • Expanded SDOH & telehealth services reimbursement

Our Kentucky REC expert advisors are here to share and interpret the most critical updates to MIPS and APM Tracks of the Quality Payment Program. Register and view this on-demand analysis to stay in the know about changes to the program and what they could mean for your practice.

Contact YOUR experts at Kentucky REC with all your QPP, MIPS/MVP, and APM Track questions. We’re here to help: 859-323-3090.

For more information:

CMS Final Rule Press Release

2024 PFS/Quality Payment Program Final Rule

Contact YOUR experts at Kentucky REC with all your QPP, MIPS/MVP, and APM Track questions. We’re here to help: 859-323-3090.