KENTUCKY REGIONAL EXTENSION CENTER

Kentucky REC News

WEBINAR JULY 30 – QPP YEAR 3: 2018 FEEDBACK REPORTS

CMS released the 2018 Merit-based Incentive Payment System (MIPS) Performance Feedback and 2020 Payment Adjustment!

Individual clinicians and groups participating in MIPS for 2018 should be able to review their feedback and associated payment adjustment by logging into the QPP Portal at qpp.cms.gov.

Heads up! If you have not logged in to the system in a while, you may be required to reset your HARP password (HCQIS Access and Roles Profile). If you participated in a MIPS Alternative Payment Model (MIPS-APM), you should also be able to see a score based on your APMs performance for the 2018 program year. Only APM Entities that are determined to be “Advanced APMs” will NOT receive MIPS performance feedback. If you have any questions on your APM’s performance or your access to see a score, we recommend contacting your APM entity.

The Performance feedback includes:
  • measure-level performance data and scores
  • activity-level scores
  • category-level scores
  • your final score
  • associated payment adjustment information
  • additional details

For those who submitted under multiple groups, you should receive feedback reports for each group submission. Additionally, those clinicians who voluntarily reported will also receive feedback on their perfrmance, minus any payment adjustment information.

This year CMS released expanded cost and resource use figures for those with applicable data, giving clinicians and practices more tools and resources than before. This data can help you to make steps towards improvement in your practice.

During our webinar we will walk you through these 2018 feedback reports and how you can use the various tables and supplemental information to improve your performance in 2019 and beyond. Make sure to tune in for tips and tricks on getting the most out of your reports!

Webinar – QPP Year 3: 2018 Feedback Reports
Tuesday July 30, 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

JOIN THE DIABETES LEARNING COLLABORATIVE – STARTING SOON!

WHAT IS IT?

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).

WANT TO KNOW MORE?

We’re hosting two Information Sessions – July 18th and August 22nd at noon. Application deadline is August 30th at noon. Call 859-323-3090 if you have any questions.

Thursday July 18 12 Noon ET:
Join from PC, Mac, Linux, or mobile device: https://uky.zoom.us/j/992694266
Or iPhone one-tap (US Toll): 16468769923,992694266# or 16699006833,992694266#
Or Telephone:
+1 646 876 9923 (US Toll)
+1 669 900 6833 (US Toll)
Meeting ID: 992 694 266

Thursday August 22nd 12 Noon ET:
Join from PC, Mac, Linux, or mobile device: https://uky.zoom.us/j/640213595
Or iPhone one-tap (US Toll): 16468769923,640213595# or 16699006833,640213595#
Or Telephone:
+1 646 876 9923 (US Toll)
+1 669 900 6833 (US Toll)
Meeting ID: 640 213 595

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

WHY PARTICIPATE?

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.

HOW CAN I JOIN?

1.  Complete an application and submit by August 30th 12 p.m.
2.  One year commitment
3.  If selected, participants will be notified within 30 days of the application deadline

SUPPORT PARTNERS

The Kentucky Department for Public Health (KDPH) serves as the lead agency for facilitation of the CDC grant. Contact (Diabetes) Reita Jones at Reita.Jones@ky.gov

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. Contact Mary Luvisi MLU242@uky.edu or Michelle Hibbard Michelle.Hibbard@uky.edu.

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. Contact Brandi.Genoe@ky.gov

More details can be found here.
Application can be accessed here.
Questions? Contact us at 859-323-3090 or Kentucky REC.

WEBINAR AUGUST 6: MEDICARE PROMOTING INTEROPERABILITY FOR HOSPITALS

In the Fiscal Year 2019 Medicare Hospital Inpatient Prospective Payment Systems (IPPS) Final Rule, CMS made changes to the Promoting Interoperability Program for Eligible Hospitals and Critical Access Hospitals.

The final rule adopted policies to:

  • continue the advancement of CEHRT utilization
  • reduce burden
  • increase interoperability
  • patient access to their health information

Hospitals must continue to successfully attest to the program to avoid a negative Medicare payment adjustment. During the webinar, we will review the Stage 3 requirements for 2019 and take a look at the new performance-based scoring methodology.

Register now and let us help you succeed in meeting your Promoting Interoperability goals.

Webinar – Medicare Promoting Interoperability for Hospitals
Tuesday August 6, 11:00 a.m. – 12:00 p.m. ET

Contact us at Kentucky REC with your questions about Promoting Interoperability for hospitals. Our experts are here to help: 859-323-3090

 

 

KHIE EHEALTH SUMMIT: AUGUST 16 – LEXINGTON

Our partners at the Kentucky Health Information Exchange (KHIE) invite you to attend the 2019 eHealth Summit August 16th from 7:30 am – 3:30 pm ET at the Marriott Griffin Gate Hotel

 

KHIE invites you to also join them the evening before, August 15th at 5:30 pm, to celebrate KHIE’s launch of the new HIE Platform! Admission is included with registration for the eHealth Summit and includes hors d’oeuvres and drinks.

How does KHIE play a role in improving the health of Kentucky’s citizens?

Join us for these discussions:

  • How KHIE promotes health information exchange at both the regional & national level
  • How you can leverage KHIE and other expert resources to meet Promoting Interoperability & QPP objectives and measures
  • How KHIE supports the Cabinet’s efforts in battling the Opioid & Substance Abuse Epidemic

Be among the first to view highlights of the new KHIE enhanced technology and network with Kentucky healthcare leadership.

Ready to learn, meet, and network? Register here and download agenda here.

Download the KHIE eHealth Summit flyer here.

Marriott Griffin Gate is offering a special rate of $112 for eHealth Summit guests. To make reservations at this special rate, contact Marriott Reservations at 877-204-8020 and ask for the eHealth Summit room block. Attendees are exempt from the $15/day resort fee. Please note: this fee will show up on the reservation; the charge will be removed at final payment upon check-out.

QPP WEBINAR JUNE 27: NAVIGATING CMS SYSTEMS

Are you struggling with HARP, PECOS, or the QPP Portal? During our June 27th webinar we’ll go in depth and look at each CMS system. We will review the purpose of each one, and how that particular system applies to you and your practice in the Quality Payment Program.

We’ll walk through the process of establishing a HARP account, discuss the various roles available within the systems, and provide some guidelines for who should have access. We’ll also discuss the many uses for these different systems.

We’ll go over some troubleshooting tips for issues with passwords, and how to update information on each of the systems.

 

Webinar – QPP Year 3: Navigating CMS Systems
Thursday June 27, 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

 

 

SCHEDULE YOUR RISK ANALYSIS TODAY TO LOWER YOUR RISK OF A CYBER-ATTACK

HHS GUIDANCE ON A CYBER-ATTACK

Has your entity just experienced a cyber-related security incident, and are you wondering what to do next? This guide explains, in brief, the steps a HIPAA covered entity or its business associate should take in response to a cyber-related security incident.

IN THE EVENT OF A CYBER-ATTACK OR SIMILAR EMERGENCY, AN ENTITY:
  • Must execute its response and mitigation procedures and contingency plans. For example, the entity should immediately fix any technical or other problems to stop the incident. The entity should also take steps to mitigate any impermissible disclosure of protected health information, which may be done by the entity’s own information technology staff, or by an outside entity brought in to help (which would be a business associate, if it has access to protected health information for that purpose).
  • Should report the crime to law enforcement agencies, which may include state or local law enforcement, the Federal Bureau of Investigation (FBI), and/or the Secret Service. Any such reports should NOT include protected health information, unless otherwise permitted by the HIPAA Privacy Rule. If a law enforcement official tells the entity that any potential breach report would impede a criminal investigation or harm national security, the entity must delay reporting a breach (see below) for the time the law enforcement official requests in writing, or for 30 days, if the request is made orally.
  • Should report all cyber threat indicators to federal and information-sharing and analysis organizations (ISAOs), including the Department of Homeland Security, the HHS Assistant Secretary for Preparedness and Response, and private-sector cyber-threat ISAOs. Any such reports should not include protected health information. OCR does not receive such reports from its federal or HHS partners.
  • Must report the breach to OCR as soon as possible, but no later than 60 days after the discovery of a breach affecting 500 or more individuals; and notify affected individuals and the media unless a law enforcement official has requested a delay in the reporting. OCR presumes all cyber-related security incidents where protected health information was accessed, acquired, used, or disclosed are reportable breaches unless the information was encrypted by the entity at the time of the incident or the entity determines, through a written risk assessment, that there was a low probability that the information was compromised during the breach. An entity that discovers a breach affecting fewer than 500 individuals has an obligation to notify: individual without unreasonable delay, but no later than 60 days after discovery; and OCR within 60 days after the end of the calendar year in which the breach was discovered.

OCR considers all mitigation efforts taken by the entity during any particular breach investigation. Such efforts include voluntary sharing of breach-related information with law enforcement agencies and other federal and analysis organizations as described above.

Cyber-Attack Guidance Summary

As is detailed above, it is best to have a checklist of activities that need to take place if a cyber-attack happens. An Incident Response Plan will contain and mitigate the cyber incident. Once the incident is either contained or to the point that other activities can commence, notifications need to be made. Contacting law enforcement, then the information-sharing and analysis organizations (ISAOs), will help to aid not only your organization but alert peers to possible threats. Finally, if the cyber-attack is determined to be a breach, any federal and state reporting must be made.

How can a Security Risk Analysis from the Kentucky REC help?

Our highly trained staff can help your organization reduce your cyber-attack risk through a Risk Analysis. By performing interviews, facility walk throughs, and looking at your documentation, then matching your existing controls to industry best practice, you will receive a thorough view of your vulnerabilities. Once the vulnerabilities are identified, they will be outlined in a final report with suggestions for compensating controls to reduce cyber-attack risks.

Contact the security experts at Kentucky REC with your HIPAA and security questions. Call us at 859-323-3090.

 

CMS MIPS ERROR IN 2019 PAYMENT ADJUSTMENT

CMS announced an error in the implementation of the 2019 Merit-based Incentive Payment System (MIPS) payment adjustment; it incorrectly applies payments for Medicare Part B drugs and other non-physician services billed by physicians. Accordingly, adjustments to impacted claims will occur in the near future. Some Kentucky practices are currently reporting they are receiving recoupment letters from their MAC.

If CMS overpaid a claim based on this error, you will receive a notification for recoupment from your Medicare Administrative Contractor (MAC). If CMS underpaid a claim, it will be adjusted. It is suggested that you contact your MAC if you have any questions.

You may read more about Medicare overpayment here.

If you have any questions about MIPS and QPP, email our Kentucky REC experts or call us 859-323-3090. We’re here to help!

THIS WEEK! BOWLING GREEN & PADUCAH – 2019 HEALTHCARE TRANSFORMATION SURVIVAL SEMINARS

Join us for our 2019 Healthcare Transformation Survival Seminar Series!

Kentucky REC experts head to Western Kentucky this week after our successful kick-off seminar last week in Lexington. This is a day packed with helpful information. Join us in Bowling Green or Paducah!

During our day together we’ll discuss quality improvement techniques, the Quality Payment Program, and more to ensure that clinicians, hospital administrators and clinic staff in the state of Kentucky are well prepared for the changing healthcare landscape.

This event will include: QPP Year 3, Implementing Quality Improvement in your Practice, Quality Measure Improvement, Improving Quality through Feedback Report Alignment, Telehealth, HIPAA Security Risk Analysis and Vulnerability Scanning, Promoting Interoperability, and Health Information Exchange.

Lunch is provided to all participants.

This activity has been approved for 4 AMA PRA Category 1 Credits.

All events will start at 9:00 am for registration and end at 3:10 pm local time.

DATES & LOCATIONS:

 

June 20, 2019 – Bowling Green, KY – The Knicely Center
9:00 AM – 3:10 PM CST

 

June 21, 2019 – Paducah, KY – Baptist Health Heart Center Auditorium
9:00 AM – 3:10 PM CST

Questions? Email Kentucky REC or call 859-323-3090.

 

KHIE Kentucky Health Information Exchange Qsource

2019 SURVIVAL SEMINARS FEATURED TOPIC: QUALITY IMPROVEMENT

Implementing Quality Improvement in Your Practice

In this presentation, we’ll discuss:

  • How to define quality improvement in your practice
  • how to align your quality improvement efforts with a focus on various programs: QPP, PCMH/PCSP, as well as other payer programs
  • How to choose a methodology that works well for you and your practice
  • resources you can leverage to identify security holes in your network

Other topics include: QPP Year 3, Quality Measure Improvement, Improving Quality through Feedback Report Alignment, HIPAA, Telehealth, Vulnerability Scanning, Promoting Interoperability, and Health Information Exchange.

Lunch is provided to all participants.

This day’s activities are approved for 4 AMA PRA Category 1 Credits.

All events will start at 9:00 am for registration and end at 3:10 pm local time.

DATES & LOCATIONS:

June 13, 2019 – Lexington, KY – The Lexington Center Heritage Ballroom
9:00 AM – 3:10 PM EST

 

June 20, 2019 – Bowling Green, KY – The Knicely Center
9:00 AM – 3:10 PM CST

 

June 21, 2019 – Paducah, KY – Baptist Health Heart Center Auditorium
9:00 AM – 3:10 PM CST

Questions? Email Kentucky REC or call 859-323-3090.

 

KHIE Kentucky Health Information Exchange Qsource

 

2019 SURVIVAL SEMINARS FEATURED TOPIC: TELEHEALTH

Telehealth

Telehealth is growing rapidly, with changes each year in scope, regulation, and implementation. Learn what to consider if you decide to consider telehealth for your organization.

In the presentation, we will:

  • Define telehealth and some of the most common modalities
  • Discuss considerations in implementing telehealth
  • CMS and Kentucky regulations around reimbursement options
  • Ideas on how telehealth can be used across multiple service lines and organizations

Other topics include: QPP Year 3, Implementing Quality Improvement in your Practice, Quality Measure Improvement, Improving Quality through Feedback Report Alignment, Telehealth, Vulnerability Scanning, Promoting Interoperability, and Health Information Exchange.

Lunch is provided to all participants.

This day’s activities are approved for 4 AMA PRA Category 1 Credits.

All events will start at 9:00 am for registration and end at 3:10 pm local time.

DATES & LOCATIONS:

June 13, 2019 – Lexington, KY – The Lexington Center Heritage Ballroom
9:00 AM – 3:10 PM EST

 

June 20, 2019 – Bowling Green, KY – The Knicely Center
9:00 AM – 3:10 PM CST

 

June 21, 2019 – Paducah, KY – Baptist Health Heart Center Auditorium
9:00 AM – 3:10 PM CST

Questions? Email Kentucky REC or call 859-323-3090.

 

KHIE Kentucky Health Information Exchange Qsource