KENTUCKY REGIONAL EXTENSION CENTER

Kentucky REC News

UK HEALTHCARE’S KENTUCKY REGIONAL EXTENSION CENTER AWARDED AS QUALITY IMPROVEMENT CONTRACTOR

The Centers for Medicare & Medicaid Services selected Altarum Institute and the Trustees of Indiana University as Prime awardees of the Network of Quality Improvement and Innovation Contractor. The Kentucky Regional Extension Center, an outreach arm of UK HealthCare, is a sub-awardee for both of these Prime awardees.

This designation will allow NQIICs to bid on Task Orders over the next five years.

Under the new CMS Indefinite Delivery/Indefinite Quantity (IDIQ) contract mechanism to support quality improvement efforts, each NQIIC may serve as:

• Quality Improvement Experts
• Facilitators/change agents for healthcare transformation by achieving bold aims at a high value
• Innovators of quality improvement

As a NQIIC awardee, UK HealthCare’s Kentucky Regional Extension Center has demonstrated healthcare quality improvement expertise.
Services supported by some of the NQIIC awardees may include:

• Provide direct technical assistance in specific areas of healthcare quality improvement (e.g., patient safety, opioid misuse, nursing home quality, etc.)
• Seek and gain commitments from patients, providers and stakeholders to achieve aims
• Use a Human Centered Design that involves teaming with patient and family members to improve healthcare processes and outcomes
• Focus on helping providers and healthcare organizations to achieve quantitative results for improved outcomes, lower costs, better care, less provider burden, greater transparency, and more
• Support a diverse array of organizations and populations, including: rural providers, vulnerable beneficiaries, clinical practices, hospitals, nursing homes, dialysis facilities, and more
• Support providers in efficient use of Health Information Technology and interoperability
• Serve as backbone organizations to form and engage Community Coalitions
• Convene and support Learning and Action Networks (LANs)

 

 

FROM CMS – LEARN MORE ABOUT MIPS AND EARN CME CREDIT

CMS has posted 6 continuing medical education (CME) modules on the Merit-based Incentive Payment System (MIPS). You can access them by logging into your Medicare Learning Network (MLN) account or creating one here. Once logged in, type the name of the module into the search bar at the top of the website to find it.

The new MIPS CME modules include:

• Quality Payment Program 2019 Overview – Provides information on the origin and objectives of the program as well as an overview of the MIPS and Advanced Alternative Payment Models.
• Quality Payment Program Merit-based Incentive Payment System (MIPS): Participation in 2019 – Details MIPS eligibility and participation options, including the new opt-in policy, and how to report MIPS data.
• Quality Payment Program Merit-based Incentive Payment System (MIPS): Quality Performance Category in 2019 – Explains the requirements, data submission and collection types, and scoring for the Quality performance category.
• Quality Payment Program Merit-based Incentive Payment System (MIPS): Promoting Interoperability Performance Category in 2019 – Provides information on reporting requirements, measures, and reweighting for the Promoting Interoperability performance category.
• Quality Payment Program Merit-based Incentive Payment System (MIPS): Improvement Activities in 2019 – Explains the requirements, reporting steps, and scoring for the Improvement Activities performance category.
• Quality Payment Program Merit-based Incentive Payment System (MIPS): Cost Performance Category in 2019 – Provides information on new measures, attribution, and scoring for the Cost performance category.

For More Information
• Visit the CMS.gov MLN Web-Based Training webpage and log in to MLN to access the modules.
• Visit the QPP Resource Library to review new and existing QPP resources.
• Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222). To receive assistance more quickly, consider calling during non-peak hours—before 10 AM and after 2 PM 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.

 

 

THE PILL PODCAST EPISODE 5: HANK KERSCHEN – ACCOUNTABLE CARE ORGANIZATIONS

Announcing Episode 5 – Hank Kerschen – Accountable Care Organizations

In this episode of The PILL podcast, Trudi interviews Hank Kerschen, a healthcare executive experienced in multi-specialty group practices and integrated delivery systems. He excels in group development, strategic planning, relationship management, and project management. He discusses the process and benefits of joining an Accountable Care Organization (ACO), and the journey of St. Elizabeth to participate in a value-based care model. He also addresses how to navigate being in both of the healthcare reimbursement worlds of fee-for-service and value-based care at the same time.

You can now listen to our podcast at our new home, Buzzsprout, or listen on Spotify or Apple Podcasts. All previous episodes are now available.

If you need assistance with quality improvement and/or the QPP, contact the Kentucky REC at 859-323-3090 or by email. For specific Quality Payment Program assistance for small practices, visit the online resource center.

SCHEDULE YOUR RISK ANALYSIS TODAY – LOWER YOUR RISK OF A HIPAA BREACH

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

Our highly trained staff can help your organization reduce your breach and ransomware risk through a Risk Analysis. By performing interviews, facility walkthroughs 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 recommendations where compensating controls to reduce ransomware risks are needed. Details on the Breach Notification Rule can be found here.

 Additional Resources

HHS Breach Notification Rule

HHS Submitting Notice of Breach

Contact the security experts at Kentucky REC with your HIPAA and security questions. Email at kyrec@uky.edu or call us at 859-323-3090.

 

10/3/19 IS START OF LAST 90 DAY EHR REPORTING PERIOD FOR PROMOTING INTEROPERABILITY PROGRAMS

From CMS…

Thursday, October 3rd is the Start of the Last 90-Day EHR Reporting Period for the Promoting Interoperability Programs

The Centers for Medicare & Medicaid Services (CMS) would like to remind Medicare Promoting Interoperability Program participants that the electronic health record (EHR) reporting period in 2019 is a minimum of any continuous 90-day period in CY 2019, through December 31, 2019.

Thursday, October 3rd is the last possible start date for the 90-day EHR reporting period for new and returning eligible hospitals, dual-eligible hospitals, and critical access hospitals (CAHs) in 2019. Failure to demonstrate that a hospital or CAH is a meaningful EHR user for a continuous 90-days will result in a downward payment adjustment.

In addition to a continuous 90-day EHR reporting period and other program requirements, Medicare Promoting Interoperability Program participants must:
• Use 2015 Edition Certified EHR Technology (CEHRT) for a minimum of any continuous 90-day period
Note: The 2015 Edition CEHRT did not have to be implemented on January 1, 2019, but the functionality must be in place by the first day of the EHR reporting period.
• Submit a “yes” to the Prevention of Information Blocking Attestations
• Submit a “yes” to the ONC Direct Review Attestation
• Report the required numerator and denominator or yes/no measures from each of the four objectives or claim their exclusion(s)
• Earn a minimum total score of 50 points
• Report on four self-selected eCQMs from the set of 16 available

For More Information
To learn more about these requirements, please review the:
2019 Medicare Promoting Interoperability Program Requirements
FY 2019 IPPS and Medicare Promoting Interoperability Program Overview Fact Sheet

For more information on the Promoting Interoperability Programs, visit the Promoting Interoperability Programs website.

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

QPP YEAR 3 WEBINAR OCT 22: EXPERTS ANSWER YOUR QPP QUESTIONS

The quality team at Kentucky REC is excited to host a collaborative webinar with two guest experts: Bruce Maki, a Regulatory Analyst and Program Manager for QPP Advisors at Altarum in Michigan; and Samuel Ross, a Health Informatics Facilitator from Chicago Health IT Regional Extension Center. Bruce and Samuel bring knowledge and skill in healthcare policy and the Quality Payment Program.

Together we will answer your questions and concerns about the QPP. Whether you are in a large or small practice, this session will help you better understand your flexibilities within the program and grasp how to shoot for that potential positive incentive.

Webinar – QPP Year 3: Experts Answer Your QPP Questions
Tuesday October 22, 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.

NEW PILL PODCAST EPISODE & WE HAVE A NEW HOME!

Announcing Episode 4 – Dr. Ken Wilson: Quality Leader

In this episode of the PILL podcast, we interview Dr. Ken Wilson, an Executive Consultant for Norton Healthcare in Louisville, KY. Dr. Wilson has years of experience leading complex implementation efforts. He provides unique insight from a strategic perspective of change in a large health system within a competitive marketplace.

He is also a leader in the enterprise-wide adoption of the Patient-Centered Medical Home model at Norton Healthcare. He previously served as the System Vice President for Clinical Effectiveness & Quality. During his years in this position, Dr. Wilson had oversight over Norton’s quality program.

In his spare time, he travels internationally to help improve medical care. Dr. Wilson has traveled to Rwanda, Uganda, Kenya, and other countries.

You can now listen to our podcast at our new home, Buzzsprout, or listen on Spotify or Apple Podcasts. All previous episodes are now available.

If you need assistance with quality improvement and/or the QPP, contact the Kentucky REC at 859-323-3090 or by email. For specific Quality Payment Program assistance for small practices, visit the online resource center.
 

WEBINAR SEPT 26 – QPP YEAR 3: AUDITS, HARDSHIPS, AND TARGETED REVIEWS

Is your organization facing a recently issued audit from CMS?

Are you aware of the steps to take in filing a hardship exception application?

Do you know what the process is to request a targeted review on your feedback report?

Now is the time to make a difference for your practice for the previous years of the QPP, and for 2019.

Knowing these subjects in detail gives you the power to shape your performance in the QPP, correct inaccuracies, and close out previous program years with confidence. Being up to date with audit, hardship, and targeted review opportunities are great ways to control your data and scores in the program, and ensure that your provider(s) performance is accurate before public reporting.

We will discuss what each of these procedures are, what to expect, how to address them, and when they should be a major focus for your organization.

Webinar – QPP Year 3: Audits, Hardships, and Targeted Reviews
Thursday Sept 26, 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.

 

 

WEBINAR SEPT 25: MEDICAID PI FOR EPS: HOW TO SUCCEED IN STAGE 3

Webinar – Medicaid Promoting Interoperability for EPs: How to Succeed in Stage 3
Wednesday Sept. 25, 12:00 – 1:00 p.m. ET

As we approach the end of 2019, it is crucial to be making progress toward meeting the Promoting Interoperability (MU) Stage 3 objectives and measure. Your Health IT advisors at the KY REC are ready to assist you along the way. Below is important information regarding the EHR incentive program and recommended beginning steps for success. Contact us to schedule a meeting to review your Stage 3 reports and assist with your workflow assessments for the new measures.

EHR Reporting Period for 2019
For 2019, the EHR reporting period for Medicaid EPs is a minimum of any continuous 90 day period within the calendar year. Attestations must be submitted by 03/31/2020 for the Kentucky Medicaid EHR Incentive Program.

2015 Edition Certified EHR Technology
All participants in the Medicaid Promoting Interoperability Program are required to use 2015 Edition CEHRT. The 2015 Edition CEHRT did not have to be implemented on January 1, 2019. However, the functionality must be in place by the first day of the EHR reporting period and the product must be certified to the 2015 Edition criteria by the last day of the EHR reporting period.

Electronic Clinical Quality Measures (eCQM) for 2019
Medicaid EPs who are returning participants must report on a one year eCQM reporting period, and first-time meaningful users must report on a 90-day eCQM reporting period. EPs are required to report on any six eCQMs related to their scope of practice. In addition, Medicaid EPs are required to report on at least one outcome measure. If no outcome measures are relevant to that EP, they must report on at least one high-priority measure. If there are no outcome or high priority measures relevant to an EP’s scope of practice, they must report on any six relevant measures.

Here is a list of available eCQMs for EPs in 2019.

Objectives and Measures: EPs must attest to Stage 3 Objectives and Measures for 2019:

 

Specification sheet links for Stage 3 Measures can be found here.

Important Beginning Steps to Be Successful
  • Contact your vendor to determine:
    1. When will I receive my 2015 CEHRT upgrade?
    2. Are my Stage 3 reports available?
    3. Is the Application Program Interface (API) enabled?
      • Do you have instructions available on how to use the API that can be given to our patients?
    4. Are there instructions or training materials available to learn about the new features with our upgrade?
      • New clinical reconciliation button?
      • How to incorporate summary of care into EHR?
      • Sending patient education to portal?
      • Submitting patient generated health data?
  • Schedule your Security Risk Analysis for 2019 with the Kentucky REC
  • Run your Stage 3 Promoting Interoperability (MU) reports regularly and work with your Health IT advisor to review
  • Run your patient volume report for 90 days in April – June and return to your Health IT advisor

IMPORTANT — If you are planning on attesting to the Immunization Registry public health option, be sure to sign the new bi-directional immunization registry addendum with the Kentucky Health Information Exchange. The old immunization registry addendum WILL NO LONGER BE ACCEPTED for attestations. This must be signed within 60 days of the start of your reporting period.

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

ONE SPACE LEFT FOR DIABETES LEARNING COLLABORATIVE – DEADLINE TO JOIN MONDAY 9/23

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). We have one space left for a motivated practice. The FINAL DEADLINE to join is Monday, September 23rd.

WANT TO KNOW MORE?

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

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. 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

SUPPORT PARTNERS

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.