CMS Special Session Quality Improvement Organization QIO 12th Scope of Work
The Centers for Medicare & Medicaid Services (CMS) hosted a CMS Special Session on April 20, 2017, to give all stakeholders, including the general public, the opportunity to provide feedback on the QIO Program 12th SoW. To share additional feedback, please email: QIOProgram@cms.hhs.gov.
Critical Access Hospitals: Billing Practices, the Quality Payment Program, and Quality Measurement and Policy Resources for Critical Access Hospitals
In providing technical assistance for quality reporting programs and the Quality Payment Program, both QIN-QIOs and SURs work to clarify the options for which eligible clinicians billing with CAHs are eligible for the QPP. This presentation includes an overview of claims billing for CAHs, QPP participation, and addressing questions submitted prior to the event.
The QIN NCC and Ms. Edna Noré from the CMS Division of Financial Management Fee for Service Operations under the Medicare Fee-for-Service Branch hosted this informative call covering an introduction to Medicare beneficiaries vaccination coverage and detailed information on what forms should be used and how the billing works. This presentation identified the difference between vaccinations covered under Part B and Part D and diagnosis, procedure, and vaccination codes that should be used. Additionally, CMS presented on the seven top billing errors, roster billing details for hospitals and HHAs, and payment amount changes.
MIPS in the Real World: How Your Peers Are Achieving Success
The New England Quality Innovation Network-Quality Improvement Organization (QIN-QIO) hosted an informative webinar on MIPS, which featured two Massachusetts practices that have discovered how they can successfully report for MIPS in the 2017 transitional year. Hosts Leila Volinsky, Kelsey Baker, and Karen Evans guided conversations with these practices to highlight real, attainable steps that they took in identifying measures and activities to support the new reporting requirements. This interactive webinar is ideal for clinicians, office managers, practice administrators, and anyone else who wants to learn about how they can easily avoid a negative payment adjustment for MIPS in 2017.
QPP in the Real World: How Your Peers Are Achieving Success
The QIN NCC hosted an informative webinar on September 25, 2017 on the Quality Payment Program (QPP). The New England QIN-QIO facilitated the call which featured a Rhode Island ACO and a small MA specialty practice that have discovered ways to ensure success in reporting for Merit-based Incentive Payment System (MIPS) or as a MIPS APM in the 2017 transitional year. Hosts Leila Volinsky and Kelsey Baker guided conversations with these groups to highlight real, attainable steps that they took in identifying measures and activities to support the new reporting requirements. This interactive webinar is ideal for clinicians, office managers, practice administrators, and anyone else who wants to learn about how they can easily avoid a negative payment adjustment for MIPS in 2017.
A Framework for Measuring the Triple AIM with Special focus on Equity & Disparities
Gain ideas and inspiration for measuring the Triple Aim
Show examples of including disparities in Triple Aim measurement
Kevin Nolan, Mstat, MA Institute for Healthcare Improvement
Matt Stiefel, MPH Director, Center for Population Health, Kaiser Permanente
Sharon Takeda Platt, PhD Center for Healthcare Analytics, Hospitals, Quality and Care Delivery Excellence, Kaiser Permanente
Affordable Care Act: Opportunities to Reduce Medicare Disparities
Provide an overview of the Affordable Care Act, providing examples of:
The major provisions that address health equity and health disparity.
Progress in terms of funding.
Opportunities for health equity
Understand the impact of ACA at the state level from the perspective of two QIOs - the “on the ground story
Regina Davis Moss, PhD, MPH, MCHES, Associate Executive Director, Public Health Policy and Practice, American Public Health Association (APHA)
Rick Potter, CPA, MBA, CHCA, CEO, Health Services Advisory Group-California
Margie Banse, Health Information Supervisor, Healthcare Excel-Kentucky
Building Trust and Capacity for Respectful Engagement (preliminary title) by Dr. Stephen Thomas, Director, Maryland Center for Health Equity, University of Maryland
Using Data for Health Equity (preliminary title) by Dr. Darrell Hudson, Assistant Professor, Brown School of Social Work and Faculty Scholar, the Institute of Public Health at Washington University in St. Louis
Ella D. Auchincloss, Director, ReThink Health: An Initiative of the Fannie E. Rippel Foundation
What are health care organizations required to do around cultural competency?
National Linguistic & Cultural Programs
Marcos Pesquera, R.Ph, Executive Director, Center for Health Equity and Wellness, Adventist Healthcare
Oscar Lanza, IMG, Kaiser Permanente
Mercedes Blanco and Victoria Williams, MAXIMUS Center for Health Literacy Translation Services
Provide an overview of organizations that support rural health
Explain the unique challenges for Rural Minorities: the “Double Burden”.
Introduce innovative projects in rural health
Understand QIO perspectives in meeting rural health challenges
Wayne Myers, M.D.
Former President of the National Rural Health Association, 2003
Director of the Office of Rural Health Policy, 1998-2000
Janice Probst, M.S., Ph.D., Director, South Carolina Rural Health Research Center
Understanding Disparities among Dual Eligible with Mental Health Conditions
The Maryland Case and Guidelines for Analyzing Your Own State’s Story
Provide an overview of Hilltop’s recent report that assessed differences in chronic disease conditions among dual eligible Medicare and Medicaid beneficiaries with a mental health diagnosis based on two pathways: first enrolled in Medicaid or first enrolled in Medicare
This 1-hour recorded webinar will give providers a better understanding of how they can take full advantage of their participation with the QIO Program. Dennis Wagner, Director of the Quality Improvement and Innovation Group with the Centers for Medicare & Medicaid Services (CMS), describes the vision of the QIO Program, information on the benefits of working with regional Quality Innovation Network-QIOs (QIN-QIOs) and shares examples of local success stories and data involving providers, partners and patients.
This 16-minute recorded webinar is intended for nursing home staff participating in the National Nursing Home Quality Care Collaborative. Kelly O’Neill, with the Quality Improvement Network National Coordinating Center, describes QAPI and its five elements, CMS’ plans for the national rollout, and the value of QAPI beyond satisfying regulation. This brief overview may be helpful to nursing home staff as they are learning about the intent of QAPI.
This 16-minute recorded webinar is intended for nursing home staff participating in the National Nursing Home Quality Care Collaborative. Jane Pederson, with the Quality Improvement Network National Coordinating Center, introduces the role of tools in QAPI, and provides an overview of which tools are valuable and what each tool will help you accomplish. This brief overview may be helpful to nursing home staff as they are preparing for QAPI and looking for supportive tools designed specifically for long-term care, which align with each of the five elements.
This 1-hour recorded webinar is intended for hospital team members interested in learning more about Ventilator Associated Events (VAE) reporting. Cindy Gross, an infection preventionist from the Centers for Disease Control and Prevention, reviews VAE definitions and surveillance methods; describes important changes made to VAE surveillance and PNEU/VAP in 2015; explains the use of the VAE calculator; and describes how to correctly enter VAE data into the National Healthcare Safety Network.
Ventilator Associated Events (VAE) Educational Webinar - May 23rd, 2016:
Mobility: Promoting Physical Activity for People Living in Nursing Homes
This 22-minute recorded webinar is intended for nursing home leadership and staff and provides an overview of strategies and resources to help maintain or improve mobility for people living in nursing homes. Specific topics include utilizing the Nursing Home Change Package and applying strategies from the mobility bundle into your nursing home, exploring use of the “Seven Dimensions of Wellness” model to support health and well-being, and understanding how using the Plan, Do, Study, Act Model for improvement can support quality in your nursing home.