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Accelerate 2016Marylhurst University
Run of Show7:30 Welcome! Registration, light breakfast, meet and greet
8:00 Andrea Cunningham: Getting ROI From Your EMR
9:00 15 Minute Stretch
9:15 Jean Roque: Staff Training and Role Redesign
10:15 Bio Break
10:30 Sean Hoar: Cyber Threats – Be Aware & Prepare
11:30 Questions + Wrap Up
Andrea CunninghamDirector of Professional ServicesHealthCo Information Systems
Getting ROI From Your EMR
EHR Status Poll
Return on Investment - ROI
Benefits (Quality + Safety + Efficiency + Profitability + Quality of Work Life)
_________________________________________________________________
Costs (Acquisition + Implementation + Annual)
Benefits of EHR
Hard Savings– Cost reductions and Increased revenue
Soft Savings– Efficiencies gained by optimal use of technology
Costs of EHRCosts
– Acquisition– Implementation– Annual – Ongoing process improvement– Penalties
Quality Program Status Poll
Continuing to recognize ROI
• Optimize use
• Regular care and maintenance
• Plan for the shift in payment models
• Optimize use
• Regular care and maintenance
• Plan for the shift in payment models
2016 and beyond - the changes• VBPM• Quality Tiering• Preparation• MACRA• MIPS
What is the Value Based Payment Modifier (VBPM)?
• Adjustment to payments made based on the quality and cost of care furnished to their Medicare Fee-for-Service (FFS) patients and compared to national averages.
• Designed to rewards Value over Volume
VBPM• Included in the 2010 Patient Protection and Affordable Care Act
(ACA)
• PQRS data and other factors are used to determine a Positive, Negative, 0% adjustment to Medicare FFS payments
• Physicians and non physician practitioners are subject to the VBPM penalty – Phased implementation based on clinic size with automatic payment adjustments
• Quality Tiering
VBPM Payment Adjustments for groups
X factor
• How do you Prepare?
What can you do in 2016?
• Participate in PQRS and use your investment to do this!• Choose quality measures wisely and improve your results• She how you ranked last year by checking you Quality
and Resource Use Reports (QRUR) on the CMS site https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Obtain-2013-QRUR.html
• Focus on preventative care to keep Medicare costs down
• Looking beyond 2016
• MACRA and MIPS
What if you didn’t have an EHR?Clear ROI Clinical data to support QualityPatient engagement tools to promote care
Questions/ Comments?
Resources:https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html
https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2015-07-16-PQRS-Presentation.pdf
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Core-Measures.html
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Downloads/2016-VM-Fact-Sheet.pdf
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Downloads/2016-VM-Overview-PDF-Memo.pdf
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Obtain-2013-QRUR.html
Appendix C
ACA: Affordable Care ActACO: Accountable Care Organization APM: Alternative Payment Model CHIP: Children’s Health Insurance ProgramCPC: Comprehensive Primary Care
Initiative Practice Sites
CQM: Clinical Quality MeasureEIDM: Enterprise Identity Management GPRO: Group Practice Reporting Option IACS: Individuals Authorized Access to the
CMS Computer Services
MACRA: Medicare Access and CHIP Reauthorization Act of 2015
MIPS: Merit-based Incentive Payment System
MU: Meaningful UseNMS: National Mean ScorePCMH: Patient Centered Medical HomePQRS: Physician Quality Reporting System QCDR: Qualified Clinical Data Registry QRUR: Quality and Resource Use ReportVBPM: Value-based Payment Modifier
Acronyms referred to in Presentation
Jean RoqueFounder & PresidentTrupp HR
Staff Training & Role Redesign
EQUIP unleash the power of an aligned and skilled teamPRESENTER: JEAN ROQUE OF TRUPP HR
DETERMINING SELECTION CRITERIA
ableCompetencies
Knowledge
Skills
Attributes
willingMotivation
Interests
Drive
Passion
alignedYour Culture
Teamwork
Understand the Role
Com
pete
ncy
Resu
lts c
apab
le
How ABLE is the applicant?
How WILLING is the applicant?
Has career path shown:Growth, development, advancementInconsistencies, anomaliesStagnation, backsliding
How ALIGNED is the applicant?
INTEREST + UNDERSTANDING OF YOUR COMPANYMODEL + PRIORITIZE YOUR CORE VALUES
LIKELY TO THRIVE IN YOUR WORK ENVIRONMENT
NAVIGATING CHANGE
CHANGE + TRANSITION
Recognize Diagnose Address
WILLIAM BRIDGES TRANSITION MODEL
OPTIMIZINGPERFORMAN
CE
PERFORMANCE FACTORSExpectations• What to do?
Process• How to do it?
Decisions• Where are the
boundaries?
Consequences• What did my actions
cause?
Source: Garold L.Markle, Catalytic Coaching, Quorum Books (2000)
What can go wrong?
EMPLOYEE EXPECTATIONS
Job Descriptions
Performance Goals
Processes
Procedures
Checklists
IMPROVING PROCESSESPrevent an issue
Provide clarity
Establish standards
Clarify roles
Templates
Scripts
Improve systems
Quality control
EMPLOYEE ONBOARDINGBest time to set employee expectations
Performance ExpectationsCulture + ValuesPatient PerspectiveIndustry-SpecificTechnologyProcessesTeam RolesEmpowerment
Sean HoarPartner, David Wright Tremaine LLP
Cyber Threats – Protect Your Clients and Your Business
