703 - The Alphabet Soup of Clinical Quality Measures Reporting and Reimbursement: 2018 Updates
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". We are already seeing a transformation of fee for service into value-based care models driven by the Value Based Purchasing, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations are now driven not by Meaningful Use or quantity of services, but instead by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this training session we will review:
- How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
- We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
- How the Eligible Hospital and Eligible Clinicians reimbursement models will change in 2018 and going forward.
- Compare and contrast the requirements for quality measure reporting and identify strategies to ensure compliance.
- The potential impact to hospital reimbursement of current and proposed programs that will affect quality reporting for hospitals and providers.
- How to improve efficiency and quality by aligning measures across initiatives.
- Where to find current information (and breaking news) on each of these Quality Initiatives.
In the past, quality reporting initiatives involved abstractors sifting through a small sample set of unstructured data in paper charts, manually converting their findings to discrete reportable data. This approach is time consuming and requires extensive amount of resources from both IT and Quality staff. Aligning quality initiatives can improve efficiencies and processes, and contribute to population health management efforts, both locally and nationally.
At the conclusion of this presentation, attendees will be able to apply what they’ve learned about aligning Clinical Quality Measures across initiatives specific to their organization to improve reimbursements, reduce their reporting burden, increase efficiencies, and realize the benefits of Population Health Management.
If you are responsible for hospital quality, IT, clinical quality measure initiatives or have a vested interest in making sure your organization is aligning quality measures reporting, this informational session is a must.
Instructors: William S. Presley, Acmeware; Jodi Frei, Northwestern Medical Center, St Albans, Vermont
William S. Presley is Vice President at Acmeware responsible for Product Development. He has been instrumental in creating solid decision support tools that align with the evolving needs of healthcare reform. Bill has extensive experience in healthcare information technology including 8+ years at New England Baptist Hospital where he was a member of the hospital management leadership team. In this role, he oversaw the Physician Hospital Organization IT and the software development team producing various clinical and financial applications.
Under Bill’s leadership, New England Baptist developed leading edge applications including eDoc, a MEDITECH integrated web-based EMR software product. Released in 2005, eDoc featured Medication Reconciliation, Home Medication Management, Discharge Orders, and Electronic Prescribing. Bill team made significant accomplishments from 2005 to 2011 implementing EHR Ambulatory software at the PHO physician practices. Bill completed his undergraduate studies at Wentworth Institute of Technology where he received a Bachelor of Science degree in Computer Science.
Jodi Frei is the Director of Quality at Northwestern Medical Center in St Albans, Vermont, a HIMSS Stage 6 organization. She has an undergraduate degree in Physical Therapy and a Master’s Degree in Managing Innovation and Information Technology. She has over 20 years of healthcare leadership experience and is passionate about leveraging technology to improve clinical and business outcomes. Jodi currently has oversight of all EMR functionality and optimization within her organization, most recently leading a major implementation of her EHR’s most recent technology. As well, she has led her organization through successful Meaningful Use attestations and has been a key player with population health initiatives.
704 - Soup to Nuts - Data Repository 101
Why is our DR Soup to Nuts series one of MUSE’s best attended Tuesday Trainings? Come see for yourself! Because so many MEDITECH hospitals realize the value of the Data Repository (DR), we’re back to teach you all things Data Repository - everything you need to know to monitor, maintain and best utilize your DR to provide your organization with timely and impactful information.
Our DR 101 workshop (part 1 of our two-part series), introduces you to the DR module in MEDITECH. You’ll learn about the data transfer process, best practices for monitoring overall system health and transfer functionality, how to interpret informational messages and potential errors from the DR system log, and when to follow-up with MEDITECH on any DR-related issues.
Next, we’ll dive into the basics of Microsoft SQL Server, the relational database system that hosts your DR data. This includes an overview of database management with SQL Server Management Studio, along with a discussion of best practices for data validation. Finally, we’ll outline the report development and presentation options that are included with Microsoft SQL Server.
Every MEDITECH DR hospital can benefit from this session, whether you’re just going live with DR or have an already-established system and are looking to dive deeper. Join us for DR 101 (and DR 102!) to learn about the DR from start to finish.
705 - MEDITECH’s EHR Excellence Toolkit Program
Instructor: Jamie Gerardo, Acmeware
Jamie Gerardo has been a presenter at MUSE going back to her days at Hays Medical Center where she helped develop the DR into an integral part of daily operations. Jamie has a passion for databases and enjoys sharing information and teaching others. She has been involved with MEDITECH healthcare for the past 15 years, with a concentration on the data repository environment since 2005. She studied Business Administration in Management at Texas State University. Jamie is a Microsoft certified Technical Specialist in Business Intelligence.
This workshop will help you understand the fundamentals of EHR Enabled Clinical Quality Improvement (eCQI), and how its approach can help your organizations achieve measurable care quality improvement. You will also learn how our current and future EHR Toolkit topics provide your organizations with the evidence based guidance and embedded clinical decision support (CDS) to help accelerate this process at your organizations. Last, we will take a deeper dive into project planning tools, outcomes measurement, and break out into project exercises leaving you equipped to get started on your own eCQI project.
- Introduction of EHR Enabled Clinical Quality Improvement (eCQI)
- EHR Excellence Toolkit Program and Components
- Overview of new and current MEDITECH EHR Toolkit Topics
- Implementation: Project Planning Tools, Measurement, and Project Exercise
Instructors: Lisa Bourgeois and Leo Cook, MEDITECH
Lisa Bourgeois is a Senior Manager in the EHR Excellence Group overseeing the Toolkit Program, Clinical Leadership Preparedness Program (CLPP), Doctor’s Hours, and Stage 7 initiatives. She manages a group of Analysts and Clinicians who are responsible for developing and evolving programs to support our customers in achieving clinical and operational excellence. Lisa has been with MEDITECH for 27 years serving various roles in both Implementation and Client Services.
Leo Cook is a manager for MEDITECH’s EHR Excellence Toolkit Program and oversees all aspects of the program from the development of the roadmap to the research and development of the best practice workflows, content, and outcome reporting that comprise each toolkit. Leo has over 13 years of experience with MEDITECH’s physician, nursing, and pharmacy products, specializing in clinical decision support, physician utilization and satisfaction, and integrating best practice workflows into the system. Leo recently earned his M.B.A. from Babson College in Wellesley, Massachusetts.