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

TRUPP HRJean Roque

503.828.0255 x101jean.roque@trupphr.com

Sean HoarPartner, David Wright Tremaine LLP

Cyber Threats – Protect Your Clients and Your Business