Mark your calendars! SDFMC presents: PPS Hospital Quality Reporting – Open Office Hour Teleconference Wednesday, July 9, 2014, 3pm-4pm CT / 2pm-3pm MT Overview SDFMC, the Quality Improvement Organization (QIO) for South Dakota, is providing this free educational opportunity for all PPS Hospitals in the state. This quarterly teleconference will provide you with an overview of current hot topics and “to do” items for the CMS Inpatient and Outpatient Quality Reporting Programs. We will provide updates and also give the chance for peer interaction and learning through a Q&A session. Speakers Nancy McDonald, RN/BSN Ryan Sailor, MBA Agenda 1. 2. 3. 4. 5. 6. Welcome and Overview New Quality Net Portal a. Structural/Web-based Measures (PC-01) not available on Quality Net b. Downtime from July 10-16 Upcoming due dates a. 08/01/14: Q1 2014 outpatient data, inpatient population/sampling b. 08/15/14: Q1 2014 inpatient data c. 11/01/14: OUTPT Structural Measures/Data Accuracy & Completeness Acknowledgement (DACA) 11th SOW/QIO future a. Recruitment Team STEPPS Open Question and Answer, Discussion How to Connect We have reserved a line for every South Dakota hospital and the handouts will be posted to www.sdfmc.org if you’re not able to join. 1. Dial in to the teleconference. The number is 877-662-7634. The access code is 8525855. 2. To encourage interaction, all lines will be open, so please mute your phone when not speaking. Do not put the call on hold, as everyone will get to hear your hold music. Feedback Please click on the following link and provide some anonymous feedback (it takes under 30 seconds!) to help us meet your needs with future calls: https://www.surveymonkey.com/s/S83VNNL Questions? Contact Nancy McDonald ([email protected], 605-234-4144) or Ryan Sailor ([email protected], 605-444-4108) This material was prepared by SDFMC, the Medicare Quality Improvement Organization for South Dakota, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 10SOW-SD-C7-14-445 PPS Hospital Quality Reporting Open Office Hour Wednesday, July 9, 2014 1 Agenda 1. 2. 3. 4. 5. 6. 2 Welcome and Overview New QualityNet Secure Portal Upcoming Due Dates 11th Scope of Work/QIO Future Team STEPPS Open Question and Answer/Discussion New QualityNet Secure Portal • Portal launch pushed back 2 weeks to July 17 • • Structural/Web-based measures currently not available • • 3 Cannot be submitted until the system release is complete My QualityNet and QualityNet Secure Portal downtime July 10-16 • • • • Continue to use QualityNet as usual This is tentative Notified when migration to the Portal is complete QualityNet reports also not available during this time Sign up for list serves on QualityNet Upcoming Due Dates • 08/1/14: Q1 2014 • Outpatient data • Inpatient population/sampling • 8/15/14: Q1 2014 • Inpatient Data • 11/01/14 • Outpatient structural measures 4 11th Scope of Work/QIO Future Many changes coming in the 11th Scope • • • • • Start August 1, 2014 and will be 5 yrs SDFMC will be solely focused on quality improvement going forward Partnership with SD, ND, NE, KS called QIN/QIO Case review 2 organizations instead of all 50 QIO’s 5 Value, Incentives and Quality Reporting (VICR) support centers (see CMS memo/PDF) Last call for now Recruitment for this Scope will start soon Still here to support you 5 Team STEPPS SDFMC now has master trainers in Team STEPPS (Strategies & Tools to Enhance Performance & Patient Safety) If this is something you would be interested in please contact Nancy at 605-234-4144 6 Questions and Discussion • Please provide us some feedback https://www.surveymonkey.com/s/S83VNNL 7 SDFMC Hospital Reporting Contacts If you have any questions, please contact either one of us! Nancy McDonald, RN/BSN, CPHQ • [email protected] • (605) 234-4144 Ryan Sailor, MBA, Vice President • [email protected] • (605) 444-4108 8 This material was prepared by SDFMC, the Medicare Quality Improvement Organization for South Dakota, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 10SOW-SD-C7-14-443 Sailor, Ryan From: Sent: To: Subject: QualityNet Notification <[email protected]> Wednesday, July 02, 2014 1:49 PM Sailor, Ryan [qiocw-notify] CMS Launches Value, Incentives, and Quality Reporting Program Support Contractors The Centers for Medicare and Medicaid Services (CMS) today took another step in restructuring the Quality Improvement Organization (QIO) Program to improve patient care, health outcomes, and save taxpayer resources. In this restructuring phase, CMS will award five Value, Incentives, and Quality Reporting (VIQR) support contractors to support Medicare providers to report quality measure data, and improve the linkage of Medicare payment to quality through value-based purchasing implementation. CMS expects to award five VIQR contracts by September 2014 to provide critical services to Medicare providers, Quality Improvement Networks, and CMS to implement these new and essential programs. These programs include the following:  CMS Hospital Value Based Purchasing (VBP) program;      CMS Hospital Inpatient Quality Reporting (IQR) program; CMS Hospital Outpatient Quality Reporting (OQR) program; CMS Inpatient Psychiatric Facility Quality Reporting (IPFQR) program; CMS Ambulatory Surgical Center Quality Reporting program; and CMS PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) program. During the past decade, these programs have contributed to improved quality of care and health outcomes for Medicare beneficiaries nationwide through public reporting of quality measures, linking Medicare payment to quality improvement, and raising national awareness about these quality issues. For example, the Hospital IQR and VBP programs have aligned their efforts with other parts of the QIO program, with our Federal partner agencies like AHRQ and CDC, and private efforts like the Keystone project to reduce 30-day re-admissions and prevent Central Line Associated Blood Stream Infections. These measures have shown improvement. Patient rehospitalizations have declined by over 5% since 2011, and the CLABSI rate for Intensive Care Units has dropped nationally by over 40% since 2008. CMS expects that the five VIQR contractors will improve the consistency, standardization, and efficiency of our value, incentive, and quality reporting program services to Medicare providers. Specifically, we expect that national outreach, education, value and quality program payment appeals, and validation support will improve provider awareness and knowledge about these programs and reporting accuracy and accountability. Previously, state QIOs provided this support to Medicare providers, with considerable assistance by QIO national support contractors. Starting with the Quality Improvement program 11th statement of work, CMS will focus QIO technical assistance on its core quality improvement competency in VIQR quality measures. QIOs will partner with Medicare providers to improve quality of care and health outcomes, and reduce cost on VIQR program quality and cost measures. CMS will send separate announcements upon award of each contract to inform stakeholders of new contractors and their roles. Please refer to the Appendix for a brief description of the five VIQR support contractors’ responsibilities and covered programs. 1 The VIQR Support Contractor launch is part of the Quality Improvement program restructuring: In the first phase of the restructuring, CMS procured the services of two Beneficiary and Family-Centered Care (BFCC) QIO contractors to support the program’s case review and monitoring activities separate from the traditional quality improvement activities of the QIOs. The two BFCC QIO contractors are Livanta LLC, located in Annapolis Junction, Maryland, and KePRO, located in Seven Hills Ohio. They will be responsible for ensuring consistency in the review process with consideration of local factors important to beneficiaries. QIOs historically have provided numerous quality improvement functions, including providing an infrastructure for national quality improvement initiatives across the continuum of care; today’s announcement highlights CMS’ efforts to restructure the QIO Program to gain efficiencies, to eliminate any perceived conflicts of interest, and to better address the needs of Medicare beneficiaries using BFCC QIOs to focus on providing patients a voice through conducting quality of care reviews, discharge and termination of service appeals, and other areas of required review in various provider settings. “One of the most critical roles of CMS is to protect the quality and safety of care delivered to beneficiaries. Care needs to be patient-centered and directly engage patients, families, and caregivers,” said Dr. Patrick Conway, deputy administrator for innovation and quality and CMS chief medical officer. “The quality of care review is essential to ensure care delivered to all beneficiaries meets professionally recognized standards.” The VIQR support contractors are part of the program’s second phase of restructuring starting in July. CMS is awarding contracts to organizations that will directly work with providers and communities on data-driven quality initiatives to improve patient safety, reduce harm, and improve clinical care and transparency at local, regional, and national levels through Quality Innovation Network and VIQR support contractors. For questions regarding this announcement please contact [email protected]. Appendix CMS Value, Incentives, and Quality Reporting Support Contractors Award: 6/16/14 to FMQAI CMS Value, Incentives, and Quality Reporting Outreach and Education Center - Hospital Inpatient, Psychiatric Facility and PPS-Exempt Cancer Hospitals This contractor provides national outreach, education, and technical assistance to subsection (d) hospital inpatient departments, CAH’s, PPS-exempt cancer hospitals, and inpatient psychiatric facilities to report quality data to CMS. The contractor also educates hospitals and QIN’s on CMS Hospital Value Based Purchasing (VBP) program requirements, performance scores, and other Hospital VBP information linking payment to quality. Supports CMS to administer the following programs: a. b. c. d. Hospital VBP Program; Hospital Inpatient Quality Reporting Program; PPS-Exempt Cancer Hospital Quality Reporting Program; and Inpatient Psychiatric Facility Quality Reporting Program CMS Value, Incentives, and Quality Reporting Outreach and Education Center- Hospital Outpatient and Ambulatory Surgical Centers (ASC) Award: To Be Announced This contractor provides national outreach, education, and technical assistance to subsection (d) hospital outpatient departments, CAH’s, and ambulatory surgical centers to report quality data to CMS. Supports CMS to administer the following programs: a. b. Hospital Outpatient Quality Reporting Program; and Ambulatory Surgical Center Quality Reporting Program 2 CMS Hospital Quality Reporting Validation Support Center Award: To Be Announced The contractor supports the Hospital Inpatient and Outpatient Quality Reporting programs to verify accuracy and completeness of quality data reported by hospitals. Assists CMS to collect healthcare associated infection lab culture and Intensive Care Unit information from providers to improve sampling efficiency. Partners with CMS measures maintenance contractor and CDC to educate CMS Clinical Data Abstraction Center on validation methodology and abstraction instructions, and provides technical assistance to CMS in updating validation processes to align with new measures and technologies. CMS Value, Incentives, and Quality Reporting Appeals Center Award: To Be Announced This contractor assists CMS to administer our appeals, reconsideration, provider reimbursement review board cases, and other post-payment determination reviews. This contract provides outreach and education to affected providers and ASC’s, and assists CMS to collect and review necessary appeals information from providers, CMS and Federal partners collecting data on behalf of our quality programs. CMS Value, Incentives, and Quality Reporting Monitoring and Evaluation Center Award: To Be Announced This contractor supports CMS to monitor and evaluate the Hospital VBP program and CMS quality reporting programs relative to supporting CMS three-part aim of lowering cost, improving patient care, and improving population health. Assesses both positive impact of programs and potential unintended consequences to beneficiaries and the health delivery system. The contractor also provides ad-hoc analytic data reports to CMS upon request. Thank you, QualityNet Notification PLEASE DO NOT RESPOND DIRECTLY TO THIS EMAIL as this mailbox is not monitored regularly. If you have questions or concerns regarding this email, please contact the QualityNet Help Desk at [email protected] or (866) 288‐ 8912, (7am to 7pm Central Time, Monday through Friday). 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