You're invited to participate in an expanded patient safety course this year – nearly all of the topics in the prior course will be covered in redesigned sessions plus we will have additional content on improvement and achieving high reliability.
The faculty of the Division of Healthcare Management in the Department of Public Health Sciences are pleased to offer an innovative program on improvement science. This is a “mini” certificate course designed specifically for health care professionals, trainees, and students from medicine, dentistry, nursing, pharmacy, hospital administration, and health services research.
Course Content The program, designed to increase your knowledge of how to improve healthcare quality and safety and to educate you on the latest theories on improvement science, consists of 11 sessions addressing topics such as leadership’s role in nurturing a culture of high reliability, an understanding of the science of errors and safety, the model for improvement in clinical practice, identification of “measures that matter” in healthcare, teamwork and communication techniques, performance improvement tools, ways to create a safer medication system, the challenges of health literacy and patient diversity, event reporting systems, designing care for to maximize value and safety, the impacts of information technology and safety, safety in clinical research and the business case for safety.
Registration Information
The registration deadline for the Rochester Improvement Science Education (RISE) Certificate Program is Saturday, September 22. Sessions will begin on Thursday, September 6, 2018, and will be offered twice per month on Thursdays, from 5:30 p.m. to 7:00 p.m. There is no fee for this course. Course materials will be available online.
Existing MyPath/Achieve Users: Please refer to the attached instructions to register for the course.
New to MyPath?
Click here to create an account and begin the registration process.
Parking Information
Parking fees will be the responsibility of the registrant. A light snack will be provided beginning at 5pm.
Program Completion Successful completion of the program involves attendance at a minimum of 8 sessions. Those who successfully complete the program will receive a certificate of participation from the University of Rochester School of Medicine and Dentistry. Physicians, dentists, nurses, dental assistants, hygienists, pharmacists, radiology technologists and social workers will be eligible for up to a maximum of 16.5 hours of continuing education credits. For social workers, partial credit for this multi-part course may not be awarded. Learner must attend all parts in order to earn the certificate for contact hours. Physicians should note that medical staff privileges at SMH and HH, as well as participation in BCBS managed care products (including Blue Choice) require 50 hours of CME per year. Physicians insured through UR and MCIC Vermont for malpractice insurance will be eligible for a reduced premium through the premium differential program. Please see the documents below for further information. If you are unable to access any of the attachments, please feel free to contact Judy Hughes at 275-7712 or by email at judy_hughes@urmc.rochester.edu for another email version or fax copy. The materials are also available at the Quality and Safety Intranet Page for those who can access the URMC intranet.
Patient Safety Program Announcement_Share RISE 8.14.18-rp.pdf
Class Schedule_RISE_Fall_Share.pdf
Faculty List_Share.pdf
Registration Instructions for Existing MyPath Users.pdf
Don’t miss this opportunity to promote improvement science and patient safety by learning about the science, tools, and strategies for achieving safer patient care.
Robert J. Panzer, MD Chief Quality OfficerAssociate VP, Patient Care Quality & Safety Georgia & Thomas Gosnell Professor in Quality and Safety University of Rochester Medical CenterEmail: Robert_Panzer@urmc.rochester.eduPhone: (585) 273-4438Fax: (585) 273-1118Pager: (585) 275-1616 #1497
The Medical Reserve Corps. (MRC) is a program to recruit medical and non-medical volunteers that sign up to be notified of any emergencies or disasters in Monroe County where volunteers are needed to support the community. Notifications also go out for training opportunities and other non-emergency opportunities for the volunteers to help the community. This is a non-emergency opportunity for the members to get involved in the community, learn about general emergency preparedness, and to learn about the differences in the day to day struggle for people with disabilities. Instructions for signing up are attached here. Or, you may schedule a time to meet with Aaron Cignarale to go over the advantages of the MRC and how it can be used to really impact our community if we can get more people involved.
Aaron Cignarale Public Health Emergency Preparedness Specialist Medical Reserve Corps Coordinator Access and Functional Needs Coordinator Monroe County Department of Public Health Office of Public Health Preparedness 111 Westfall Road, Room 854 Rochester, NY 14620 Office: (585) 753-5453 Cell: (585) 478-4996 Fax: (585) 753-5131 aaroncignarale@monroecounty.gov
Sharing Federal Strategies to Address the Opioid Epidemic Wednesday, August 15, 20181:30 -3:00 pm Eastern TimeConference Call Only
The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum (SODF) for opioid prescribers to educate them on federal resources and strategies to combat the opioid epidemic.
The misuse of and addiction to opioids—including prescription pain relievers, heroin, and synthetic opioids such as fentanyl—is a serious national crisis that affects public health as well as social and economic welfare. This SODF brings together representatives from various federal agencies to discuss strategies and resources for safe prescribing as well as other opioid-related topics.
You will hear information from the following federal agencies:
We look forward to your participation.
Special Open Door Participation Instructions:
Participant Dial-In Number: 1-800-857-1738
Conference ID #: 7785347
Note: TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.
A transcript and audio recording of this Special ODF will be posted to the Podcast and Transcripts website at https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts.html for downloading.
For automatic emails of Open Door Forum schedule updates (E-Mailing list subscriptions) and to view Frequently Asked Questions please visit our website at http://www.cms.gov/opendoorforums/
Physicians have until October 15, 2018 to collect their supporting information and attest for achieving 2017 Promoting Interoperability.
Participating Eligible Professionals (EPs) can receive an $8500 per year incentive for each of up to four years of participation. Grant funded free technical services are available from Strategic Interests to assist with your current and future attestations for Stages 2 and 3 through the Eligible Professional 2 Program.
About the Medicaid Eligible Professional Program (EP2) Program and Services Available
The Medicaid Eligible Professional Program (EP2) is a New York State Department of Health (DOH) initiative providing FREE outreach, assistance, and support services. In the Buffalo and Rochester areas, NYeC has selected Strategic Interests as the supporting Technical Agent to assist providers in achieving the various stages of Promoting Interoperability. These free EP2 Services include:
Enrollment is a simple two-step process:
Below is a summary of the program and a comparison of the Stage 2 and Stage 3 objectives:
NYeC EP2 Summary.pdf
MU Objective Comparison.pdf
For more information or to enroll, email EP2@strategicinterests.com. Staff from Strategic Interests are willing to set up a videoconference call with you or representatives from the practice to review the program and answer any questions.
The 2018 Quality Payment Program Exception Applications for the Promoting Interoperability (PI) performance category and for Extreme and Uncontrollable Circumstances for the Merit-based Incentive System (MIPS) are now available on the Quality Payment Program website.
Promoting Interoperatability Hardship Exceptions
If you’re participating in MIPS during the 2018 performance year as an individual, group, or virtual group—or participating in a MIPS Alternative Payment Model (APM)—you can submit a Quality Payment Program Hardship Exception Application for the PI performance category, citing one of the following specified reasons for review and approval:
An approved Quality Payment Program Hardship Exception will:
Please note that simply not using CEHRT does not qualify you for reweighting of your PI performance category.
You must submit a hardship exception application by December 31, 2018 for CMS to reweight the PI performance category to 0 percent.
Extreme and Uncontrollable Circumstances
MIPS eligible clinicians who are impacted by extreme and uncontrollable circumstances may submit a request for reweighting of the Quality, Cost, and Improvement Activities performance categories.
"Extreme and uncontrollable circumstances" are defined as rare events (highly unlikely to occur in a given year) entirely outside your control and the facility in which you practice.
These extreme and uncontrollable circumstances would cause you to be unable to collect information necessary to submit for a performance category, or to submit information that would be used to score a performance category for an extended period of time (for example, 3 months unable to collect data for the Quality performance category). In your application, you must indicate the performance categories that were subject to an extreme and uncontrollable circumstance and how the circumstance affected your ability to collect or submit data for the 2018 MIPS performance year.
The application for extreme and uncontrollable circumstances must be submitted by December 31, 2018 for the 2018 MIPS performance year.
For More Information:
If you submitted 2017 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program website, you can now view your performance feedback and MIPS final score.
CMS originally displayed a single payment adjustment amount, which included an additional adjustment for exceptional performance available to MIPS eligible clinicians and groups with a final score of 70 or greater. However, based on feedback from various clinicians and groups, we have updated the system so that your MIPS payment adjustment, and if applicable, your additional adjustment for exceptional performance, are now displayed separately. The system will continue to display your total MIPS payment adjustment, which is a sum of your MIPS performance and exceptional performance.
How to Access Your Final Score and Feedback
You can access your 2017 MIPS performance feedback and final score by:
Upcoming Office Hours
CMS will be hosting an office hours session on August 14 to provide a brief overview of MIPS 2017 performance feedback and targeted review and to answer frequently asked questions.
Title: Performance Feedback and Targeted Review Office Hours Session
Date: Tuesday, August 14, 2:00 – 3:00 p.m. ET
Register: https://meetingconnect.webex.com/meetingconnect/onstage/g.php?MTID=e91df49e0f68fa7073866f0307f82b53b
Resources
Questions?
If you have questions about your performance feedback or MIPS final score, please contact the Quality Payment Program by:
Please see flyer for a webinar sponsored by the Chief Medical Officers of CMS Regions VII, IX, and X to discuss the Notice of Proposed Rulemaking for Year 3 of the Quality Payment Program. You can click here to register:
https://meetings-cms.webex.com/meetings-cms/onstage/g.php?MTID=e26dafc9adf37584d02153671a5fb96ab
Flyer: QPP Webinar Invitation2.pdf
Wednesday, August 22 from 1:30 to 3 pm
Register for Medicare Learning Network events.
Proposed changes to the CY 2019 Physician Fee Schedule would increase the amount of time doctors and other clinicians spend with their patients by reducing the burden of Medicare paperwork. During this listening session, CMS experts will briefly cover three provisions from the proposed rule and address your clarifying questions to help you formulate your written comments for formal submission:
We encourage you to review the proposed rule prior to the call, as well as the following materials on the provisions to be covered:
Note: Feedback received during this listening session will not be considered formal comments on the rule. See the proposed rule for information on submitting these comments by September 10, 2018.
CMS will be hosting a webinar to present the benefits of using the MSPRP, this will include newly available features. The webinar will be held August 16, 2018. The notice for the webinar is available in the Downloads section of the Coordination of Benefits Overview What’s New page on CMS.gov and includes all webinar information
NCQA updates the NYS PCMH publication annually to clarify guidance and refine criteria expectations. Download the NYS PCMH Standards and Guidelines (2017 Edition, Version 3) to review. Highlights of the update include:
Summary of Changes to PCMH Standards and Guidelines
Practices may share evidence for these criteria:
KM 02-KM 05
AC 05
CC 01
CC 02
CC 04
CC 10
CC 14-CC 16
CC 18
CC 19
QI 15
QI 16
BH 02
Criteria
Change
CM 04-CM 08
Practices may share examples for CM 04-CM 08, although each site must still provide a Record Review Workbook.
QI 06
Practices must provide site-specific evidence for QI 06.
TC 01, TC 04
Clarified requirements for these criteria.
TC 03
Removed the reference to health information exchanges (HIE).
Updated guidance to clarify that participating in an ACO or clinically integrated network does not meet this criterion.
TC 09
Clarified the criterion language to require practices to periodically remind patients of the roles and responsibilities of the medical home.
CM 05
Clarified criterion language to require practices to give written care plans to patients electronically or as a printed document.
CC 09/BH 05
Removed text: "The practice must provide a report, log or electronic tracking system as evidence of implementation."
CC 14
Updated evidence from "Report" to "Evidence of implementation."
CC 16
Evidence updated from "Evidence of follow-up" to "Evidence of implementation."
CC 18-CC 19
Removed the requirement for practices to provide at least three examples of data exchange (CC 18) and obtaining discharge summaries (CC 19).
QI 07
Clarified the criteria's language and guidance to further differentiate between QI 05 and QI 07.
QI 10
Clarified the criterion language to state that practices that have met their appointment availability access goals may focus on improvement in another patient-access area.
QI 15-QI 16
Modified criteria language to clarify that practices may report clinician-level data or practice-level data.
Summary of Changes to NYS PCMH Policies and Procedures
Thank you for your ongoing commitment to delivering high-quality, patient-centered care. If you have questions, submit them through My NCQA.