Health Care Excel (HCE), the Medicare Quality Improvement Organization (QIO) for Indiana, wants to partner with you to improve the delivery of health care to Medicare beneficiaries. Working with the organization, you can receive technical assistance, staff education, and help with interpreting and reporting data with an electronic health record (EHR) – and more – at no charge to you.
The QIO’s Improve Health for Population and Communities initiative, part of the National Quality Strategy, has three projects with some overlap, two of which have limited participation opportunities. All data are confidential, and any transmitted data are de-identified. Here are some details about each project.
1. EHR-based Physician Quality Reporting System (PQRS)
HCE is working with the Centers for Medicare & Medicaid Services (CMS) to support direct PQRS reporting with qualified EHR* systems. Achieve successful reporting and earn incentive payments with help from HCE to include the following:
- Enabling your EHR functionality to conduct PQRS reporting
- Identifying where and how to record specific data elements for each measure
- Establishing workflows for efficient, consistent data capture
- Developing routine reports that allow monthly monitoring of PQRS measures
Let HCE help you reduce the risk of failing to report PQRS measures, which results in payment penalties beginning in 2015. This offer is open to 60 eligible providers only, and the recruitment deadline is Oct. 31, 2012, so don’t delay.
* See a list of Qualified EHR Direct Vendors for 2012.
2. Cardiac Population Health Learning and Action Network (LAN)
HCE and a variety of stakeholders seek to partner with physician offices in a three-year project to address smoking cessation, aspirin therapy, blood pressure and cholesterol control. Internal medicine, family practice and cardiology practices can benefit from webinar education, technical assistance and peer group learning. Participation is limited to 60 practices.
With HCE assistance, you will submit quarterly reports indicating the percentage of your Medicare patients in the measurement year with:
- Coronary artery or peripheral vascular disease whose recent blood pressure was ≤140/90 mm. Hg.
- Ischemic vascular disease whose most recent LDL-C screening result was ≤100
- Ischemic vascular disease with documented use of aspirin or other antithrombotic
- Smoking habits who were offered smoking cessation counseling
HCE advised that a LAN is a collaborative of providers, practice managers, state and national stakeholders and officials from quality improvement organizations working to support technology and quality efforts.
3. Prevention LAN – Regional extension center-assisted practices
This project addresses smoking cessation, aspirin therapy, blood pressure and cholesterol control, as well as influenza and pneumococcal immunization, breast and colorectal cancer screening.
Practices already working with Indiana’s two Regional Extension Centers (RECs) are invited to participate, using HCE as a resource, whether or not you are enrolled in the other two projects.
The LANs are collaborative efforts by various stakeholders throughout the state that have come together to facilitate and support adoption of health information technology (HIT), improvement of specific clinical quality measures (CQM), and to spread best practices and lessons learned.
Here’s what you need to know
To participate in HCE’s projects, you must have a certified EHR system as well as the capability to e-prescribe and run quality reports. If you choose to participate, you will be offered:
- Convenient webinars and teleconferences
- Educational resources on current HIT and CQM subjects
- Opportunities to network with and learn from your peers
- Tools and interventions for quality improvement at NO COST to you
- Approaches to promote engagement of the patient and family to improve patient health and self-management
- A feedback mechanism to improve your LAN
If you are interested in learning more about any of these projects, call (812) 234-1499 and ask for a member of HCE’s Population Health team, or send email to:
This material was prepared by Health Care Excel, the Medicare Quality Improvement Organization for Indiana, 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-IN-POPHEALTH-12-014 7/9/12