Mount Sinai Health Partners
Clinically Integrated Network Newsletter
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Each month, we will feature at least one member from our senior leadership team to talk to you about a range of topics including policy and health care news to updates about clinical programs. E-mail us at
mshp@mountsinai.org
if you are interested in hearing about a specific topic.
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Mount Sinai Health Partners’ Director of Clinical Informatics, Amanda Widmaier, joins MSHP's Chief Medical Officer, Dr. Robert Fields, in our latest podcast to discuss how data is used in population health. A useful component of strategic and tactical decision making, data and analytics can be used to inform providers of their performance, offer greater insights into patient health and management, and most importantly, initiate conversations about broader solutions. Amanda and Dr. Fields also discuss data sources, limitations, challenges, and directions for the future.
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In the fifth episode of the MSHP podcast Dr. Ruchi Tiwari, Director of Pharmacy, Population Health, joins Dr. Fields to discuss clinical pharmacy in primary care and ambulatory settings and how clinical pharmacists can be crucial to population health. Dr. Tiwari sees clinical pharmacists as coaches and champions for patients and key players in the goal of medication adherence.
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Friday, October 12, 2018
Q3 2018
Quality Reporting Due
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Wednesday, October 17, 2018
Reduced registration fee for MSHP providers
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Saturday, October 27, 2018
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2018 CIN Requirements Past Due
–
Complete Them Today
While the due date to complete these requirements has passed, in order for primary care providers to continue to receive care coordination payments and for CIN providers to remain in the CIN, CIN providers still need to complete these requirements.
For more information or assistance, please contact your
Provider Engagement Manager
.
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Have questions about the CIN?
Ask our CMO.
Have questions for MSHP’s Chief Medical Officer, Dr. Robert Fields? Submit them to
mshp@mountsinai.org with the subject line "Ask the CMO" and we may address them in an upcoming newsletter! Questions may pertain to strategy, quality, clinical integration, care management, or anything else related to our CIN. Please note that we cannot respond to all questions received nor can we guarantee personal follow up on questions.
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Quality Reporting Due October 12
Your quality reporting templates for Q3 2018 are now available in your
Box.com account.
Please be sure to download the current reporting template from your Box account; do not reuse previous templates. These templates reflect updated quality measures that have changed for some of the specialties for 2018.
For more information, please review the
communication sent on September 14.
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2018 Q3 Voluntary Town Hall Recap
Thank you to everyone who joined us in-person and via webinar for our Q3 Town Hall on September 25th! Two voluntary providers, Dr. Jankowska and Dr. Gidwani, shared valuable insights on how they manage their practices and overcome challenges in staff management and billing. They also talked about how the CIN has helped them stay mindful of achieving quality performance. MSHP's CMO, Dr. Fields provided MSHP updates on Healthix and introduced the audience to the Lumeris analytics platform. Our Senior Medical Directors of Population Health, Dr. Wajnberg and Dr. Rahim, presented on care management services available through MSHP, and the upcoming provider engagement model to support providers with understanding how to leverage our analytics capabilities to improve health outcomes.
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If you were unable to attend or would like a refresher on any of the material presented, presentation materials are
available here. You can also fulfill a 2018 CIN program education participation requirement by reviewing the video when it becomes available through our
Clinical Integration Learning Center in the coming weeks.
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Contracting Quality Assurance Program
MSHP is dedicated to ensuring that CIN providers are reimbursed accurately and appropriately by our contracted payers. We have developed a Payer Contracting Quality Assurance Program where MSHP will routinely assess our contracted payers by working with a “Quality Circle,” which is a representative group of CIN practices. We will continually validate contractual fee schedules for all payers and advise the network if we identify any issues requiring your follow up. We encourage you to continue to work with the payers directly with any issues. MSHP will share insights should we discover any fee schedule implementation issues.
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CME Course: 5th Annual Advances in Neurology
Mount Sinai Health System's Department of Neurology is hosting a one-day CME course at Mount Sinai on Saturday, October 27th, titled, "5th Annual Advances in Neurology: Diagnosis and Practical Management of Patients with Nervous System Disorders."
MSHP providers are invited to attend this annual event at a reduced fee of $50.
Click here for more information on the course and
click here to register.
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Population Health in the Literature and Media
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Influenza Vaccination Modifies Disease Severity Among Community-dwelling Adults Hospitalized With Influenza
Analysis of previous flu seasons suggest that influenza vaccination modifies disease severity in patients hospitalized with flu. Influenza vaccination was associated with decreased risk of death, ICU admission and hospital length of stay.
This analysis is available here.
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MSHP’s CMO Dr. Fields Discusses Social Determinants of Health
In a recent
Healthcare Informatics article, Dr. Rob Fields, Senior Vice President and Chief Medical Officer of Population Health at Mount Sinai Health Partners, shares his thoughts around leveraging technology solutions to understand and address social determinants of health issues. He talks about the importance of solutions with predictive analysis, network registries for community-based organizations, and referral platforms for care management. Other healthcare leaders share thoughts on trends and approaches to address social determinants of health.
Read more.
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Preparing for Flu Season
The flu season is upon us. Every year, influenza affects millions of Americans. Comprehensive preparedness in primary care includes opportunistic and proactive vaccination campaigns, droplet precaution protocols, phone triage, and timely administration of antivirals.
Follow this link for a CDC flowsheet to assist office staff with telephone evaluation.
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New MSHP Agreement with HIP
MSHP has entered into a new fee-for-service agreement with HIP, an EmblemHealth company, exclusively for CIN providers. As a member of MSHP’s CIN, your practice is automatically enrolled in this FFS arrangement that became effective on October 1, 2018. Stay tuned for more information via email announcement regarding this arrangement and the FFS rates, which will be applicable for HIP Medicare Advantage and HIP Commercial plans.
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New MSHP Agreement with Bright Health Medicare Advantage Plans
MSHP and Bright Health have formed a strategic new partnership aimed at offering innovative health benefit plans for consumers in the Medicare market. As a member of MSHP’s CIN, your practice is automatically enrolled in this fee-for-service arrangement that is effective on January 1, 2019.
For 2019 coverage, open enrollment will run from October 15, 2018 to December 7, 2018. Your patients considering Bright Health coverage may ask you or your staff if you participate with Bright Health, so please ensure that everyone in your practice is aware of your participation! To access rates, please sign into the
MSHP Provider Portal and then
click on this link.
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P: 877-234-6667
F: 212-523-5775
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