Mount Sinai Health Partners
Clinically Integrated Network Newsletter
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Becker’s Hospital Review Names Niyum Gandhi One of 32 Chief Population Health Officers to Know
Please join us in congratulating our Executive Vice President and Chief Population Health Officer, Niyum Gandhi, on being named one of Becker’s Hospital Review’s 32 Chief Population Health Officers to Know across the country.
Niyum stated, “This is an incredible recognition and I must say I have been really fortunate to be a part of a very dedicated team at Mount Sinai Health Partners. Not only are they innovative but they are also relentless about improving the way we provide care to our community. They’re constantly finding new ways of transforming the care delivery model through different lenses – considering the experience and challenges of patients, doctors, employer groups, and just about anyone that is impacted by health care.”
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Senior Manager for Practice Improvement, Neha Dubli, and Dr. Fields discuss engaging providers in population health on the latest episode of the MSHP podcast. Neha shares her journey into population health via Uganda and New Orleans as well her role today within the health system. They discuss navigating pain points with providers, staffing optimization, burnout, designing care for the next generation, and more.
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Dr. Linda V. DeCherrie, Director of the Mount Sinai Visiting Doctors Program, joins Dr. Fields to explain how the program works to bring care to homebound patients without access to primary care. They discuss a number of challenges the program faces such as logistics, finances, burnout, and safety, as well as the broader landscape of geriatrics.
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April 16, 2019
Deadline to Pay Your MSHP Annual Membership Dues
April 19, 2019
Q1 quality reporting due for practices reporting manually or through N&D feeds from their EMR. Upload your reporting to your Box account.
June 28, 2019
Q2 quality reporting due for both PCPs and Specialists
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Available Resources for Your Practice
Provider Engagement Mangers
are your main point of contact for all questions. They can help you with administrative and business concerns, understanding and achieving your CIN requirements, and direct you to the right contacts for any other MSHP questions.
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Provider Service Specialists are your day-to-day MSHP office point of contact for questions offering assistance and support with IPA membership, CI compliance requirements, troubleshooting the MSHP Provider Portal, CILC, and Box, research credentialing and other inquiries, and more. You can reach a Provider Service Specialist by calling
1-877-234-6667 or emailing
MSHP@mountsinai.org.
Population Health Managers help you understand your panel of patients attributed to value-based contracts and how you can leverage this data to improve health outcomes.
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The Care Management Team works with you, your patients, and their caregivers to identify and address known risk factors that impact health outcomes, such as housing instability, language barriers, medication adherence, and health literacy. Members of the Care Management Team include Social Workers, Nurse Clinical Coordinators, Care Coordinators, Post-Acute Care Clinical Coordinators, and Pharmacists. For questions or referrals, please call 212-241-7228 or email
MSHPCMreferral@mountsinai.org.
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New! Practice Resources Webpage
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View our library of resources to help you run your practice on our new Practice Resources page. Visit
mshp.mountsinai.org, sign in to the Provider Portal, and then click “Practice Resources.” From there you’ll be able to view and download information to help you optimize practice operations.
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Stay on Track to Complete Your 2019 CI Requirements
By now, you should have signed your MSHP PCP/Specialist care compact and fulfilled the Program Engagement requirements in CILC, if you did not do so in a previous program year. If you have not yet completed these requirements, don’t delay! You must complete all of the requirements on time to retain good standing within the program.
This quarter, both PCPs and Specialists will also submit quality reporting data.
View the full 2019 Clinical Integration Program Requirements for
PCPs
and
Specialists
.
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Provider Spotlight:
Dr. Danuta A. Jankowska, Internal Medicine
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Key to Quality Care is Managing Practice Operations Efficiently: MSHP Spotlight on CIN Primary Care Provider, Dr. Danuta A. Jankowska
Fee schedules. Coding. Rejected claims. Managing overhead. Staff communications. The financial and business elements of running a practice aren’t often covered in medical school and can be a cause of burnout for many physicians. We sat down with primary care physician, Dr. Danuta A. Jankowska, and her brother, Legal Analyst and Chief Clinical Officer, Dr. Slawomir Jankowksa, to discuss their approach to managing the financial and business operations and ensure appropriate reimbursements, so that they can truly focus on quality care for their patients.
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Tip of the Month: Effective Huddle Strategies
Short, daily huddles are a great way to plan for more efficient patient visits and better quality care. Watch this
3-minute video
on how Mount Sinai’s 1090 Amsterdam Avenue primary care practice prepares for and implements its daily huddles and download this editable
checklist prepared by Dr. David Coun
of Mount Sinai Doctors Brooklyn Heights that you can use in your own practice.
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HIP Fee Schedule Now Available
MSHP has executed a fee-for-service arrangement with HIP, an EmblemHealth company, exclusively for providers in MSHP’s CIN. As members of the CIN, your practice is automatically enrolled in this FFS arrangement for HIP Medicare Advantage and HIP Commercial. To view reimbursements for select E&M codes, please visit
mshp.mountsinai.org
, sign in to the provider portal, and then go to the Relationships page. From there you will see a listing of payers and links to their fee schedules. For more information, please refer to the
communication you received on October 12, 2018
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Population Health in the Literature & Media
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“New Strategies for Condition Management Within Value-Based Care”
MSHP’s Chief Medical Officer, Dr. Robert Fields, published an article on managing chronic conditions with behavior change, new data sources, and new clinical roles in
Generations,
the Journal of the American Society on Aging. In the article, Dr. Fields shows how new technologies can promote behavioral changes and how the relationship between delivery systems and community organizations that recognize the importance of social determinants of health all lead to better health outcomes.
Read the article here
or
click here
for the full issue.
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Why Keep Care in Network? Better Patient Outcomes!
Mount Sinai Health Partners is working to enhance relationships between primary and specialty care providers within the CIN. Working with other providers within the CIN has a variety of advantages, including improved communication between providers, better linkage to MSHP population health teams, better cost management, and ultimately better patient outcomes. We want to continue to build the strength of the Mount Sinai brand and network and can only do that when work together. Help us keep care in network by using the
Provider Search tool
on the MSHP website and checking the box that says “Include Clinically Integrated Network members only.”
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P: 877-234-6667
F: 646-537-1481
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