Mount Sinai Health Partners
Clinically Integrated Network Newsletter
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Catch up on Mount Sinai Health Partners Podcast Episodes
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August 22, 2019
MSHP’s Board of Managers elections conclude and results will be announced.
Please note elections are only taking place in the specific territories that have open seats. If you are eligible to vote, you would have received an email from
invitations@app.electionbuddy.com
on August 8.
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September 27, 2019
- Program Engagement and Privacy Training requirements must be completed by this date. Click here to login to CILC and complete these requirements.
- Your Q3 quality reporting is also due by this date. Click here to view the 2019 Clinical Integration Program Requirements Timeline Checklist.
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New! Your Health Plan Participation Summary Now Available
Check out our new feature on the
Payer Contracts page.
You are now able to view a report on the MSHP website of your active participation dates with the various payers contracted through MSHP. Just visit the Health Plan Participation Summary section at the top of the page.
You will be prompted to sign in with your email address and password to the MSHP portal.
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Quality Reporting: Calculation of My Quality Performance Score
MSHP accepts your quality reporting through a variety of methods. Wherever possible, MSHP makes an effort to measure your quality performance using data for your patients attributed to MSHP’s payer contracts. However, the data used to calculate your 2019 quality performance depends, in part, on what method of reporting you employ.
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Review the guides below and learn about the different methods for quality reporting and how your Quality Performance Score is calculated:
These updated documents can also be accessed on the MSHP website
behind log-in. The Quality Reporting Reference Guide can be accessed on the
Quality webpage
and the Clinical Integration Program Reference Guide can be accessed on the
Clinical Integration webpage
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Congratulations to our iPad Winner,
Dr. Kenneth Kaplan
Thank you to everyone who took the time to share their feedback with us in the 2019 Provider Experience Survey! We look forward to using your responses as we continuously strive to improve your experience with MSHP. As always, feel free to share any additional comments with us at
mshp@mountsinai.org.
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EMR Offering Exclusive for MSHP Primary Care Providers: athenaOne
Discounted pricing on athenahealth’s athenaOne product is available exclusively to MSHP primary care providers. Together with athena, we have built a custom interface for MSHP providers to connect with other providers locally and nationally within the athena network. This allows for secure exchange of key patient health information and seamless care coordination to ensure a continuum of quality care for patients. Providers can also run quality reports directly in athenaOne for easy quarterly reporting to fulfill CIN requirements. To learn more about athenahealth and this exclusive offer, please reach out to Lisa Parent at
lparent@athenahealth.com
or 617-402-6100.
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Durable Medical Equipment Supplier Added to Mount Sinai Top Tier Network
Effective August 1, 2019, Byram Healthcare, a durable medical equipment (DME) supplier, has joined the Mount Sinai Health System Employee Health Benefit Plan as the exclusive "Top Tier" DME provider. Enrolled employees and their families who use Mount Sinai Top Tier providers will have lower out-of-pocket expenses, depending on their health benefit plan. If you are ordering such equipment, please contact Byram Healthcare using the information on
this flyer. You can also learn more about Byram Healthcare services and supplies at
https://www.byramhealthcare.com.
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MSHP Earns 4 Stars in America’s Physician Groups Annual Standards of Excellence™ Survey
We are excited to announce that MSHP earned a 4 out of 5 star rating in America’s Physician Groups’ (APG) Standard of Excellence™ survey. This is MSHP’s third consecutive year with this recognition.
The survey is conducted annually and is designed to assess tools and processes that APG member organizations have in place to meet the growing expectations of health care consumers. It helps set the standard for health care consumers to evaluate the quality, commitment to patient experience and affordability of physician groups. The survey evaluates and scores organizations on five domains: care management practices, information technology, accountability and transparency, patient-centered care, and group support of advanced primary care.
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Tip of the Month: Check Reimbursement Rates for Frequently Used E&M Codes on our Payer Contracts Page
Visit the
Payer Contracts page
on the MSHP website to view the reimbursement rates for frequently used evaluation and management codes for all of the payers we contract with. You’ll be prompted to login to the website and from there you’ll see links to the rates for each payer, as well as additional payer information.
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Innovations in Care for Patients with IBD
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Improve Quality of Life in Your IBD Patients: The GRITT-IBD Program
In addition to the daily physical challenges, patients with Inflammatory Bowel Disease (IBD) also face psychological and social pressures. The Susan and Leonard Feinstein IBD Clinical Care Center offers the GRITT-IBD program designed to help patients cope with all aspects of this disease that can have such a severe impact on the quality of life.
The GRITT-IBD program, which stands for Gaining Resilience through Transitions in Cases of IBD, helps patients develop resilience and the ability to recover from the difficulties associated with IBD. Our multidisciplinary team works collaboratively to provide the best possible care using a team-based, patient-centered approach by meeting on a weekly basis to discuss each of our patients.
We collaborate on designing a customized care strategy with full access to a team of IBD professionals: medical, nursing, pharmacy, social, nutritional, and behavioral/psychological. Throughout treatment, we monitor and address any concerns so that each patient has the best quality of life possible.
If you have a patient with IBD who could benefit from a holistic program like this, or for more information, please go to
this website
or to refer a patient, please call 212-241-8100.
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Practice Tips & Transformation
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Use EHR Nudges to Reduce Unneeded and Low-Value Care
In 2012, the American Board of Internal Medicine (ABIM) launched the
“Choosing Wisely” initiative
which asked providers to identify five tests or procedures that may be overutilized and have a high impact (time and/or cost). Seven years later, providers are still struggling to actually reduce low value-care in their day to day practice. Dr. Sonam Sharma, a radiation oncologist at Mount Sinai, recently published a
research letter in JAMA Oncology
demonstrating that adding a default order to the EHR reduced unnecessary daily imaging before palliative radiation in advanced cancer patients; a reflection of updated 2016 national guidelines that recommend weekly rather than daily imaging in palliative care.
In
an interview with MedPage Today on the findings
, Dr. Sharma said that daily imaging, which is the standard in curative radiation interventions, had become a reflex in palliative care as well, and her clinic struggled to break the habit until they implemented a default imaging order in the EHR which specified no daily imaging in palliative care. The EHR “nudge” worked well and almost immediately. A randomized trial showed that the nudge reduced daily imaging in palliative care from 68% to 32%. Dr. Sharma and her co-authors suggest providers use nudges to both pick up high-value treatments and de-implement low-value treatments.
Have you implemented any workflows or EHR nudges to reduce low-value care in your practice? We’d love to hear about it. Email us at
mshp@mountsinai.org
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After Hours Care for Your Patients
There are times when an illness or injury needs to be addressed immediately by calling 911 or visiting the ED. But after hours care can frequently be handled at urgent care, saving your patients time and money. Please log in to the MSHP website to review our
Provider Guide to After Hours Care
for common diagnoses that can be handled by urgent care and a directory of urgent care and walk-in clinics operated by Mount Sinai and our affiliates.
We also have a patient-facing version you can share with your patients to help them make appropriate after hours decisions:
Know Where to Go
Looking for more fliers, guides, and resources to improve patient outcomes and increase clinical quality and efficiency? Visit our
Practice Resources page
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P: 877-234-6667
F: 646-537-1481
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