Mount Sinai Health Partners
Clinically Integrated Network Newsletter
|
|
February 13, 2020
Free MSHP CME Event: Clinical Success in Managing CHF and COPD
|
|
2020 Clinical Integration Program Requirements
We hosted two informational webinars this past January for our community-based PCPs, where we discussed the changes to the Clinical Integration (CI) Program in 2020. During this webinar, we reviewed the updates to the 2020 CI requirements, quality performance metrics, and efficiency performance metrics. We also introduced the new PCP Top Performer Program, where community-based PCPs will have the opportunity to earn additional incentive payment if they fulfill program criteria.
We encourage you to review the below materials to familiarize yourself with the 2020 CI Program, as there are some changes from 2019 and the launch of the new Top Performer Program for PCPs.
|
|
Join Us Tomorrow, February 13 — Complimentary MSHP CME Event: Clinical Success in Managing CHF and COPD
Please join us on the evening of
Thursday, February 13 from 5:30-8:00pm for a complimentary CME event on achieving clinical success in managing CHF and COPD.
Dr. Sumeet S. Mitter, Assistant Professor of Medicine, Cardiology at the Icahn School of Medicine at Mount Sinai and
Dr. Stacey-Ann Brown, Assistant Professor of Medicine, Pulmonary, Critical Care, and Sleep Medicine at the Icahn School of Medicine at Mount Sinai will share their expertise with you in identifying and managing CHF and COPD in a primary care setting, and when to refer your patients to a specialist.
Dinner will be served. Registration is required through the Mount Sinai CME Portal.
If you do not have an account, you must create one by
visiting here
and then clicking on the yellow button that says “Sign Up Now.” Once you have done so, or if you already have an account,
click here
to register for this event.
Attending this meeting will fulfill part of the 2020 Clinical Integration Program's Practice Engagement requirement of attending at least one in-person meeting per year.
|
|
Stay Tuned for Changes to Quality Reporting in 2020
If you report on your quality metrics
manually
or using the
hybrid
method, there are important changes coming to your reporting process for 2020. We are still finalizing the details, so please do not begin reporting on your
Q1 2020
metrics until we communicate these changes. Look for more information via email and your Provider Engagement Manager in the upcoming weeks.
|
|
2019 Funds Flow Payment Reminders
Q4 2019 Check Distribution in May, 2020
Care coordination payments are issued to primary care practices quarterly for quarters 1, 2 and 3
only
. Your Q4 2019 payment will be a bonus payment/reconciliation based on your 2019 performance as represented by your Clinical Integration Index (CI Index) score.
CDQI Program Participants
Practices that earned CDQI funds for Q4 2019 will receive them at the same time as their 2019 incentive payment. However, if your practice received an advance payment for the CDQI program and did not submit sufficient Diagnosis Consideration Forms/clinical notes in 2019 to cover the advance payment, MSHP will recover the unmet portion of the advance payment from your 2019 Q4 incentive payment.
|
|
2020 Check Distribution Dates
Voluntary primary care physicians will receive quarterly payments for care coordination for quarters 1, 2 and 3. Quarter 4 represents earned annual incentive payment. Participants in the CDQI program will also receive payments quarterly for funds earned through this program. The following payments will be issued in 2020.
Q4 2019 Annual Incentive and CDQI Payment:
June 2020 Town Hall
Q1 2020 Care Coordination and CDQI Payment:
July 2020
Q2 2020 Care Coordination and CDQI Payment:
October 2020
Q3 2020 Care Coordination and CDQI Payment:
December 2020
|
|
Care Standardization: CHF & COPD Quick Guides
Optimal care for patients with Heart Failure with Reduced Ejection Fraction (HFrEF) and COPD requires a commitment to guideline directed medical therapy (GDTM) and a multidisciplinary care team, with an important member being the primary care physician. Part of MSHP’s efforts to ensure standardized, high-quality care is the preparation of expert-driven ambulatory care pathways to support the care team managing these conditions. Click on the links below to access the guides, or visit the
Practice Resources page
on the MSHP website. We welcome your feedback and thoughts, and plan to launch virtual grand rounds in the future.
|
|
|
March 16: Learn About Mount Sinai's Women's Cancer Program
The
Mount Sinai Women's Cancer Program at the Blavatnik Family - Chelsea Medical Center at Mount Sinai provides innovative, patient-centered care for a breast cancer, noncancerous breast conditions, and cancerous and noncancerous gynecological conditions. Dr. Stephanie Blank, Division Director of Gynecologic Oncology, Dr. Elisa Port, Chief of Breast Surgery, and other colleagues from the Mount Sinai Health System will discuss services available to your patients with both routine and complex conditions.
Monday, March 16, 2020
6:00-8:00 pm
The Blavatnik Family - Chelsea Medical Center at Mount Sinai
325 West 15th Street
New York, NY 10011
|
|
|
Mount Sinai St. Luke's is Now Mount Sinai Morningside
The name change reinforces the hospital's integral role as part of the Health System and the primary provider of health care to the 148,000 residents of West Harlem, including Morningside Heights.
“The hospital’s rebranding and transformation efforts reaffirm our commitment to setting standards for excellence and innovation in health care through technically advanced and groundbreaking procedures, equipment, and research that result in better outcomes for our patients,” said President and CEO of the Mount Sinai Health System, Kenneth L. Davis, MD.
Read the full press release
.
|
|
First-Year Providers: Fulfill Your CI Requirement with the “Introduction to Clinical Integration” Course
Mount Sinai Health Partners recently replaced the Clinical Integration 101 and 201 recordings with a new “
Introduction to Clinical Integration
”
course available on MSHP’s Clinical Integration Learning Center (CILC).
It is accessible here after login
.
This course introduces MSHP’s Clinical Integration Program which promotes high-value care through physician collaboration and engagement in continuous quality improvement. First-year providers are
required
to take this course to fulfill part of the Program Engagement requirement for the 2020 Clinical Integration Program.
|
|
Population Health in the Literature
|
|
Should PCPs Screen Non-Smokers for COPD?
Four physicians address the utility and value of screening patients without obvious risk factors or symptoms for COPD in this Point and Counterpoint series from the journal
Chest
.
Click here
to read the arguments for and against.
|
|
Congratulations to Dr. Robert Fields, Chair-Elect of NAACOS Board of Directors
We’d like to extend warm congratulations to our CMO and new chair-elect of the National Association of ACOs (NAACOS), Dr. Robert Fields. The Board of Directors helps set NAACOS’ advocacy and member services for its more than 350 ACO members. NAACOS represents more than 12 million beneficiary lives through hundreds of organizations participating in population health-focused payment and delivery models in Medicare, Medicaid, and commercial insurance and is a member-led and member-owned nonprofit organization that works to improve quality of care, outcomes, and healthcare cost efficiency.
Read the full press release here
.
Do you or a colleague in the CIN have a professional achievement to share? Please
email us
— we love hearing about all of the fantastic work our network does on a daily basis. With your permission we’ll give you a shout out in the next newsletter.
|
|
Medicare Quality Reporting Season is Here
Did you know?
Annually, Medicare Advantage plans are responsible for submitting quality data to the Center for Medicare and Medicaid Services (CMS). Health plans then receive a Star Rating which represents their overall quality score in comparison to national benchmarks and peers. Health plans may request that you submit your quality data to them for CMS reporting. Similarly if you participate in a Medicare ACO, your ACO may be submitting data on your behalf.
|
|
Increase in Flu Activity in New York
|
|
Kick Off 2020 with Annual Preventive and Annual Wellness Visits
This month, consider reaching out to patients to schedule a visit for their annual preventive and/or wellness visit. Medicare covers an Annual Wellness Visit aimed at creating a personalized prevention plan for patients. This is a time to address open care gaps, clinical documentation opportunities, and medication adherence barriers. The Medicare Annual Wellness visits are at no cost to the patient and beneficial to all involved.
Click here for more information on Medicare AWVs.
|
|
2019 Novel Coronavirus
The CDC
maintains a web page with information for healthcare professionals on the 2019 novel coronavirus, including guidance for evaluating patients, reporting patients under investigation, testing specimens, infection control, and updated information as it becomes available.
For local updates, visit the New York State Department of Health
page on the virus, which includes advisories, webinars, patient signage in English and Simplified Chinese, and testing information.
|
|
|
P: 877-234-6667
F: 646-537-1481
|
|
|
|
|
|
|
|
