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April 27, 2023

In this issue


  • MACRA Bonus Payment
  • Supporting Your Practice
  • CS Modern Luxury magazine Top Doctors
  • Leadership Announcements
  • Epic Updates



Note: When accessing APP Pro links below, you may need to sign in again if you are not taken directly to the referenced page or information.

MACRA Bonus Payment

Because of your participation in our MSSP ACO and ACO Reach, you will now receive 3.5% more in revenue paid as a lump sum bonus by CMS due to the recent extension of the MACRA Advanced Alternative Payment Model (APM) bonus payment through 2025. Your participation guarantees the highest possible payment under MACRA – those not participating in APP MSSP ACO and ACO Reach saw a decrease of 9% or a much smaller increase of 1.68% in 2022.

Congratulations and thank you for helping our Medicare patients live well. Visit APP Pro for more information about MACRA.

Supporting Your Practice

Clinical Integration updates: View the latest program updates including updates on Appeals determination letters and statin measures updated to Cerner.


Blue Cross Blue Shield mailing: This month, Blue Cross Blue Shield (BCBS) Commercial HMO members will receive a mailing explaining Access to Care options available with an IL physician PCP copay. This is a BCBS requirement, and a mailing will go to each policy holder. 


Population Health Outreach: We are conducting the following patient outreach on your behalf to support quality outcomes and close quality care gaps. Learn more.


Discontinue use of Halyard N95 masks: The FDA has recommended discontinuing use of Halyard N95 masks, including 46827 (S) and 46727 (R). Review SBAR. For physicians and APCs who have been fitted to one of the identified N95 masks, avoid entering any airborne precaution environment and refrain from further use of these masks. With the safety of our physicians, APCs and teammates at the forefront, we’re currently developing a strategy to address the situation. In the interim, physicians and APCs may not select another mask for use prior to being fit tested for a new N95. To obtain a fit test, walk-ins are available at an Occupational Health site near you.


Carboplatin/cisplatin shortage: Like many health care systems across the country, we’ve been impacted by the nationwide shortage of oncology drugs carboplatin and cisplatin after the largest manufacturer shut down production. We’re closely tracking our usage and supply and our Pharmacy teams are hard at work to secure more in order to provide our patients with the best possible care. Physicians with impacted patients have received specific guidance from Cancer Service Line leadership. View the SBAR and stay tuned for ongoing updates about this fluid situation. 


COVID PHE Unwinding changes: As the COVID Public Health Emergency ends on May 11, we expect many changes to waivers, flexibilities and more from CMS, including Medicaid recertification, telehealth services including HIPAA compliant video chat application changes, and COVID testing and reporting. Stay tuned for more information and learn more.


New DEA training requirement: Starting June 27, physicians and APCs will need to attest to eight hours of CME dedicated to Opioid Use Disorder and/or Substance Use Disorder. This is a federally-required, one-time attestation for all new and renewal applications – Illinois licensure also requires three hours by July 31. Past trainings do count towards the eight-hour requirement. If you previously held an X-Wavier or are board certified in addiction medicine, no further education is required by the DEA. Find CME offerings to meet this requirement.


Add inpatient code status within 24 hours: As part of our ongoing commitment to safety, code status updates for Advocate inpatients must be documented within the first 24 hours, effective May 15. This helps standardize our processes, provides more clear guidance for when to contact an attending physician for orders and will have a positive impact on the safety and quality of care for our patients. See this tip sheet for the code status options.


Enhancements to paging service: Advocate Health Care is pleased to announce the enhancement of the alphanumeric existing paging service to improve security and compliance. AMSConnect, American Messaging’s HIPAA-compliant phone application, integrates with your American Messaging pager and replaces the use of Pagecopy. The app sends duplicate notifications to your mobile device for expanded coverage and convenience. Learn more.


Supporting our patients to quit smoking: We offer Freshstart, the American Cancer Society’s free, four-week virtual program to patients to help them quit smoking. See the flyer in English and Spanish for more information and encourage your patients to register.


Advancing Research: Advocate Lutheran General Hospital researchers recently enrolled the 2,000th overall participant in the national U.S. Pointer Alzheimer’s clinical trial led by Darren Gitelman, MD, senior medical director of Advocate Memory Center. View study.

 

Chicagoland Area Physicians Recognized as Top Doctors 

The April issue of CS Modern Luxury magazine recognizes more than 300 of our physicians in the Chicagoland area who were nominated by their peers in the Top Doctors list.


View our physicians who were recognized.

Leadership Announcements

Leadership Announcement: PHO Directors

  • Mike Logan, MD, has been appointed Medical Director, PHO Population Health for Advocate Good Samaritan Hospital. Read announcement.
  • Shital Tanna, MD, has been appointed Medical Director, Population Health: Quality. Read announcement.


Service Line Leadership Announcements 

As we advance our Service Line integration, we are pleased to share the following leadership appointments:

Epic Updates

Epic Update: Ambulatory Epic Connect: External data for HM update, linked procedure orders and more.



Epic Update: Hospital edition: Epic upgrade live, post-operative Acute Kidney Injury project, COVID status banner changes and more.*


*Note: This edition includes an update on heparin to saline as flushing and locking solution change for adult patients only. 

Continuing Medical Education

Milwaukee Heart Failure Symposium

Saturday, May 6, 8 a.m.-4 p.m.

Thought leaders will educate and demonstrate innovations in the management of comorbid conditions and the evaluation and treatment of heart failure, pulmonary hypertension, cardiomyopathies, mechanical circulatory support and heart transplantation, within an interactive learning experience. 

Register

IDFPR continuing education requirements

Illinois Department of Financial and Professional Regulation (IDFPR) has issued a series of continuing education requirements. We have several CME offerings to help our licensed physicians and APCs in Illinois meet these requirements. Visit website.

Upcoming CME

April 28: Aurora BayCare Current Concepts in Sports Medicine Symposium (In-person/virtual)

April 28: Hot topics in pediatric surgical subspecialties (In-person)

May 3: Movement disorder evaluations in older adults

May 6: Milwaukee Heart Failure Symposium (In-person)

May 17: 8th Annual Primary Care Medicine Symposium (In-person/virtual/ABIM MOC credit)

May 18: Unequal Cities: Structural racism and the death gap in America's 30 largest cities

May 19: 1st Annual Lung Cancer Symposium (In-person/virtual/ABIM MOC credit)

June 23: The Pediatric Sleep Disordered Breathing Symposium (In-person)

 

Additional Education

May 19: Congestive heart failure and coronary artery disease with stable angina