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March 9, 2023

In this issue


  • APP Annual Meeting Schedule
  • Supporting Your Practice
  • Epic Updates
  • Women's History Month
  • CME



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.

Physician partners,


As 2022 fades away and we find ourselves three months into the new year, I took some time to reflect on last year and where APP needs to focus in 2023. 


APP significantly reduced the number of measures for our primary care physicians over the last several years to really hone in on those that matter to our patients and are tied to our contractual incentives. In 2022 we saw a glimpse of how this keen focus can make a difference to our patients. For example, during the year our clinicians closed 60,000 additional care gaps, which means that by the end of the year 3,159 more diabetic patients had their blood sugar under control than at the beginning of the year and 5,711 more patients had their hypertension under control. We also launched Comprehensive Annual Visits (CAVs) and visited over 700 of our most vulnerable patients to support our physicians.


This focus is truly helping our patients live well, which in turn drives payor incentives to APP clinicians.



Even with this impactful performance, we have opportunities to do much better on the focused metrics – it will improve our patients' care and reward our clinicians for their performance. Together we need to continue to focus on quality, condition management and documentation and utilization.

Learn what you can do

Thank you for your hard work and partnership in making 2023 a great year for our patients and APP.


Don Calcagno

President, APP | SVP, Chief Population Health Officer, Advocate Health

Save the Date! APP Annual Meetings

We're back in person! Join your local leaders and colleagues for the latest updates and information to support our shared success in 2023. There will be ample time for Q&A – your questions and feedback are welcome and encouraged! Details to RSVP to come.

Supporting Your Practice

Clinical Integration updates: View the latest program update including an on-demand webinar outlining key 2023 program updates and measure changes.


Mandatory education: APP physicians and APCs are required to complete Mandatory Education courses on the Workday Extended Enterprise Learner platform by June 19. There are currently four required courses:

• Compliance and Integrity

• Safety Review

• High Reliability Tools and Tactics

• Safety and Respect: Compliance for Managed Care

Important: In error, APP aligned physicians and APCs were assigned a Sexual Harassment Prevention course. This course is not required and does not meet IDFPR requirements for license renewal. Until the course is removed from your assignment, please disregard. If you require assistance accessing the workday system, please contact the APP Network Management Team at APP-advocatephysicianpartners-EDS@aah.org.


Medicare Advantage open enrollment – now live: Through March 31, patients in a Medicare Advantage (MA) plan have the opportunity to switch to a different MA plan or return to original Medicare. We are in network with Devoted Health in Illinois for MA HMO plans, in addition to other major MA plans. To address patient questions:

Risk plan pharmacy – utilization management coverage update: Updates have been made to the medical benefit coverage for viscosupplement products; a precertification questionnaire is now required during referral entry. Find current EPH precertification questionnaires on APP Pro.


Cryoprecopitate shortage: Currently there is a nation-wide shortage of cryoprecipitate (Cryo). Read SBAR and follow these conservation steps:


  • Orders should be placed for one pooled Cryo at a time so that products are appropriately utilized.
  • If Cryo is thawed and not used, it is frequently wasted. Please do not order unless you are sure of the clinical need for this blood product.
  • For patients that need fibrinogen replacement, and cryoprecipitate is unavailable, Fibryga can be utilized.


Pharmacy & Therapeutics February updates: Review the latest Pharmacy and Therapeutics ambulatory and system committees decisions. View summary.


Elimination of DATA-Waiver Program: The DATA-Waiver program, created to allow physicians and APCs to prescribe medications such as buprenorphine outside of an opioid treatment program, has been eliminated. Here’s what you need to know:


  • All physicians and APCs who have a current DEA registration may prescribe buprenorphine for an opioid use disorder (when permitted by applicable state law).
  • Limits no longer exist for the number of patients a prescriber may treat for an opioid use disorder.
  • A Notice of Intent (NOI) is no longer required to be submitted to the DEA and SAMHSA to obtain an X-Waiver (aka X-DEA or NADEAN).
  • Entering the X-DEA or NADEAN into “Notes to Pharmacy” within Epic when prescribing buprenorphine-naloxone products is no longer necessary.


With the elimination of this program, new training will be required when applying for or renewing your DEA registration. This training is effective June 21 and further details regarding training will be provided in the future. Resources:


Transmission-based isolation grid: The transmission-based isolation grid has recently been updated to include the ACL respiratory viral panel, reflective of the CDC and Redbook recommended isolation practices. See the TBI Grid.


Saving lives blood donation: Register today for a blood drive to ensure an adequate and continuous blood supply throughout our communities. Sign up to donate.


Reminder: Voting for U.S. News Best Hospital: Voting is now open for the 2023-2024 U.S. News & World Report’s Best Hospitals list. This survey counts for about 15% of a hospital’s overall score. See who's eligible and how to vote.


Advancing Research:

 

 

New Imaging Facility to Serve Our Communities

Advocate Imaging Center 

87 Rand Road 

Des Plaines, IL 60016   


Our new 5,000 sq. ft. imaging facility opened March 8 and offers same-day, convenient access to advanced imaging for CT and MRI services in a free-standing location. Learn more.

Epic Updates

More practices live on Epic Connect: On March 1, nine APP aligned practices including 28 physicians went live on Epic Connect. This brings the total number to 33 practices including 85 physicians. Having our APP aligned practices on Epic helps us advance our population health work, supports care coordination across the network and greatly enhances safety and quality through a single patient record. The remaining three go-lives in 2023 for Epic Connect will be in June, August and November.


Don’t forget: Daylight savings time in Epic: The spring daylight savings time event will occur on March 12. Epic will not be taken down during the daylight savings time transition period. The repetition of the 1 a.m. hour may result in unique situations that those accessing Epic during this time should be prepared to manage. Learn more.


Epic upgrade on track for April 19: Watch for more information, including education dates and materials.


Epic Update - Ambulatory Epic Connect: Multiple sessions of Epic, IB - double-click action and more.


Epic Update - Hospital edition for Physicians and APCs: Anesthesia: status board time change, sidebar enhancements, spring daylight savings time and more.

Women’s History Month: Herstory in the making 

Women’s History Month, and every month, we honor and celebrate the many amazing women who make our organization great. From current and future leaders, to innovators and difference makers, and all women in every practice, your work and dedication inspires us all. 

Education

Continuing Medical Education:



3rd Annual Multidisciplinary Critical Care Symposium

March 17, 8 a.m. - 3 p.m.


This conference aims to provide cross-disciplinary critical care education on the latest in early recognition and triaging. The goal is to help critically ill patients wherever they are to impact the success of their future care and health outcomes.

Register

Non-CME Education:



2023 CI website: Recording | Slides | APP Pro

Condition Management & Documentation Webinar Series:

Diabetes with complications/chronic kidney disease (Hypertension)

March 17 registration: 8-8:40 a.m. | 12:15-12:55 p.m.

Upcoming CME



March 16: MEDtalks: Biosimilars in Inflammatory Diseases - why we all should care

March 16: Scientific Grand Rounds: Promoting the uptake of effective addiction treatment 

March 17: 3rd Annual Multidisciplinary Critical Care Symposium (In-person/virtual)

March 20: Get Climate Smart | Communication with patients

March 25: 23rd Annual Cardiovascular Disease Symposium (In-person only/ABIM MOC credit)

April 4: MEDtalks: Diversity, Equity & Inclusion-Tools and resources for continued learning

April 12: Integrative Mental Health

April 19: Update on weight management and bariatric surgery

April 21: Pediatrics in Review Spring Symposium

April 28: Hot Topics in Pediatric Surgical Subspecialties (In-person)