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OTC June 20, 2016
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Off the Cuff: Domain 3/Health Systems Updates
Information from state and national partners
Facilitated by the Cardiovascular Health Network of NACDD
Issue 26
June 20, 2016

Webinars & Calls Worth Your Time

Practical Solutions for Supporting Quality Improvement in Primary Care through Health Information Technology
Wednesday, June 22, 12:00 – 1:00 pm ET
Sponsored by Agency for Healthcare Research and Quality and its EvidenceNOW Technical Assistance Center
This first annual public webinar will explore practical solutions for supporting primary care quality improvement (QI) initiatives through health IT. The EvidenceNOW initiative is studying the effects of external QI support – including electronic health record support – for primary care practices in implementing patient centered outcomes research evidence to improve health outcomes. Featured speakers for the webinar include: Tricia Collins Higgins, PhD, MPH, who will highlight factors that support use of health IT for QI initiatives and will share examples of effective tools and David Dorr, MD, who will discuss the realities of applying health IT for QI of the “ABCS” of heart health in primary care, using his experience from the first phase of implementation of the EvidenceNOW initiative. Click here to register.

Fireside Chat on Team-based Approachs to Controlling Hypertension
Tuesday, June 28, 3:00-4:00 pm ET
Sponsored by CDC’s Division for Heart Disease and Stroke Prevention and Million Hearts®, and the CVH Team of NACDD
NACDD, in coordination with CDC’s Division for Heart Disease and Stroke Prevention and Million Hearts®, is proud to continue the series of Fireside Chats in 2016. Fireside Chats provide a new, interactive format for state health agencies to hear from content experts on a number of issues pertaining to cardiovascular health and 1305 priority areas. We will host the 2nd Fireside Chat focused on team-based approaches to controlling hypertension. To register for the Fireside Chat, click here.

Speakers include:

  • Janet Wright, MD FACC, Executive Director, Million Hearts®
  • Mehul Dalal, MD MSc MHS, Chronic Disease Director, Connecticut Department of Public Health
  • Bruce Gould, MD FACP, Medical Director of the Connecticut Community Health Centers Association Practice Transformation Network

For more information, including slides and audio recordings from previous sessions, visit the NACDD Cardiovascular Health pages.

Attendees of the Fireside Chat will also have an opportunity to attend one of two follow-up Virtual Roundtables, through support from the Association of State and Territorial Health Officials (ASTHO) to continue the discussion less formally in a smaller group. No need to register, just join us via the links below and at the same time dial in for the audio at 866.707.1092, 4581813#.
Monday, July 11, 2p ET
Thursday, July 14, 2p ET

Health Payer 101 Webinar Series: Part 4
Thursday, June 30, 2:00 - 3:00 pm ET
Sponsored by NACDD and the Program Development and Services Branch at CDC’s Division for Heart Disease and Stroke Prevention
This webinar is the fourth and final webinar in the series. Part 4: Contracting 101 will cover:

  • Network Development: individual contracts, Accountable Care Organization (ACO) and Independent Physician Association (IPA)
  • Provisions of a provider contract
  • Providers and Payers – relationship building

We will also hear from Kari Majors from the Nebraska Chronic Disease Prevention and Control Program about their work with public and commercial payers.

If you haven't registered for all these webinars, please click here.

We highlight events we think are especially worth your time but there is a lot going on! Keep up using the Chronic Disease Events Calendar. The webinars in darker type are more directly related to Domain 3/Health Systems.

News and Resources from CDC, NACDD and National Partners

From the American Medical Association and John Hopkins School of Medicine:
Self-measured Blood Pressure Monitoring Program: Engaging Patients in Self-measurement
This document describes a program designed for use by physician offices and health centers to engage patients in self-measurement of blood pressure. It highlights various ways that patients can obtain blood pressure measurements outside of the clinical office either through the purchase of a device or a physician-led blood pressure monitor loaner program. Click here for the document.

From CDC State Public Health Actions (1305) team: 1305 Year 3 Evaluation Plan Reporting and Year 4 Evaluation Plan Guidance
The following are updates regarding the State Public Health Actions (1305) Year 3 Evaluation Results Reporting and the Year 4 Evaluation Plan Guidance.
  • For the REVISED Evaluation Plan Reporting Template, click here. Based on feedback from states and CDC evaluators, CDC has revised the template to report Year 3 evaluation plan results. While the appearance and format has changed to Word, the content of the report has not changed.
  • The deadline for the Year 3 Evaluation Plan Report and the Year 4 Evaluation Plan is August 15, 2016.
  • Please review the Year 4 Evaluation Plan and Year 3 Report Guidance, and feel free to follow-up with your Lead Evaluator and/or lead Project Officer if you have additional question.
From National Association of Community Health Centers: Undiagnosed Hypertension in the Safety Net: Improving Identification and Diagnosis of Patients Hiding in Plain Sight - Webinar slides and audio now available from this June 14, 2016 webinar
The learning objectives were:
  1. Describe the importance of addressing undiagnosed hypertension.
  2. Identify key strategies health centers can apply to address undiagnosed hypertension.
  3. Discuss future directions in out-of-office hypertension diagnosis and self-measured blood pressure.
Click here for the presentation and for the audio portion use this link.

CMS announces second round of Support and Alignment Networks for Transforming Clinical Practice Initiative
The Centers for Medicare & Medicaid Services (CMS) launched the second round of the Support and Alignment Networks under the Transforming Clinical Practice Initiative (TCPI). This opportunity will provide up to $10 million over the next three years to leverage primary and specialist care transformation work and learning that will catalyze the adoption of Alternative Payment Models at very large scale, and with very low cost. The Support and Alignment Networks 2.0 represents a significant enhancement to the TCPI network expertise and will help clinicians prepare for the proposed new Quality Payment Program, which CMS is implementing as part of bipartisan legislation Congress passed last year repealing the Sustainable Growth Rate. Applications will be accepted from eligible applicants for the cooperative agreement funding opportunity starting June 10, 2016. Applicants are encouraged, but not required, to submit a letter of intent by July 1, 2016. For additional information, please visit the Support and Alignment Networks 2.0 section of the TCPI web page.

Healthcare Delivery, Payment Reform, and Health IT - FYI

The Department of Health and Human Services takes first step to implement legislation modernizing how Medicare pays physicians for quality – MACRA and MIPS
Most Medicare clinicians will initially participate in the Quality Payment Program through MIPS (Merit-based Incentive Payment System). The Affordable Care Act moved many Medicare payment systems, including that for clinicians, towards value, and Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) builds on that work. Consistent with the goals of the law, the proposed rule would improve the relevancy and depth of Medicare’s quality-based payments and increase clinician flexibility by allowing clinicians to choose measures and activities appropriate to the type of care they provide. MIPS allows Medicare clinicians to be paid for providing high value care through success in four performance categories.
  • Quality (50 percent of total score in year 1): For this category, clinicians would report six measures chosen from among a range of options that accommodate differences among specialties and practices.
  • Advancing Care Information (25 percent of total score in year 1): For this category, clinicians would report customizable measures that reflect how they use technology in their day-to-day practice, with a particular emphasis on interoperability and information exchange. Unlike the existing reporting program, this category would not require all-or-nothing EHR measurement or redundant quality reporting.
  • Clinical Practice Improvement Activities (15 percent of total score in year 1): This category would reward clinical practice improvements, such as activities focused on care coordination, beneficiary engagement, and patient safety. Clinicians may select activities that match their practices’ goals from a list of more than 90 options.
  • Cost (10 percent of total score in year 1): For this category, the score would be based on Medicare claims, meaning no reporting requirements for clinicians. This category would use 40 episode-specific measures to account for differences among specialties.
For more information go to this link.

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