ACO GPRO 2017 Ready to Report Basics - ??2017 GPRO ACO Random Sample Reporting January 22, 2018 to March 16, 2018 ACO GPRO 2017 Ready to Report Basics

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  • 2017 GPRO ACO Random Sample Reporting

    January 22, 2018 to March 16, 2018

    ACO GPRO 2017 Ready to Report Basics

  • ACO GPRO 2017 Ready to Report Basics

    Accountable Care Organization (ACO) and Quality Reporting?

    What is the time period to report GPRO?

    What are the GPRO quality measures in an ACO?

    How do I report the GPRO quality measures?

    Which patients am I responsible to report quality measures? Verify your login credentials and access today.

    Reminder of reporting timeline.

    How do I use the Health Endeavors GPRO 2017 Tool?

    What is my score (not ACO score?)

    How do I mass import EHR data into the tool?

    January 4, 2018 pg 2

  • January 4, 2018 pg 3

    Accountable Care Organization (ACO) and Quality Reporting?

    The Shared Savings Program ACOs are groups of doctors and other health care providers who voluntarily work together with Medicare to give high quality service to Medicare Fee-for-Service beneficiaries. An ACO is not a Medicare Advantage plan or an HMO. An ACOs MIPS is reported under the ACO GPRO WI Portal. Your ACO has contracted with Health Endeavors to collect quality data and

    send to Medicare.

    ACO

    ACO Participant Medical Practice

    ACO Participant Hospital

  • January 4, 2018 pg 4

    What is the time period to report GPRO?

    Description Time Period

    Patient ranking files are scheduled to be available for download from

    Medicare GPRO WI. January 8, 2018

    Patient list populated in Health Endeavors GPRO 2017 interface. January 10, 2018

    GPRO 2017 Medicare reporting period January 22 March 16, 2018

    Last date to safely manually key GPRO 2017 data March 9, 2018

  • January 4, 2018 pg 5

    GPRO Quality Measures?

    Care Coordination/Pati

    ent Safety

    Clinical Care for At-Risk Population

    Preventive Health

  • 15 GPRO Quality Measures

    1. ACO-12 (CARE-1) Medication Reconciliation Post Discharge

    2. ACO-13 (CARE-2) Falls: Screening for Future Fall Risk

    3. ACO-27 (DM-2) Diabetes: Hemoglobin A1c Poor Control

    4. ACO-41 (DM-7) Diabetes: Eye Exam

    5. ACO-28 (HTN-2) Controlling High Blood Pressure

    6. ACO-30 (IVD-2) Ischemic Vascular Disease: Use of Aspirin of Another Antithrombotic

    7. ACO-40 (MH 1) Depression Remission at 12 Months

    8. ACO-20 (PREV-5) Breast Cancer Screening

    9. ACO-19 (PREV-6) Colorectal Cancer Screening

    6 January 4, 2018

  • 15 GPRO Quality Measures

    10.ACO-14 (PREV-7) Preventive Care and Screening; Influenza Immunization

    11.ACO-15 (PREV-8) Pneumonia Vaccination Status for Older Adults

    12.ACO-16 (PREV-9) Preventative Care and Screening: Body Mass Index Screening and Follow-up.

    13.ACO-17 (PREV-10) Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

    14.ACO-18 (PREV-12) Preventative Care and Screening: Screening for Depression and Follow-up Plan

    15.ACO- 42 (PREV-13) Statin Therapy for the Prevention and Treatment of Cardiovascular Disease.

    7 January 4, 2018

  • January 4, 2018 pg 8

    How do I report GPRO Quality Measures?

  • Access GPRO 2017 Health Endeavors

    9 January 4, 2018

  • January 4, 2018 pg 10

    Which patients am I responsible to report?

    What is difference between GPRO 2017 and QM 2017?

  • January 4, 2018 pg 11

    Description Time Period

    GPRO Reporting Readiness Webinar conducted by Health

    Endeavors on Thursday, January 4, 2018.

    January 4, 2018

    Patient ranking files are scheduled to be available for download

    from Medicare GPRO WI.

    January 8, 2018

    Patient list populated in Health Endeavors GPRO 2017 interface. January 10, 2018

    A training version of the Medicare GPRO WI is scheduled to be

    open for the 2017 reporting period.

    January 9-21, 2018

    Health Endeavors GPRO 2017 tool opens for Excel data

    collection. Health Endeavors uploads the excel to Medicare GPRO

    WI on weekday daily basis commencing January 22, 2018

    January 22, 2018

    Health Endeavors to stop taking 2017 HER Imports (automation

    and Submit a Request files)

    February 20, 2018

    Reminder - Reporting Timeline?

    Description Time Period

    GPRO Reporting Readiness Webinar conducted by Health Endeavors

    on Thursday, January 4, 2018. January 4, 2018

    Patient ranking files are scheduled to be available for download from

    Medicare GPRO WI. January 8, 2018

    Patient list populated in Health Endeavors GPRO 2017 interface. January 10, 2018

    A training version of the Medicare GPRO WI is scheduled to be open

    for the 2017 reporting period. January 9-21, 2018

    The Medicare GPRO WI opens for quality reporting (Data entry and

    submission) on Monday, January 22, 2018 January 22, 2018

  • January 4, 2018 pg 12

    Description Time Period

    Health Endeavors GPRO 2017 tool opens for Excel data collection.

    Health Endeavors uploads the Excel to Medicare GPRO WI on

    weekday daily basis commencing January 22, 2018

    January 22, 2018

    Health Endeavors to stop taking 2017 EHR Imports (automation and

    Submit a Request files)

    February 20, 2018

    Health Endeavors GPRO Options Imports, Single and Spec File Mass

    Imports

    Last Date to submit March 9,

    2018

    Health Endeavors Manual Key Last Date to submit March 9,

    2018

    The Medicare GPRO WI closes on Friday, March 16, 2018 at 8PM ET

    (7 PM CT, 6PM, and 5PM PT)

    March 16, 2018

    Reminder - Reporting Timeline?

  • Tips & Pitfalls

    Have a Plan of Action for excessive measure Skips; e.g. not able to confirm diabetes.

    Do not get stuck on 1 record. In the first 10 days complete as many records as possible.

    You can always return to a record.

    Do not spend a lot of time on requested dates in the questions if not legible as CMS allows us to default to December 31, 2017 if date is illegible.

    Do not overwrite data unless you are certain of the data is correct and more recent than the data entered.

    Be done in 6 weeks (NOT 8 weeks)

    13 January 4, 2018

  • Access GPRO 2017 Health Endeavors

    14 January 4, 2018

    How do I use the Health Endeavors GPRO 2017 Tool?

  • January 4, 2018 pg 15

  • Ranks

    Random Sample Rank File received in January 8, 2018

    Patients Ranked 1 to 616 in each Module

    May have less than 616 if not enough patients to fill the module

    ACO Required to complete 1 to 248 consecutively

    249 to 616 the oversample [Patient or Module Skips]

    16 January 4, 2018

  • 17 January 4, 2018

  • Mandatory Patient Defaults & Data Imports

    N/A if outside age range, gender

    Carryover prior year responses; e.g. Pneumonia

    Deceased and Hospice mark patient as N/A

    EHR and Claims data has been imported See label.

    1/4/2018 18

  • January 4, 2018 19

  • January 4, 2018 20

    Sort Ranks for a Measure Lowest to Highest

    Example: Hypertension

  • January 4, 2018 21

    Click on Grid

  • January 4, 2018 pg 22

  • January 4, 2018 23

    Data

    Source

  • January 4, 2018 24

    Claims

    Data

    Expansion

  • January 4, 2018 pg 25

  • January 4, 2018 pg 26

    Rank Filter

  • 27 January 4, 2018

  • 28 January 4, 2018

  • January 4, 2018 29

  • January 4, 2018 30

  • January 4, 2018 31

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  • January 4, 2018 33

  • January 4, 2018 pg 34

    What is my practice or NPI GPRO Score?

  • January 4, 2018 pg 35

    GPRO Optimal Gaps Analysis Report

  • January 4, 2018 pg 36

    How do I mass import EHR data into the tool?

    Setup a 1-1 meeting with Health Endeavors to be trained on the process.

    GPRO Options Import and

    Spec File Mass Import

  • Description Time Period

    GPRO Reporting Readiness Webinar conducted by Health Endeavors on

    Thursday, January 4, 2018.

    January 4, 2018 Suggest all quality staff attend and

    those conducting manual key

    functions.

    Patient ranking files are scheduled to be available for download from

    Medicare GPRO WI.

    January 8, 2018 Health Endeavors will download all

    files IF we have access to your MFT,

    otherwise you must download and

    provide in Submit a Request

    Patient list populated in Health Endeavors GPRO 2017 interface. January 10, 2018 Manual key and clinical data uploads

    accepted to Health Endeavors

    repository.

    A training version of the Medicare GPRO WI is scheduled to be open for

    the 2017 reporting period.

    January 9-21, 2018 DO NOT key directly in Medicare

    GPRO WI or you may NOT get

    credit for excel upload.

    The Medicare GPRO WI opens for quality reporting (Data entry and

    submission) on Monday, January 22, 2018

    January 22, 2018 DO NOT key directly in Medicare

    GPRO WI or you may NOT get

    credit for excel upload.

    Health Endeavors commences uploads of the Excel to Medicare GPRO

    WI on weekday daily basis commencing January 22, 2018 IF we have

    EIDM access to your account.

    January 22, 2018 Manual key and clinical data uploads

    accepted to Health Endeavors

    repository.