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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 ACO’s 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 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.
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 Highly Suggest – be finished
March 9, 2018 and have final
submit to Medicare
The Medicare GPRO WI closes on Friday, March 16, 2018 at 8PM ET (7
PM CT, 6PM, and 5PM PT)
March 16, 2018
GPRO 2017
Decisions and Information
Topic Response
Confirm QM Import Chart data priorities and preferences
QM Import Chart configuration ensures the data that is utilized to
answer a patient's measure is prioritized correctly.
January 15, 2018 – Deadline Date
Enable Save for GPRO 2017
Confirm date for enabling the "Save" button on your GPRO 2017
tab. Save enabling allows you to import and update measure
responses in GPRO 2017. Portal is currently in preview only mode.
Enter requested date
Enable Save for QM 2018 (Complete QM 2018 Import Chart) Enter requested date (any date after January 12, 2018)
HASSIGN 2018 file will be used for patient population
Unlock TIN and NPI assignment for GPRO 2017
The assignment in GPRO 2017 will be locked so no changes may be
made to patient assignment in GPRO 2017 portal. Please let us
know if you want to unlock it and be able to update the TIN and NPI
assignment in GPRO 2017 portal.
Enter Response
Decisions and Information
Topic Response
How many patients you want to submit to CMS for GPRO
2017?
• All patients sampled for GRPO 2017 (full sample).
• Only the minimum of 248 patients, plus additional patients
needed to replace the skips to complete the module (minimum
required).
• Specific rankings for each measure. Identify the last patient in
each measure you would like to submit up to (custom sample
size).
By default Health Endeavors submits the minimum that is required.
Enter Response
When do you want to finalize your submission to CMS and
disable "Save" in GPRO 2017?
After this date Health Endeavors stops submitting your data to CMS
and GPRO 2017 interface in Health Endeavors will be locked down
to avoid any future modifications after the final submission.
Enter requested date
January 4, 2018 pg 40
Resource page - webinars
Submit a Request or 1-888-862-0366
41 January 4, 2018
42 January 4, 2018