Monthly Physician Newsletter January 15, 2014
Issue #9
Schedule Your Mandatory ACO Learning
Collaborative Today!
One of the requirements to be eligible to receive shared savings as an ACO participant is to attend two learning collaborative classes. Below, please find the dates, times, and locations of the available classes. Please RSVP to [email protected]with the two sessions you will be attending.
Session one is about performance improvement projects and session two is about learning to use the Crimson portal to formulate these performance improvement projects.
MMMC Class Schedule
• Session 1: January 28, 2014 from 12:00-1:00PM in the Chase Conference Room
• Session 2: February 5, 2014 from 8:00-9:00AM in Computer Lab 2
• Session 2: February 24, 2014 from 8:00-9:00AM in Computer Lab 2
MRMC Class Schedule
In This Issue Learning Collaboratives
Office Visits New Team Members
Quality Reporting Quick Links
Methodist ACO Physicians Shared Savings
Requirements Medicare Information
• Session 1: January 22, 2014 from 12:00-1:00PM in Conference Room 2
• Session 2: February 3, 2014 from 8:00-9:00AM in the Computer Lab
• Session 2: February 18, 2014 from 8:00-9:00AM in the Computer Lab
MCMC Class Schedule
• Session 1: January 21, 2014 from 12:00-1:00PM in Conference Room 8
• Session 1: January 30, 3014 from 6:00-7:00PM in Conference Room 3
• Session 2: Tuesday, February 4, 2014 from 8:00-9:00AM in the 5th Floor Computer Lab
• Session 2: Monday, February 10 2014 from 8:00-9:00AM in the 5th Floor Computer Lab
MDMC Class Schedule
• Session 1: Thursday, January 23 from 6:00-7:00PM in Conference Room 201
• Session 1: Wednesday, January 29 from 12:00-1:00PM in Conference Room 202
• Session 2: Thursday, February 6, 2014 from 8:00-9:00AM in Computer Lab 2
• Session 2: Wednesday, February 19, 2014 from 8:00-9:00AM in Computer Lab 1
ACO Office Visits
ACO Coordinators, Sarah Cason and Charlotte Mann, have been meeting with ACO participating physicians and office managers to discuss updates and important information. Details of the shared savings distribution methodology are discussed, as well as the MPCACO's performance. These meetings have proven to be helpful with regard to the discussion of questions, concerns, and suggestions. Please ask your office staff if they have scheduled this meeting yet, and if not, contact Sarah or Charlotte to schedule the meeting. Sarah can be reached at (214-947-2475, [email protected] Charlotte can be reached at 214-947-6539, [email protected]. Sarah is visiting offices located closest to Methodist Mansfield and Methodist Charlton,
while Charlotte is visiting those near Methodist Dallas and Methodist Richardson.
Meet our new team members!
Population Health Manager
Christina Smith, LVN comes to us with 34 years of healthcare experience in Cardiology, ICU, ER, Med/Surg and QA/Risk Management. Her specialty is Cardiology. She stated that what attracted her to this position is the ability to be a patient
advocate.
She is a Dallas, TX native. She has been married for 30 years and has three wonderful sons, two great daughter in-laws and four fur kids. In her spare time she likes to read, craft, bake and walk her pups. Whenever she can, she loves to do volunteer work.
In her position, she will focus on low risk patients within our patient population with goals to keep the patients healthy, build relationships with the patients and anticipate their needs, solidify and promote primary care utilization.
Health Coach
AnnMarie Mercado, MA was born and raised in Dallas, Texas. Before accepting this position, she worked in a busy, fast paced family practice for 16 years as a medical assistant. She is currently attending her last year at Dallas Baptist University where she is working on obtaining a Bachelor's of Art and Sciences in Health Care Management.
She is happily married to her high school sweetheart for twelve years and has two sons. In her spare time she enjoys physical activities like kickboxing, strength training, and hiking. She is also an avid movie watcher and enjoy going to the theatre with family
In her position, she will focus on educating and enhancing self-management within our patient population with an emphasis on our low risk patients. She will also support other clinical
positions within the ACO departments.
Data Analyst
Meet Anuj Parikh. He comes to us from Texas Health Organization for Physicians (ACO) as a Clinical Quality Outcomes Specialist. He has a MBA/MHA from UTA with Bachelors in PrePharmacy and HealthCare Administration. He is in ACHE. Anuj is responsible for the implementation and
maintenance and coordinating the activities of data management, data aggregation, analysis and the reporting process. Anuj joined
Quality Reporting
CMS requires that Medicare Shared Saving Programs (MSSP) collect and submit data as part of the 33 ACO Quality Measures. Dallas Methodist Physicians Network (DMPN), as an agent for the MPCACO, and other designated individuals within our system will begin the process of collecting quality measure information next week. The time permitted by CMS to collect, review, and upload all of the data modules is limited to six weeks beginning January 27, 2014; therefore, we request your
cooperation and assistance in identifying medical records and allowing the nurse auditors immediate access to these Medicare beneficiaries' records.
Seven of the measures will be collected by CMS using a mailed survey to Medicare beneficiaries attributed to the MPCACO; six measures are based on care coordination/patient safety. The remaining measures focus on outpatient care provided by physicians; these measures include preventive health, diabetes, hypertension, ischemic vascular disease, heart failure and coronary artery disease. Two of the outpatient measures are "composite" measures: diabetes (5 bundled measures) and coronary artery disease (two bundled measures). CMS selects up to 616 Medicare beneficiaries for each measure; of those
beneficiaries, we must submit data for 411 beneficiaries consecutively as rank ordered by CMS. Each beneficiary may have multiple measures which require abstracting.
This is a significant undertaking and one in which the MPCACO will be engaged on an annual basis for the duration of the
MPCACO's contract with CMS for the MSSP. The collection of data for reporting quality measures and overall physicians' performance will impact potential shared savings between the MPCACO and CMS over the next two years. The first year of reporting is a demonstration to CMS of our ability to collect the data, review it for consistency and accuracy, and upload the data within the time constraints issued by CMS. Only in subsequent years will performance targets be included.
About Us
On July 1, 2012 Methodist Patient Centered ACO (MPCACO) was selected to participate in the Medicare Shared Savings Program (Shared Savings
Program) Accountable Care Organization (ACO), a multifaceted new program sponsored by the Centers for Medicare and Medicaid Services (CMS). Over 200 physicians are partnering in the Methodist Patient Centered ACO. See the ACO Governing Structure.
Through the Shared Savings Program, Methodist Patient Centered ACO is working with CMS to provide Medicare fee-for-service beneficiaries with high quality service and care, while reducing the growth in Medicare expenditures through enhanced care coordination.
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