In July, the Great Plains Quality Innovation Network – Nebraska team developed and distributed a Quality Payment Program (QPP) promotional flyer to clinics throughout the state to encourage goal setting related to the overall QPP. The flyer mentioned that the Great Plains QIN team could help calculate a facility’s estimated MIPS final score to determine improvement areas and to attain a higher ‘final score’. (Flyer image included below).
The flyer caught the attention of a clinic Administrator, Greg Gangwish, with Kearney Orthopedic & Sports Medicine in Kearney, Nebraska. Greg was new to healthcare and was unsure where his clinic was at in terms of their QPP levels. He contacted Tammy McNeil, a Great Plains QIN – Nebraska Quality Improvement Advisor, to inquire.
Tammy demonstrated how to use the MIPS Calculator Tool (also developed by the GPQIN) and reviewed the clinics’ performance on their Quality and Advancing Care Information measures. Initially, Greg’s primary interest was avoiding a penalty or negative adjustment. However, after their first call and data review, the practice already was at a predicted score of 50, therefore a challenge was extended to continue towards higher levels and greater improvement. The clinic had selected several quality measures to report, but needed to solidify selection on a few remaining measures they would report in order to continue efforts to improve, they also needed to select a high-weighted measure or 2 medium-weighted measures in the Improvement Activity category to report. Tammy continued to work with Greg to establish a broader goal of working to become an “exceptional performer” by reaching a score of 70 or higher, which was felt to be completely attainable.
Over the course of the next few months, the Kearney Orthopedic & Sports Clinic worked on the identified areas and checked back in October to offer an update their progress.
We are pleased to report the clinic is currently at 80 predicted points, which far exceeds their original goal of “avoiding a negative adjustment” and not only makes them eligible for a positive payment adjustment, but also a .5% exceptional performance bonus. Greg has now set a goal of attaining 100 points, as he stated, “why stop here, let’s go for a 100%”! The clinic is currently attaining the full 25% score in the ACI performance category and the full 15% score in the IA performance category, and therefore needs to maintain these throughout the rest of the year. There are opportunities to obtain a higher score in the Quality category. Tammy and Greg reviewed opportunities to improve on the Quality measures he is reporting; they recently discussed taking a closer look at processes and work flow to determine how they can get closer to scoring the full 60% in the Quality category as well. The next step will be for the GPQIN – Nebraska team to travel to the clinic to assist with reporting after the New Year.
“I have very much appreciated the services of Great Plains Quality Innovation Network; specifically the support of Tammy McNeil in the process of coaching me through the ‘hoops’ of the MIPS requirements. My original goal was to meet the minimum standard so as not receive a negative adjustment ultimately. But in the process of working with Tammy, I believe she has helped me help our clinic attain a greater score than I had thought possible. This complimentary service has been very professional and quite practical. Much thanks to the Great Plains QIN team,” stated Gangwish.
“We credit the success of this clinic to Greg; he really took it upon himself to embrace the challenge, learn the details of the program and then make a concerted commitment to strive for improvement. Greg’s most recent goal is to attain 100 points and with his drive and determination, there is little doubt he will attain that goal,” added Tammy McNeil, RHIA, CPHIT, CPEHR – Quality Improvement Advisor with Great Plains QIN. McNeil added, “Greg has been great to work with and very complimentary of our assistance. It is rewarding to see his efforts paying off for their clinic.”
If you have questions or need assistance, we can help. The Great Plains QIN has established a Quality Payment Program Service Center. The Service Center site houses key resources to better your understanding of the program, offers contact information of the experts that can answer your questions and provides several avenues in getting technical support – through an email ticketing system, by phone or live chat. Visit our site or contact a member of our team today to get the answers and assistance you need (free of charge).