MACRA_TA_Pre-Proposal_Conference_Slides.pdf

Centers for Medicare & Medicaid Services

MQIDTA (QPP_SURS) Pre Proposal Conference Quality Improvement & Innovation Group

Thursday, June 30, 2016

MACRA Quality Improvement Direct Technical Assistance Quality Payment Program – Small, Underserved and Rural

Support

HHSM-500-2016-RFP-0021—MQIDTA Pre Proposal Conference June 30, 2016 1

Agenda

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Program Overview

Contract Overview

Break Discussion with Partners

• Health Resources and Services Administration (HRSA)

• Office of the National Coordinator (ONC)

OAGM Procurement Timelines

Questions and Answers

MQIDTA (QPP_SURS) Program Team

Quality Improvement and Innovations Group

• Dennis Wagner, Quality Improvement & Innovation Group(QIIG) Director

• Jeneen Iwugo, QIIG Deputy Director

• Traci Archibald, ESRD, Population and Community Health (EPCH) Division Director

• Brenda Gentles, SME

• Christina Goatee, SME

• Ann Turner, SME

Office of Acquisitions and Grants Management

• Kim Tatum, Contracting Officer

• Jonathan Chattler, Contract Specialist

• Irina Perl, Contract Specialist

Partnerships

• Laura Rosas, ONC

• Dr. Thomas Mason, ONC

• Paul Moore, HRSA

• Wakina Scott , HRSA

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MQIDTA (QPP_SURS) Program Overview

MACRA stands for the Medicare Access and CHIP Reauthorization Act of 2015, bipartisan legislation signed into law on April 16, 2015.

• Repeals the Sustainable Growth Rate (SGR) Formula

• Changes the way that Medicare pays clinicians and establishes a new framework to reward clinicians for value over volume

• Streamlines multiple quality reporting programs into 1 new system Merit based

Incentive Payment System (MIPS)

• Provides bonus payments for participation in eligible alternative payment models (APMs)

HHSM-500-2016-RFP-0021—MQIDTA Pre Proposal Conference June 30, 2016

What is MACRA ?

What does it do ?

Physician Quality Reporting Program

(PQRS)

Value-Based Payment Modifier

Medicare Electronic Health

Records (EHR) Incentive Program

Merit-Based Incentive Payment System

(MIPS)

MACRA streamlines these programs into MIPS

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Are there any exceptions to participation in MIPS?

There are 3 groups of clinicians who will NOT be subject to MIPS:

FIRST year of Medicare Part B participation

Certain participants in ELIGIBLE Alternative Payment Models

Below low patient volume threshold Low volume is <=$10,000 in allowed charges and <=100 beneficiaries seen.

Note: MIPS does not apply to hospitals or facilities

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What will determine an EPs MIPS score?

Quality

Quality measures wil be published in an annuallist andclinicians will be able tochoosethe measures on which they’l be evaluated

The MIPS composite performance score will factor in performance in 4 weighted categories:

Resource use

Will compare resources used to treat similar care episodesand clinical conditiongroupsacross practices and can be risk-adjustedto reflect external factors

Clinical practice improvement activities

Examples include care coordination, shared decision-making, safety checklists, expanding practice access

Use of certified EHR technology

% weight of this maydecreaseas more users adopt

EHR

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MIPS: Clinical Practice Improvement Activities (CPIA)

The Secretary is required to specify clinical practice improvement activities.

Subcategories of activities are also specified in the statute, some of which are:

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PARTICIPANTS CHECK IN

MQIDTA (QPP_SURS): Technical Assistance

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The purpose of this contract is to provide a flexible and agile approach to customized direct technical assistance and support services tailored to clinician needs to ensure success for participating in the Merit-based Incentive Payment System (MIPS) and easing eligible clinicians into the transition of Medicare payments from a fee-for-service system to one that is based on performance and patient outcomes.

CMS on behalf of the Secretary shall enter into contracts or agreements with appropriate entities (such as quality improvement organizations, regional extension centers …or regional health collaboratives and others experienced and interested in assisting small, underserved and rural clinicians) to offer guidance and assistance to MIPS eligible clinicians in practices of 15 or fewer professionals.

https://www.congress.gov/bill/114th-congress/house-bill/2/text)

(“The Secretary shall enter into contracts or agreements with appropriate entities (such as quality improvement organizations, regional extension centers (as described in section 3012(c) of the Public Health Service Act), or regional health collaboratives) to offer guidance and assistance to MIPS eligible professionals in practices of 15 or fewer professionals (with priority given to such practices located in rural areas, health professional shortage areas (as designated under in section 332(a)(1)(A) of such Act), and medically underserved areas, and practices with low composite scores) with respect to— ‘‘(i) the performance categories described in clauses (i) through (iv) of paragraph (2)(A); or ‘(ii) how to transition to the implementation of and participation in an alternative payment model as described in section 1833(z)(3)(C).”

The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) intends to solicit and award multiple contracts to qualified contractors for Medicare Access and CHIP Reauthorization Act (MACRA) Quality Improvement Direct Technical Assistance Quality Payment Program – Small, Underserved and Rural Support. Technical assistance through this program will target:

Eligible clinicians in individual or small group practices of 15 or fewer

Health professional shortage areas

(HPSA)

Focus on those clinicians practicing in historically under resourced areas including rural areas

Medically underserved areas (MUA)

CMS expects to cover all eligible clinicians meeting the target population requirements designated in the statute that need assistance across the country.

The target population includes practices with 15 or fewer clinicians, with preference given to practices in medically underserved and rural areas.

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The contractor must identify, assess, and enroll clinicians into the program, assist with the implementation of a quality improvement program, provide a flexible and agile approach to customized direct technical assistance tailored to clinician needs, and enable Peer-to-Peer learning in order to heighten customer satisfaction.

• Clinician Outreach and Education

• Practice Readiness

• Practice Facilitation

What

• Health Information Technology (HIT) optimization

• Practice workflow redesign is

• Change Management

• Strategic Planning

• Clinician Satisfaction

Technical

• Assisting clinicians in fully transitioning to Alternative Payment Models (APM)

• Enabling partnerships

Assistance?

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The contractor must identify, assess, and enroll clinicians into the program, assist with the implementation of a quality improvement program, provide a flexible and agile approach to customized direct technical assistance tailored to clinician needs, and enable Peer-to-Peer learning in order to heighten customer satisfaction.

Offerors shall propose an approach to provide customized direct technical assistance tailored to clinician needs to help ALL eligible clinicians within a contiguous state boundary and successfully ease the transition of Medicare payments from a fee for service system to one based on performance and patient outcomes for MIPS eligible clinicians. Clinician needs are defined as education, outreach and technical support.

The Technical Proposal should include how you will identify % of eligible clinicians within the following categories and provide target numbers:

• Individual and small practice clinicians

• Clinicians located in primary care HPSAs

• Clinicians in practices located in rural counties

• Clinicians serving large underserved populations

L.12 Technical Approach/Targeted Outcomes (VOL I)

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The contractor must identify, assess, and enroll clinicians into the program, assist with the implementation of a quality improvement program, provide a flexible and agile approach to customized direct technical assistance tailored to clinician needs, and enable Peer-to-Peer learning in order to heighten customer satisfaction.

Offerors’ approach will describe the methodology in which direct customized technical assistance will be determined at the level of need at the right time and with the least amount of intervention and expenditure of resources need for the following categories:

(1) Individual and small practice clinicians

(2) Clinicians located in primary care HPSAs

(3) Clinicians in practices located in rural counties

(4) Clinicians serving large underserved populations

(5) Clinicians with the greatest need of technical assistance

These categories are not mutually exclusive; clinicians who fall in more than one of these categories should be prioritized in the provision of customized direct technical assistance.

Outcomes (VOL I) Sec E

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The contractor must identify, assess, and enroll clinicians into the program, assist with the implementation of a quality improvement program, provide a flexible and agile approach to customized direct technical assistance tailored to clinician needs, and enable Peer-to-Peer learning in order to heighten customer satisfaction.

MQIDTA (QPP_SURS) is an active process by which the contractor will assist clinicians with participating in MIPS and assisting clinicians with transitioning into APMs as appropriate, by customizing an approach to meet individual clinician needs.

Note: This plan shall be further developed as a deliverable upon contract award.

Outcomes (VOL I) Sec F

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The contractor must identify, assess, and enroll clinicians into the program, assist with the implementation of a quality improvement program, provide a flexible and agile approach to customized direct technical assistance tailored to clinician needs, and enable Peer-to-Peer learning in order to heighten customer satisfaction.

It is vital to leverage previous clinician relationships (i.e. those developed by Quality Improvement Organizations (QIOs), Quality Improvement Networks (QINs), Regional Extension Centers (RECs) Transforming Clinical Practice Initiative and other technical assistance programs).

Offerors’s technical assistance will include Peer-to-Peer learning through collaboration and engagement with Learning and Action Networks (LANs).

• Proposals should include evidence of local presence through prime and inclusive of subcontractor teaming arrangements for all proposed states/territories in order to have efficient approach to reach local clinicians.

• Describe pre-existing Networks, Partnerships and/or Collaborations that include a diverse spectrum of community stakeholders and/or plan to expand and build new clinician relationships.

• Describe methodology for a tailored technical assistance strategy to serve ALL Eligible clinicians based on customer segments (i.e. rural, HPSA, specialty clinicians, office managers, etc.) and the ability to provide and/or facilitate efficient and effective technical assistance at the level of clinician need administered at the right time with the least amount of intervention and expenditure of resources.

L.13 Corporate Experience, Operational Capacity and Key

Personnel (VOL II) Sec A (1-4), B

Quality Innovation Network- Quality Improvement

Organizations (QIN-QIO) TA Transforming Clinical Practice Initiative (TCPI)• ~400,000 eligible clinicians

• Larger practices (>15 EPs)

• Non-rural

• Focus on user experience and customer service.

• Technical assistance provided via:

• LANs

• Educational modules aligned with QPP content that provide CME/CEU credit

• Direct TA (as requested) that is individualized to the customer

• Covers 140,000+ Practices

• Four year model test

• Large Scale Practice

Transformation Improvement efforts

• Leveraging existing collaboration to create comprehensive Community of Practice

• Open Door Forums

• Aims to assist clinicians in progressing through the five phases of practice transformation in order to help more clinicians become a part of APMs

• 200,000+ clinicians

• Small Practices(<=15 ECs)

• Practices in rural & HPSA

Areas/medically underserved populations

• Support maximizing existing REC/QIO /RHC network infrastructure

MQIDTA (QPP_SURS)

Organizations funded under MACRA and the organizations within the TCPI will be aligned and work closely together without duplicating clinicians and activities, to help practices successfully transform their care, while also preparing for the new Quality Payment Program.

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The contractor must identify, assess, and enroll clinicians into the program, assist with the implementation of a quality improvement program, provide a flexible and agile approach to customized direct technical assistance tailored to clinician needs, and enable Peer-to-Peer learning in order to heighten customer satisfaction.

Successful MQIDTA contractors will need to commit to and meet quantifiable outcomes that must align with the overall aims of the MACRA requirements, many of which are yet to be defined. Provide 2 (two) examples of corporate experience that required you to be agile with delivering services. In addition, Offerors should provide the following:

• Experience and measurable success in providing customized and local direct technical assistance to Medicare and Medicaid healthcare clinicians (especially those in small, underserved, and rural practices) to adopt and optimize the use of certified HIT, improve clinical quality and manage resource use.

• Experience supporting methodologies for success with multiple clinicians in small, rural and underserved areas at different levels of need/technical assistance

• Corporate experience that indicates service delivery processes that successfully used interventions to assist clinicians in addressing quality improvement interventions for Medicare beneficiaries and quality measurement reporting in Medicare programs.

• A plan to manage multiple partners which, includes but is not limited to administrative and management structure of teaming arrangements, effective lines of communication, resource and subcontractor management and also identify potential risks.

L.13 Corporate Experience, Operational Capacity and Key

Personnel (VOL II) A (1-4)

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The contractor must identify, assess, and enroll clinicians into the program, assist with the implementation of a quality improvement program, provide a flexible and agile approach to customized direct technical assistance tailored to clinician needs, and enable Peer-to-Peer learning in order to heighten customer satisfaction.

In accordance with the MACRA legislation, MQIDTA (QPP-SURS) contractors may include entities such as Quality Improvement Organizations (QIOs), Regional Extension Centers (RECs) or Regional Health Collaborative (RHCs). Contractors are encouraged to collaborate in order to strengthen the application, reach, and scope of services being provided to MIPS eligible clinicians.

It is required that the MQIDTA (QPP-SURS) contractor meet the eligibility criteria for the contract goals in providing a comprehensive direct technical assistance approach.

The approach will assist in mitigating the challenges faced by small and individual clinicians in rural and other under resourced areas.

SOW C.2 Eligibility Requirements

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The contractor must identify, assess, and enroll clinicians into the program, assist with the implementation of a quality improvement program, provide a flexible and agile approach to customized direct technical assistance tailored to clinician needs, and enable Peer-to-Peer learning in order to heighten customer satisfaction.

The MQIDTA (QPP-SURS) contractor is required to bring unique, extensive expertise and experience in order to strengthen the overall strategy in the provision of direct technical assistance. These multi-dimensional challenges will be addressed in tandem by the three types of organizational requirements:

• Requirement 1 - Comprehensive experience and measurable success in providing customized and local direct technical assistance to Medicare and Medicaid health care clinicians (especially those in small, underserved, and rural practices) to adopt and optimize the use of certified HIT

• Requirement 2 - Comprehensive experience and history in working with key stakeholders to implement innovative tools and successful interventions to assist clinicians in addressing quality improvement interventions for Medicare beneficiaries and quality measurement reporting

• Requirement 3 - Multi-stakeholder organization that implements initiatives to improve the quality and affordability of health care services. This organization should be governed by stakeholders that represent clinicians groups, hospitals and health systems; healthcare payers; healthcare purchasers and consumers and entities representing consumers.

SOW C.2 Eligibility Requirements

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The contractor must identify, assess, and enroll clinicians into the program, assist with the implementation of a quality improvement program, provide a flexible and agile approach to customized direct technical assistance tailored to clinician needs, and enable Peer-to-Peer learning in order to heighten customer satisfaction.

A key goal is to provide the right level of technical assistance at the right time in a way that provides the best possible value to the government. MQIDTA (QPP_SURS) contractors should:

• Demonstrate how they will assess needs and provide customized support to previously under or unsupported clinicians.

• Develop and use technical assistance approaches that will aid clinicians to effectively solve their challenges most efficiently. In extreme cases, technical assistance including a physical “boots on the ground” presence in practices may be required.

• Describe methodology to determine the right level of technical assistance at the right time with the least amount of intervention and expenditure of resources, progressing if necessary.

• Provide approach and measures to continuously monitor eligible clinicians’ satisfaction with technical assistance which includes timeliness of touch, support, and useful resources.

L.13 Corporate Experience, Operational Capacity and Key Personnel (VOL II)

Desired Outcomes

Serve ALL clinicians in your defined contiguous area that meet the criteria for small, rural, health professional underserved and medically underserved areas

Provide customized technical assistance to clinician at the level in which they need and that provides the greatest value

Ensure eligible clinician’s satisfaction with technical assistance which includes timeliness of touch, support, and useful resources

Increase the number of eligible MIPS eligible clinicians participating in MIPS and APM programs

Transform clinical practices by educating clinicians on successful techniques related to the four MIPS performance categories

SOW C.3.3

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MQIDTA (QPP_SURS): BREAK

We will resume in 20 minutes

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MQIDTA (QPP_SURS): BREAK

WE WILL RESUME IN 20 MINUTES

HHSM-500-2016-RFP-0021—MQIDTA Pre Proposal Conference June 30, 2016

Question Response

Q: What is the CPIA requirement for rural providers and those in Health Professional Shortage Areas (HPSAs)?

A: Clinicians in small, rural, HPSAs, or non-patient-facing professionals may receive the highest score of 100% by reporting two CPIAs (either medium or high). For clinicians that are small, rural, health professional shortage areas practices or non-patient facing professionals, in order to achieve a 50% score, one CPIA is required (either medium or high). CMS will monitor this category closely to determine if other considerations are warranted for rural clinicians.

Q: How will CMS determine whether a clinician has met the participation requirements?

A: The proposal in the NPRM accounts for participation in multiple Advanced APMs where appropriate. We propose that, for instances in which an individual clinician does not become a Qualifying APM Participant through any single Advanced APM Entity, CMS will assess the Advanced APM participation of the clinician individually.

Q: MACRA requires special consideration for small and rural providers, as well as those practicing in HPSAs.

How is CMS implementing these considerations in the proposed rule?

A: These eligible clinicians are given special consideration under the performance categories.

Q: When will the MACRA Quality Improvement Direct Technical Assistance (MQIDTA) Program, Quality Payment Program – Small, Underserved and Rural Support (QPP-SURS) begin?

A: The program will begin on or about November 30, 2016. We anticipate our QPP-SURS providers to begin outreach efforts and begin notifying clinicians about resources available through this program.

Q: Will the MQIDTA, (QPP-SURS) contractor also work with stakeholders outside of the Quality Payment Program?

A: The MQIDTA (QPP-SURS) support contractor will have the ability to coordinate the much needed activities with various stakeholders, organizations and clinical communities that are working to support QPP implementation and effectiveness. This coordination should be both proactive and ongoing, adjusting to changing needs as the program evolves. CMS partners with national organizations and key stakeholders, and relies on those relationships to create awareness and educate their members at state and local levels. CMS is working with over 150 national organizations including: Specialties, Family Medicine, Nurses, Physician Assistants , Hospitals , Long Term Care/Rehab/Home Care/Hospice, Advocacy , Health Care Administration and other Health Providers

Q:How is the TCPI funding you announced different than the technical assistance funding in the MACRA legislation you’re announcing today?

A: TCPI has been in existence prior to the MACRA legislation. The initiative promotes peer-based learning networks designed to coach, mentor and assist clinicians in developing core competencies specific to practice transformation.

The TCPI aims to assist clinicians in progressing through the five phases of practice transformation in order to help more clinicians become a part of Alternative Payment Models, which is a core part of the Quality Payment Program.

The MACRA technical assistance will go to organizations in targeted geographic regions to provide hands-on training about the Quality Payment Program. The education will be tailored to the individual concerns of small practices, especially those that practice in historically under-resourced areas including rural areas, health professional shortage areas, and medically underserved areas.

The organizations funded under MACRA and the organizations within the TCPI will be aligned and work closely together to help practices successfully transform their care, while also preparing for the new Quality Payment Program.

MQIDTA (QPP_SURS): Implementation Schedule

Offerors Technical Approach should demonstrate the ability to begin outreaching efforts immediately upon award.

HHSM-500-2016-RFP-0021—MQIDTA Pre Proposal Conference June 30, 2016

Finalize the MACRA regulation-FALL

THE TIME

First performance period MIPS

Jan 1, 2017 thru December 31, 2017

TO START

Last performance period for separate programs Jan 1, 2016 thru December 31, 2016.

First payment year for MIPS 2019, based on first performance period of 2017.

IS NOW!

MQIDTA (QPP_SURS): Contract Overview (OAGM)

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Contracting Officer Kimberly Tatum

Contract Specialists Jonathan Chattler Irina Perl

Additional questions and correspondence should be submitted electronically to MQIDTA@cms.hhs.gov by July 6, 2016

HHSM-500-2016-RFP-0021—MQIDTA Pre Proposal Conference June 30, 2016

Contractor Compliance Officer Greg Gesterling mailto:MQIDTA@cms.hhs.gov

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• Information provided during this conference shall not qualify the terms of the solicitation

• Terms of the solicitation and specifications remain unchanged unless the solicitation is amended in writing

• Attendance at this pre-proposal conference is not a prerequisite for proposal submission and will not be considered a factor in proposal evaluation

• CMS will post a summary response to questions discussed at today’s conference under the Federal Business Opportunities (FedBizOpps) database

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Greg Gesterling Contractor Compliance Officer

Organizational Conflict of Interest Language

J.6 CONTRACTOR BUSINESS ETHICS, CONFLICT OF INTEREST AND

COMPLIANCE PROGRAM REQUIREMENTS

J.7 Contract personal COI Financial Disclosure Template

Conflict of Interest

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• Cost Plus Fixed Fee Multiple Award Contracts

• Best Value Award Decision – Greatest overall benefit in response to the solicitation

• Full and Open Competition

-All vendors, large and small, are eligible to compete

• Period of Performance

-Base Year plus 4 option years

• Multiple Awards

• Subcontracting goals

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Technical Proposal Evaluation; listed in order of importance A. Evaluation of Technical Approach and Targeted Outcomes B. Evaluation of Corporate Experience, Operational Capacity and Key Personnel C. Evaluation of 508 Compliance D. Evaluation of Past Performance

Business Proposal Evaluation Evaluation to determine the cost reasonableness

Conflict of Interest Evaluation Evaluation in accordance with FAR 9.5 that prescribers responsibilities, general rules, and procedures for identifying, evaluating, and resolving organizational conflicts of interest

HHSM-500-2016-RFP-0021—MQIDTA Pre Proposal Conference June 30, 2016

INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

VOLUMES

Volume I

Targeted Outcomes and Technical

Approach

Volume II Corporate

Experience, Organizational

Capacity and Key Personnel

Volume III Past Performance

Volume IV Business Proposal

Volume V

Organization Conflict of Interest

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Procurement Timeline

RFP Release Date June 20, 2016

Pre-proposal Webinar June 30, 2016

Questions Due July 6, 2016

Notice of Intent Due July 6, 2016

Proposal Due Date July 28, 2016

Est. Competitive Range Determination September 2016

Est. Request for Final Proposals Revisions October 2016

Est. Final Revised Proposals Due November 2016

Est. Multiple Awards November 2016

MQIDTA (QPP_SURS): Discussion with Partners

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MQIDTA (QPP_SURS): Partner HRSA

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• Agency of the U.S. Department of Health and Human Services

• Primary federal agency for improving access to health care services for people who are uninsured, isolated, or medically vulnerable

• Comprised of five bureaus and ten offices providing leadership and financial support to health care providers in every state and US territory

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• HRSA funds organizations that work with the specific provider types identified in the MQIDTA solicitation

– Access to and familiarity with providers practicing in rural areas, HPSAs, and MUAs

– Experience providing TA on quality reporting and improvement, health IT, and other operational issues

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• State Offices of Rural Health

Funded by HRSA’s Federal Office of Rural Health Policy since 1991

50 state offices and 1 national organization (nosorh.org)

General purpose of each SORH is to help their individual rural communities build health care delivery systems

• Rural Health Resource Center

Since 1999, the Technical Assistance and Services Center (TASC) has provided information, tools, and education to critical access hospitals (CAHs) and state Flex Programs (ruralcenter.org/tasc) https://nosorh.org/ https://nosorh.org/ https://www.ruralcenter.org/tasc https://www.ruralcenter.org/tasc

MQIDTA (QPP_SURS): Partner Health Resources & Services Administration (HRSA)

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• Primary Care Associations

– State or regional non-profit organizations providing training and TA to safety-net providers

• Health Center Controlled Networks

– Networks to assist Federally Qualified Health Centers (FQHCs) and the safety-net community to address operational and clinical challenges related to the use of health IT (http://bphc.hrsa.gov/qualityimprovement/strategicpartnerships/) http://bphc.hrsa.gov/qualityimprovement/strategicpartnerships/ http://bphc.hrsa.gov/qualityimprovement/strategicpartnerships/ http://bphc.hrsa.gov/qualityimprovement/strategicpartnerships/

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MQIDTA (QPP_SURS): Partner HRSAMQIDTA (QPP_SURS): Partner ONC

2009 2014 Gives ONC authority to launch

REC, HIE, Beacon & Workforce programs

Widespread adoption & meaningful use of

EHRs

Better Smarter Healthier continue to work across sectors and across the aisle for the goals we share: better care, smarter spending, and healthier people.

HITECH Act EHRs & HIE 2014+

Health IT Enabled Reform Models &

ID Path FFS to PFP

Payment Reform

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MQIDTA (QPP_SURS): Partner Office of National Coordinators

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ONC’s Office of Programs and Engagement (OPro) OPRO is responsible for implementing and overseeing grant programs and other initiatives that advance the nation toward universal adoption and meaningful use of interoperable health information technology in support of health care and population health.

OPRO supports care providers in the adoption, implementation and optimization of health information technology and adaptation to new care and payment models.

OPRO supports consumer use of electronic personal health information and activities for certification of health information technology.

MQIDTA (QPP_SURS): Partner ONC

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• 62 Regional Extension Centers across the U.S.

• About 90% will continue to operate after the period of performance has ended (6/16 for most awardees)

• The REC program assisted over 144,000 providers in adopting and meaningfully using an EHR by focusing on:

o EHR implementation and project management o Health IT education and training o Vendor selection and financial consultation o Practice/workflow redesign o Privacy and Security o Partnering with Health

Information Exchanges o Ongoing technical assistance https://www.healthit.gov/providers-professionals/listing -regional-extension-centers

For a list of RECs see Listing of Regional Extension Centers

Regional Extension Center Program https://www.healthit.gov/providers-professionals/listing-regional-extension-centers https://www.healthit.gov/providers-professionals/listing-regional-extension-centers#listing

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A History of Programmatic Success: Regional Extension Center Program

REC Success REC Services

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MQIDTA (QPP_SURS): Q & A

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Questions and Answers Time: 20 Minutes

MQIDTA (QPP_SURS)

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THANK YOU

MQIDTA (QPP_SURS): Additional Information

• HHS Press Office http://www.hhs.gov/about/news/2016/06/20/hhs-announces-major-initiative-help-small-practices-prepare-quality-payment-program.html

• FedBizOpps.gov-solicitation https://www.fbo.gov/index?s=opportunity&mode=form&id=57766996f8ecd4749cd4b18e60f63 a8e&tab=core&_cview=1

• Quality Payment Program https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value- Based-Programs/MACRA-MIPS-and-APMs/Quality-Payment-Program.html

• Quality Innovation Networks – Quality Improvement Organizations Directory http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQn etTier2&cid=1228774346757

HHSM-500-2016-RFP-0021—MQIDTA Pre Proposal Conference June 30, 2016 http://www.hhs.gov/about/news/2016/06/20/hhs-announces-major-initiative-help-small-practices-prepare-quality-payment-program.html https://www.fbo.gov/index?s=opportunity&mode=form&id=57766996f8ecd4749cd4b18e60f63a8e&tab=core&_cview=1 https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Quality-Payment-Program.html http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic/Page/QnetTier2&cid=1228774346757