1. Virtual Update Meeting May 3, 2017 1:30 – 2:00 pm

2. Mary Graham Emmalilly Hoxsie Manager, Community Engagement
(616) 323 – 2959
Emmalilly Hoxsie
Business Development /
Communication Administrator
(616) 323 – 2953

3. Agenda Presentation: Federal, State & Payer Programs
Solution & Service Updates
Business Updates
Getting in touch with GLHC

4. GLHC services can support …
Patient Centered Medical Home (PMCH)
Physician Group Incentive Program (PGIP)
State Innovation Model (SIM)
Comprehensive Primary Care Plus (CPC+)
Merit-Based Incentive System (MIPS) and Meaningful Use (MU)
CMS Emergency Preparedness
Other MiHIN requirements

5. Patient Centered Medical Home Domains
PCMH/N initiative
Reference*
GLHC Service
1. Patient – Provider Partnership
1.9
Referrals, VIPR language added to HIPAA statement
2. Patient Registry
2.2
VIPR
3.0 Performance Reporting
3.8, 3.9
Analytics, Reporting
4.0 Individual Care Management
4.11, 4.16, 4.17, 4.19
Virtual Integrated Patient Record (VIPR)
5.0 Extended Access
5.1, 5.3, 5.3, 5.5
ADT and VIPR
6.0 Test Tracking and Follow-up
6.1
Results delivery and
9.0 Preventive Services
10.0 Linkage to Community Services
10.1, 10.6, 10.7
Referrals
11.0 Self-Management Support
12.0 Patient Web Portal
13.0 Coordination of Care
13.1, 13.2, 13.3, 13.11, 13.12
Referrals, Results delivery, ADT, Direct, VIPR
14.0 Specialist Referral Process
14.1, 14.2, 14.3, 14.6, 14.8, 14.11
Referrals, Direct
*BCBS Interpretive Guidelines

6. Physician Group Incentive Program (PGIP)
Clinical information technology-focused initiatives
Health Information Exchange
Admission Discharge Transfer (ADT)
Patient Portal
Patient Registry
Core clinical process-focused initiatives
Coordination of Care
Referral Network, ADT, VIPR
Extended Access
VIPR for telemedicine
Individual Care Management
VIPR, Referrals Network
Integrating BH into General Medicine Care
Referral Network, Virtual Integrated Patient Record
Linkage to Community Services
Referral Network
Patient-Provider partnership
Performance Reporting
VIPR
PGIP Clinical Quality Initiative
VIPR, Analytics
Preventive Services
Self-Management Support
Specialist referral process
Test tracking and follow-up
Results Delivery, VIPR

7. Physician Group Incentive Program, continued
Service-focused Initiatives
Radiology Management
VIPR
Resource Stewardship Initiative
VIPR, ADT
Organized Systems of Care initiatives
Integrated Patient Registry
Integrated Performance Measurement
Processes of Care
Other
Patient Experience of Care

8. State Innovation Model (SIM)
Health Information Exchange/Health Information Technology
“QO”
GLHC meets this State contractual requirement.
Key Components: for both SIM Regions SIM PCMH
Care Connected Community:
PCMH creates linkages
Physical Health
GLHC can facilitate with:
Referrals network,
Direct
ADT
Virtual Integrated Patient Record (VIPR)
Community Health Needs Assessment (CHNA)
Pt self-assesses nine Social risk factors, directed to services as needed.
PCP alerted after patient engages
Behavioral Health
Social Determinants of Health
Care Coordination
Transitions of Care and
Community Care Plans
Referrals , ADT, and Virtual Integrated Patient Record (VIPR)
Outcomes Metrics
Adverse Birth Outcomes
Emergency Room Utilization
Multiple Chronic diseases pts
Community-wide analytics and reporting

9. Alternative Payment Methods (APM)
Medicare Access and CHIP Reauthorization Act of (MACRA)/Quality Payment Program (QPP)
QPP has two options:
Merit based Incentive Payment System (MIPS) incorporated these programs:
Alternative Payment Methods (APM)
Meaningful Use (MU)
Comprehensive Primary Care Plus (14 states)
Physician Quality Reporting System (PQRS)
Comprehensive End Stage Renal Disease Care Model
Value-Based Modifier (VBM)
Medicare Shared Savings Track 2 (6 ACO)
Medicare Shared Savings Track 3 (16)
Next Generation ACO Model (18)
Oncology Care Model Track 2

10. Comprehensive Primary Care Plus (CPC+)
Requirements
GLHC Solutions & Services:
Track One:
Use of CEHRT
Payer interest & Coverage
Existing care delivery must include:
Patient Assignment
24/7 Access
Ongoing QI
PCMH meets & GLHC services support PCMH
Track Two
AND:
Developing & recording Community Care Plans
Post-ED/inpatient visit follow-up
Process to link community resources
Pt Care docs/plans VIPR or send via Referrals
ADT and VIPR
Referrals and Direct
Letter of Support from Health IT outlining commitment to optimizing functionality

11. Merit-based Incentive Program
MIPS Performance Categories
Quality
Cost
Improvement Activities
Advancing Care Information
Quality measures: pick 6
Advancing Care Information: EMR dependent
Improvement Activities: pick 4 to attest

12. Emergency Preparedness
Inpatient and Outpatient standards include five requirements:
Emergency Plan
Policies and Procedures
Communication Plan
Standards may differ, however all provider types must have a Communication Plan and that plan must include: Patient care must be well-coordinated within the facility, across health care providers and with state and local public health departments and emergency systems. The plan must include contact information for other hospitals and CAHs; method for sharing information and medical documentation for patients*.
Training and Testing
Additional Requirements

13. Solution & Service Updates

14. Rad Images Available from MSU and Holland Hospital
Full Diagnostic Quality
EMR Interface, iNBox, VIPR
The images are found within the Reports tab of VIPR
Copy/Paste the link and enter the 4 digit pin number

15. Exceeds 8 Million!

16. New Contributors Midland Allergy Clinic – ADT and CCD
Rehabilitation Associates of MidMichigan – ADT and CCD
Ingham County Health Department – ADT and CCD

17. VIPR Single Sign On 17

18. Quest and LabCorp to VIPR
Free
Simple implementation
Lab information enriches the patient’s health history in VIPR. Better information leads to more accurate diagnosis and treatment, reduced redundancy, and improved outcomes.

19. Business Updates

20. Southwest Michigan– May 10 at the WMU Fetzer Center in Kalamazoo
Northern Michigan – June 13 at the Fox Hill Event Center in Cadillac
Metro Detroit – August 15 at the Westin Southfield Detroit in Southfield
Capital Area – August 22 at the MSU Henry Center in Lansing
Flint & Genesee County – September 14 at the Holiday Inn Flint in Grand Blanc
West Michigan – October 4 at the Calvin College Prince Conference & Event Center in Grand Rapids

21. Southwest Summit: Agenda
Panel Discussion: Health Policy Update and the Impact of Advocacy
Stephanie Bogema, Chief of Staff for Senator O’Brien
Trisha Nesbitt, Legislative Director for Senator Schuitmaker
Polarity Thinking: A Necessary Skill for Your Wicked Problems - Evelyn Clingerman, PhD, CNE, RN, FNAP
MACRA Actions that Accelerate the Move to Value-based Healthcare - Kelly Whittle, Founder & CEO at Whittle Advisors, LLC
Connected Community Impact Presentation – Making a difference in patient care and office workflow with the right tools – GLHC and Community Representatives
Connected Community Impact Presentation – Telemedicine: a Tool for Interconnectivity - Barry Brown, Executive Director at Answer Health On Demand

22. Other Summit Series Highlights
@ Metro Detroit Summit
Michelle Troseth, MSN, RN, FNAP, FAAN
Lt Governor Brian Calley
Kelly Whittle, Founder & CEO at Whittle Advisors, LLC
Presenting at the Southwest Michigan, Metro Detroit, & West Michigan Summits
@ West Michigan Summit
Summit Series Collaborative Partner - GVSU
Bonnie Wesorick
Founder and Chairman Emerita of Elsevier CPM Resource Center at Elsevier
The Bonnie Wesorick Center for Health Care Transformation

23. Resources on the website
Solutions & Services  Programs & Initiatives

24. Upcoming Virtual Update Meeting
June 21, 2017 from 1:30 – 2:00 pm
GLHC Analytics & Reporting Tools – George Bosnjak, Director of Sales and Business Development

25. Regionally Based & Community Oriented
Mary Graham – Northern Michigan
Katrina Khouri – Genesee County
Manager, Community Engagement
(810)
(616) 323 – 2959
Greg Cavanaugh – East Michigan
Bryan Bulock – Mid Michigan
Senior Implementation Consultant
(586)
(517) 999 – 7555
Joe Pintar – Southeast Michigan
Carrie Strom – West Michigan
Implementation Consultant
(616) 323 – 2951
(616)

26. Next Steps 7 question survey Upcoming Virtual Update Meetings
June 21 - GLHC Analytics & Reporting Tools – George Bosnjak, GLHC Director of Sales and Business Development
August 9 *tentative*
September 27
November 15
Registration and More
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