SurveyVitals is exhibiting at ASA Practice Management 2020

ASA Practice Management 2020

On January 17 and 18, SurveyVitals will be exhibiting at Practice Management 2020 in Las Vegas.

Stop by and say hi to CEO Bob Vosburgh and team members Devon Smith and Meg Rust in booth #510. We’ll be onsite to answer questions about all things SurveyVitals and to provide insights into how to best utilize your patient experience results to drive improvment and win and retain business.

At the event, the American Society of Anesthesiologists will host a group of experts to address the anesthesia industry’s most pressing issues. Learn more about the event on the conference website.

We look forward to seeing you there!

January 9th, 2020 Categories: Patient Experience

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Stop by and visit us at ASA 2019

Anesthesiology 2019

The SurveyVitals team will be in Orlando this weekend for the Anesthesiology 2019 show and we’d love to see our clients! Bob Vosburgh, Devon Smith and Meg Rust will be in Booth 705 both Saturday and Sunday at the Orange County Convention Center.

We hope to see you there!

October 17th, 2019 Categories: featured, Patient Experience

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MACRA Quality Payment Program: MIPS 2020

The Quality Payment Program (QPP) falls under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). It is a value-based program that determines reimbursement for clinicians treating Medicare patients.

The Centers for Medicare and Medicaid Services (CMS) recently released the final rule outlining the Quality Payment Program (QPP) for 2020. Keep reading to learn how the changes could affect you, and how SurveyVitals can help your organization meet reporting requirements.

Who Participates?

If you bill Medicare Part B more than $90,000 in allowed charges per year and provide over 200 covered professional services under the Physician Fee Schedule for more than 200 unique Medicare patients a year, then you are part of the QPP. If you do not meet all three criteria, you could be exempt from participating in the program in 2019 under the the low-volume threshold exemption. Beginning in 2019, clinicians who meet the low-volume threshold may still opt in to MIPS if they meet at least one criterion.

Eligible clinicians under the program include:
  • Physicians
  • Physician assistants
  • Nurse practitioners
  • Clinical nurse specialists
  • Certified registered nurse anesthetists
  • Physical therapists
  • Occupational therapists
  • Qualified speech-language pathologists
  • Qualified audiologists
  • Clinical psychologists
  • Registered dietitian or nutrition professionals

If you are unsure if you are required to participate in MIPS, CMS has provided a resource to check your status by entering your NPI into an eligibility “calculator.” Additionally, the agency plans to send letters to clinicians notifying them of their eligibility in 2020.

MIPS Eligibility

Two Tracks: Which is right for you?

There are two participation tracks in the Quality Payment Program. Most Medicare Part B clinicians and groups will fall under the Merit Incentive Payment System (MIPS) track, while a smaller percentage will qualify to participate in the Advanced Alternative Payment Models (APM) track if considered an “advanced APM.” It is important to note that those APM models which are not considered “advanced” by CMS will still participate in the MIPS track.

Learn more about APMs here.

The MIPS Track

You will receive a performance-based adjustment to your Medicare fee schedule in 2022 based on your performance in 2020. The amount of the adjustment, either positive, negative, or neutral, is based on an eligible clinician or group’s Composite Performance Score (CPS). The CPS is calculated using data across four categories of measurement:

  1. Quality
  2. Promoting Interoperability
  3. Improvement Activities
  4. Cost

MIPS Category Weights

How do I avoid a negative payment adjustment?

For the 2020 performance year, CMS extended a portion of the “pick your pace” program, allowing clinicians to submit just 90 consecutive days of performance data for the required measures in the Improvement Activities and Promoting Interoperability categories. However, clinicians will need to report data on all required measures in the Quality category for the full performance year (12 months).

CMS will also score and measure the Cost category for the full 12 month period as well. Since CMS gathers the Cost category information through Medicare claims data, no additional submission mechanism is required. If you do not participate in MIPS in 2020 you could be faced with a 9% penalty.

MIPS Performance Periods

Individual vs. Group Reporting

Eligible clinicians have the option to report as an individual, within a group, or within a virtual group.

An individual is a single National Provider Identifier, or NPI, tied to a single Taxpayer Identification Number, or TIN.

A group is a single TIN with two or more eligible clinicians (including at least one MIPS eligible clinician), as identified by their NPIs, who have reassigned their Medicare billing rights to the TIN. Participants are scored as a group and receive one payment adjustment based on aggregate performance.

A virtual group is a combination of two or more TINs assigned to one or more solo practitioners or one or more groups consisting of ten or fewer eligible clinicians that elect to form a virtual group for a performance period for a year. There is currently no limit on the number of TINs that can participate in a virtual group. Virtual Groups bring additional flexibility to the program, allowing clinicians to participate in MIPS with their peers, regardless of their geographical proximity or specialty. Those wishing to participate in a MIPS Virtual Group must make a formal election with CMS by December 31, 2019.

MIPS Individual and Group Reporting

Data for participants can be reported by various submission types by an individual or group as applicable. Alternatively, data may be reported by a Third Party Intermediary that submits data on measures and activities on behalf of a MIPS eligible clinician or group.

Selecting and Reporting Measures

The aim of the MIPS program is to provide clinicians and groups with the flexibility to select measures that best suit their practice. For the Quality category, participants can choose from several types of measures, which vary based on whether they are reporting as individuals or as part of a group. Submission methods are dependent on the types of measures chosen.

MIPS Data Collection

For the Improvement Activities and Promoting Interoperability categories, participants choose their measures from the QPP website. There are three submission methods for these measures.

  1. Direct: Users transmit data through a computer-to-computer interaction such as an API.
  2. Log-in and upload: Users log in with a set of authenticated credentials and upload and submit data in a CMS-specified format.
  3. Log-in and attest: Users log in with a set of authenticated credentials and manually attest that certain measures and activities were performed.

MIPS Requirements

Quality Category

Eligible clinicians are required to report six measures of their choosing for the Quality category. One of those measures must be an outcome measure. If no outcome measure is available, a ‘high priority’ measure must be reported in its place. High priority measures are contained in the following domains: outcome, appropriate use, patient safety, efficiency, patient experience, efficiency, and care coordination.

What are specialty measurement sets?

CMS developed specialty measure sets as a part of the available MIPS measures in the Quality Category. Participating clinicians must choose six measures to report within their specialty set. If there are fewer than six Quality measures to choose from in a specialty set, the clinician or group must complete all available measures contained in the set.

For anesthesia clients

SurveyVitals can help anesthesia clients who utilize a Qualified Clinical Data Registry (QCDR) meet a measure–AQI 48 (anesthesia patient experience)–in the Quality performance category. Learn more here.

Improvement Activities

The IA category requires clinicians to participate in a combination of measures totaling 40 points to fully satisfy reporting requirements. Activities weighted “high” are worth 20 points, while “medium” weighted activities are valued at ten points. Clinicians and groups considered non-patient facing, and practices with 15 or fewer eligible providers and/or clinicians practicing in rural and health professional shortage areas, may face reduced reporting requirements. Learn more about these special exemption statuses here.

MIPS Improvement Activities

In order for a group or virtual group to attest to an improvement activity, at least 50% of the clinicians in the group or virtual group must perform the same activity during any continuous 90-day period in the performance year.

Your SurveyVitals solution can help you satisfy measures in the IA category. Download our “Roadmap to Improvement Activities” or contact us at info@surveyvitals.com to learn more.

Promoting Interoperability

The Promoting Interoperability category places an emphasis on interoperability and patient engagement with certified EHR technology. Eligible clinicians must report on certain measures from four ‘objectives,’ or claims exclusions if applicable. Scoring is performance-based at the individual measure level, for a total of up to 100 points. In 2020, organizations must use the 2015 Edition CEHRT.

Special Status

Clinicians and groups considered non-patient facing, and practices with 15 or fewer eligible providers and/or clinicians practicing in rural and health professional shortage areas, may face reduced reporting requirements. Watch the video below to learn more.

Anesthesia QCDR Reporting

SurveyVitals can help anesthesia clients who utilize a Qualified Clinical Data Registry (QCDR) meet a measure–AQI 48 (anesthesia patient experience)–in the Quality performance category. We currently support NACOR (Anesthesia Quality Institute), Anesthesia Business Group, Anesthesia Quality Registry (ePreop), and Medaxion. Learn more here.

What are the current MIPS dates and deadlines?

December 31, 2019

Last day to make a virtual group election for the 2020 performance year

January 1, 2020

2020 performance year begins

January 2, 2020

Data submission period for the 2019 performance year begins

March 31, 2020

Data submission for the 2019 performance year closes

October 3, 2020

Last day to begin the continuous 90-day performance period for Improvement Activities

December 31, 2020

2020 performance year ends

How is MIPS different in 2020?

To learn about the changes from year 3 (2019) to year 4 (2020) of the MIPS program, see our article on the 2020 updates.

Does SurveyVitals administer CAHPS for MIPS?

Yes! SurveyVitals is a CMS-approved vendor ready to administer CAHPS for MIPS on behalf of your organization in 2019. The CAHPS for MIPS survey can be used to satisfy one Quality measure or one Improvement Activity.

Contact us at info@surveyvitals.com to learn more about our CAHPS program.

Interested in meeting measures with SurveyVitals?

Want to learn how SurveyVitals can help you prepare for MIPS? Subscribe to our MIPS update list below or email us at support@surveyvitals.com. You can also send us a message using the blue chat icon below to speak to a member of our support team.

*Note: Information and program details are based solely upon SurveyVitals’ experience with MACRA and our interpretation of CMS rule-making and policy statements. The information presented does not reflect the views or policies of CMS or any other governmental agency and is not to be construed as practice management advice.

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March 13th, 2019 Categories: Ambulatory and Outpatient Surgery, Anesthesia, CAHPS Surveys, Emergency Medicine, featured, MIPS Information, Neonatology, Outpatient Practice, Radiology, Urgent Care

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CMS Releases 2019 MIPS Proposed Rule Changes

2019 MIPS Proposed Rule

Are you participating in MIPS? If so, you should know that there are going to be some changes to the program in 2019. CMS has been collecting stakeholder feedback about MIPS over the past couple years, which they’ve used to continue to develop the program. While MIPS will look very familiar next year, there are a few possible changes that could have a big impact on you and your organization. Here are some of the highlights from the new proposed rule:

New clinician types

CMS proposed to add the following clinician types to MIPS:

  • Physical therapist
  • Occupational therapist
  • Clinical social worker
  • Clinical psychologist

Clinician types that were eligible to participate in 2018 remain in the program for the 2019 performance year.

Some groups and clinicians could choose to opt-in

Clinicians and groups would have the choice to opt-in to MIPS if they met or exceeded one or two, but not all three, of the low-volume threshold criterion.

Expanded low-volume threshold

The low-volume threshold would have an additional category in 2019, so that groups and clinicians would qualify to be excluded if from MIPS if they met any of these three criterion:

  • Have less than or equal to $90k in Part B allowed charges for covered professional services
  • Provide care to 200 or less beneficiaries
  • Provide 200 or less covered professional services under the Physician Fee Schedule (PFS)
More flexible submission mechanisms

Individual clinicians would be able to submit a single measure via multiple collection types, such as MIPS CQM, eCQM, QCDR measures and Medicare Part B claims measures. They would be scored on the data submission with the greatest number of measure achievement points.

Additionally, groups and virtual groups would be able to use multiple collection types.

Unchanged performance period

In the proposed rule, the MIPS performance period would remain the same in 2019 as in 2018:

  • Quality Category: 12 months
  • Cost Category: 12 months
  • Improvement Activities: 90 days
  • Promoting Interoperability: 90 days

Those are some key takeaways for what to expect heading into year 3. A full breakdown of each proposed MIPS changes can be found in the table below.

CMS is currently accepting feedback on the proposed rule at regulations.gov. The 60-day comment period will end on September 10, 2018. It is expected CMS will release the final rule in late fall. Check the SurveyVitals blog for updates or subscribe to our MIPS list here.

For more information about how SurveyVitals can help you complete your MIPS requirements, email us at info@surveyvitals.com or sign up for a quick overview. Also feel free to chat with us using the blue chat icon in the bottom-right corner of your screen at anytime.

Policy Area Current Year 2 (Final Rule CY 2018) Year 3 (Proposed Rule CY 2019)
MIPS Eligibility Eligible clinician types include:
  • Physician
  • Physician assistant
  • Nurse practitioner
  • Clinical Nurse specialist
  • Certified registered nurse anesthetist
  • A group that includes such professionals (required by statute)
Eligible clinician types include:

Eligible clinician types remain the same as Year 2 with the following additions:

  • Physical therapist
  • Occupational therapist
  • Clinical social worker
  • Clinical psychologist
Low-Volume Threshold (LVT)
  • To be excluded from MIPS, clinicians and groups must meet one of the following two criterion: have ≤ $90K in Part B allowed charges for covered professional services OR provide care to ≤ 200 beneficiaries.
  • The low-volume threshold would include a third criterion for determining MIPS eligibility
  • To be excluded from MIPS, clinicians or groups would need to meet one of the following three criterion: have ≤ $90K in Part B allowed charges for covered professional services, provide care to ≤ 200 beneficiaries, OR provide ≤ 200 covered professional services under the Physician Fee Schedule (PFS)
  • Opt-in
  • Not Applicable
  • Starting in Year 3, clinicians or groups would be able to opt-in to MIPS if they meet or exceed one or two, but not all, of the low-volume threshold criterion
  • MIPS Determination Period Low Volume Threshold Determination Period:
    • First 12-month segment: Sept. 1, 2016 to Aug. 31, 2017 (including a 30-day claims run out)
    • Second 12-month segment: Sept. 1, 2017 to Aug. 31, 2018 (including a 30-day claims run out)
    • Note: If a clinician or group is identified as not exceeding the LVT during this time, they will be excluded regardless of the results of the second 12-month analysis
    Hospital-Based MIPS eligible clinician:
    • MIPS eligible clinician furnishing 75% or more of covered professional services in POS 19, POS 21, POS 22, or POS 23 based on claims for a period prior to the performance period
      • Claims will be used from September 1 of the calendar year, 2 years preceding the performance period through August 31 of the calendar year preceding the performance period; if not feasible, claims from a 12-month period close to this period will be used
    ASC-Based MIPS eligible clinician:
    • MIPS eligible clinician furnishing 75% or more of covered professional services in POS 24 based on claims for a period prior to the performance period
      • Claims will be used from September 1 of the calendar year 2 years preceding the performance period through August 31 of the calendar year preceding the performance period; if not feasible, claims from a 12-month period close to this period will be used
    Now referred to as MIPS Determination Period:
    • Created a streamlined and consistent “MIPS determination period” for different categories of clinicians, which will be used to determine the low-volume threshold and the following special statuses: non-patient facing, small practice, hospital-based, and ASC-based
      • First 12-month segment: Oct. 1, 2017 to Sept. 30, 2018 (including a 30-day claims run out)
      • Second 12-month segment: Oct. 1, 2018 to Sept. 30, 2019 (does not include a 30-day claims run out)
    • Hospital-based MIPS eligible clinician determinations would be based on claims from the MIPS determination period
    • ASC-based MIPS eligible clinician determinations would be based on claims from the MIPS determination period
    Virtual Groups In general, group policies apply to virtual groups, except:
    • A virtual group will be considered a small practice if it contains 15 or fewer clinicians
    • A virtual group will be designated as rural or HPSA practice if more that 75% of the NPIs billing under the virtual group’s TINs are designated in a ZIP code as a rural area or HPSA
    • A virtual group will be considered non-patient facing if more than 75% of the NPIs billing under the virtual group’s TINs meet the definition of a non-patient facing individual MIPS eligible clinician during the non-patient facing determination period
    Virtual group election
    • Must be made by December 31 of the calendar year preceding the applicable performance period, and cannot be changed during the performance period
    • The election process can be broken into two stages: Stage 1 (which is optional) pertains to virtual group eligibility determinations, and stage 2 pertains to virtual group formation

    To meet the eligibility requirements, each member of a virtual group must establish a formal written agreement prior to an election

    • A designated virtual group representative must e-mail a virtual group election to MIPS_VirtualGroups@cms.hh s.gov by December 31 of the calendar year prior to the start of the applicable performance period
    Virtual group policies remain the same as Year 2, with the following change:
    • Beginning with 2019 the virtual group eligibility determination period aligns with the first segment of data analysis under the MIPS eligibility determination period.
      • For example: Oct. 1, 2017 to Sept. 30, 2018 (including a 30-day claims run out)
    Virtual Group election is the same as Year 2, with the following change:
    • As part of the virtual group eligibility determination period, TINs would be able to inquire about their TIN size prior to making an election during a 5- month timeframe, which would begin on August 1 and end on December 31 of a calendar year prior to the applicable performance period. TIN size inquiries would be made through the Quality Payment Program Service Center. Technical assistance resources already available to stakeholders would continue to be available

    The requirement for virtual groups to have a formal written agreement between each member of a virtual group remains the same for Year 3

    • For 2019, a designated virtual group representative must e-mail a virtual group election to MIPS_VirtualGroups@cms.hhs.g ov by December 31 of the calendar year prior to the start of the applicable performance period
    MIPS Performance Period Minimum Performance Period for each Performance Category:
    • Quality: 12-months
    • Cost: 12-months
    • Improvement Activities: 90-days
    • Promoting Interoperability: 90-days
    Minimum Performance Period for each Performance Category:
    • Same performance periods as in Year 2
    Quality Performance Category Weight to final score:
    • 50% in Year 2
    • The Quality performance category may be reweighted
      • If a score cannot be calculated due to no applicable and available measures
      • Due to extreme and uncontrollable circumstances

    For individual eligible clinicians, one submission mechanism must be selected:

    • Claims
    • QCDR
    • Qualified registry
    • EHR
    Groups and Virtual Groups must use one submission mechanism:
    • QCDR
    • Qualified registry
    • EHR
    • CMS Web Interface (groups of 25+)
    • CMS-Approved Survey Vendor for CAHPS for MIPS
    Data Completeness Requirements
    • Claims: 60% of Medicare Part B patients for the performance period
    • QCDR/Registry/EHR: 60% of clinician’s or group’s patients across all payers for the performance period
    • CMS Web Interface: Sampling requirements for Medicare Part B patients
    • CAHPS for MIPS Survey: Sampling requirements for Medicare part B patients
    Topped-Out Measures:

    Definition: if measure performance is so high and unvarying that meaningful distinctions and improvement in performance can no longer be made. QCDR measures would not go through the comment and rulemaking process to remove topped out measures. Policies include:

    • Finalized 4-year lifecycle for identification and removal of topped out measures
    • Scoring cap of 7 points for topped out measures
    • Policies to identify, remove and cap scoring for topped out measures do not apply to CMS Web Interface measures
    • Policy does not apply to CAHPS for MIPS Summary Survey Measures (SSMs)
    • 6 measures identified for scoring cap for topped out measures
    Measures Impacted by Clinical Guideline Changes:
    • No requirements
    Bonus Points: High-Priority Measures (after first required measures)
    • 2 points for outcome, patient experience
    • 1 point for other high priority measures which need to meet data completeness, case minimum, and have performance greater than 0
    • Capped bonus points at 10% of the denominator of total Quality performance category
    Bonus Points:End-to-End Electronic Reporting:
    • 1 point for each measure submitted using electronic end-to-end
    • Capped at 10% of the denominator of total Quality performance category points
    Improvement Scoring – Full Participation:
    • Eligible clinicians must fully participate (i.e., submit all required measures and have met data completeness criteria, and for performance year
    • The quality improvement percent score is 0 if the eligible clinician did not fully participate in the quality category for the current performance period
    • If the eligible clinician has a previous year Quality performance category score less than or equal to 30%, we would compare 2018 performance to an assumed 2017 Quality category score of 30%
    Weight to final score
    • 45% in Year 3
    • Maintain the same reweighting criteria for the Quality Performance category

    In Year 3, individual eligible clinicians would be able to submit a single measure via multiple collection types (e.g. MIPS CQM, eCQM, QCDR measures and Medicare Part B claims measures) and be scored on the data submission with the greatest number of measure achievement points

    Groups and Virtual Groups would be able to use multiple collection types.
    • The Quality performance category would be scored if groups submit data using multiple collection types (e.g. MIPS CQM, eCQM, QCDR measures, and Medicare Part B claims measures)
    • CMS Web Interface cannot be scored with other collection types other than the CMS approved survey vendor measure and/or administrative claims measures
    Data Completeness Requirements:
    • The same data completeness requirements as Year 2, with the following change:
    • For groups registered to report the CAHPS for MIPS survey, there is an additional policy. If the sample size was not sufficient, the total available measure achievement points (the denominator) would be reduced by 10 points and the measure would receive zero points
    Topped-Out Measures:
    • The definition and lifecycle for topped out measures remain the same for Year 3, although additional factors may affect the time a topped-out measure remains as such
    Measures Impacted by Clinical Guideline Changes:
    • In response to clinical guideline or other changes, impacted measures will be given a score of 0 and the Quality performance category denominator would be reduced by 10. If this situation occurs the clinician would be required to submit data for one less measure (i.e. 5 measures instead of 6)
    Bonus Points: High-Priority Measures (after first required measure)
    • Same as Year 2, with the following change:
    • Discontinue high priority measure bonus points for CMS Web Interface Reporters
    Bonus Points: End-to-End Electronic Reporting:
    • Same as Year 2.
    Improvement Scoring – Full Participation:
    • Same as Year 2
    Cost Performance Category Weight to final score:
    • 10% in Year 2
    Measures:
    • Two measures: Total Per Capita Cost and Medicare Spending Per Beneficiary (MSPB)
    • Derived from Medicare claims
    • Reliability threshold of 0.4
    • Case minimum of 20 for total per capita cost and 35 for MSPB
    Measure Attribution:
    • Plurality of primary care services rendered by the clinician to determine attribution for the total per capita cost measure
    • Plurality of Part B services billed during the index admission to determine attribution for the MSPB measure
    • Added two CPT codes (99487 and 99489 describing complex chronic care management) to list of primary care services used to determine attribution under the total per capita cost measure
    Scoring Improvement:
    • Improvement scoring added to the Cost performance category scoring methodology with a maximum cost improvement score of 1 percent;
    • However, the Bipartisan Budget Act of 2018 delayed consideration of improvement in the Cost performance category until the 2024 payment year (based on the 2022 performance year). As a result, there will be no improvement scoring in Year 2 MIPS payment year.
    Calculating the Cost Score:
    • Cost Achievement Points/Available = Cost Performance Category Percent Score
    • The percent score cannot not exceed 100%
    • The Bipartisan Budget Act of 2018 delayed consideration of improvement in cost until the 2024 MIPS payment year (based on the 2022 performance year)
    • We will not calculate a Cost performance category score if the eligible clinician is not attributed any Cost measures, because of case minimum requirements or the lack of a benchmark
    Weight to final score:
    • 15% in Year 3
    Measures:

    The Total Per Capita Cost and MSPB measures will be the same as in Year 2, with the following changes:

    • 8 episode-based measures will be added to the list of Cost measures
    • Case minimum of 10 for procedural episodes and 20 for acute inpatient medical condition episodes
    Measure Attribution

    Same as Year 2 with the following changes:

    • For procedural episodes, we will attribute episodes to each MIPS eligible clinician who renders a trigger service as identified by HCPCS/CPT procedure codes
    • For acute inpatient medical condition episodes, we will attribute episodes to each MIPS eligible clinician who bills inpatient evaluation and management (E&M) claim lines during a trigger inpatient hospitalization under a TIN that renders at least 30 percent of the inpatient E&M claim lines in that hospitalization
    Scoring Improvement
    • Cost performance category percent score will not take into account improvement until the 2024 MIPS payment year
    Calculating the Cost Score:
    • Same as Year 2
    Facility-Based Quality and Cost Performance Categories Measurement:
    • Not Applicable
    Applicability – Individual:
    • Not Applicable
    Applicability – Group:
    • Not Applicable
    Attribution
    • Not Applicable
    Election
    • Not Applicable
    Benchmarks
    • Not Applicable
    Assigning MIPS Category Scores:
    • Not Applicable
    Scoring Improvement:
    • Not Applicable
    Scoring – Special Rules:
    • Not Applicable
    Measurement:
    • For facility-based scoring, the measure set for the fiscal year Hospital Value-Based Purchasing (VBP) program that begins during the applicable MIPS performance period will be used for facility-based clinicians
    Applicability – Individual:
    • MIPS eligible clinician furnishes 75 percent or more of their covered professional services in inpatient hospital, on-campus outpatient hospital, as identified by POS code 22, or an emergency room, based on claims for a period prior to the performance period
    • Clinician must have at least a single service billed with the POS code used for the inpatient hospital or emergency room
    Applicability – Group:
    • Facility-based group is one in which 75 percent or more of the MIPS eligible clinician NPIs billing under the group’s TIN are eligible for facility-based measurement as individuals
    Attribution:
    • A facility-based clinician is attributed to the hospital at which they provide services to the most Medicare patients
    • A facility-based group is attributed to the hospital at which a plurality of its facility-based clinicians are attributed
    • If unable to identify a facility with a VBP score to attribute a clinician’s performance, that clinician is not eligible for facility-based measurement and will have to participate in MIPS via other methods
    Election:
    • Automatically apply facility-based measurement to MIPS eligible clinicians and groups who are eligible for facility-based measurement and who would benefit by having a higher combined Quality and Cost score
    • No submission requirements for individual clinicians in facility-based measurement but a group must submit data in the Improvement Activities or Promoting Interoperability performance categories in order to be measured as a group under facility-based measurement
    Benchmarks:
    • Benchmarks for facility-based measurement are those that are adopted under the Hospital VBP program of the facility for the year specified
    Assigning MIPS Category Scores:
    • Both the Quality performance category score and Cost performance category score for facility-based measurement are reached by determining the percentile performance of the facility determined in the VBP program for the specified year and awarding a score associated with that same percentile performance in the MIPS Quality and Cost performance category scores for those clinicians who are not scored using facility-based measurement
    Scoring Improvement:
    • Given that improvement is already captured in the distribution of the MIPS performance scores that is used to translate a Hospital VBP Program Total Performance Score into a MIPS Quality performance category score, there is no additional improvement scoring for facility-based measurement for either the Quality or Cost performance category
    Scoring – Special Rules:
    • Some hospitals do not receive a Total Performance Score in a given year in the Hospital VBP Program, whether due to insufficient quality measure data, failure to meet requirements under the Hospital IQR Program, or other reasons. In these cases, we would be unable to calculate a facility-based score based on the hospital’s performance, and facility-based clinicians would be required to participate in MIPS via another method
    Improvement Activities Performance Category Weight to final score:
    • 15% in Year 2
    Improvement Activities Inventory
    • Initial inventory established based on research, environmental scan and priorities
    • In Year 2, the Annual Call for submitting Improvement Activities, was established
    Improvement Activities Inventory Submission Timeline
    • Submissions at any time during the performance period to create an Improvement Activities Under Review (IAUR) list; submissions received by March 1st will be considered for inclusion in the following calendar year
    CMS Study on Burdens
    • Study purpose, participation credit and requirements and study procedures updated from Year 1 establishment
    Scoring: PI Bonus
    • Certain improvement activities will qualify for a bonus under the PI performance category
    Weight to final score
    • 15% in Year 3
    Improvement Activities Inventory
    • In Year 3, the timeframe for the Annual Call for Activities and the improvement activities inventory would be modified
    • Modifications include the addition of one new criteria in this category, “Include a public health emergency as determined by the Secretary,” and the removal of, “Activities that may be considered for a Promoting Interoperability bonus”
    • Adding 6 new Improvement Activities
    • Modification of 5 existing Improvement Activities
    • Removal of 1 existing Improvement Activity
    Improvement Activities Inventory Submission Timeline
    • Improvement activity nominations received in Year 3 will be reviewed and considered for possible implementation in Year 5 of the program
    • The submission timeframe/due dates for nominations would be from February 1st through June 30th, providing approximately 4 additional months to submit nominations
    CMS Study on Burdens
    • The CMS study title would be changed to, “CMS Study on Factors Associated with Reporting Quality Measures”
      • The sample size would be increased to 200 MIPS eligible clinicians with focus group requirements for only a subset of study participants
    • We are also proposing to limit the focus group requirement to a subset of the 200 participants, and require that at least one of the minimum of three required measures be either an outcome or a high priority measure
    Scoring: PI Bonus
    • In Year 3, the Promoting Interoperability bonus will be removed
    Promoting Interoperability (PI) Performance Category Weight to final score:
    • 25% in Year 2
    Note: Performance category name changed to Promoting Interoperability. Reweighting:
    • Reasons to reweight the PI category to 0% include:
    • Nurse practitioner, physician assistant, clinical nurse specialist, or certified registered nurse anesthetist
    • Significant hardship (e.g. lack of internet, extreme and uncontrollable circumstances, small practice)
    • 50% or more of patient encounters occurred in practice locations where no control over the availability of CEHRT
    • Non-patient facing
    • Hospital-based
    • ASC-based
    • Automatic reweighting for extreme and uncontrollable circumstances
    • Even if the category could be reweighted
    • MIPS eligible clinicians using decertified EHR Technology, exception available for no more than 5 years
    • For any of the above reasons, if a MIPS eligible clinician reports PI (formerly ACI) measures and objectives, they will be scored like other MIPS eligible clinicians and the PI performance category will not be reweighted to 0%
    Certification Requirements:
    • Eligible clinicians may use either the 2014 or 2015 Edition CEHRT or a combination of the two; one-time bonus of 10 percentage points in if using only 2015 Edition CEHRT
    Scoring:
    • Performance category score is comprised of the base, performance, and bonus score
    • Clinicians must complete the base score requirements in order to receive a score in the category
    Objectives and Measures
    • Two measure set options for reporting based on the clinician’s CEHRT edition (either 2014 or 2015).
    Weight to final score:
    • 25% in Year 3
    Reweighting
    • Reweighting of the Promoting Interoperability performance category remains the same as Year 2 and extends to additional clinician types (physical therapists, occupational therapists, clinical social workers, and clinical psychologists)
    Certification Requirements
    • Eligible clinicians must use 2015 Edition CEHRT in Year 3
    Scoring:
    • Eliminating base, performance, and bonus scores
    • Proposing a new scoring methodology
    • Performance-based scoring at the individual measure-level. Each measure would be scored based on the MIPS eligible clinician’s performance for that measure based on the submission of a numerator or denominator, or a “yes or no” submission, where applicable
    • The scores for each of the individual measures would be added together to calculate the score of up to 100 possible points. If exclusions are claimed the points for measures will be reallocated to other measures
    Objectives and Measures
    • One objectives and measure set based on the 2015 Edition CEHRT
    • Four objectives: e-Prescribing, Health Information Exchange, Provider to Patient Exchange, and Public Health and Clinical Data Exchange
    • Clinicians are required to report certain measures from each of the four objectives, unless an exclusion is claimed
    • Proposing to add two new measures to the e-Prescribing objective: Query of Prescription Drug Monitoring Program (PDMP) and Verify Opioid Treatment Agreement
    Final Score General Performance Category Weights in Year 2:
    • Quality: 50%
    • Cost: 10%
    • PI: 25%
    • IA: 15%

    If a MIPS eligible clinician is scored on fewer than two performance categories, a final score equal to the performance threshold will be assigned and the MIPS eligible clinician will receive an adjustment of 0%

    Small Practice Bonus
    • A bonus of 5 points is added to the final score for MIPS eligible clinicians, groups, virtual groups and APM Entities that meet the definition of small practice and submit data on at least one performance category in the 2018 performance period
    General Performance Category Weights in Year 3
    • Quality: 45%
    • Cost: 15%
    • PI: 25%
    • IA: 15%

    If a MIPS eligible clinician is scored on fewer than two performance categories, a final score equal to the performance threshold will be assigned and the MIPS eligible clinician will receive a payment adjustment of 0%

    Small Practice Bonus:
    • The small practice bonus will now be added to the Quality performance category, rather than in the MIPS final score calculation
    • Add 3 points in the numerator of the Quality performance category for MIPS eligible clinicians in small practices who submit data on at least 1 quality measure
    MIPS Payment Adjustments Application of Payment Adjustment to Medicare Paid Amount:
    • Finalized that for each MIPS payment year, the MIPS payment adjustment factor, and if applicable, the additional MIPS payment adjustment factor, are applied to Medicare Part B payments for items and services furnished by the MIPS eligible clinician during the year
    • However, the Balanced Budget Act of 2018 changed this so that the MIPS adjustment factors will apply to ‘covered professional services’ under the physician fee schedule beginning with the 2019 payment year
    • Finalized application of the payment adjustment to the Medicare paid amount
    Final Score/2020 payment adjustment
    • For individual eligible clinicians, we will use the final score associated with the TIN/NPI used during the performance period
    • For groups submitting data using the TIN identifier, we will apply the group final score to all the TIN/NPI combinations that bill under the TIN during the performance period
    • For eligible clinicians in a MIPS APM, we will assign the APM Entity group’s final score to all APM Entity Participant National Provider Identifiers associated with the APM Entity
    • For eligible clinicians that participate in APMs for which the APM scoring standard does not apply, we will determine a final score using either the individual or group data submissions
    • If a MIPS eligible clinician is not in an APM Entity and is in a virtual group, the MIPS eligible clinician would receive the virtual group final score over any other final score
    Application of Payment Adjustment to Medicare Paid Amount
    • Same as Year 2
    Final Score/2021 payment adjustment:
    • Remains the same as Year 2, with one change. MIPS eligible clinicians in a group practice who qualify for a group final score will have a modified determination period to include:
      • 15-month window that starts with the second 12-month determination period (October 1 prior to the MIPS performance period through September of the current MIPS performance period)
    • Proposed policy to assign a weight of 0% to each of the four performance categories and a final score equal to the performance threshold when:
      • MIPS eligible clinician joins an existing practice (TIN) in the final three months of the performance period year and the practice is not participating in MIPS as a group
      • MIPS eligible clinician joins a practice that is a newly formed TIN in the final three months of the performance period year
    Performance Threshold / Payment Adjustment
    • Performance Threshold is set at 15 points
    • Additional performance threshold set at 70 points for exceptional performance
    • MIPS eligible clinicians receive a payment adjustment and, if applicable, an additional payment adjustment, determined by comparing final score to performance threshold and additional performance threshold
    • A final score at or above the performance threshold receive a zero or positive payment adjustment and a score below the performance threshold receive a negative adjustment
    • As required by statute, the maximum negative payment adjustment is -5 percent positive payment adjustments can be up to 5% (but they are multiplied by a scaling factor to achieve budget neutrality)
    • The additional payment adjustments for exceptional performance starts at 0.5% and goes up to 10% x scaling factor not to exceed 1
    • Performance Threshold is set at 30 points
    • Additional performance threshold set at 80 points for exceptional performance
    • As required by statute, the maximum negative payment adjustment is -7 percent. Positive payment adjustments can be up to 7% (but they are multiplied by a scaling factor to achieve budget neutrality)
    • The additional payment adjustment for exceptional performance shall be applied in the same way as in 2018 for scores at or above the additional performance threshold

    *The contents of this table were originally published by CMS in the Proposed Rule for the Quality Payment Program Year 3.

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    August 27th, 2018 Categories: featured, MIPS Information

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    New Data Submission Interface for Quality Payment Program

    New Data Submission Interface

    On January 2, the Centers for Medicare and Medicaid (CMS) launched a new data submission system for groups and clinicians participating in the Quality Payment Program.

    Here are some key points:

    Clinicians now submit all their 2017 performance data in the same place.

    Previously, under the various CMS legacy programs, clinicians had to use multiple mechanisms to submit performance data. CMS has now consolidated the data submission process to a single access point via an online portal, making it easier for clinicians and vendors to submit data.

    The submission period for the 2017 QPP performance year runs from January 2, 2018, to March 31, 2018.

    For groups using the CMS Web Interface, the submission period runs from January 22, 2018 to March 16, 2018.

    How to submit performance data?

    To submit performance data, clinicians must visit the QPP website. Once on the QPP website, users can login by entering their EIDM User ID and password. Users may have used this ID and password in the past to login to the CMS Enterprise Portal.

    If you don’t have an EIDM User ID and password, you can create an account on the CMS Enterprise website.

    In the portal, clinicians have the option to choose between multiple data submission options, including Qualified Clinical Data Registries (QCDRs), qualified registries, attestation, or the CMS Web Interface.

    Data can be uploaded incrementally throughout the submission period. Groups and clinicians are not required to upload all of their data at once. However, all performance data must be uploaded before the submission period deadline.

    For Merit-based Incentive Payment System (MIPS) participants, real-time initial scoring updates will appear as performance data is tallied on the site. This scoring may change as new data is uploaded, or if new benchmarks take effect. Note that special status, Alternative Payment Model (APM) status, and Qualifying APM Participant status (QP), will not initially appear in each category score.

    Final scores will appear after the submission period closes.

    For more information about the Quality Payment Program, see our guide.

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    January 3rd, 2018 Categories: Anesthesia, featured, MIPS Information, Outpatient Practice

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    Virtual Groups for MIPS 2018

    MIPS Virtual Groups 2018

    View up-to-date information on our MIPS resource page here!

    An important deadline is approaching for groups and physicians participating in MIPS in 2018. December 31 marks the last day for clinicians to notify CMS that they are electing to participate in a Virtual Group for MIPS 2018.

    If you aren’t familiar with Virtual Groups, you aren’t alone. Virtual Groups are a brand new option for MIPS participants in 2018 (Just one of several changes that CMS is implementing – check the details in this blog post). These Virtual Groups allow clinicians from around the country to team up with each other to help satisfy MIPS requirements.

    To help groups and clinicians prepare to participate in a Virtual Group in 2018, we have compiled some FAQ about the program from the final rule published by CMS.

    What is a Virtual Group?

    A Virtual Group is defined as a combination of two or more TINs assigned to one or more solo practitioners or one or more groups consisting of 10 or fewer eligible clinicians that elect to form a virtual group for a performance period for a year. There is currently no limit on the number of TINs that can participate in a virtual group (i.e. one provider might have multiple TINs from multiple practice locations and can form a virtual group as a solo practitioner). Virtual Groups have the flexibility to work with other groups or types of practices from any location. This could open the door for more clinicians to join the program and work with their peers, regardless of their geographical proximity.

    What is the deadline to notify CMS about a Virtual Group?

    Individual MIPS eligible clinicians or groups electing to be in a Virtual Group must make their election prior to the start of the applicable performance period and cannot change their election during the performance period. The deadline for such an election was recently extended to December 31, 2017.

    Can me or my group participate in multiple Virtual Groups?

    No. Each eligible clinician or group may only elect to be in one Virtual Group at a time. In the case of a group, the election applies to all MIPS eligible clinicians (NPIs) in the group.

    How are Virtual Groups identified for reporting purposes?

    Each MIPS eligible clinician who is part of a Virtual Group will be identified by a unique Virtual Group participant identifier. This unique identifier is composed of a combination of the following identifiers: 1) Virtual Group identifier (established by CMS) 2) TIN number and 3) NPI number.

    Are there different reporting requirements for Virtual Groups?

    Virtual Groups have the same reporting requirements as other MIPS participants. There are still special exceptions for non-patient facing practices, small practices, rural practices, and practices with HSPA status. For the most part, policies that apply to regular group reporting also apply to virtual group reporting.

    What are the steps to form a Virtual Group?

    1. Determining eligibility – Contact TA representative

    2. Executing formal written agreements – TINs comprising a virtual group must establish a written formal agreement between each member of a virtual group prior to election

    3. Submitting formal election registration – On behalf of the virtual group, the official designated virtual group representative must submit an election by December 31, 2017. – Such an election will occur via email to the Quality Payment Program Service Center using the following email address: MIPS_VirtualGroups@cms.hhs.gov – Submission must include, at a minimum, information pertaining to each TIN and NPI associated with the virtual group and contact information for the virtual group representative. – Each TIN associated w/the virtual group – Each NPI associated with the virtual group – Name of the virtual group representative – Affiliation of the virtual group representative to the virtual group – Contact information for the virtual group representative – Confirmation through acknowledgement that a formal written agreement has been established between each member of the virtual group (solo practitioner or group) prior to election and each eligible clinician is aware of participating in a MIPS virtual group for an applicable performance period. – Each party must retain a copy of the virtual groups written agreement and is subject to the MIPS data validation and audit process.

    4. Allocating resources for virtual group implementation and related activities

    If approved to participate in a virtual group, CMS will contact your group representative via email to notify them of their status and issue a virtual group identifier for performance.

    How to formally elect to participate in a Virtual Group?

    CMS released a Virtual Group Toolkit to get started with the election process. It can be downloaded here.

    Can SurveyVitals help meet MIPS requirements?

    Yes! SurveyVitals is a CMS-certified CAHPS vendor ready to administer CAHPS for MIPS. Additionally, SurveyVitals can help organizations meet 7 different Improvement Activities to satisfy MIPS requirements. And if you are an anesthesiologist, we can also help you meet a measure in the Quality Category via QCDR reporting.

    Where to start?

    Schedule a demo today to learn more about how SurveyVitals can help with MIPS in 2018.

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    November 27th, 2017 Categories: featured, MIPS Information

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    8 Takeaways from CMS Proposed Rule for Changes to MIPS in 2018

    MIPS Year 2 Proposed Rule

    View up-to-date information on our MIPS resource page here!

    Ready or not: MIPS 2018 Proposed Rule

    Not fully prepared for MIPS and feeling slightly overwhelmed? You’re not alone. According to a recent report, only 8 percent of physicians feel highly knowledgeable about the MIPS program halfway through the first performance year. Even more concerning, a reported 41 percent of physicians interviewed had never even heard of MACRA or the MIPS program. Which is why it might surprise you that the Centers for Medicare and Medicaid Services (CMS) already released a long list of changes in the proposed rule for MIPS 2018.

    However, most clinicians will likely be relieved to learn of the new changes. With most of the changes aimed at aiding small practices, many of which have been struggling to adjust to the transition. CMS also opted to loosen some reporting restrictions and provide for new modes of participation in the proposed rule.

    So what exactly can you expect heading into MIPS 2018? Checkout our wrap-up of key takeaways from the Proposed Rule:

    1. Small practices will see some of the biggest changes

    Small practices will be the most affected by the proposed changes. CMS is seeking to expand the number of clinicians who will be exempt from MIPS 2018 by increasing the low-volume threshold. In 2017, clinicians that bill Medicare Part B more than $30,000 in allowed charges per year or provide care for more than 100 unique Medicare patients annually are eligible to participate. In 2018, however, the number of clinicians exempt from MIPS will increase. The new threshold will jump to $90,000 in Part B payments or 200 unique Medicare patients annually.

    2. Performance Period Adjustments

    CMS is lengthening the performance period for the Quality and Cost categories from 90 days in 2017 to the full year in MIPS 2018, though CMS will not use the Cost performance scores for final score determination. For the Improvement Activities and Advancing Care Information (ACI) categories, however, the 90-day performance period will remain the same.

    3. Clinicians will have the option to join Virtual Groups

    Virtual groups are new to the MIPS 2018 program year. A Virtual Group is defined as a combination of 2 or more TINS who choose to participate together in MIPS. Virtual Groups have the flexibility to work with other groups or types of practices from any location. This could open the door for more clinicians to join the program and work with their peers, regardless of their geographical proximity. Learn more about Virtual Groups.

    4. Small Practice Bonus

    Small practices of 15 or fewer clinicians will be eligible to receive a Small Practice Bonus under the proposed rule. This bonus would add five points to a group’s score to help them meet MIPS requirements, as long as they submit data on at least one performance category in an applicable performance period.

    5. Complex Care Bonus

    Clinicians who provide medically complex care could be eligible to receive an adjustment by adding the average Hierarchical Conditions Category (HCC) risk score to their final MIPS 2018 score. Generally, this award would be between 1 to 3 points, based on the complexity of care provided, as determined by CMS.

    6. EHR Requirements Slowed

    In another reversal, CMS will allow the continued use of the 2014-edition Certified Electronic Health Record Technology in MIPS 2018, which was set to be phased out. This again is aimed at easing the burden for practices that are struggling to keep up with all the changes. Currently, many practices don’t have the resources or access to the 2015 CEHRT, which makes the transition very difficult. To encourage use of new EHR technology, CMS has proposed a scoring bonus for practices that use 2015 Edition CEHRT exclusively.

    7. New Scoring Options for Facility-Based Physicians

    Facility-based physicians, such as hospitalists, will have the option to use facility-based scoring for reporting. A facility-based clinician is defined as a clinician who provides at least 75 percent of their services in an inpatient hospital or emergency room setting. This includes many anesthesiologists and nurse anesthetists. Facility-based groups are defined as groups in which at least 75 percent of the individuals are facility-based clinicians. CMS hopes to align facility-based scoring with the Hospital Value-Based Purchasing (VBP) Program. The total performance score for the hospital VBP measure set would be applied to a clinician’s Quality and Cost performance categories.

    8. Multiple reporting mechanisms per category allowed

    For the first program year, CMS stipulated that for clinicians participating in MIPS, only one reporting mechanism is allowed per performance category (i.e. if a clinician is using a QCDR to report on a measure in the quality category, all measures in the quality category must be reported via QCDR). The Proposed Rule does away with this requirement and allows clinicians and groups to use whatever combination of reporting mechanisms that best suits their needs, regardless of category.

    It is important to note that these changes to the MIPS program for 2018 are proposed changes. As a part of the federal rulemaking process, CMS is currently soliciting feedback from stakeholders and will issue a final rule in the coming months, which could include changes. Stay tuned!

    To explore the proposed changes in depth, read the proposed rule here or checkout the CMS fact sheet.

    Interested in learning more about SurveyVitals? Click here to sign-up for a free, no hassle product.

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    July 27th, 2017 Categories: Anesthesia, featured, MIPS Information, Outpatient Practice

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    8 Tips for Physicians Using Social Media

    Social Media Tips for Phsyicians

    Social media presents a great opportunity for practices and providers to share knowledge and connect with their community. However, when used incorrectly, social media can cause a host of PR and legal issues. Here are some of the Do’s and Don’ts for providers when venturing into the world of social media.

    Thumbs Up Do: Have a plan.
    What do you hope to accomplish with social media? Who is your target audience? What will you post? Without clear goals, your social media can become scattered and hard to follow. Sticking to a clear plan will help keep your social media presence coherent and focused.

    Thumbs Down Don’t: Overshare.
    It may be therapeutic to write about personal experiences with patients, but it may also be illegal. Even seemingly harmless activities such as sharing a patient photo or mentioning a patient may be a breach of privacy. Remember your HIPAA training, and don’t post any personal patient information when sharing on either your personal accounts and your organization’s page.

    Thumbs Up Do: Engage with your followers.
    Join discussions, answer questions, and connect with followers. The personal connection will help to grow your following and improve your brand. Also, interacting with your followers will help make your content appear more often according to Facebook and other social media platform’s algorithms for how and when content is visible on a user’s timeline.

    Thumbs Down Don’t: Be unprofessional.
    Your social media is an extension of your practice, and it should present itself in that manner. It may be tempting to blow off some steam and vent your frustration online, but remember, anyone can see your posts.

    Thumbs Up Do: Pay attention to feedback.
    What types of content are your followers engaging with? What types of questions are they asking and what are they saying about your practice? Social media can be another great avenue to receive insights from your patients and even a way to market your practice. And in a time where over 2/3 of the population has a smartphone and patients are going online in unprecedented numbers when making healthcare decisions, having social media has come to be expected.

    However, social media can also be a double edged sword. Frustrated patients can come to your page to blow off steam and users can leave reviews or comments with no verification that they are even a real patient. How do you handle this? Be proactive and monitor your comments diligently and work to handle concerns and questions offline or via private message. Avoid having a conflict play-out on your public timeline. Additionally, using the Provider Widget to display your verified patient reviews, star rating and top scoring areas will help establish credibility and combat the potential negative comments of a select number of users on your page.

    Thumbs Down Don’t: Post too often.
    If you’re posting ten times a day, your followers will likely get annoyed and stop following you. Most guides recommend a starting point of about one post per day, and adjusting according to demand. Generally, in the social media space, quality matters more than quantity.

    Thumbs Up Do: Learn best practices for each platform.
    Facebook, Twitter, LinkedIn and blogs all have different guidelines for photo sizes, hashtags, and character length for posts. To reach your widest audience, you may need to adjust content appropriately across platforms. The downloadable graphic below shows how photo size can change drastically between platforms.

    social media

    Thumbs Down Don’t: Overload the page with text.
    Photos and videos can help to keep readers engaged and interested. As with most aspects of social media, it all comes down to balance. A good balance of visuals and text can help to foster compelling content.

    Ready to get started with SurveyVitals? Schedule a demo today.

    What are your “Do’s and Don’ts” for social media? Share them in the comments section below.

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    July 18th, 2017 Categories: Best Practices, featured

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    Top 10% Spotlight: Great River Health Systems

    Great River Health Systems

    Congratulations to Great River Health Systems for earning top honors for an outstanding Patient Experience in the first quarter of 2017. Four locations from Great River Health Systems ranked in the Top 10% nationally for overall patient experience based on composite scores. Learn more about SurveyVitals Top 10% Award.

    Great River Pulmonology Great River Pulmonology
    Great River Eye Specialists Great River Eye Specialists
    Great River Medicine Specialists Great River Medicine Specialists
    Great River Clinic, MediapolisGreat River Clinic, Mediapolis

    About Great River Health Systems

    Great River Health Systems is a regional health-care system that includes Great River Medical Center, retail pharmacies, retail medical equipment and supplies providers, and physician clinics in Mediapolis, Wapello, Fairfield, Fort Madison, Keokuk, Mount Pleasant, and West Burlington, Iowa. More than 120 physicians and 2,100 employees share Great River Health Systems’ commitment to excellence in patient care and community service.

    June 6th, 2017 Categories: Patient Experience

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    Patients rate nurses the highest in these three areas

    Patients Rate Nurses Highest Header
    National Nurses Week

    In honor of National Nurses Week we examined 4,196 nurses and 286,738 SurveyVitals® patient satisfaction surveys received in 2016 on nurses’ behalf. Check out the top 3 rated areas for both the Anesthesia Patient Satisfaction Questionnaires (APSQ/APSQ2) and the Standard Patient Satisfaction Questionnaire (SPSQ). Are these what you expected? What do you think nurses do best?

    Anesthesia Patient Satisfaction

      – 4,014 nurses (CRNA)
      – 117,714 text comments
      – 37,750 audio comments
      – 258,295 patient surveys

    Patient Scored Nurses highest in these areas

    SurveyVitals Anesthesia Patient Satisfaction Questionnaire (APSQ), asks 14 questions which fall into 6 question areas. Questions are based on a likert scale of 1 to 5. Patients receive surveys via SMS (text-message), Email, or Interactive Voice Response. SurveyVitals strives to send surveys to the entire patient population for the highest quality feedback.

    Ensure Comfort Icon

     

     1. Ensure Comfort

    Privacy Respected Icon

     

     2. Privacy Respected

    Ease Anxiety Icon

     

     3. Ease Anxiety

    Provider Specific Question Areas

    The following graphic represents all the areas pertinent to anesthesia providers.

    Anesthesia APSQ Provider Question Areas

    Outpatient SPSQ

      – 182 nurses
      – 27,162 text comments
      – 4,190 audio comments
      – 28,443 surveys

    Patient Scored Nurses highest in these areas

    SurveyVitals Standard (Outpatient) Patient Satisfaction Questionnaire (SPSQ), asks 16 questions which fall into 5 question areas. Questions are based on a Likert scale of 1 to 5. Patients receive surveys via SMS (text-message), Email, or Interactive Voice Response. SurveyVitals strives to send surveys to the entire patient population for the highest quality feedback.

    Courtesy Icon

     

    1. Courtesy

    Adequate Time Icon

     

     2. Adequate Time

    Sensitivity Icon

     

    3. Sensitivity

     

    Provider Specific Question Areas

    The following graphic represents all the areas pertinent to outpatient providers.

    Outpatient SPSQ Provider Specific Areas
     
    *Results derived using results from 286,738 completed SurveyVitals patient surveys collected between January 1, 2016, through December 31, 2016.

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    What do you think? Does this correlate with your patient experience scores?

     

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    May 12th, 2017 Categories: featured, Outpatient Practice, Patient Experience

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