Difference between revisions of "APM"
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'''*Primary option: 11 measure many Stage 3 measure''' | '''*Primary option: 11 measure many Stage 3 measure''' | ||
− | {|class="wikitable | + | {|class="wikitable" border="1"style="margin-auto;"background:white;" |
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|'''Measure''' | + | ! scope="col" style=" background: #ddd; colspan = '1'; border:1px solid gray;"|'''Measure''' |
! scope="col" class="unsortable" style=" background: #ddd; border:1px solid gray;"|'''Stage 2''' | ! scope="col" class="unsortable" style=" background: #ddd; border:1px solid gray;"|'''Stage 2''' | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|'''Stage 3''' | + | ! scope="col" style=" background: #ddd; colspan = '1'; border:1px solid gray;"|'''Stage 3''' |
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Security Risk Analysis | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Security Risk Analysis |
− | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | + | ! scope="col" class="unsortable" style="text-align:left; background: green;" border:1px solid gray;"| |
− | ! scope="col" style=" background: green; border:1px solid grey;"| | + | ! scope="col" style=" background: green; colspan = '1'; border:1px solid grey;"| |
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|ePrescribing | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|ePrescribing |
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid grey;"| | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Patient Access | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Patient Access |
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid grey;"| | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Patient-Specific Education | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Patient-Specific Education |
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid grey;"| | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|View, Download or Transmit (VDT) | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|View, Download or Transmit (VDT) |
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid grey;"| | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Secure Messaging | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Secure Messaging |
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid gray;"| | ! scope="col" style=" background: green; border:1px solid gray;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Patient-Generated Health Date | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Patient-Generated Health Date |
! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid gray;"| | ! scope="col" style=" background: green; border:1px solid gray;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Patient Care Record Exchange | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Patient Care Record Exchange |
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid gray;"| | ! scope="col" style=" background: green; border:1px solid gray;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Request/Accept Patient Care Record | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Request/Accept Patient Care Record |
! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid gray;"| | ! scope="col" style=" background: green; border:1px solid gray;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Clinical Information Reconciliation | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Clinical Information Reconciliation |
! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid gray;"| | ! scope="col" style=" background: green; border:1px solid gray;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Immunization Registry Reporting | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Immunization Registry Reporting |
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid gray;"| | ! scope="col" style=" background: green; border:1px solid gray;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|(Optional) Syndromic Surveillance Reporting | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|(Optional) Syndromic Surveillance Reporting |
! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid gray;"| | ! scope="col" style=" background: green; border:1px solid gray;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|(Optional) Electronic Case Reporting | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|(Optional) Electronic Case Reporting |
! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid gray;"| | ! scope="col" style=" background: green; border:1px solid gray;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|(Optional) Clinical Data Registry Reporting | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|(Optional) Clinical Data Registry Reporting |
! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: solid gray; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid gray;"| | ! scope="col" style=" background: green; border:1px solid gray;"| | ||
Line 117: | Line 117: | ||
'''*Alternate Option: 16 measures all Stage 2''' | '''*Alternate Option: 16 measures all Stage 2''' | ||
− | {| class="wikitable | + | {| class="wikitable" border="1"style="margin-left;" background:white;" align=left |
|- style="text-align:left;" | |- style="text-align:left;" | ||
! scope="col" style=" background: #ddd; border:1px solid gray;"|'''Measure''' | ! scope="col" style=" background: #ddd; border:1px solid gray;"|'''Measure''' | ||
Line 124: | Line 124: | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"|Security Risk Analysis | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Security Risk Analysis |
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|ePrescribing | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Clinical Decision Support Ineractions (CDS) | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Drug Interaction and Drug-Allergy Checks | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Medication Orders | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Laboratory Orders | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Diagnositic Imaging Orders | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Patient Access | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|View, Download or Transmit (VDT) | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Patient-Specific Education | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Secure Messaging | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Health Information Exchange | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
+ | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Medication Reconciliation | ||
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid grey;"| | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"| | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Immunization Registry |
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid grey;"| | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
|- | |- | ||
|- style="text-align:left;" | |- style="text-align:left;" | ||
− | ! scope="col" style=" background: #ddd; border:1px solid gray;"| | + | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Syndromic Surveillance |
! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
! scope="col" style=" background: green; border:1px solid grey;"| | ! scope="col" style=" background: green; border:1px solid grey;"| | ||
|- | |- | ||
+ | |- style="text-align:left;" | ||
+ | ! scope="col" style=" background: #ddd; style="text-align:left;" border:1px solid gray;"|Specialized Registry Reporting | ||
+ | ! scope="col" class="unsortable" style=" background: green; border:1px solid gray;"| | ||
+ | ! scope="col" style=" background: solid gray; border:1px solid grey;"| | ||
+ | |- | ||
+ | |} |
Revision as of 14:21, 31 May 2018
APM - Alternative Payment Models
MACRA repealed the Sustainable Growth Rate formula and created the Quality Payment Program. The Quality Payment Program changes the way Medicare pays clinicians and streamlines multiple quality programs. There are two options to choose from based on practice size, specialty, location or patient population. These are MIPS and APM (Advanced Alternative Payment Models). In APM, incentives are earned by achieving thresholds levels of payments or patients which will exclude you from MIPS.
Advanced APMs: Eligible for 2017
- Medicare Shared Savings Program – Track 2
- Medicare Shared Savings Program – Track 3
- Next Generation ACO Model
- Comprehensive Primary Care Plus (CPC+)
- Comprehensive ESRD Care Model (Large Dialysis Organization arrangement)
- Oncology Care Model Two-Sided Risk Arrangement (started 2018)
Omissions
- Medicare Shared Savings Program – Track 1
- Comprehensive Joint Replacement
- Patient Centered Medical Homes – only count for MIPS so far
Basic Scoring Process
Base Measure - 50 points (all or nothing)
*Primary option: 11 measure many Stage 3 measure
Measure | Stage 2 | Stage 3 |
---|---|---|
Security Risk Analysis | ||
ePrescribing | ||
Patient Access | ||
Patient-Specific Education | ||
View, Download or Transmit (VDT) | ||
Secure Messaging | ||
Patient-Generated Health Date | ||
Patient Care Record Exchange | ||
Request/Accept Patient Care Record | ||
Clinical Information Reconciliation | ||
Immunization Registry Reporting | ||
(Optional) Syndromic Surveillance Reporting | ||
(Optional) Electronic Case Reporting | ||
(Optional) Clinical Data Registry Reporting |
*Alternate Option: 16 measures all Stage 2
Measure | Stage 2 | Stage 3 |
---|---|---|
Security Risk Analysis | ||
ePrescribing | ||
Clinical Decision Support Ineractions (CDS) | ||
Drug Interaction and Drug-Allergy Checks | ||
Medication Orders | ||
Laboratory Orders | ||
Diagnositic Imaging Orders | ||
Patient Access | ||
View, Download or Transmit (VDT) | ||
Patient-Specific Education | ||
Secure Messaging | ||
Health Information Exchange | ||
Medication Reconciliation | ||
Immunization Registry | ||
Syndromic Surveillance | ||
Specialized Registry Reporting |