Quality Insights News 

As part of its efforts during National High Blood Pressure Education Month, the American Medical Group Foundation (AMGF) hosts the Measure Up/Pressure Down® National Day of Action: Roll Up Your Sleeves annually in May.

According to a 2015 White House Conference on Aging blog post, there is research to support that delivering formal services and supports in home and community-based programs can improve the quality of care individuals receive as well as reduce health care costs.

The Centers for Medicare & Medicaid Services will host a Special Open Door Forum on the Home Health Electronic Clinical Template and the Home Health Paper Clinical Template. The conference call will be held on Tuesday, April 28, 2015 from 1:30 - 2:30 p.m. ET

QIOs are leading the way in partnering with others to improve healthcare quality. Learn more about the impact of these local, state and national partnerships in the latest QIO Program Progress Report.

In a recent National Association for Homecare & Hospice (NAHC) Report, the organization strongly recommended that home health agencies partner with Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs) to improve cardiac health and reduce healthcare disparities. NAHC also emphasized that QIN-QIO efforts align with the goals of the proposed Conditions of Participation and offer a key opportunity for home health agencies to build a foundation for developing an ongoing, data-driven, agency-wide quality improvement program, while enhancing the process for care planning, delivery, and coordination of services.

Welcome to Collaborative I of the 11th Statement of Work.

The negative update of 21 percent under current law for the Medicare Physician Fee Schedule is scheduled to take effect on April 1, 2015. Medicare Physician Fee Schedule claims for services rendered on or before March 31, 2015, are unaffected by the payment cut and will be processed and paid under normal procedures and time frames.


As announced in December, 2014, the Centers for Medicare & Medicaid Services (CMS) is planning to add a “star” rating to Home Health Compare (HHC) that will be a summary of some of the current measures of home health care provider performance that the site already offers. CMS shared its plans for implementation of the HHC Star Ratings at Special Open Door Forums in December 2014 and February 2015, and solicited comments and suggestions from stakeholders.  The recordings and transcripts from those calls are posted on the CMS Special Open Door Forums page. An updated Frequently Asked Questions (FAQ) document, which addresses the issues raised in the comments received, is being posted on the Home Health Star Ratings web page.

The Philadelphia Regional Office of CMS will be hosting a new webinar on Tuesday, March 31, 2015 at 12:00 Noon EDT to provide an overview of the requirements of the 2015 Physician Quality Reporting System (PQRS) and the Value-based Payment Modifier (VM).  

Want to boost your revenue while providing better care to your Medicare patients?

More than 400 individuals took part in viewing the first in a series of three free webinars focused on the topic of Alzheimer’s Disease and Related Dementias (ADRD) on March 11. The webinar series is a partnership between Quality Insights Quality Innovation Network and the West Virginia Geriatric Education Center.

March 24 is American Diabetes Alert Day

The Physician Quality Reporting System (PQRS) is a program that promotes the reporting of quality information by eligible professionals (EPs) and group practices. Participation in PQRS is at the individual National Provider Identifier (NPI) level within a Tax Identification Number (TIN). EPs who worked for more than one organization during the 2013 PQRS program year (January 1, 2013 through December 31, 2013) had to meet the payment adjustment reporting requirements for each TIN under which he or she worked to avoid the 2015 PQRS payment adjustment for each TIN, or for each specific TIN/NPI combination. Beginning January 1, 2015, EPs who did not meet the PQRS reporting requirements during the 2013 program year will receive the negative 1.5 percent adjustment to all of their Part B Medicare Physician Fee Schedule (MPFS) reimbursements.

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce that the submission deadlines for the PQRS reporting methods below have been extended.  All other submission timeframes for other PQRS reporting methods remain the same.

Eligible professionals now have until 11:59 pm ET on March 20, 2015, to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year. 

The Everyone with Diabetes Counts (EDC) project was featured in a recent episode of "This Week in East Brunswick," a local weekly news program of EBTV, the municipal access television station for the Township of East Brunswick, New Jersey. EBTV is a department of the East Brunswick Public Library.


The Centers for Medicare & Medicaid Services (CMS) intends to engage in rulemaking this spring to help ensure providers continue to meet meaningful use requirements.

A new white paper estimates the amount of time spent and costs associated with clarifying medication discrepancies and omissions during transitions between hospitals and nursing homes.

Providers participating in the 2014 PQRS program may be eligible to report their quality data one time only to earn credit for multiple Medicare quality reporting programs.

Diabetes is one of the top public health threats in the U.S. today, impacting nearly 30 million children and adults with the disease and 86 million who have pre-diabetes, according to the American Diabetes Association. Multiple health organizations are encouraging individuals and health care providers to raise awareness and learn more about diabetes throughout the month of November.

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