Ten Weeks to MIPS Maximization

Ten Weeks to MIPS Maximization

The road to first-year success with MIPS is paved with your data, your completely accurate and MIPS-focused data, collected and mapped from day 1 – January 1st, 2017. Plan on it – your data will be successfully submitted to CMS in January 2018. And it can all be set on rails in ten weeks or less.

This first year is critical because this is where you establish your outcomes improvement groove, where you begin to get the hang of the program, you begin to understand the MIPS measures and begin to adapt your workflows to the program. With all this, you certainly don’t need to get hung up on the minutia of ensuring the full aggregation, acquisition and attribution of your data. That’s where Forward Health Group comes in.

Forward Health Group’s PopulationManager® MIPS Edition and its advanced Data Stewardship™ technology provides a remarkably simple way gives you an almost unfair competitive advantage in MIPS.

Here’s the process:

First Step – Weeks 1 – 3: Data Engagement

We’ll need your active participation. In order to make it happen smoothly and efficiently, we’ll need representation from your clinical staff, administration, quality improvement (QI) and IT. We’ll also need somebody from your end to serve as Project Manager. This person will work closely with your Forward Health Group Account Manager. Your clinical and QI implementation team members, along with your Project Manager, should expect one face-to-face clinical review meeting up front make sure your MIPS measures are selected properly. Follow-up phone calls will happen as we fine-tune and gain an in-depth understanding of your situation and clinical goals. The team should expect to spend about six to eight hours throughout the implementation, helping make this happen.

For the nuts and bolts work of data extraction and depending on your specific clinical goals, we’ll need time from your IT throughout the implementation. Typically, this means 8 to 12 hours per week during the first few weeks of the ten-week process, less after that.

Second Step – Weeks 4 – 7: Data Focus

A MIPS mapping plan is developed at the individual practice level based on your goals. We work with you to understand the data structure, producing custom mapping algorithms to align and harvest the necessary data elements. This is where the important data look-back process happens, where you secure the entire year’s data for MIPS submission – January through December.
Our data analysts, with Data Stewardship proprietary technology, then clean, align, and normalize your data – it’s the process of going from raw clinical data to information presented in such a way that it’s actually accessible and usable. The data will be ready for MIPS submission.

Third Step – Weeks 8 – 10: Test, Measure, and Visualize

Your data is now MIPS-organized. It’s time to get in there and use PopulationManager, do some dry runs with your newly defined populations and measures – see your data. Naturally, at this point, there will be clarifying questions as the data is mapped, aligned, attributed and there will likely be a need for supplemental data. The quality assurance process of the data now in PopulationManager now begins.

We’ll work with you to:

• Validate sample sets of patients
• Validate the MIPS metrics and measures

Then, a full clinical review of the initial data release will occur, establishing an initial strategy for the launch of PopulationManager. QA will likely require about 10 hours, mostly from your clinical and QI team members.

So there you go. Your MIPS measures are selected, your data is set up and you are collecting everything in the right bucket. Come January, you’re ready to submit.
You’re ready to maximize MIPS.

Call us for more information.