PROGRAM OVERVIEW. Copyright 2018 American Society of Clinical Oncology. All rights reserved.
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1 PROGRAM OVERVIEW
2 Objectives QOPI Overview QOPI Reporting Registry Overview Q and A/Discussion
3 What is QOPI? Quality Oncology Practice Initiative A quality program designed for outpatient-oncology practices to foster a culture of self-examination and improvement Participating practices can report on over 170 evidence-based quality measures Practices receive performance scores by practice, site, and provider(s) as well as benchmarked scores aggregated from all participating practices Practices use this performance data to identify, develop and implement quality improvement initiatives leading to better care and better outcomes for their patients QOPI is an ASCO member benefit available at no charge to oncology practices with at least one active ASCO member.
4 Evolution of QOPI QOPI Pilot Phase ( ) QOPI offered to full ASCO membership (2006) Measure and content expansion ( ) QOPI Certification Program Launched (2010) Expansion and design changes (2013-current) CMS reporting through the QOPI Reporting Registry 5
5 Participation Requirements Register Breast Cancer with QOPI System (one time) Sign current version of legal agreements Abstract at least one round every 2 years Available to all oncology practices with at least one active ASCO member in the US, US territories Also available internationally: European Union, Argentina, Australia, Brazil, India, the Philippines, Saudi Arabia and the United Arab Emirates with plans to expand as resources allow.
6 Data Abstraction Rounds Abstraction period open for 5 months, 2 round per year Current round open until 12/4/18 Chart selection criteria provided for each round Chart requirements and sampling guidelines provided Abstraction generally takes 1 hour per chart 9
7 MODULES Modules with an asterisk are included in the QOPI Certification Track Breast Cancer* Colorectal Cancer* Non-Small Cell Lung Cancer (NSCLC)* Small-Cell Lung Cancer Non-Hodgkin s Lymphoma (NHL) Gynecologic oncology (GYNONC) Ovarian, fallopian tube, and primary peritoneal cancer* Prostate Cancer Disease Care at End of Life (EOL) Symptom/Toxicity Management* Palliative Care Domain Core Measures* REQUIRED WITH OTHER MODULES FOR QOPI PARTICIPATION Core 6
8 REPORTING TRACKS New to QOPI Fellowship QOPI Certification Program Patient Centered Low/Middle Income Countries (LMIC; under development) 7
9 Chart Requirements based off FTEs Medical/Hematologist Oncologist Clinical FTEs Target Number of Charts per module for general QOPI Participation or maintenance of QOPI Certification Chart Minimum Requirement for QOPI Certification or Recertification (QCP Track)
10 FTE Calculation MD1 sees patients one full day/week =.2 FTE (20% of the time/week) MD2 sees patients one half day, 2 times/week =.2 FTE (20% of the time/week) MD3 sees patients 3 full days/week =.6 FTE (60% of the time/week) MD4 sees patients 5 full days/week = 1.0 FTE (100% of time) Total Medical Oncologist/Hematologist clinical FTEs = 2 FTEs ( ) 16
11 Prepare for Participation Review round documentationon the QOPI Dashboard QOPI UserManual QOPI Data Dictionary and Chart Abstraction Form QOPI Technical Manual Chart Selection Criteria Training Sessions Participant Training Webinar Abstractor Training Webinar Registration Training Tutorial 12
12 Benefits of QOPI Participation Health Plan Program Access to Reports and other QI tools Same platform as QOPI Reporting Registry MOC available for QOPI & QOPI Certified Practices Malpractice Insurance discounts from The Doctors Company (QCP) Quality Training Program 30
13 QOPI Data Requests Data sets from 2008 through 2017 on over 180 quality measures with aggregate data from hundreds of oncology practices This data can be used for practice s internal quality improvement projects, as well as for research studies and publications. Working with CENTRA on building valuable data sets 30
14 QOPI Reporting Registry One-stop shop for submitting 2018 data to the Merit-based Incentive Payment System (MIPS) from the Centers for Medicare and Medicaid Services (CMS). Choose from a list of 25 CMS-approved quality measures Attest to participation in Promoting Interoperability (PI) and Improvement Activities (IA) **Participation in QOPI and QOPI Certification qualifies you to earn IA points** Report electronically with EHR or manually through our web-based portal 31
15 QOPI Reporting Registry Offerings System Integrated Approach: Practices who opt to report through the System Integrated Approach can install the Registry Practice Connector, a read-only extraction software that connects to the practice s Electronic Health Record, enabling quality data to be mapped and pulled electronically. We also support data push. Manual Data Entry: Web Interface Tool: Practices that cannot support a System Integrated Approach can use the Web Interface Tool, a web-based platform, to manually enter their quality data. Practices using the Web Interface Tool still have the option to attest to Improvement Activities and Promoting Interoperability. Individual versus Group Reporting: Practices can choose to report for their providers individually by National Provider Identifier (NPI) or as a group by Tax Identification Number (TIN). 31
16 QOPI Reporting Registry Cost 2018 MIPS reporting through the QOPI Reporting Registry costs $495 per NPI for practices reporting with the System Integrated approach. Practices submitting data manually through the Web Interface Tool will pay $295 per NPI The fee for both System Integrated and Web Interface Tool must be paid at the time of sign up. 31
17 QOPI Reporting Registry Timeline January 2018 Sign up and begin reporting with the QOPI Reporting Registry System Integrated Approach June 2018 Sign up and begin reporting with the QOPI Reporting Registry Web Interface Tool October 1st, 2018 Last day to sign up for the System Integrated (SI) approach November 1st, 2018 Last day for practices who have signed up for SI to successfully install the Remote Practice Connector (RPC) software March 8th, Last day to sign Data Release Consent Forms (DRCF) for MIPS submission to CMS March 22nd, Last day to submit data to the QOPI Reporting Registry January 2020 Payment adjustments begin Additional dates will be added as deadlines arise 31
18 QOPI Help Desk MARY MAY PATTI STÉPHANIE WHITNEY The Help Desk supports both programs Available 9:00-5:00 ET, Monday Friday Please use Contact Us Button found here OR Click on Feedback Button in the QOPI system Call Services Program Information Registration issues Create practice or other Group Technical issues with QOPI System Clarification of questions used in data collection Abstraction and reports assistance Health Plan Program
19 Questions? 37
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