PGIP Quarterly - September 2014

As space is limited and PGIP quarterly meetings are meant to foster open and full discourse among Michigan’s physician community, PGIP quarterly meeting attendance is limited to PGIP PO and OSC employed representatives and BCBSM-invited guests ONLY.

POs may not bring guests to PGIP quarterly meetings.

All attendees are asked to register for this event to ensures accurate contact information and general attendance count.

Call in and Webinar information will be available on the PGIP collaboration site shortly before the event date.

OPENING SESSION AND KEY NOTE REMARKS Time Presenter: Title: Description: 8:30 David Share Welcome and Overview Welcome and General Moring Session for the PGIP Quarterly meeting. 9:00 Mike Paustian CEB Updates 9:30 Sue Burns Program Updates 10:15 am – 11:00 am Breakouts 10:15 Alina Pabin, BCBSM Hedis Supplemental Data - 2014 Mapping Table NOTE: Session is intended for individuals with lead responsibility for submitting supplemental data files in POs that are in production or testing. Session will not address other general Hedis/SI topics.

Working session to discuss the changes in the 2014 mapping table for groups in production or testing. 10:15 Lynda McMillin, BCBSM
Matthew Glenn, BCBSM e-Prescribing Initiative This session will review how to read the eRx opportunity report, provide drill-down on high-level PO statistics and Surescripts Safe eRX rankings, detail the incentive program update, and discuss the web-based prior authorization tool (Novologix). 10:15 Dan Martin
Director II Provider Outreach, BCBSM Southeast MI EPO Beginning in 2015 BCBSM will be offering in the individual market a product that has an exclusive provider network. The network covers six counties in Southeast MI. In the EPO network, service rendered by non-participating providers are not covered for the member. This session will highlight how to identify these members and provide an overview of the product and the network. 10:15 Brian Haymart, MS, RN UMHS Michigan Anticoagulation Quality Improvement Initiative (MAQI2) - Patient and Provider Anticoagulation Toolkit MAQI2 is a BCBSM-BCN sponsored quality improvement initiative aimed at improving anticoagulation care across the state. MAQI2 has developed a toolkit with information for providers and patients. This presentation will give a brief overview of the contents of the toolkit, why and how it was developed, and future plans. 11:15 am – 12:00 pm Breakouts 11:15 Tim Pletcher, MiHIN,
Joe Neller, MSMS,
Tom Simmer, BCBSM Statewide ADT Notification Service This session will provide an overview of how the MiHIN statewide notification service will provide physicians with medication information when their patients are discharged from a hospital. A panel of current ADT participants will also provide practical advice for compiling and sending patient information into the MiHIN Active Care Relationship Service (ACRS). 11:15 Jean Malouin, MD University of Michigan Health System MiPCT Update Quarterly MiPCT update provided by Jean Malouin, MD.

Suggested Participants: Case management leads, PO operation leads 11:15 Jack Green
Clinical Epidemiology and Biostatistics, BCBSM Updates to PGIP Reporting Overview of new fields in the datasets, uses of derived summary tables and other enhancements and clarifications of PGIP Reporting. 12:15 pm – 1:15 pm Lunch Meetings 12:15 Meeting of the Chiropractor Engagement Workgroup 12:15 Meeting of the Pharmacy Workgroup 1:30 pm – 2:15 pm Afternoon Breakout Sessions 1:30 Marianne Thomas, RN
Accreditation Manager, BCBSM, Value Partnerships HEDIS Prenatal Postpartum Documentation Overview of measure along with specific direction on billing component codes for prenatal and postpartum care to close gaps. 1:30 Introduction – Steve Williams - MiCCSI
Philip Baty, MD – Mercy Health Physician Partners
Kiran Taylor, MD – SHMG The Michigan Center for Clinical Systems Improvement (MiCCSI) - Panel Discussion Mi-CCSI is a west and southwest MI-based organization engaging health care stakeholders (principally payers and providers) in finding effective cost and quality solutions to regional/state level healthcare issues. Critical initiatives include improved care for depression and co-morbid clinical conditions.