January 16, 2020 | East Hawaii IPA Weekly Alert – for Payment Transformation Providers
UPDATES
*NEW* East Hawaii IPA Chief Medical Director Transition Dr. Scott Kronlund, who has been serving as the IPA’s Chief Medical Director, will be transitioning his role to a consultant after January. Letter attached.
*NEW* Board of Directors Update The Board met on January 7 to review the IPA’s “Road Map” for 2020. 2020 will focus on three key strategic initiatives in addition to current IPA programs and projects. Member work groups will convene to provide guidance for eCARE – IPA’s Walk-In, Continuing Care Clinic, ePRIMARY – IPA clinic that employs physicians, and eSUPPORT – MSO Services for IPA members. If you are interested in participating in a work group, contact Susan Mochizuki at smochizuki@ehiipa.com.
*NEW* Medicare Bonus Payments Thanks to the efforts of Hilo Medical Center Foundation in helping to get our region designated as a Health Professional Shortage Area by CMS, primary care physicians may receive a 10% quarterly bonus for services provided to Medicare beneficiaries within the designated zip codes starting January 1, 2020. Please see attached for more information.
Primary Care First ‘Ohana Health Plan reached out to share their interest in supporting physicians who want to be part of Medicare’s Primary Care First program starting in 2021. The application deadline is January 22, 2020. CPC+ Providers who might want to participate in 2021 do not need to apply by this deadline. Attached is a link explaining the program, as well as the payment options. If you are interested in knowing more and/or would like to apply, please contact Kahea Wakinekona at kwakinekona@ehiipa.com.
*NEW* IPA Quarterly Super Huddle – Tuesday, January 28, 2020, 12:00-1:15 PM – ‘Imiloa Astronomy Center – EVITE All provider members and staff are invited to our “kick-off” Super Huddle to hear IPA updates, review HMSA Payment Transformation program and learn about how Hawaii Radiologic Associates (HRA) can support Medicare’s “Clinical Decision Support” requirements for ordering procedures. Click here to RSVP.REMINDER: Please list your guest names in the comment section if you are RSVPing for staff. If you would like us to send EVITES to staff emails, please send them to jvitales@ehiipa.com.
‘Ohana Health Plan Medicare Meeting – Thursday, January 30, 2020, 5:30-7:00 PM – EHI Office – EVITE ‘Ohana Health Plan is planning to offer a new low-cost premium Medicare Advantage plan on Hawaii Island starting in 2020. They are also planning to have a full Medicare Advantage plan in 2021. ‘Ohana is interested in working collaboratively with the IPA. The purpose of the meeting with Dr. Ed Fess (CMO) and Scott Sivak (CEO) will be to (1) discuss current provider concerns related to working with ‘Ohana Health Plan, (2) share their strategic direction for the Hawaii Island, and (3) discuss opportunities for greater collaboration with EHI. ‘Ohana is committed to its Medicare Advantage offering on Hawaii Island independent of the results of the current MedQuest RFP process. In addition, ‘Ohana brokers will be reaching out to meet with providers one-on-one to explore their interest in accepting patients who have their Medicare Advantage plan. Click here to RSVP.
*NEW* New Employee Cristin Gallagher, CPA, was hired as Finance Manager to provide financial operations and analysis support as the IPA expands its services.
Pen Needle and Syringe Formulary Change Effective 4/1/20, TRUEplus pen needles and syringes will be the only brand of pen needles and syringes preferred on HMSA commercial formularies. Majority of plans, the preferred pen needles and syringes are $0 copay; all other brands will have a copay ($30 for most plans) or be non-formulary. Local distributors have an adequate plan in anticipation of this change, and HMSA has been reaching out to local pharmacies to ensure they have TRUEplus orders ready. Attached is a flyer with more information on the product. Some offers can be found here and here.
HMSA PAYMENT TRANSFORMATION
*NEW* Payment Rates and Performance Measures At the Super Huddle on Tuesday, January 28 we will review 2019 results and 2020 requirements. Please see announcement above and RSVP via EVITE.
HMSA QUALITY PERFORMANCE
*NEW* Support to Clinics Please contact Jo Vitales at jvitales@ehiipa.com if you are interested in receiving help from the IPA to meet your engagement and quality performance requirements.
EVENTS
2020 Hawaii Pain and Addiction Conference – February 22, 9:00 AM-4:00 PM Register for this ADAD-approved and highly informative conference to expand your knowledge of pain management and the treatment of addiction. Approved for a maximum of 6 CME and ADAD-approved CEU credits. Cost is $75 for providers, $35 for counselors. Flyer attached.
Walk with a Doc – Lili‘uokalani Gardens Park – Dr. Craig Kadooka – Every Sunday, WWAD meets at the park across the street from Hilo Bay Café. Walkers gather at 8:00 AM to hear a short healthcare talk, followed by stretching and then walking at your own pace. Anyone is welcome to participate.
PROVIDER RESOURCES
Hilo Medical Center CME – “Common Orthopedic Foot and Ankle Problems for the Primary Care Physician” presented by Dr. Christian K. Kikuchi. CME Program will be held at the Hilo Yacht Club on Friday, January 31 at 6:00 PM. Dinner provided. Flyer attached.
BRIGHT GREEN POLST FORMS – If your office would like “bright” green POLST forms for your office, please email jbontuyan@ehiipa.com.
HIPAA Online Training – EHI IPA offers online training as a membership benefit for $20 per person. The certification received after successful completion is effective for 2 years. If you are interested, please complete the attached form and fax to 808-935-4472 or email to Jo at jvitales@ehiipa.com and send a check to East Hawaii IPA, 670 Ponahawai St., Ste. 117, Hilo, HI 96720.
Healthcare Source HR Screening Tool Available for Members – EHI offers member offices use of a complimentary employee screening tool. The tool helps assess whether potential new hires are the right fit for your office! The tool rates candidates numerically by job performance, retention and service excellence. It also customizes key questions for face-to-face interviews. This program has been used successfully by hundreds of healthcare organizations. Candidates are sent a link to the assessment with results forwarded to a designated office email address. Please email Jo at jvitales@ehiipa.com if you are interested in learning more about this tool.
CIN Recorded Webinar: How to Prevent Staff and Provider Burnout – Watch the recorded webinar here, featuring a conversation between a burnout researcher, Rachel Willard-Grace, and CIN managing partner, Sunita Mutha, exploring strategies to address burnout and promote resilience.
For additional resources on provider and staff burnout please visit the CIN Resource Kit: Improving Provider Well-Being. This resource kit now includes some of the resources that Rachel referenced in this webinar.
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American Heart Association FREE CME Webinars – View list of activities here. Type in “CME” in the Keyword search box and register for free.
SAVE THE DATE! Hilo Medical Center Angiostrongylus Workshop – January 5-8, 2020 – Pre-registration form attached.
*NEW* Hui Mālama Ola Nā ʻŌiwi: Ola Hou i Ka Hula Hypertension Class – Wednesdays starting February 5 to April 29, 5:00-6:30 p.m. at Hui Mālama Ola Nā ʻŌiwi office, 1438 Ave., Hilo. Flyer attached.
KTA Diabetes Self-Management Education – KTA will begin another round of Diabetes Self-Management Education classes at the East Hawaii IPA office. Please use the attached REFERRAL FORM. Please see flyer attached and refer your patients to this valuable resource!
Hilo Medical Center Diabetes Support Group – Every first Tuesday of the month, 4:00 PM. Katie Seaton, who has her bachelor’s in dietetics and is a current intern at HMC in the process of completing her master’s degree, will be providing recipes to support diabetes management. Samples will be provided. Contact Colleen Talich at ctalich@hhsc.org or 808-932-3034 with any questions.
Halau Mauli‘Ola Medical Nutrition Program – Stacy Haumea is relocating to 83 Maika‘i St., Hilo, for appointments Mon/Tue/Weds. She will continue to see patients with Hui Mālama on Thurs/Fri weekly. Flyer attached. NEW referral form attached.
Individual Nutrition Counseling Referral for Hui Mālama Ola Nā ʻŌiwi (HMONO) – Refer your patients to nutrition counseling with Stacy Haumea at HMONO using their referral form (here). Under the “Referred to” section, select HMONO Family Medicine Clinic.
Mountain-Pacific Quality Health – CARDIAC HEART ATTACK SYMPTOMS. Flyer attached. Let us know if you’d like the IPA to print out copies for your office by calling 808-797-3113.
Mountain-Pacific Quality Health: New Patient Tool for Heart Health – Check the MPQH website for their heart health calendar. These are free for patients and can start anytime of the year and includes weight logs and health tips. These offer a fun and easy way for patients to monitor their weight. A calendar example (scroll to the bottom for the example) and order form can be found here.
Beacon Health – PCP Referral for Behavioral Health Support – Beacon Health offers behavioral health services for HMSA patients. Attached is the referral form (here), the overview of services (here), and the WHO-5 Well-Being index tool (here).