November 14, 2019 | East Hawaii IPA Weekly Alert for Payment Transformation Providers
UPDATES
“Treating Depression in the Primary Care Setting” Presentation – Wednesday, November 20, 5:30-7:00 PM Hear Dr. James Westphal, Beacon Health Options, speak on treating depression in the primary care setting. Meeting will be held at the EHI IPA office. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.Flyer attached.
*NEW* 2019 Medicare ID Numbers Medicare will no longer accept old ID #s when submitting claims. All Medicare A/B recipients should have already received their new Medicare ID cards with new ID #s. If not, patients need to contact Medicare and obtain their new card. The grace period for using old Medicare ID #s will end this year. These new ID #s are needed when submitting claims/obtaining prior authorizations for prescriptions and referrals to specialists beginning January 2020.
*NEW* ‘Ohana Health Plan – ‘Ohana Plus ‘Ohana Health Plan announced it is offering ‘Ohana Plus, a statewide Medicare Advantage program designed specifically for kupuna living on neighbor islands. ‘Ohana Plus is available to seniors aged 65 and over who are not eligible for Medicaid, effective 2020. This is a new plan offered in addition to ‘Ohana’s Liberty Plan currently offered to seniors who are dually-eligible for both Medicaid and Medicare. ‘Ohana Plus has a monthly premium of $16.20, 20% cost share for all Medicare Part B services, a low maximum-out-of-pocket cost and offers multiple supplemental benefits such as acupuncture, dental and gym membership with $0 co-pays. The Medicare annual enrollment period runs from now until December 7, 2019.Attached is a summary of ‘Ohana Plus 2020 benefits. For more information, call 1-877-231-2339.
HMSA PAYMENT TRANSFORMATION
2019 Payment Transformation Guide Available The HMSA October 2019 Payment Transformation Guide, with working links to the specifications for performance measures, has been posted to the HHIN (Hawaii Healthcare Information Network) website. You may access the guide through HHIN (click here). This is only supposed to be viewed by Payment Transformation providers.
*NEW* 2019 Annual Survey HMSA sent a link to providers to complete this important measure – thanks to the THIRTEEN providers who completed it already! This is a PO (IPA) measure. The IPA will give $50 incentives for providers who finish the survey by December 15, 2019. HMSA confirmed the following providers have completed the survey so far:
Dr. Aaron Morita
Dr. Brenda Camacho
Dr. Brian Wilson
Dr. Buddy Festerling
Dr. Daniel Belcher
Dr. Darrett Choy
Dr. Heajung Ruesing
Dr. Jon Gerdsen
Dr. Pradeepta Chowdhury
Dr. Richard Lee-Ching
Dr. Roy Koga
Dr. Sheareen Gedayloo
Dr. Wanda Meurs
HMSA QUALITY PERFORMANCE
*NEW* Reminder: Influenza Vaccine The flu vaccine measure is a PO (IPA) measure and the denominator counts members 18 years and older. Please continue to use the codes attached to received numerator credit in Coreo. Please encourage your entire office to get the vaccine. Offices who are able to get 80% or more of their staff (including providers) to get the flu shot will receive $250. Any staff member who gets a flu vaccine will be entered into a separate $250 raffle prize drawing. Please complete the attestation form attached here to receive the $250 clinic incentive. Please send to jvitales@ehiipa.com or fax to 808-935-4472.
PCP Engagement with Ecosystem is now available as of 10/1/19 – please complete the attestation form as this is a critical measure that will affect your PMPM payment rates going forward. Tiffany Pa of HMSA will be contacting each office to assist with completing this form.
Need a Doc Campaign REVAMP We are revamping this program to provide MORE support and help. If your office is accepting NEW HMSA PATIENTS, please let us know so we can help place patients in your clinic. Please contact Kahea Wakinekona at kwakinekona@ehiipa.com if you are interested. Kahea will meet with your practice to review the workflow and expectations.
EVENTS
Hawaii Care Choices Holiday Dinner & Auction: “Celebrating Hilo” Join Hawaii Care Choices in celebrating their 16th Annual Holiday Dinner & Auction on Monday, December 2.The IPA is a Gold Sponsor this year and has seating available for one more guest. Silent Auction starts at 5:00 PM with champagne & pupus, seated dinner & live auction starts at 6:30 PM. The featured chef is Café Pesto’s Casey Halpern. Flyer attached.
KaHOLO Project’s Ola Hou I Ka Hula Workshop for Kumu Hula – Part 2 on Friday, November 22, 6:00-9:00 PM This is a hula-based health program for people with high blood pressure, which puts them at risk for stroke and heart disease. Join Kumu Hula Mapuana de Silva at Hui Malama Ola Nā ʻŌiwi to learn how to conduct an Ola Hou Program in your community and what you need to know to work with hula students with heart health challenges. Register using the attached form.
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
MIPS TIPS: 2019 Year End Readiness & Prep for Performance Year 2020 WEBINAR, Thursday, November 21, 10:00 AM HST.Register here.
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.
American Heart Association WEBINARS: Blood Pressure Control Education Series:
“Navigating Blood Pressure Clinical Quality Measures” – Thursday, November 21, 12:30 – 1:30 PM SAVE THE DATE!
SAVE THE DATE! Hilo Medical Center Angiostrongylus Workshop – January 5-8, 2020 – Pre-registration form 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).
