Payment Transformation Global Payment Rates – UPDATE   EHI asked HMSA to schedule a webinar to explain the new proposed rate methodology directly to providers.  It is likely that the IPA will exercise the option as a group to delay implementation of the new rates until Fall 2018 as HMSA is reluctant to schedule a webinar any time soon. In the meantime,  Dr. Kevin Kurohara, President, Dr. Lynda Dolan, VP and Susan Mochizuki, Administrator are meeting with Dr. Mark Mugiishi and Jayme Pu’u next week to ask for additional PMPM (above what HMSA is offering), FFS payment for in-office procedures and additional funding for each new patient visit.   We will update you next week regarding the outcome of our HMSA meetings.

Episodic Care Management Services for Payment Transformation Providers   The EHI Care Management Team is offering services for adult patients admitted to Hilo Medical Center and attributed to HMSA Payment Transformation PCPs. We ask that providers who are interested in this service sign the attached “compact” agreement outlining services and responsibilities. Please contact Susan Mochizuki at smochizuki@ehiipa.com if you are interested.

Annual Meeting & Election – Wednesday, April 25, 2018 – 5:30-7:30 PM   The election will be held at ‘Imiloa to elect Board members and discuss the future of the IPA. Voting will occur at the meeting. Please request an absentee ballot if you cannot attend and would like to vote. Jeff Beal, VP Corporate Development, Optum (bio attached), will be our guest speaker. He will talk about how Optum can help the IPA become a more closely integrated entity.

The following members are running for seats and prepared statements attached here.

  • Dr. Lynda Dolan

  • Dr. Sheareen Gedayloo

  • Debra Kettleson, APRN

  • Dr. Mary K. Nordling

Attached is a registration form. Last day to request an ABSENTEE BALLOT is Friday, April 6.

COREO Launch Postponed to May 1, 2018 – HMSA Payment Transformation Providers   COREO launch has been postponed to May 1. HMSA sent the attached letter to continue to use COZEVA until then.

Membership Benefits & Dues   Starting July 1, 2018, members will be asked to pay annual dues of $1200. These dues will be prorated to $600 for 2018. Members may make monthly payments of $100. Each member was mailed a copy of the attached for a detailed explanation. If you have any questions or need additional information, please contact any Board member or Susan Mochizuki at smochizuki@ehiipa.com, 808-797-3114.

Discounted HIPAA Training Available   EHI offers HIPAA training to all offices at a discounted rate. HIPAA training must be renewed either annually or every two years (depending on type of training). The training we offer is good for two years. Please complete and send the attached form if your office is interested; FAX 808-935-4472.

Healthcare Source HR Screening Tool Available for Members   EHI offers member offices use of a complimentary employee screening tool. The tool helps assess whether staff you are thinking of hiring 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 Joyce at jvitales@ehiipa.com if you are interested in learning more about this tool.

22nd Annual East Hawaii IPA Healthcare Symposium – August 17-19, 2018 – Fairmont Orchid Hotel   This year’s theme is “Advancing Wellness for Patients, Providers and Organizations.” EHI IPA members receive a discounted rate of $75 which includes AAFP CMEs, all sessions, trade show attendance, pau hana event and two breakfasts. Please register early (flyer attached).

Pharmacist Support   Jessica Ku, PharmD, is working full-time to provide med reconciliation and consultation to providers who are participating in HMSA’s Payment Transformation contract. Please reach out to Susan Mochizuki if you have any questions @ smochizuki@ehiipa.com, 808-797-3114.

UnitedHealthcare Accountable Care Program   EHI will be working with offices to ensure that UHC patients who are discharged from the hospital or are seen in the ER receive follow-up within 7 days. In addition, the IPA will work with offices to confirm that high risk, high cost UnitedHealthcare (UHC) patients are seen every 90 days. UHC will give the IPA with some funding to pay for staff help. These efforts can go toward supporting MIPS/MACRA and CPC+ measures. Please contact Kahea Wakinekona if you would like more information at kahealani@kidneyhi.org.

SBIRT   Stands for Screening, Brief Intervention & Referral to Treatment for alcohol & substance abuse. EHI received a two-year grant from the State Department of Health to help offices do SBIRT screenings by having patients complete a brief survey. All offices are invited to participate and will receive honoraria to join. Please contact Jane for more information at jbontuyan@ehiipa.com.

Announcements:

  • Diet of Hope – LaRae Barnes, APRN, will be presenting a portion control nutrition program on Wednesday, April 11, 2018, from 6:00-7:00 PM at the EHI IPA office. Dr. Dietmar Gann, a retired cardiologist and his wife, Liz Gann, the program founders, will be giving the talk. THIS EVENT IS FOR PROVIDERS & STAFF AS WELL AS PATIENTS. Call 969-7378 for more details. Flyer attached. Please RSVP by April 6.

  • CMS MIPS/MACRA Quality Payment Program Webinar: “Medication Safety LAN Event: A Patient-Centered Approach to Safely Managing Diabetes” – Wednesday, April 11, 9:00 AM HST. Register here. Call in: 1-855-339-4595  Password: MedSafety

  • Ecosystem Healthcare Referral: NKFH Chronic Disease Self-Management Program – Refer your patients with chronic diseases to this resource. Call Mary at 808-895-2730 or fax to 808-935-4472 a list of patients to refer to the program. Mary will request a demographic sheet. This six-week class will be on Fridays at 9:00-11:30 AM starting on April 27, 2018. Flyer attached.

  • Ecosystem Healthcare Referral: NKFH Diabetes Self-Management Program – Refer your patients with diabetes to this resource. Call Mary at 808-895-2730 or fax to 808-935-4472 a list of patients to refer to the program. Mary will request a demographic sheet. This six-week class will be on Tuesdays at 9:30 AM-12:30 PM starting on May 22, 2018. Flyer attached.

  • Ecosystem Healthcare Referral: Advance Healthcare Directive – Refer your patients to a FREE session to complete their advance healthcare directives at ADRC. Dates in the flyer attached.

  • Ecosystem Healthcare Referral: Aloha Kidney Education Classes – Starting May 2018 – Refer your patients with chronic kidney disease! Hilo flyer attached. Waimea flyer attached.

  • Hawai‘i Parkinson’s Association Newsletter – April 2018 Issue attached.