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Online Resource Library


Resource List

preparing for apm participation

Results Relating to Aims

  • Understand the requirements and options for participating in MIPS (guide here) and various APMs (guide here)

  • Gaining the support of internal staff is critical to APM success (one-pager here) and it is imperative to go into external negotiations prepared (one-pager here)

Results Related to Aims

Results Relating to Aims

Quality and Resource Use Reports (QRUR)

Patient and Family-centered Care Design

Patient and Family Engagement

Team Based Relationships

Population Management

Practice as a Community Partner

Coordinated Care Delivery

Organized, Evidence-Based Care

Enhanced Access

Continuous, Data-Driven Quality Improvement

Engaged and Committed Leadership

Quality Improvement Strategy

Transparent Measurement and Monitoring

Optimal Use of HIT

Sustainable Business Solutions

Strategic Use of Practice Revenue

Workforce Vitality and Joy in Work

Capability to Analyze and Document Value

  • Healthcare Finance 101 – Massachusetts General’s presentation on key financial concepts relevant to healthcare providers

Operational Efficiency

  • JIT in Healthcare: An Integrated Approach – An International Journal of Advances in Management and Economics research article on how to utilize JIT strategies can be applied to lower costs and increase quality in service industries

Recommended CLinical Resources

Cardiovascular Treatment & Management Protocol

Pulmonary Clinical Protocol

Gastrointestinal / Cancer Screening

The Wellness Network - Heartcare Channel Resources

Educational Awareness Resources

Quality Payment Program Toolkit

Merit-Based Incentive Payment System (MIPS)

2017 Quality Performance Category

NCQA Patient-Centered Medical Home Recognition Program

Behavioral Health and Substance abuse Disorders

QualityImpact recommends following the CDC's Recommendations for Determining when to initiate or continue opioids for chronic pain. Below is a summary and suggested resources to support your implementation. View CDC guidelines here.

Determining when to Initiate or Continue Opioids

1. Non-opioid pharmacologic or non-pharmacologic therapy

Encourage communication within practice about opioid prevention and management, however communication approach is left up to practice

2. Establish and measure goals for pain and function

Recommend using PEG pain screening tool

3. Discussing benefits and risks & Patient contracts

Recommend using Patient-Provider Controlled Substance Education Agreement

Opioid Selection, Dosage, Duration, Follow-up and Discontinuation

4. Use Immediate-release opioids when starting therapy for chonic pain instead of (ER/LA)

5. Start low (less than 50MME/day) and go slow (avoid increasing to greater than 90MME/day)

Follow state guidelines

6. Acute pain, prescribe no more than needed and do not prescibe ER/LA opioids for acute pain

Follow state guidelines, with special consideration for using them for shortest duration since there is clear evidence that prescription duration has direct impact on long term outcomes (i.e. abuse)

7. Follow-up and re-evaluate risk of harm; reduce dose or taper and discontinue if needed

Utilize the PEG tool to evaluate benefit, harms at every visit

Assessing Risk and Addressing Harms of Opioid Use

8. Evaluate risk factors for opioid-related harms

Provide naloxone as co-prescription with every opioid and use Opioid Risk Tool (ORT) prior to starting patients on any chronic opioid treatment

9. Check PDMP for high dosages and prescriptions from other providers

Follow state PDMP requirements

10. Use urine drug testing to identify prescribed substances and undisclosed use

Recommends use of UDS, included in patient education agreement and define frequency by clinic - for more information on urine drug screening, see what our advisers recommend here.

11. Avoid concurrent benzodiazepine and opioid prescribing

Limit co-prescribing unless provider deems it appropriate and documents the medical reason(s)

12. Arrange treatment for opioid use disorder if needed

Offer MAT in conjunction with CBT and other behavioral therapies in PCP setting, or arrange for evidence-based treatment in the community

Getting started guides

QualityImpact has compiled best practices and recommendations in a succinct manner for a range of topics.

Patient Management

1. Annual Wellness Visit

2. Access to Care

3. Care Management

4. Team-based Care

Practice Operations

1. Advanced Payer Contracting

2. Business Acumen

3. Data-driven Population Management

4. Risk Stratification


Practice Resources for the Sunsetting of TCPi

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Sunsetting faq

Understand what the end of TCPi will mean for your practice. Learn how MDi will be phased out (if you decide to not pay for the tool), what resources will still be available and more.

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Resource guide

A guide to resources that will continue to be available to your practice after TCPi comes to an end and how to access such resources.

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Marketing toolkit

Understand how to position your practice to grow your business - whether that is bringing in more patients or positioning your value proposition to potential payer partners & ACOs.

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APM Toolkit & One pagers

Overview payment methodology, APM participation options, possible ACO tracks, and what is needed from a practice to participate.

One pagers will review strategies for aligning internal & external stakeholders and tips for negotiating contracts.

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Mips toolkit

Overview the Medicare Shared Savings Program (MSSP), the MIPS program, the payment methodology and how to successful participate.

Additionally, explore the list of reference resources.

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MIPS 2020 Flashcard

Fast facts on the upcoming reporting timeline for 2019 MIPS data and what to expect for MIPS in 2020 - including new category weights, MIPS value pathways, and more.


View webinars on key topics affecting your practice. Gain insight from leaders, practitioners, and subject matter experts on topics including the Quality Payment Program, data and reporting, care delivery redesign, and much more.

To learn about upcoming webinars visit the event calendar


2019 APM Boot Camp Series

Led by Dr. Terry McGeeney

SESSION 1 (listen here)

Dr. Terry McGeeney will share learnings around the common barriers, key elements of preparedness, and best practices for success under value-based payment.

SESSION 2 (listen here)

Discussion with QualityImpact graduate and special guest, David Uptagrafft, the Director of Operations for Innova Primary Care located in Huntsville, Alabama.

Explore key elements of David’s journey in transitioning Innova to the Medicare Shared Savings Program (MSSP), with specific focus on the integration of risk-based HCC coding as a pillar for their success. 

SESSION 3 (listen here)

Learn from QualityImpact graduate and special guest, Kristine Fay, Chief Administrative Officer for Lee Physician Group located in Fort Myers, Florida.

Listen to the key lessons from Lee’s journey in creating their Next Generation ACO – focusing on risk stratification and care management.


2018 Pain & Opioid Management Program

Led by Dr. Don Teater

Dr. Nick Ulmer is a family physician who became a Certified Professional Coder (CPC) in 2001 and was only one of sixteen people with both MD/CPC certifications at that time. This unique skill set has led him to numerous national and regional speaking engagements to providers across the spectrum of care delivery from small groups to large healthcare systems. Dr. Ulmer still maintains an active clinical practice and his administrative roles are expansive with his scope of work dealing with population health, coding compliance/ optimization, and clinical integration. His ability to speak CMS-based guidelines in a “colleague to colleague” format has proven beneficial to attendees of the healthcare team.

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ProTime LLC e-Learning Platform

Billing & Coding Educational Series

Free of charge to all QualityImpact PTN members, the ProTime platform delivers self-paced, interactive courses, providing up-to-date contemporary insights and tools that you can use to enhance the efficiency and profitability of your billing and coding practices.

View FREE clips on the following topics:

  1. Introduction to Coding for HCPs

  2. HCC Coding

  3. E&M Coding


Module 1: Understanding Evaluation & Management Guidelines

Getting Paid for What You Do


Click Here to Access the Module 1


Module 5: Healthcare Quality and You

Quality Measurement Discussion


Click Here to Access the Module 5

Now available

Module 2: The Medicare Wellness Visits


Click Here to Access Module 2 on the ProTime e-Learning Platform

CMS Webinar: Virtual Group Participation in the Quality Payment Program

Hosted live on March 16, 2017, this CMS webinar discussion provides a comprehensive overview of virtual groups participation for those eligible professionals in the Quality Payment Program.


CMS Deep-Dive Webinar: MIPS Advancing Care information

This Center for Medicare & Medicaid Services (CMS) webinar shows how you can prepare your practice for 2017 Advancing Care Information participation.  Topics include measure identification, scoring, EHR certification requirements, and data submission methods.


Lunch n’ Learn: Healthcare Data Analytics - Population Health Trainings for Healthcare Staff

Each of these programs was developed with all healthcare team members in mind, and provides practical guidance on how to use and understand data to drive population health within their practices. Topics include understanding healthcare data analytics, applications of value-based care, and population health interventions.


Effective Partnerships for Enhancing Medication Safety and E-tool Use: Performance Metrics that Guide Patient-Centered Care

Tune in to hear personal and professional experiences about how the patient and family voice strengthens approaches to medication management and patient adoption of e-tools.  Practice exemplars, tools and PFE resources are included.


Activating Patient Engagement in Care Delivery: Performance Metrics that Guide Patient-Centered Care

This webinar provides practices with an overview of TCPI's Person and Family Engagement (PFE) performance metrics, designed to support your transformation through the implementation of meaningful person-centered care.


Quality Payment Program (QPP) Readiness Series

QualityImpact & American Medical Association Educational Webinar Series


Chronic Care Management Implementation Overview

Hosted by QualityImpact


Integrating Behavioral Health in Primary Care Settings

Hosted by the Network for Regional Healthcare Improvement Organization (NRHI)


2016 EHR Incentive Programs Requirements for Eligible Professionals

Hosted by the Centers for Medicare and Medicaid Services (CMS)


Quality and Resource Use Reports OVERVIEW (QRURs)

Hosted by the Centers for Medicare and Medicaid Services (CMS)


PQRS & MIPS in the Real World: Three Organizations Share their Experiences

Hosted by The National Council


2019 Collaborative Presentation Archives

view and download the meeting presentations

Day 1: Thursday, March 14, 2019

COSEHC Panel Discussion: Roots, Wings and Horizon 
Michael Moore, MD, SOVAH Health 
Daniel Lackland, DrPH, Medical University of South Carolina 
Debra Simmons, RN, MS, COSEHC & QualityImpact PTN 
Edward Roccella, PhD, MPD, Consultant & Former NHLBI Coordinator

A Fireside Chat with CMS Leadership 
Paul McGann, MD, Chief Medical Officer for Quality Improvement, The Centers for Medicare and Medicaid Services 
David Carmouche, MD, President, Ochsner Health Network, COSEHC Board of Directors President Elect 

The Business Case for Sustainable Transformation
David Hanekom, MD, Arizona Care Network 
Kristine Fay, MHA, Lee Physician Group 
Kelley Rogers, NP, Innova Primary Care 

Lecture Luncheon: Improving Joy in Medicine 
Christine Sinsky, MD, American Medical Association 

Key Success Factors for Effective Value-Based Partnerships 
Jami Berger, MBA, BSN, RN, Executive Director of Operations, Arizona Care Network 
Kenny Cole, MD, Chief Clinical Transformation Officer, Baton Rouge General Health System 

Engaging your Healthcare Team in Best Practice Care Models 
Christopher Ketchie, MHA, VP of Physician Services, Beaufort Memorial Hospital 
Jessica Krow, LPN, Clinical Nurse Manager, Beaufort Memorial Hospital 
Bill Grantham, MD, Medical Director, MEA Medical Clinics 
Amy Hollman, MD, Lead Physician, MEA Medical Clinics 

Prevention & Treatment Strategies for Substance Use Disorder 
Richard Taylor, MPA, Director of Business Development, eTransX, Inc. 
Vernon Scott, MD, Owner, Alabama Multi-Specialty Group, P.C. 
Michael Gimness, MD, Owner, Family Medical Specialists of Florida, PLC 

Correct Coding to Enhance Reimbursement 
Nick Ulmer, MD, CPC, VP of Clinical Integration, Spartanburg Regional Healthcare System 
Stephen Combs, MD, Vice President & Chief Medical Officer, Ballad Health

Day 2: Friday, March 15, 2019

The Most Important Clinical Points to Implementing the New Hypertension and Lipid Guidelines: A Case Oriented Approach 
Robert Carey, MD, University or Virginia School of Medicine 
Dan Jones, MD, University of Mississippi Medical Center 
Jan Basile, MD, Medical University of South Carolina 

Zero Suicide Initiative: The Power of Behavioral Health Integration 
Bob Vero, EdD & Karen Rhea, MD & Rebecca Stoll, LCSW, Centerstone Behavioral Health, Tennessee

Expanding Care Outside of the Office Visit 
Samuel Church, MD, Owner, Synergy Health 
Ashok Devatha, MD, Owner, New Carlisle Family Practice 

Investing in Complex Care Management: Impact & ROI 
Tracy Edwards, MD, Owner, Edwards Medical Practice 
Terri Ashmeade, MD, Chief Quality Officer, University of South Florida Health 

Engaging the Challenging Patient 
Beverley Johnson, Chief Administrative Office, Institute for Patient and Family-Centered Care 
Bernard Bernacki, DO, MPH, Owner, Bernacki Family Practice and Wellness Center 

COSEHC & PTN Awards, presented by COSEHC & PTN Leadership 

Optimizing Performance Payments 
Diane Cardwell, MPA, NP, PA-C, DCHC Consulting, Inc. 
Sandy Huckabee, RN, BSN, Clinical Quality Coordinator, Willis Knighton Physician Network 
Gail Williams, RN, BSN, Director of Quality & Post-Acute Care Coordination, Ballad Health 

Creating Continuity Through Community: Building a Medical Neighborhood 
Beth Neuhalfen, BS, American College of Physicians & Program Administrator for Health Neighborhood, Denver Health 
Brandi Warren, DO, Lead Physician, The Shaw Center for Women's Health 

Whole-Person Care & Lifestyle Medicine 
Nancy Neighbors, MD, Owner, Nancy Neighbors Family Practice 
Omolara Otaigbe, MD, Owner, Southern Medical Care 


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