adapting and updating: patient education, engagement

Adapting and Updating: Patient Education, Engagement, Notification, and Tracking

Comprehensive Care for Joint Replacement Model

October 21, 2020

Audio available through device speakers OR by dialing (800) 832 - 0736

Conference Room:*2657582# Access Code: 102120#


Comprehensive Care for Joint Replacement Model 2

Welcome

Alicia Goroski, MPH CJR Learning System Team

The Lewin Group

Laura Maynard, M.Div CJR Learning System Team

The Lewin Group


Webinar Agenda

• Welcome & Meeting Logistics

• CJR Connect Update

• Patient Education, Engagement, Notification, and Tracking in CJR Model Toolkit 2.1

• Panel Discussion

• Reactions, Questions, & Discussion

• Leaving in Action

• Announcements & Reminders


CJR Model Three Year Extension and Changes to Episode Definition and Pricing Proposed Rule Notice

We acknowledge that there are many questions surrounding the CJR Model Three Year Extension and Changes to Episode Definition and Pricing Proposed Rule that was published on February 24, 2020. At this time, we are unable to provide additional details and we refer you to the May 14, 2020 webinar on the CJR Model Three Year Extension and Changes to Episode Definition and Pricing that many participants found helpful in answering their questions about the proposed rule. Those webinar materials are available on CJR Connect as well as during today’s event in the Event Resources pod.

The Final Rule has not yet been published and therefore, we are unable to comment on the timeline at this time. An announcement will be sent out as soon as more information becomes available.

If you have additional questions about the proposed rule that are not answered in the resources above please submit them to [email protected] and the CMS CJR Model Team can provide an official answer.

mailto:[email protected]


Meeting Logistics

• All telephone lines are muted • We encourage comments, questions, and reactions via Chat

throughout the webinar

Disclaimer: The Centers for Medicare & Medicaid Services (CMS), its employees, agents and staff assume no responsibility for any errors or omissions in the content of this webinar. CMS makes no guarantees of completeness, accuracy or reliability for any data contained or not contained herein. CMS shall not be held liable for any use of the information described and/or contained herein and assumes no responsibility for anyone's use of the information. CMS does not endorse any strategies, tactics, or vendors referred to in this webinar. The views and opinions expressed in this webinar are those of the participants and do not represent the official policy or position of CMS.


Introduction to Adobe Connect

Download Available Resources

Closed Captioning

To Ask Questions

or Send Messages

To Dial In Via

Telephone


Enlarge the Slides

• Click on the four outward facing arrows to enlarge the slides.

• To return to the original view, click on the four arrows that will now be facing inward.


Download Resources

• Download the materials for today’s session from the Event Resources Pod.

• To download a file, select the file and click the Download File(s) button which will open a pop - up window that will allow you to save the document to your computer.


Let’s Chat!

• Use the Chat pod to submit any questions or comments

• Please use “@” if your question/comment is directed to a specific presenter

• Submit your question/comment by clicking the chat bubble icon

• Please share in Chat now : – Organization – Location – One strategy related to patient

education, engagement, notification, and/or tracking that your hospital has adapted or updated recently

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CJR Connect Update


CJR Connect Has Been Upgraded!

On July 27th, CJR Connect transitioned to a new site with an improved design, a simple file library, and more user - friendly navigation • The new sign - on page is: https://app.innovation.cms.gov/CMMIConnect/s/login/

• The new site operates best on standard web browsers produced since 2015, including Chrome, Firefox, Safari, and Edge, rather than Internet Explorer

• All of the materials from this webinar are available on CJR Connect, in the “Adapting and Updating: Patient Education, Engagement, Notification, and Tracking 10 21 20” folder of the CJR Library

– If you don’t have a CJR Connect account, go to: https://app.innovation.cms.gov/CMMIConnect/s/login/ and click “New User? Request for Access”

https://app.innovation.cms.gov/CMMIConnect/s/login/



CJR Connect Upgrade: New Features & Design

Files: The library’s new structure transitions files into folders with strategically concise names for easy navigation.

Universal Search Bar: Users can use the universal search bar to search for anything on the site, including files, events, groups, people, articles, FAQs, topics, questions, and answers.

· My Groups: The Groups the user is currently a member of.

· CJR Groups: All active CJR Groups that users can join are located here.

Chatter Feed· Post Tab: Share updates, news, or

resources with other CJR participants.

· Question Tab: Start a discussion in the community. Questions and answers can now be “upvoted” to support the question.

· Poll Tab: Create a poll in Chatter to gather feedback from other CJR participants.

Calls to Action: Important CJR deadlines and reminders appear on the right side of the screen.

Upcoming Events: The calendar view has been replaced with an Events page list, with increased functionality that allows users to easily identify upcoming events.

• Universal search bar

• New library structure, with folders

• Upcoming events • Groups features • New chatter,

including posts, questions, and polls

• Calls to action

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Patient Education, Engagement, Notification and Tracking in the CJR Model Toolkit 2.1


Patient Education & Engagement

Information on patient and caregiver education and engagement can be found primarily under the primary driver Right Care, Right Time


Patient Notification & Tracking

Information on patient notification and tracking can be found primarily under the primary driver Coordination Across the Care Continuum

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Panel Discussion

Julie Kellen, PT Executive Director of Orthopaedic Service

Line Baptist Hospital

Mary Doucet, LCSW CJR Bundle Program Manager

New York-Presbyterian Hospital

Ally Wade, MPH Joint Replacement Navigator

Baptist Hospital

Charlene Gonzalez, RN Care Coordinator

New York-Presbyterian Hospital


Baptist Hospital

• 253 bed hospital in Pensacola, Florida • Performance Year 4 CJR Volume: 341 episodes

Ø 307 non - fractures and 34 fractures Ø Approximate 469/470 annual volume: 800 - 900


New York Presbyterian Hospital

Academic Medical Center with 5 campuses: Weill Cornell: 948 beds

Lower Manhattan: 184 beds Columbia University Irving Medical Center:

701 beds Allen Hospital: 212 beds

NYP - Lawrence (Westchester) merged with NYPH in April 2018: 238 beds

Performance Year 4 Episodes: 464

Regional Hospitals with separate CJR Bundles: NYP - Brooklyn Methodist

NYP - Hudson Valley


Discussion: Patient Education

How have you changed and adapted your patient education approaches over the years of your CJR participation, and how are you doing

patient education now?


Discussion: Setting Patient Goals and Expectations

How do you set goals and expectations with your patients?


Discussion: Patient Engagement and Optimization

How do you engage your CJR patients in optimizing their health prior to surgery?


Discussion: Results

What results have you seen from your patient engagement efforts?


Discussion: Post-Operative Patient Engagement

How do you engage with your CJR patients post-operatively?


Discussion: CJR Model Patient Feedback

What are ways that you incorporate feedback from patients into your CJR program?


Discussion: Patient Notification and Tracking

Have you updated your process of patient notification over the years? If so, how?


Reactions, Questions, & Discussion

• Use the Chat pod to submit any questions

• Please use “@” if your question is directed to a specific presenter


Poll 1

Which of the risk assessment and optimization strategies below has your organization updated or adapted recently? [select all that apply]

– Changing , improving, or standardizing beneficiary preoperative assessment

– Assessing beneficiary’s financial and social risk factors that may impact health outcomes (e.g., support system, transportation, ability to afford medication or supplies)

– Stratifying beneficiaries based on risk assessment – Optimizing beneficiary’s health prior to surgery – Using prehabilitation to improve post - surgical outcomes – Conducting home visits in the post - acute care period for high - risk

patients – Other (please tell us more in chat)


Leaving in Action

• Please type into the Chat pod: – What new information have you identified today

that you will continue to think about and work on throughout the next month?


Notice

Disclaimer: The Centers for Medicare & Medicaid Services (CMS), its employees, agents and staff assume no responsibility for any errors or omissions in the content of this webinar. CMS makes no guarantees of completeness, accuracy or reliability for any data contained or not contained herein. CMS shall not be held liable for any use of the information described and/or contained herein and assumes no responsibility for anyone's use of the information. CMS does not endorse any strategies, tactics, or vendors referred to in this webinar. The views and opinions expressed in this webinar are those of the participants and do not represent the official policy or position of CMS.

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Announcements & Reminders


CJR Connect Security Update

On November 2nd, a CJR Connect security update will take place for CMMI applications that will improve security and efficiency for users. • CMMI is introducing Single Sign On through OKTA Identify Management (OKTA IDM) • After the update CJR Connect users must use CMS credentials to access the Connect

site. If you do not have compatible CMS credentials then you will be prompted to register for CMS IDM credentials by the Connect site when you attempt to log in on November 2nd

• Users will also be required to complete a one - time Remote Identify Proofing (RIDP) authentication

• All current Connect users will receive an email from [email protected] in the coming days informing the user if they have an existing CMS credential or if they will need to create one through Connect



CJR News

• As of July 2020, the CJR News is distributed on a bi - monthly basis. Look for the CJR News on the second Tuesday of every other month!

• The CJR News is your one - stop - shop for all things CJR! Specifically:

– Model updates, – Webinar news, – CJR hospital highlights, – Relevant reads, – CMMI updates, – What’s new on CJR Connect and more!

• Do you receive our newsletter? – If not, reach out to us at [email protected] to be added to

the CJR News distribution list!



Not Receiving CJR News?

To ensure that you receive the CJR News from the CMS CJR Model Support Team, please add

[email protected] to your safe sender list if you have not done so already.



Upcoming Events

Patient Reported Outcomes and Risk Variable Data Results for CJR Model Performance Years 1-4

Wednesday, November 4, 2020 2-3 PM EDT

CJR as an Advanced Alternative Payment Model: Guidance and Submission Process for Financial

Arrangement and Clinician Engagement Lists

Tuesday, November 10th, 2020 2-3 PM EDT


Reminders

• Send any follow - up or unanswered questions from today’s webinar to [email protected]

• Contact [email protected] for any technical or programmatic questions related to the CJR model

• If your organization has made any changes to your points of contact for the CJR model, please email [email protected] to request a Data Request and Attestation (DRA) form which should be submitted through the Data Portal (preferred) or through encrypted email.

• To request a CJR Connect account, go to: https://app.innovation.cms.gov/CMMIConnect/s/login/ and click “New User? Request for Access”

– Please select CJR Connect from the “Model Name” drop down menu within the Request Access form .

• Please take a few minutes to complete the Post-Event Survey





adapting and updating: patient education, engagement

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