E-QUAL E-newsletter

September 11, 2017 | Volume 2 | Issue 9

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If youare interested in joining the 2018 learning collaboratives, please fill out ourinterest formand the E-QUALteam will contact you directly.


E-QUALPublication

Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E-QUAL)

E-QUAL'sfirst publication is a guide to EDs and policymakers on current CMS SEP-1 performance and ED sepsis best practices implementation.




E-QUALLearning Collaboratives

Sepsis|Avoidable Imaging|Chest Pain


Sepsis Portal Activities

Register Today:Sepsis Office Hours-LIVEWebinar

September 26th, 2017 from 12:00 PM - 1:00 PM EST


As participants in theSepsis Wave II learning collaborative, pleasemake sure to continue to complete the portal activities. We recommend that you complete one activity per month.At this time your site should be working onActivity 9"Tell your Success Story".


Webinar Review

Balancing Antibiotics Stewardship with Sepsis
Jessica Whittle, PhD, MD
Lauren Epstein, MD, MSc

Our webinar this month aimed to help care givers by:

  • Illustratingthat antibiotics should be targeted to the likely site of infection, even in a patient with sepsis.
  • Restatingthe importance of resistances, local antibiograms, and emerging pathogens.
  • Categorizingthe important roles and benefits antibiotic stewardship can provide an ED.



Sepsis eCME

Fluid and Pressors Management - Including Challenging Cases and Exceptions

To view all ofE-QUAL'sSepsis InitiativeeCME,clickhere.

Avoidable ImagingPortal Activities

Register Today:Avoidable Imaging Office Hours-LIVEWebinar

September 28th, 2017 from 2:00 PM - 2:45PM EST


As participants in theAvoidable Imaging Wave IIlearning collaborative, pleasemake sure to continue to complete the portal activities. We recommend that you complete one activity per month.At this time your site should be working onActivity 4"Engage Leadership and Review Best Practices".


Webinar Review

Head Trauma (Clinical Topic)
EdwardMelnick, MD, MHS
Adam Sharp, MD, MS

Our webinar this month aimed to help care givers by:

  • Illustratingthat low risk adult head trauma patients do not benefit from head CTs.
  • Discussing therole of traditional decision support in moderately decreased CT use.
  • Statingthe importance of focusing on doctor patient communication and the role of IT interfaces in facilitating this communication.


Avoidable ImagingeCME

Working with Radiology to Reduce avoidable imaging: Misconceptions and Frustrations about Emergency Medicine and Radiology

To view all ofE-QUAL'sAvoidable ImagingInitiativeeCME,clickhere.

Avoidable ImagingPodcast

Working with Radiology to Reduce Avoidable Imaging

To view all ofE-QUAL'sAvoidable ImagingInitiativepodcasts,clickhere.

Chest Pain Portal Activities

As participants intheChestPain Wave Ilearning collaborative,please make sure to continue to complete the portal activities. We recommend that you complete one activity per month.At this time your site should be working onActivity 2 "Benchmarking". The submission deadline for Activity 2 isSeptember 29th.To receive a benchmarking report, your site must complete Activity 2 by the deadline.


Webinar Review

Making the Most Out of an Observation Stay
Anwar Osborne, MD
MichaelGranovsky, MD, CDC-CEDC

Our webinar this month aimed to help care givers by:

  • Analyzingthe importance of observation units in an ED.
  • Illustratinghow observation services will be an expanding determinant of our success in bringing value to health care delivery.
  • Discussing documentation requirements, patient financial responsibility, and single, bundled payments for Observation.


Chest PaineCME

Risk Stratification Scores and Shared Decision Making

To view all ofE-QUAL'sChest Pain InitiativeeCMEclickhere.

Chest Pain Podcast

Risk Stratification Scores and Shared Decision Making

To view all ofE-QUAL'sChest Pain Initiativepodcastsclickhere.







“Adding Clinical Decision Instruments to your EMR can result in more evidence-based imaging utilization.”

Kevin Klauer, DO, EJD, TeamHealth

Interested in providing Quality Tips from your experiences? Your tip will be highlighted and credited to you, as shown above. Please contact us atequal@acep.org.

Question:

How does participation in E-QUAL affect our site's ability to avoid MIPS penalties and gain bonuses?

Answers:

For 2017, downward adjustment (or a penalty) can be avoided by participating in the program and completing at least one improvement activities (E-QUAL actually can earn you credit for more than one improvement activity) or submit one quality measure in the quality category (E-QUAL participation does not meet any Quality category requirements). However, to be eligible for any of the over $500 million CMS is authorized to provide increase in payments (or bonuses), participation in the Quality category and full participation in Improvement Activity is likely required. The greater than 90-day requirement applies to both Quality and Improvement Activity categories to be eligible for bonus. While CMS has not provided any detailed description of bonus eligibility, we believe that clinicians that receive full Improvement Activity Credit (40 points for 2017, possible through full participation in E-QUAL) and report multiple measures for the Quality Category for greater than 90 days (possible through CEDR, but again not based on E-QUAL) will likely score above national averages and receive bonus payments.

For other questions please visit our updatedFAQ page. If your question has not been answered, please e-mail us atequal@acep.org.


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