Overview of Master Classes:

The 2018 CMS Quality Conference Master Classes will provide conference participants with presentations and discussions from subject matter experts on diverse topics with various perspectives and views. The Master Classes will include dynamic presentations and/or interactive activities along with engaging discussion and a question and answer period at the end. In most cases, the Master Class will be repeated in back-to-back presentations to allow conference participants to attend two of seven Master Classes offered. Please see the below and/or the agenda for more information.

Master Classes are open to all conference participants, and those interested may be eligible to receive continuing education credit (CEU). In order to receive CEU for a conference session, participants must pass the post-assessment and complete the evaluation. Post-assessments are located on the CMS Medicare Learning Network® (MLN) Learning Management and Product Ordering System (LM/POS). See the Continuing Education (CE) Activity Information & Instructions, link below, for additional information and instructions.

Accreditation Council for Continuing Medical Education (ACCME)

The Centers for Medicare & Medicaid Services designates this live activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Credit for this course expires at midnight on March 5, 2018.

AMA PRA Category 1 Credit TM is a trademark of the American Medical Association

IACET International Association for Continuing Education and Training (IACET)

The Centers for Medicare & Medicaid Services (CMS) is authorized by IACET to offer 0.1 CEU(s) for this program. CEUs will be awarded to participants who meet all criteria for successful completion of this educational activity. CEU credit for this course expires at midnight on March 5, 2018.

FOR INSTRUCTIONS ON HOW TO RECEIVE CONTINUING EDUCATION CREDIT:
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNEdWebGuide/Downloads/CCSQQC.pdf

Master Classes: Session A (Tuesday, February 13, 2018)

Lean Thinking Using A3

Lean is a proven method to building a culture of continuous improvement and achieving high quality. This session will highlight one of the basic tools of Lean thinking- the A3 problem solving method. Through interactive sessions we will learn, practice and coaching the structured lean approach to focusing on the right problem to solve.

Speaker(s):     Rush Gross; Tennille Coombs

Session Date:  10:15 AM – 11:30 AM

Comprehensive Care Management Strategies to Address the Opioid Emergency in Rural Health Care Settings

Each day, according to the Centers for Disease Control and Prevention, 140 Americans die from drug overdoses, 91 specifically due to opioids. 52,404 Americans died from opioid overdoses in 2015, and preliminary numbers indicate at least 64,000 died in 2016. Prescription opioid and heroin-related overdoses have had devastating effects on many, and increasingly on rural families and communities across the country. According to the CDC, people in rural communities are more likely to overdose on prescription pain medications than people in cities. There are several factors affecting rural populations including lack of resources, limited communication across settings, regional factors. This session will provide information on the opioid epidemic prevalence in rural areas from the CDC, information on decision support tools which help integrate the CDC opioid prescribing guidelines, will include information on MAT and resources available for clinicians from a lead at SAMHSA, and include models of successful spread intervention and practice transformation from the leaders of the ECHO opioid model.

Speaker(s):       Jan Losby; Judy Bartlett; Tony Campbell
Facilitator(s):    Anita Thomas

Session Date:   10:15 AM – 11:30 AM

Connecting the Dots with Care Coordination – Maximizing Opportunities to Improve Care Management for Medicare Beneficiaries with Multiple Chronic Conditions.

This Master Class session pulls together care coordination experts from across CMS as well as the community to raise awareness of the importance of care coordination, educate on the care management options under the Medicare Physician Fee Schedule (PFS), and maximize opportunities to support Medicare beneficiaries with multiple chronic conditions.  Attendees will receive an overview of care management services under the Medicare PFS such as chronic care management (CCM), behavioral health integration (BHI) and transitional care management (TCM).  The new 2018 care management services for Rural Health Clinics and Federally-Qualified Health Centers will also be covered.  Participants will receive information on the latest CCM research conducted by the CMS Innovation Center as well as findings and resources from the Connected Care Campaign, and stories from the field from a family medical practitioner and the CMS regional offices.

Speaker(s):        Michelle Oswald; Karen Smith; Ann Marshall; Corinne Axelrod; Sai Ma; Ashby Wolfe; Beth Chalick-Kaplan

Session Date:   10:15 AM – 11:30 AM

Building a Better Patient Experience Using Human Centered Design

Designing effective care delivery models begins with a deep and authentic understanding of what patients truly need and want, and human centered design is a proven approach to developing patient-centered solutions. This master class will provide participants with an opportunity to experience design thinking first-hand through interactive exercises to illustrate how they apply to the improvement of health care systems.

Speaker(s):       Karen Matsuoka; Amanda Sammann
Facilitator(s):    Jane Taylor; Lara Chehab; Devika Patel; Jen Liao

Session Date:   10:15 AM – 11:30 AM

Implementation of High Impact Research and Science into Quality Improvement and Reducing Hypoglycemia Harm. Success Stories from the PTN and HIIN

This Master Class will demonstrate how transformation of practice, improvement of quality, and patient safety are possible for providers working with populations at risk for hypoglycemia, reducing the risk for ED visits and hospitalization and ultimately cost savings from more effective care and anticipatory guidance. From a policy perspective of the National Action Plan for ADE Prevention, the Class quickly moves into real-world examples of QI from a PTN and a HIIN. The presentations are complemented by examples of innovations and risk stratification tools funded by FDA and VHA, as well as recent workshops increasing public awareness of patient-centered outcomes, shared decision-making, and risk mitigation.

Speaker(s):         Clydette Powell; Nilay Shah; Christine Lee; Leonard Pogach; Matthew Grissinger; Jade Perdue; Robert Flemming

Session Date:     10:15 AM – 11:30 AM

Master Classes: Session B (Tuesday, February 13, 2018)

Lean Thinking Using A3

Lean is a proven method to building a culture of continuous improvement and achieving high quality. This session will highlight one of the basic tools of Lean thinking- the A3 problem solving method. Through interactive sessions we will learn, practice and coaching the structured lean approach to focusing on the right problem to solve.

Speaker(s):          Rush Gross; Tennille Coombs

Session Time:     11:45 AM – 1:00 PM

Comprehensive Care Management Strategies to Address the Opioid Emergency in Rural Health Care Settings

Each day, according to the Centers for Disease Control and Prevention, 140 Americans die from drug overdoses, 91 specifically due to opioids. 52,404 Americans died from opioid overdoses in 2015, and preliminary numbers indicate at least 64,000 died in 2016. Prescription opioid and heroin-related overdoses have had devastating effects on many, and increasingly on rural families and communities across the country. According to the CDC, people in rural communities are more likely to overdose on prescription pain medications than people in cities. There are several factors affecting rural populations including lack of resources, limited communication across settings, regional factors. This session will provide information on the opioid epidemic prevalence in rural areas from the CDC, information on decision support tools which help integrate the CDC opioid prescribing guidelines, will include information on MAT and resources available for clinicians from a lead at SAMHSA, and include models of successful spread intervention and practice transformation from the leaders of the ECHO opioid model.

Speaker(s):        Jan Losby; Judy Bartlett; Tony Campbell
Facilitator(s):    Roger Liu

Session Time:    11:45 AM – 1:00 PM

Patients over Paperwork Best Practice: Quality Improvement Innovations that Reduce Burden and Generate Results

The purpose of this session is to facilitate the surfacing and sharing of tangible and easy to implement improvement interventions with proven results in reducing clinician burden in healthcare settings.  The session will open by highlighting the HHS CMS plans for Patients over Paperwork. We will then highlight an exemplar strategy utilizing a population management system to maximize interoperability, reduce burden and generate performance results.  The following activities will include interactive table discussions led by CMS chief medical officers, QIIG national faculty and QPP Clinician champions. We will capture the additional innovations in reducing burden shared by session participants.  Exemplar strategies surfaced during the event will be captured and shared with the full quality conference community for spread across the communities of practice.

Speaker(s):         LCDR Fred Butler, Jr.; Kevin Larsen; Greg Wolverton

Session Time:     11:45 AM – 1:00 PM

Connecting the Dots with Care Coordination – Maximizing Opportunities to Improve Care Management for Medicare Beneficiaries with Multiple Chronic Conditions

This Master Class session pulls together care coordination experts from across CMS as well as the community to raise awareness of the importance of care coordination, educate on the care management options under the Medicare Physician Fee Schedule (PFS), and maximize opportunities to support Medicare beneficiaries with multiple chronic conditions.  Attendees will receive an overview of care management services under the Medicare PFS such as chronic care management (CCM), behavioral health integration (BHI) and transitional care management (TCM).  The new 2018 care management services for Rural Health Clinics and Federally-Qualified Health Centers will also be covered.  Participants will receive information on the latest CCM research conducted by the CMS Innovation Center as well as findings and resources from the Connected Care Campaign, and stories from the field from a family medical practitioner and the CMS regional offices.

Speaker(s):        Michelle Oswald; Karen Smith; Ann Marshall; Corinne Axelrod; Sai Ma; Ashby Wolfe; Beth Chalick-Kaplan

Session Time:    11:45 AM – 1:00 PM

Building a Better Patient Experience Using Human Centered Design

Designing effective care delivery models begins with a deep and authentic understanding of what patients truly need and want, and human centered design is a proven approach to developing patient-centered solutions. This master class will provide participants with an opportunity to experience design thinking first-hand through interactive exercises to illustrate how they apply to the improvement of health care systems. 

Speaker(s):        Karen Matsuoka; Amanda Sammann
Facilitator(s):    Jane Taylor; Lara Chehab; Devika Patel; Jen Liao

Session Time:    11:45 AM – 1:00 PM

Patient-Centered Quality Improvement Strategies for Adverse Drug Event Prevention: Real-world Implementation for Anticoagulants and Diabetes Medications

 Adverse drug events (ADEs) from anticoagulants and diabetes medications are among the most common causes of medication-related harm in older Americans and have been identified as priority targets in federal patient safety initiatives. These medications represent a substantial challenge, not only for clinicians and patients, but for quality improvement efforts as well. The objective of this master class is to provide the audience with timely and valuable information regarding quality improvement initiatives aimed at preventing ADEs from anticoagulants and diabetes medications. Presentations will address real-world experience with implementation of patient-centered quality improvement initiatives for these high-risk medication classes and offer solutions to challenges and barriers to effective quality improvement of anticoagulation and glycemic management. IPRO, the Medicare Quality Improvement Organization for New York State, will present on a mobile application (MAPPP) designed to improve anticoagulation management in the periprocedural period, one of the highest risk periods of anticoagulant ADEs, and its integration into electronic health record clinical decision support (CDS) across multiple inpatient and outpatient vendor systems, with the goal of improving care coordination and post-procedural outcomes, and reducing adverse events. The Veterans Health Administration (VHA) will present the most recent updates to a VHA quality improvement initiative that effectively leverages CDS tools and multi-disciplinary care coordination to identify and evaluate patients at high risk for hypoglycemia and to provide a means for standardized evaluation and documentation of the patient assessment and plan regarding that risk, with the goals of informing providers of the best available evidence, facilitating shared decision-making between providers and patients, reducing unnecessary care, and improving diabetes medication safety. Presentations will be framed with overviews from the Centers for Disease Control and Prevention on the most recent data for anticoagulant and diabetes medication ADEs in older Americans and from the CMS QIN-QIO program on patient-centered ADE prevention initiatives across the CMS quality continuum, including quality and payment programs.

Speaker(s):         Nadine Shehab; Anita Thomas; Anne Myrka; Sandra Hedin; Randy Fenninger

Session Time:    11:45 AM – 1:00 PM