Summit Provider Newsletter - June 2023

Medicare Health Outcomes Survey, Recall of Eye Drops Notice, and more!

Welcome to the June issue of the Summit Health Newsletter. As a valued Summit Health partner, we appreciate your commitment to providing the highest quality care to our members.

Below is a preview of the articles you will find in this month's issue:

• Medicare Health Outcomes Survey
• Recall of Contaminated Eye Drops
• Care Gap Management Application Webinar Recording

Visit archived newsletters here.

Your voice matters

To ensure we are providing the information you need to deliver better care to your patients, we would love to hear from you. Please let us know if you have any questions, concerns or recommendations on topics that we can include in future issues.

Thank you,

Your Summit Health Team

Medicare Health Outcomes Survey (HOS)

Primary care plays a key role in improving and maintaining the overall health of our members. Join us in encouraging your patients to complete their AWV or Annual Physical Exam. This will help them stay up to date with their preventive care and also impact your potential incentive earnings for the 2023 Medicare Advantage Primary Care Incentive Program (MAPCIP).

Your Summit Health patients have a covered AWV (once every calendar year) and an Annual Physical Exam (once every calendar year) at no cost. While these visits are not Medicare Star Measures, they are important opportunities to impact many quality measures and improve better health outcomes for your patients.

These also allow opportunities to evaluate and discuss health topics that are included in the annual CMS Health Outcomes Survey (HOS) that takes place from July through November, including:

• Monitoring Physical Activity
• Improving Bladder Control
• Reducing the Risk of Falling
• Improving or Maintaining Physical Health
• Improving or Maintaining Mental Health

An AWV and the Annual Physical Exam can be completed at the same visit and can also be combined with a problem visit, but please note that a cost-share would apply if combined with a problem visit.

Please be sure to code services accurately, for both your own reimbursement and quality measure reporting. Refer to our Summit Health Guide to Preventive Visitsto review details about coding, talking points for scheduling, and other helpful tips.

Recall of Contaminated Eye Drops

The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) has recently published an outbreak and patient notification on an extensively drug-resistant strain of Pseudomonas aeruginosa . It has been associated with multiple types of infections, including eye infections.

The report states that the investigation has identified EzriCare artificial tears as a common exposure for many patients. Three products have been voluntarily recalled by their manufacturer, Global Pharma, in association with this outbreak: EzriCare Artificial Tears, Delsam Pharma Artificial Tears, and Delsam Pharma Artificial Ointment. No other products have been linked to this outbreak.

Eye infection symptoms may include:

• Yellow, green, or clear discharge from the eye
• Eye pain or discomfort
• Redness of the eye or eyelid
• Feeling of something in your eye (foreign body sensation)
• Increased sensitivity to light
• Blurry vision

CDC and FDA recommendations:

1. Clinicians and patients to stop using and discard EzriCare Artificial Tears and two additional products made by the same manufacturer, Delsam Pharma’s Artificial Tears, and Delsam Pharma’s Artificial Ointment.
2. Facilities and/or providers who have already administered EzriCare or Delsam Pharma’s Artificial Tears or Delsam Pharma’s Artificial Ointment to their patients should monitor for signs and symptoms of infection and perform culture and antimicrobial susceptibility testing when clinically indicated.
3. Healthcare professionals to report adverse events or quality problems with any medicine to FDA’s MedWatch Adverse Event Reporting program.
4. Patients may also report adverse reactions by contacting FDA’s Consumer Complaint Coordinators.

Care Gap Management Application Webinar Recording

Summit Health and Novillus recently hosted a webinar on the Care Gap Management Application (CGMA), a web-based tool that allows clinics to view and close care gaps, capture Hierarchical Condition Codes (HCC’s) throughout the year, manage your patient roster, and view your incentive program progress.

This webinar covers:

• How clinics can view and close care gaps related to Medicare Stars measures
• Explain how the platform can help clinics manage their patient roster and reassign members to another PCP
• Show examples of real time performance towards Summit incentive program
• And more!

To request the recording link, please contact CGMANotifications@yoursummithealth.com.

Upcoming Events & Training

Summit Health Spring Clinic Trainings

Our EOCCO and Summit Health Quality Improvement (QI) team provides concierge support through dedicated QI staff, clinic trainings, and regular touchpoints.

Please contact EOCCOmetrics@modahealth.com to schedule a meeting, if interested.

Questions?

Questions related to EOCCO & Summit Health Quality Measures?
Please email EOCCOmetrics@modahealth.com

Questions related to Risk Adjustment?
Please email risk@yoursummithealth.com

Questions related to HEDIS Chart Collection?
Please email HEDIS@modahealth.com

If you would like to be added or removed from this email list, please let us know at ProviderInquiry@yoursummithealth.com