Summit Provider Newsletter - May 2023

Provider Data Exchange, Upcoming Novillus Webinar, and No Cost CME Opportunity

Welcome to the May 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:

• Support for You and Your Summit Health Patients
• Summit Health Provider Data Exchange
• No Cost Continuing Medical Education (CME) Opportunity to Meet New Drug Enforcement Administration (DEA) Requirement
• Care Gap Management Application Upcoming Webinar

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

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Support for You and Your Summit Health Patients

We know that our provider partners are often the first line to care for and engage with our Summit Health members, and we are here to support you and your patients in any way we can. 

Summit Health provides:

• Translation services for Summit Health members
• A Customer Service team that can support members in navigating their benefits and insurance questions
• Care management teams including Health Coaching and Case Management teams, comprised of Registered Nurses and Licensed Clinical Social Workers
• Chronic condition management programs for members with diabetes or chronic kidney disease
• And more!

Please let us know if there are ways that we can serve you and your Summit Health patients better.

Summit Health Provider Data Exchange 

Summit Health is enthusiastic to share information regarding our streamlined Provider Data Exchange (PDE), an automated incentive-earning data share program to help providers close care gaps. We are flexible and accommodating to support any lift required to set up the seamless supplemental and clinical data sharing process.

How PDE works

Summit Health builds a Secure File Transfer Protocol (SFTP) Site, data schemas to integrate your data into our internal data warehouse, and valuable reporting on measurement gap lists and incentive earnings that are shared through monthly provider reports accessible on our Provider Reports Portal.

You can then submit data using a secure File Transfer Protocol (FTP) client. Data can be submitted in up to four categories (diagnostics, labs, vitals, and screenings and assessments) monthly or other regular cadence through your dedicated SFTP site. Not all four categories of data are required, but highly recommended to impact potential incentive earnings.

Once initial data is submitted, we will conduct an audit for quality and ensure all schemas are integrating your data appropriately. After validation, the process will be automated to intake your data and produce updated accurate monthly reports.

Email valuebaseddatasharing@modahealth.com to schedule a 30-minute introductory call to learn more and get started today!

No Cost Continuing Medical Education (CME) Opportunity to Meet New Drug Enforcement Administration (DEA) Requirement

Beginning on June 27, 2023, the Drug Enforcement Administration (DEA) will require a one-time attestation of training on management of substance use disorders (SUDs) prior to renewal of a DEA registration. 

This means the eight-hour training must be met before:

• Applying for a DEA license for the first time on or after June 27, 2023; or
• Your next DEA license renewal date on or after June 27, 2023

This is a one-time DEA requirement. Once you’ve attested to completing eight hours of required training, you will not need to complete additional training for subsequent DEA renewals.

The Oregon Health & Science University (OHSU) Addiction Medicine ECHO Program provides no cost continuing medical education (CME) credits that will support meeting this new DEA requirement. For more information or to register, visit oregonechonetwork.org. 

Care Gap Management Application Upcoming Webinar

Summit Health and Novillus are hosting an upcoming webinar on the Care Gapjavascript:void(0); 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.

• When: Wednesday, May 17th from 12 to 1 pm PT
• Where: This event will be held virtually. Participants must register via the link below in order to receive the event invitation.
• What: This webinar will cover:
  • 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!

Register for the CGMA Information Session here.

We look forward to seeing you on May 17th!

Upcoming Events & Training

Summit Health Spring Clinic Trainings

Our EOCCO and Summit Health Quality Improvement (QI) team will be conducting clinic trainings on the 2023 Medicare Advantage Primary Care Incentive Program (MAPCIP) and quality measures. These will be held virtual.

Please contact EOCCOmetrics@modahealth.com to schedule.

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