ApolloMD 2023 Improvement Activities
Demographic Information
First, what is your full name?
Next, what is your email address?
Next, choose which ApolloMD Facility these Improvement Activities pertain to.
Please select...
AdventHealth Gordon - EM
AdventHealth Murray - EM
Ashe Memorial Hospital - EM
Atrium Health Floyd Cherokee - EM
Atrium Health Navicent - EM
Bakersfield Heart Hospital - EM
Baptist Health Care Pensacola - EM
Gulf Breeze Hospital - EM
Houston Medical Center - EM
Humboldt Park Health - EM - RCM
John F Kennedy Memorial Hospital - HM
Lenoir Memorial Hospital - EM
Lompoc Valley Medical Center - HM
Maria Parham Health - EM
Novant Health Brunswick Medical Center - EM
Novant Health Clemmons Medical Center - EM
Novant Health Kernersville Medical Center - EM
Novant Health Thomasville Medical Center - EM
Onslow Memorial Hospital - EM
Perry Hospital - EM
Piedmont Columbus Regional - Midtown Campus - EM
St. Joseph's University Medical Center - EM
St. Joseph's Wayne Medical Center - EM
Account ID
EM - 1
Now, please complete the following form. Your facility is required to complete both Activities.
Activity 1 (10 points)
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
Yes
No
Activity 2 (20 points)
Collection and Follow-up on patient experience and satisfaction data on beneficiary engagement
Do you receive and analyze patient experience data at your practice? (Examples: Press Ganey, NRC, other)
Yes
No
Patient Satisfaction Program Action Plan and Survey Results (provided to you by the Patient Satisfaction Team). [LABEL FILE NAME with 'Facility Name - 2023']
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
EM - 5
Now, please complete the following form. Your facility is required to complete all Activities.
Activity 1 (10 points)
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
(10 points)
Yes
No
Activity 2 (20 points)
Collection and Follow-up on patient experience and satisfaction data on beneficiary engagement
Do you receive and analyze patient experience data at your practice? (Examples: Press Ganey, NRC, other)
(20 points)
Yes
No
Patient Satisfaction Program Action Plan and Survey Results (provided to you by the Patient Satisfaction Team) [LABEL FILE NAME with 'Facility Name - 2023']
Activity 3 (10 points)
Measure and Improve Quality at the Practice Level
Measure and Improve quality at the practice level that could include one or more of the following:
1)
Regularly review measures of quality, use, patient satisfaction and other measures that may be useful at practice level.
and/or
2)
Use relevant data sources to create benchmarks and goals for performance at the practice level.
(10 points)
Yes
No
1)
Attach a copy of a quality-improvement program/plan or review of quality, use, patient satisfaction and other measures to improve one or more elements of this activity.
OR
2)
Attach a policy or data from department committee (e.g. Monthly Quality Report, head CT door to report times, head CT door to EKG times, door to floor times for admitted patients) [LABEL FILE NAME with 'Facility Name - 2023']
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
EM - 6
Now, please complete the following form. Your facility is required to complete all Activities.
Activity 1 (10 points)
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
(10 points)
Yes
No
Activity 2 (10 points)
Measure and Improve Quality at the Practice Level
Measure and Improve quality at the practice level that could include one or more of the following:
1)
Regularly review measures of quality, use, patient satisfaction and other measures that may be useful at practice level.
and/or
2)
Use relevant data sources to create benchmarks and goals for performance at the practice level.
(10 points)
Yes
No
1)
Attach a copy of a quality-improvement program/plan or review of quality, use, patient satisfaction and other measures to improve one or more elements of this activity.
OR
2)
Attach a policy or data from department committee (e.g. Monthly Quality Report, head CT door to report times, head CT door to EKG times, door to floor times for admitted patients) [LABEL FILE NAME with 'Facility Name - 2023']
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
HM - 5
Now, please complete the following form. Your facility is required to complete all Activities.
Activity 1 (10 points)
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
Yes
No
Activity 2 (10 points)
Activity ID
Implementation of medication management practice improvements
Manage medications to maximize efficiency, effectiveness, and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
(10 points)
Yes
No
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
EM - 2
Now, please complete the following form. Your facility is required to attest to enough activities to accumulate a total of
20 points
.
Activity 1 is required.
Activity 1 (10 points)
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
(10 points)
Yes
No
Activity 2
(20 points)
Provide 24/7 Access to MIPS Eligible Clinicians or Groups who have Real-Time access to Patient's Medical Record
Provide 24/7 access to MIPS eligible clinicians for advice about urgent and emergent care (e.g., MIPS eligible clinician access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record)
(20 points)
Yes
No
I Attest that ED physicians are available at all times, including after regular business hours, to cover follow up for patients' blood and urine culture results, and any updates/changes/final reads of radiographic studies performed in the ED.
Yes
No
Activity 3 (10 points)
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms
Patient Experience Review/Improvement
(10 points)
Yes
No
Attach Summary of patient satisfaction data that you receive from your third-party survey vendor. [LABEL FILE NAME with 'Facility Name - 2023']
Activity 4 (10 points)
Measure and Improve Quality at the Practice Level
Measure and Improve quality at the practice level that could include one or more of the following:
1)
Regularly review measures of quality, use, patient satisfaction and other measures that may be useful at practice level.
and/or
2)
Use relevant data sources to create benchmarks and goals for performance at the practice level.
(10 points)
Yes
No
1)
Attach a copy of a quality-improvement program/plan or review of quality, use, patient satisfaction and other measures to improve one or more elements of this activity.
OR
2)
Attach a policy or data from department committee (e.g. Monthly Quality Report, head CT door to report times, head CT door to EKG times, door to floor times for admitted patients) [LABEL FILE NAME with 'Facility Name - 2023']
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
EM - 3
Now, please complete the following form. Your facility is required to attest to enough activities to accumulate a total of
40
points.
Activities 1 and 2 are required.
Activity 1 (10 points)
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
(10 points)
Yes
No
Activity 2 (20 points)
Collection and Follow-up on patient experience and satisfaction data on beneficiary engagement
Do you receive and analyze patient experience data at your practice? (Examples: Press Ganey, NRC, other)
(20 points)
Yes
No
Patient Satisfaction Program Action Plan and Survey Results (provided to you by the Patient Satisfaction Team) [LABEL FILE NAME with 'Facility Name - 2023']
Activity 3
(20 points)
Provide 24/7 Access to MIPS Eligible Clinicians or Groups who have Real-Time access to Patient's Medical Record
Provide 24/7 access to MIPS eligible clinicians for advice about urgent and emergent care (e.g., MIPS eligible clinician access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record)
(20 points)
Yes
No
I Attest that ED physicians are available at all times, including after regular business hours, to cover follow up for patients' blood and urine culture results, and any updates/changes/final reads of radiographic studies performed in the ED.
Yes
No
Activity 4 (10 points)
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms
Patient Experience Review/Improvement
(10 points)
Yes
No
Attach Summary of patient satisfaction data that you receive from your third-party survey vendor. [LABEL FILE NAME with 'Facility Name - 2023']
Activity 5 (10 points)
Measure and Improve Quality at the Practice Level
Measure and Improve quality at the practice level that could include one or more of the following:
1)
Regularly review measures of quality, use, patient satisfaction and other measures that may be useful at practice level.
and/or
2)
Use relevant data sources to create benchmarks and goals for performance at the practice level.
(10 points)
Yes
No
1)
Attach a copy of a quality-improvement program/plan or review of quality, use, patient satisfaction and other measures to improve one or more elements of this activity.
OR
2)
Attach a policy or data from department committee (e.g. Monthly Quality Report, head CT door to report times, head CT door to EKG times, door to floor times for admitted patients) [LABEL FILE NAME with 'Facility Name - 2023']
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
EM - 4
Now, please complete the following form. Your facility is required to attest to enough activities to accumulate a total of
4
0
points.
Activity 1 is required.
Activity 1 (10 points)
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
(10 points)
Yes
No
Activity 2
(20 points)
Provide 24/7 Access to MIPS Eligible Clinicians or Groups who have Real-Time access to Patient's Medical Record
Provide 24/7 access to MIPS eligible clinicians for advice about urgent and emergent care (e.g., MIPS eligible clinician access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record)
(20 points)
Yes
No
I Attest that ED physicians are available at all times, including after regular business hours, to cover follow up for patients' blood and urine culture results, and any updates/changes/final reads of radiographic studies performed in the ED.
Yes
No
Activity 3 (10 points)
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms
Patient Experience Review/Improvement
(10 points)
Yes
No
Attach Summary of patient satisfaction data that you receive from your third-party survey vendor. [LABEL FILE NAME with 'Facility Name - 2023']
Activity 4 (10 points)
Measure and Improve Quality at the Practice Level
Measure and Improve quality at the practice level that could include one or more of the following:
1)
Regularly review measures of quality, use, patient satisfaction and other measures that may be useful at practice level.
and/or
2)
Use relevant data sources to create benchmarks and goals for performance at the practice level.
(10 points)
Yes
No
1)
Attach a copy of a quality-improvement program/plan or review of quality, use, patient satisfaction and other measures to improve one or more elements of this activity.
OR
2)
Attach a policy or data from department committee (e.g. Monthly Quality Report, head CT door to report times, head CT door to EKG times, door to floor times for admitted patients) [LABEL FILE NAME with 'Facility Name - 2023']
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
HM - 1
Now, please complete the following form.Your facility is required to attest to enough activities to accumulate a total of 20 points.
Activity 1 (10 points)
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
Yes
No
Activity 2 (10 points)
Activity ID 4
Advance Care Planning
Do you discuss and document the advance care plan or living will within the medical record for appropriate patients?
Yes
No
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
HM - 2
Now, please complete the following form. Your facility is required to attest to enough activities to accumulate a total of
20
points. Activity #1 required.
Activity 1 (10 points)
Activity ID 1
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
(10 points)
Yes
No
Activity 2 (10 points)
Measure and Improve Quality at the Practice Level
Measure and Improve quality at the practice level that could include one or more of the following:
1)
Regularly review measures of quality, use, patient satisfaction and other measures that may be useful at practice level.
and/or
2)
Use relevant data sources to create benchmarks and goals for performance at the practice level.
(10 points)
Yes
No
1)
Attach a copy of a quality-improvement program/plan or review of quality, use, patient satisfaction and other measures to improve one or more elements of this activity.
OR
2)
Attach a policy or data from department committee (e.g. Monthly Quality Report, head CT door to report times, head CT door to EKG times, door to floor times for admitted patients) [LABEL FILE NAME with 'Facility Name - 2023']
Activity 3 (10 points)
Activity ID 3
Implementation of medication management practice improvements
Manage medications to maximize efficiency, effectiveness, and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
(10 points)
Yes
No
Activity 4 (10 points)
Activity ID 4
Advance Care Planning
Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning. Motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning.
Yes
No
Activity 5
(20 points)
Provide 24/7 Access to MIPS Eligible Clinicians or Groups who have Real-Time access to Patient's Medical Record
Provide 24/7 access to MIPS eligible clinicians for advice about urgent and emergent care (e.g., MIPS eligible clinician access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record)
(20 points)
Yes
No
I attest that a member of the hospital medicine service is available at all times, including after regular business hours, to cover follow up for patients' blood and urine culture results, and any updates/changes/final reads of radiographic studies. Additionally, a member of the service may assist both during and after business hours with follow up consultants to coordinate follow up appointments and communicate information on the patient’s hospital stay.
Yes
No
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
HM - 3
Now, please complete the following form. Your facility is required to attest to enough activities to accumulate a total of
40
points. Activities 1 and 3 are
required.
Activity 1 (10 points)
Activity ID 1
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
(10 points)
Yes
No
Activity 2 (10 points)
Measure and Improve Quality at the Practice Level
Activity ID 2
Measure and Improve quality at the practice level that could include one or more of the following:
1)
Regularly review measures of quality, use, patient satisfaction and other measures that may be useful at practice level.
and/or
2)
Use relevant data sources to create benchmarks and goals for performance at the practice level.
(10 points)
Yes
No
1)
Attach a copy of a quality-improvement program/plan or review of quality, use, patient satisfaction and other measures to improve one or more elements of this activity.
OR
2)
Attach a policy or data from department committee (e.g. Monthly Quality Report, head CT door to report times, head CT door to EKG times, door to floor times for admitted patients) [LABEL FILE NAME with 'Facility Name - 2023']
Activity 3 (20 points)
Activity ID 3
Do you receive and analyze patient experience data at your practice? (examples: Press Ganey, NRC, other)
Yes
No
Patient Satisfaction Program Action Plan and Survey Results (provided to you by the Patient Satisfaction Team)
Activity 4 (10 points)
Activity ID 4
Implementation of medication management practice improvements
Manage medications to maximize efficiency, effectiveness, and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
(10 points)
Yes
No
Activity 5 (10 points)
Activity ID 5
Advance Care Planning
Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning. Motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning.
Yes
No
Activity 6
(20 points)
Provide 24/7 Access to MIPS Eligible Clinicians or Groups who have Real-Time access to Patient's Medical Record
Provide 24/7 access to MIPS eligible clinicians for advice about urgent and emergent care (e.g., MIPS eligible clinician access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record)
(20 points)
Yes
No
I attest that a member of the hospital medicine service is available at all times, including after regular business hours, to cover follow up for patients' blood and urine culture results, and any updates/changes/final reads of radiographic studies. Additionally, a member of the service may assist both during and after business hours with follow up consultants to coordinate follow up appointments and communicate information on the patient’s hospital stay.
Yes
No
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
HM - 4
Now, please complete the following form. Your facility is required to attest to enough activities to accumulate a total of
40
points.
Activity 1 (10 points)
Activity ID 1
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
(10 points)
Yes
No
Activity 2 (10 points)
Measure and Improve Quality at the Practice Level
Measure and Improve quality at the practice level that could include one or more of the following:
1)
Regularly review measures of quality, use, patient satisfaction and other measures that may be useful at practice level.
and/or
2)
Use relevant data sources to create benchmarks and goals for performance at the practice level.
(10 points)
Yes
No
1)
Attach a copy of a quality-improvement program/plan or review of quality, use, patient satisfaction and other measures to improve one or more elements of this activity.
OR
2)
Attach a policy or data from department committee (e.g. Monthly Quality Report, head CT door to report times, head CT door to EKG times, door to floor times for admitted patients) [LABEL FILE NAME with 'Facility Name - 2023']
Activity 3 (10 points)
Activity ID
Implementation of medication management practice improvements
Manage medications to maximize efficiency, effectiveness, and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
(10 points)
Yes
No
Activity 4 (10 points)
Activity ID
Advance Care Planning
Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning. Motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning.
Yes
No
Activity 5
(20 points)
Provide 24/7 Access to MIPS Eligible Clinicians or Groups who have Real-Time access to Patient's Medical Record
Provide 24/7 access to MIPS eligible clinicians for advice about urgent and emergent care (e.g., MIPS eligible clinician access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record)
(20 points)
Yes
No
I attest that a member of the hospital medicine service is available at all times, including after regular business hours, to cover follow up for patients' blood and urine culture results, and any updates/changes/final reads of radiographic studies. Additionally, a member of the service may assist both during and after business hours with follow up consultants to coordinate follow up appointments and communicate information on the patient’s hospital stay.
Yes
No
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
ANES - 1
Now, please complete the following form. Your facility is required to attest to enough activities to accumulate a total of
20
points.
Activity 1 (10 points)
Activity ID 1
Participation in an AHRQ-listed patient safety organization
Do you work with a Patient Safety Organization (PSO) - ApolloMD has one as of May 2020, so please answer "Yes".
(10 points)
Yes
No
Activity 2 (10 points)
Engagement of patients, family, and caregivers in developing a plan of care
Does your group engage patient, family, and caregiversin developing a plan of care prioritzing their goals for action, documented in the patient's record?
(10 points)
Yes
No
Provider Participation
Have 50% of providers in your group participated in these activities?
Yes
No
For 2023, to receive credit for improvement activities, 50% or more of the physicians at each practice must participate in the above activities. Please list the names.
Contact Information