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Form CMS-10683 MIPS Feedback Request: 8 Quick Multiple Choice Questions
ICR 201611-0938-004 · OMB 0938-1185 · Object 86612801.
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MIPS Feedback Request: 8 Quick Multiple Choice Questions Quality Insights is dedicated to helping your practice achieve success within the Quality Payment Program (QPP). Our goal is to help you earn the highest Merit-based Incentive Payment System (MIPS) score possible for 2018. Please take a few minutes to respond to the following questions to let us know what services and resources/tools have been most helpful to your practice in your MIPS efforts. Thank you in advance for your participation - we really appreciate your feedback! * 1. Do you belong to an Accountable Care Organization (ACO)? Yes No Plan to join one soon * 2. What were your biggest challenges with QPP participation in 2017? (Please select all that apply.) EIDM account set-up Attesting Staffing resources/lack of time Lack of knowledge/education Lack of interoperability Inadequate EHR vendor support EHR vendor delays EHR limitations (measures not available or issues with EHR reports Registry submission No challenges Did not participate in 2017 Other (please specify) 1 * 3. If you are participating in 2018, what type of assistance will help you improve your MIPS score? (Please select all that apply.) Easier access to Quality Insights staff Easier access to educational resources (i.e. websites, list serves, etc.) Additional or more detailed educational resources Additional one-on-one assistance Better understanding of the MIPS performance feedback reports N/A * 4. What are your biggest challenges in your day-to-day work activities? (Please select all that apply.) Limited staff No EHR (i.e. utilizing paper charts) Time or knowledge constraints No internet available Referrals: sending and receiving info electronically Practice Management Clinicians or staff resistant to change despite education Practice has little or no formal quality improvement plans or activities in place Difficult to stay current with QPP changes Other: (please describe) * 5. Which resources provide you the most value to successfully participate in QPP? (Please select all that apply.) Webinars (live or recorded) One-on-one virtual meetings (screen sharing) E-newsletters & e-bulletins from Quality Insights Support from EHR vendor Websites Educational Materials Timely information in any format Other 2 * 6. Which of the following organization's webinars do you regularly attend and/or watch recordings of? (Please select all that apply.) Quality Insights Centers for Medicare & Medicaid Services (CMS) Medical Society Registry Specialized Society Other: (please describe) * 7. Which of the following websites do you regularly visit? (Please select all that apply.) Quality Insights CMS (qpp.cms.gov) Medical Society Registry Specialized Society Other: (please describe) * 8. Which of the following types of educational materials do you like? (Please select all that apply.) Fact sheets Tip sheets Checklists Toolkits Reference guides Training videos Software application (i.e. MIPS Calculator) Other: (please describe) 9. Additional comments or suggestions: 3 According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-XXXX (Expires XX/XX/XXXX). The time required to complete this information collection is estimated to average [Insert Time (hours or minutes)] per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. ****CMS Disclosure**** Please do not send applications, claims, payments, medical records or any documents containing sensitive information to the PRA Reports Clearance Office. Please note that any correspondence not pertaining to the information collection burden approved under the associated OMB control number listed on this form will not be reviewed, forwarded, or retained. If you have questions or concerns regarding where to submit your documents, please contact Kathy Wild at kwild@qualityinsights.org. 4
| File Type | application/pdf |
| File Title | View Survey |
| File Modified | 0000-00-00 |
| File Created | 2018-10-03 |