Regulatory Central

Why Use Regulatory Central?

US Regulatory programs like Promoting Interoperability and the Quality Payment Program are often difficult to track and manage performance. Since these programs impact organizational reimbursement for Medicare claims it is imperative that health care providers stay on top of the latest updates and scoring within the Regulatory space. Regulatory Central is the tool that helps you stay up to date on program performance and certification requirements. This tool offers program point indicators that are up to date with the latest from CMS, so you are not stuck with trying to figure out if you are going to receive an incentive or penalty. It also helps you keep up to date on your Certification requirements and helps you generate your Office of the National Coordinator (ONC) CHPL ID. This tool brings together multiple regulatory functions and programs into one easy to access space to help you focus your attention on improving patient care.

What is Regulatory Central?

Regulatory Central is a tool that can:

Assist in managing individual eligible clinicians (ECs) and group Tax IDs (TINs) through the MIPS Program
Provide scoring indicators for MIPS (ECs/TINs) and Promoting Interoperability (EH/CAH)
Guide your implementation strategy for Certified Technology and help generate your ONC CHPL ID

Regulatory Central provides a central place to access educational resources about different regulatory programs. The tool also provides supportive education while determining which measures to track and focus organizational attention on to improve scoring.

Educate

Identify

Engage

Track

Regulatory Central provides a central place to access educational resources about the MIPS program. The tool also provides supportive education while selecting eligibility and choosing which measures to track.

To more easily manage a group of providers, you can identify and track your specific list. Lists can be manually created or imported via CSV. They can also be filtered by facility, position, provider and specialty. When you import provider lists, importing the NPI and TIN name should be sufficient to populate additional information in the system (i.e. this will give you facility, position, specialty and provider information).

Determine your MIPS eligibility by going through the questions outlined under the Eligibility tab. Select the measures you want to track for your provider group in each category. Measure lists are pulled from Centers for Medicare and Medicaid Services (CMS) and can be filtered depending on the category. Education about each measure is also provided.

Regulatory Central can help you track your performance for the selected measures, access each category and input the scores you may have already received on each measure. The data input will drive scoring updates made to each category and the Composite Performance Score (CPS). This can be updated throughout the reporting period to understand overall program performance.

What’s Next?

The initial phase of this project focuses on the MIPS program. The long-term strategy for this tool is to provide a centralized platform for clients to track their organization's performance in programs related to regulatory requirements, quality and value-based care payment models.

A couple things we plan to focus on next include:

Pull in Bedrock TIN configuration to automate provider groupings per organization
Pull in aggregated data from Cerner Millennium® to automate data input and scoring updates
Provide dashboard views of provider and group performance, trend performance, benchmark data against peer and Cerner averages* and visualize areas for greatest improvement

*Based on available data

Regulatory Central has expanded from our beginning in 2017 to include more regulatory programs and features like Promoting Interoperability, ONC CHPL ID generation, and pulling organizational data to ensure setup is accurate and complete. We still have our sights set on improving the overall experience and including more regulatory based programs to track. We appreciate any and all comments and ideas to help us better serve you. If you would like to let us know how we can help, please do not hesitate to use the “Feedback” feature which should be on the right hand side of the screen when you are in the tool.

Below is an example of the way Regulatory Central can display the MIPS scoring component that can be used and tracked throughout the year.

Composite Performance Score

Quality

Improvement Activities

Promoting Interoperability

Selected Measures

6 Measures Added

NQF Measure

Score

0059
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

9.7
0070
Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)

9.43
0083
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

8
0086
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

6.95
0088
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy

9.37
0089
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

10

Selected Measures

4 Measures Added

40pt Bonus For Participating in PCMH

Measure

Score

Engagement of new Medicaid patients and follow-up

20
Leveraging a QCDR to standardize processes for screening

10
Leveraging a QCDR to promote use of patient-reported outcome tools

10
Leveraging a QCDR for use of standard questionnaires

10

Selected Measures

11 Measures Added

50pt Bonus For Completing Required Measures

10pt Bonus For Selecting a CEHRT Eligible Measure

Measure

Score

e-Prescribing

0
Health Information Exchange

12
Provide Patient Access

10
Security Risk Analysis

0
Medication Reconciliation

4
View, Download, or Transmit (VDT)

3
Immunization Registry Reporting

10
Syndromic Surveillance Reporting

5

Bonus Point Question
Patient-Specific Education

2
Secure Messaging

1