2021 Quality Blue Virtual Spring Collaborative
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2021 Quality Blue Virtual Spring
Collaborative
Technical Meeting Reminders:
• Questions may be entered in chat
• All questions will be answered at the end of each session
• A link to access the materials will be sent out after the event
• If you are joining via your computer audio, you can mute and unmute yourself by clicking
the microphone in the task bar at the top of your screen
• If you are joining by phone, you can mute and unmute your phone by using *6
Collaborative Welcome
And
Opening Remarks
Dr. Stephanie Mills, EVP, Health Services and Chief Medical Officer
Blue Cross and Blue Shield of Louisiana
Collaborative Agenda
Topic
Time
Presenter
Collaborative Begins/Welcome and Opening Remarks
12:30p.m. – 12:40 p.m.
Dr. Stephanie Mills, EVP, Health Services and Chief Medical Officer
Blue Cross and Blue Shield of Louisiana
Wellness Resources
12:40 p.m. – 12:50 p.m.
Quinn Banquer, Manager of Health Promotion and Wellness
Blue Cross and Blue Shield of Louisiana
Care Management Integration
12:50 p.m. – 1:20 p.m.
Mary Ann Martin, Office Manager
Family Clinic, Inc.
1:20 p.m. to 1:30 p.m. Break
COVID-19 Response Review
1:30 p.m. – 1:50 pm.
Dr. Jeremy Wigginton, MD, FAAFP, CPHQ, Interim VP, Population Health and Quality Transformation
Blue Cross and Blue Shield of Louisiana
Telehealth Integration
1:50 p.m. – 2:20 p.m.
Jaclyn Bourque, MHA, Population Health and Office Manager
Scott Family Physicians
2:20 p.m. – 2:30 p.m. Closing
Dr. Edward Jeffries, Quality Blue Medical Director
Blue Cross and Blue Shield of Louisiana
Wellness Resources
Presenter: Quinn Banquer, Manager of Health Promotion and Wellness
Blue Cross and Blue Shield of Louisiana
Wellness Resources for Your Patients Through our updated wellness portal, available at www.bcbsla.com every Blue Cross member can access: -A Personal Health Assessment with a confidential, individualized report and Wellness Score -Smoking cessation resources -Online workshops for a variety of health topics such as preventative health, healthy aging, sleep health, financial wellness and more -COVID-19 resources -An extensive health library -Challenges that make fitness fun -Nutrition and exercise programs and trackers via connected apps -Monthly wellness newsletters
WHAT IS BLUE365? The leading health and wellness discount program offering members significant exclusive savings on gym memberships, wearables, weight loss programs, hearing aids and more. As a BCBS customer, members have access to this program and its benefits at no additional cost.
HOW DOES IT WORK?
o Blue365 is a value-added program; it is NOT part of
health insurance benefits/coverage and doesn’t impact
premium costs
o Blue 365 is available to all members with BCBS
coverage from a participating Blue365 Plan regardless
of plan or coverage
o One-time registration.
No re-enrollment during open enrollment
o Immediate family members with Blue coverage
(spouses and dependents) are eligible and can sign-
up with only one account
blue365deals.com/bcbsla
FROM TOP BRANDS BEST IN-INDUSTRY DISCOUNTS
HEARING & VISION FITNESS PERSONAL CARE HOME & FAMILY
APPAREL & FOOTWEAR TRAVEL
HEALTHY TIPS
Blue365 provides unique health
education content for members
across:
o Fitness
o Nutrition
o Stress Reduction
o Financial Health
o Vision & Hearing Health
o Pet Health
blue365deals.com/healthy-tipsDISCOUNTED FITNESS
RESOURCES
Blue365’s Fitness Your Way offer and Gympass
offer provide an affordable way for to work out and
stay fit at home or fitness locations nationwide.
What is Fitness Your Way? What is Gympass?
o Access to over 10,000 fitness o Access to over 11,000 fitness
locations locations from solidcore and F45
to Barry’s Bootcamp and Soulcycle
o Live classes led by wellness
professionals, with new o Live classes led by wellness
classes added weekly. professionals, with new classes
added weekly.
o 24/7 access to On-Demand
videos – from strength training o Wellness resources including
to meditation online therapy, nutrition tips, and
more.
o Visit any participating location–
anytime, o Visit any participating location–
anywhere–as often as you’d anytime,
like anywhere–as often as you’d like
o Only $29 per month through o 1-on-1 virtual personal training
Blue365
o Pricing starting at $19.99/monthMARKETING
MATERIALS
Digital print-friendly marketing materials
are available to assist in promoting the
program to your patients.
Gympass Patient Flyer
General Blue365 Patient FlyerThank you Questions?
MD CME Disclosure Information
This continuing physician activity was approved for 1.25 Contact Hours by the American Academy of Family
Physicians (AAFP)
The planners and authors of this course have no relevant conflicts of interest, including no relevant financial relationship
that relate to this educational activity. Blue Cross and Blue Shield Of La. guarantees this educational activity is
free from bias.
Criteria to receive credit:
• In order to receive credit for this continuing education you must register by completing the necessary
requested event registration form. Because our current version of Microsoft teams does not allow us to capture
credentials information upon entering the session, you will be provided a link to complete a short survey with your
credential information. The survey must be completed within 3 business days.
• Attend the entire collaborative based on attendance report BC will pull from Microsoft Teams. Attendance report shows
time attendee joined the session and time the attendee left the session.
The materials provided in this event expire 5/6/2021
14Care Management Integration Presenter: Mary Ann Martin, Office Manager, Family Clinic Inc.
At the end of this presentation, participants should
Objectives be able to:
• Discuss the importance of Care Management Integration.
• Identify strategies to implement Care Management in their
practice.
• Understand the impact of Care Management to both the
practice and their patients.
16Why implement Care Management? • Need for Advanced Alternative Payment Model • Accreditation • Driven by Chronic Conditions(start small) • Transition of Care Issues • ER and Inpatient Utilization
What did staffing for your Care Management
program look like?
• Physicians
• Clinical and Non-clinical support staff
• TrainingWhat impact did your Care Management program have on your staff and your patients? • Clinic Workflow changes • Standardized templates for standards of care • New patient onboarding process • “Warm hand off” from Physician to Care Manager • EMR usage for tracking and scheduling appointments • Focus on Care Gaps • Impact Pre/Post COVID
What are some successes that you can tell us about as a result of implementing a Care Management program into your practice? • Improvements in clinical documentation • Increased patient engagement in healthcare • Enhanced monitoring of clinical quality metrics
POLLING Why would Care Management be
QUESTION beneficial to your clinic?
A. Comprehensive Treatment
B. Enhanced Access Services
C. Lower Healthcare Expenditures
D. Improvement in the Quality of Care
E. All of the above
21How would you define Care
POLLING Management?
QUESTION
A. A concept of bringing together inputs delivery
management and organization of services related to
diagnosis, treatment, care rehabilitation, and health
promotions.
B. Act of assigning individual patients to individual
primary care providers (PCP) and care team with
sensitivity to patient and family preference.
C. A process of transferring a patient’s care from one
setting or level of care to another.
D. The extent to which a patient’s behavior (e.g. taking
medications with respect to timing, dosage, and
frequency) corresponds with agreed-upon
recommendations from a health-care provider
medication compliance
22Thank you Questions?
Break
COVID-19 Response Review
Jeremy B. Wigginton, MD, FAAFP, CPHQ
Interim VP, Population Health & Quality Transformation
Blue Cross and Blue Shield of Louisiana
25COVID-19 RESPONSE
WE ARE A COMPANY WITH MISSION -DRIVEN RESPONSE
Blue Cross can always be trusted to protect the wellness and well-being of our members and employees, especially
during times of emergency and uncertainty.
BLUE CROSS AND BLUE SHIELD OF LOUISIANA RESPONSE TO COVID-19
Dedicated webpages for providers, members, and producers/employers
$
Provided coverage
Covered the full Waived prior
for prescription Leveraged Pi
cost of medically authorizations for Encouraged
drugs such as platform disease
necessary diagnostic tests and telehealth usage by
Waived cost-sharing hydroxychloroquine, state tracker for
diagnostic tests that for covered services waiving members'
for COVID-19 chloroquine, and/or impending outbreak
were consistent with that were medically cost share for
medical treatments. azithromycin that of COVID-19.
CDC guidance necessary and eligible telehealth
may have been Offered to State for
related to consistent with visits.
prescribed for their use.
COVID-19. CDC guidance.
COVID-19.
Ended 1/1/21 for FI BlueCare 0$ 4/20-5/20
These provisions were each in effect beginning in or around March 2020 but may no longer apply at the time of slide viewing.
26Additional Response Efforts
• Company Telehealth Policy • Rapid Adoption of New Codes
• Coding • Provider Communication
• Billing • Community Feedback
• Reimbursement
• Focus on Access to Care • COVID-19 Vaccines
• Suspended Administrative Tasks • Administration Reimbursement
• Inpatient Records Req. (3/20-5/20) • Member Communications
• Encouraged Members to “Keep
up with care”COVID-19 RESPONSE
COVID-19 VACCINE
• Blue Cross and Blue Shield of Louisiana is sharing messages and
conducting outreach to help everyone feel safe, prepared and comfortable
getting the COVID-19 vaccine.
• Press releases, media appearances : Medical Director support
• BCBSA & Federal initiative : Community Connectors
• Partnering with 100 Black Men (New Orleans and Baton Rouge chapters)
• Baton Rouge Health District’s #COVIDSafe outreach campaign
• Internal BCBSLA employee communications & volunteering opportunities
28QB Reminders
• Quality Blue Primary Care
• Waived In-Office BP Cuff
Calibration Requirement
• Set to Expire June 30, 2021
• Letter sent 4/22/20
• Updates Provided Regularly
• Newsletter
• Provider COVID pageThank you Questions?
Telehealth Integration
Presenter: Jaclyn Bourque, MHA
Office and Population Health Manager, Scott Family PhysiciansAt the end of this presentation, participants should
Objectives be able to:
• Discuss the importance of telehealth
• Understand a method for implementing telehealth and
increasing patient engagement.
• Describe how telehealth impacts chronic condition
outcomes.
32How did your clinic discover the need for
telehealth services?
• Entered into an Advanced Alternative
Payment Model (CPC+ Track 2)
• Identified a need to focus on behavior
modification strategies for educating our
chronic condition populationHow did your clinic implement telehealth? • Choosing a platform to meet the needs of the clinic • Developing policies and procedures • Aligning clinical and non-clinical staff resources • Changes to patient scheduling • EMR usage for tracking and scheduling appointments
How has telehealth expanded opportunity
for patient engagement?
• COVID-19 Impact
• Non-physical check up
• Counseling
• Diabetic Education
• Wellness Program
• Addresses the constraints of the working adult
• Focus on care gaps
• Getting patients acquainted with telehealthHow has telehealth expanded access to care? • Increased number of patients per day/per physician • 24/7 access to services • Offering patients in-person vs telehealth visits
Where have you seen the greatest success?
• Improved access for patients
• Improved patient experience
• Personalized patient education
• Offered additional opportunities for clinic staff
• Modification in Billing Services
• Monitoring clinical quality metrics
• Clinical documentation
• Identification of new opportunities
• Expand conditions
• Offer group classes in futureWhat tips would you share for
clinics considering telehealth?
• Platforms for EMRs
• One provider at a time
• Do what works for your clinic
• Trust the processWhat are the advantages of offering
POLLING telehealth services in your clinic?
QUESTION
A. Expanded access to care for patients
B. Improved patient engagement
C. Optimize outcomes through reduced
gaps in care
D. Control of infectious illness
E. All of the above
39Thank you Questions?
MD CME Disclosure Information
This continuing physician activity was approved for 1.25 Contact Hours by the American Academy of Family
Physicians (AAFP)
The planners and authors of this course have no relevant conflicts of interest, including no relevant financial relationship
that relate to this educational activity. Blue Cross and Blue Shield Of La. guarantees this educational activity is
free from bias.
Criteria to receive credit:
• In order to receive credit for this continuing education you must register by completing the necessary
requested event registration form. Because our current version of Microsoft teams does not allow us to capture
credentials information upon entering the session, you will be provided a link to complete a short survey with your
credential information. The survey must be completed within 3 business days.
• Attend the entire collaborative based on attendance report BC will pull from Microsoft Teams. Attendance report shows
time attendee joined the session and time the attendee left the session.
The materials provided in this event expire 5/6/2021
41Closing Remarks
Dr. Edward Jeffries, Quality Blue Medical Director
Blue Cross and Blue Shield of LouisianaYou can also read
