June 7, 2017
XiaoLing Huang
Director, Data Analytics
Medicaid/CHIP Division
Health and Human Services Commission
I am sorry to be so long in responding to our brief introduction in San Antonio. I am very interested in your work and offer the following introduction to Southeast Texas Medical Associates, LLP (SETMA, www.jameslhollymd.com).
As I mentioned we have had two groups from China visit SETMA. In the course of this and three follow-up notes, I will:
- Summarize my presentation in San Antonio, including some addition thoughts, the slide deck and an audio recording of that presentation.
- Introduce you briefly to SETMA’s work.
- Share with you a presentation I made on the place of analytics in primary care which was delivered to the Massachusetts Medical Society.
- Connect you to our friends in China with links to some of our correspondence.
I look forward to a follow-up discussion.
Audio of presentation
Brief additional thoughts to MACRA and MIPS presentation
Links to Power Point Presentation in San Antonio
Brief Outline of San Antonio Presentation
Texas Regional HIMSS, May 25-26, 2017 - SETMA’s Approach to MACRA and MIPS
Texas Regional HIMSS, May 25-26, 2017
SETMA’s Approach to MACRA and MIPS
Below is a brief description and link to the various formats of my key-note address to the Texas Regional HIMSS Conference, May 25-26, 2017. MACRA and MIPS are major initiatives facing healthcare providers over the next 1-10 years. In this presentation, I address:
- How the Four Standards of MIPS relate to SETMA’s Four Principles of the Future of Healthcare (see slides 11, 21, 22, 23)
- How MACRA and MIPS do not avoid the pitfalls defined by SETMA over the past 22 years (Slides 24-31)
- How SETMA’s 2014 performance and CMS’ 2015 Audit Prepared SETMA for the future (Slides 31-40)
- How SETMA prepared for MIPS and how we daily audit our performance reflecting that preparation (slides 7-12, 41-48)
- Addendum: SETMA’s Tutorial for fulfilling MIPS and Daily Auditing Provider Point-of-Care Performance (slides 49-82)
Link to HIMSS Presentation’s PowerPoint
Learning Objective
- To see the continuity between organizational focus and systems design before and after MACRA and MIPS
- To describe how Southeast Texas Medical Associates’ (SETMA) transformation between 1995 and 2005 prepared for MACRA and MIPS
- To learn how to fulfill MACRA and MIPS without interfering with the patient/provider relationships
- To demonstrate how to meet MIPS requirements with systems redesign
- SETMA’s complete tutorial for MIPS can be found in slides 48-83 which will not be covered in today’s presentation
James (Larry) Holly, M.D.
C.E.O. SETMA
www.jameslhollymd.com
Adjunct Professor
Family & Community Medicine
University of Texas Health San Antonio
The Joe R. and Teresa Lozano Long School of Medicine
Clinical Associate Professor
Department of Internal Medicine
School of Medicine
Texas A&M Health Science Center
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