Nevada Internal Medicine First to Join the New
Show-Me Health Information Network of Missouri
SHINE, the Show-Me Health Information Network of Missouri, in partnership with the Missouri State Medical Association, is pleased to announce Nevada Internal Medicine has joined the newly formed physician-led statewide interoperable health information exchange (HIE).

"I am excited to join SHINE," said Warren C. Lovinger Jr., MD, MACP, past president of the Missouri Medical Association, and an internal medicine specialist. "As a physician, SHINE can help me access my patients' medical information when I need it, wherever I am. Better communication and care coordination between my office and hospitals, labs, pharmacies, and referring physicians across the state benefits my patients."

Alexander Hover, MD, FACP, AGAF, and chair of the SHINE Physician Advisory Committee said, "we value Dr. Lovinger and Nevada Internal Medicine as an HIE partner. Dr. Lovinger has been a champion for Missouri physicians for decades. His leadership in this endeavor in inestimable."

The SHINE HIE is unique and reaches beyond the simple transmission of data at the point of care. SHINE offers a suite of innovative technology tools to help physicians share patient information while employing powerful analytic reports designed to help improve clinical outcomes, reduce inefficiencies, and positively impact patient safety.

Participating physicians, hospitals and other providers share patient health information, including information from all providers and facilities from whom a patient has received care. Physicians can proactively manage their patients' care in ways that have never been possible before while also establishing efficient methods to meet changing quality reporting requirements.

To learn more about SHINE of Missouri, visit www.shineofmissouri.com or contact Jonathan Smith, Regional Manager, at 844.424.4370 or jsmith@SHINEofMissouri.com.
Worried About MIPS for 2018?
SHINE of Missouri can help.
With the deadline for 2017 MIPS data submission behind us, it's time to focus on MIPS for 2018. Here are a few of the significant changes to MIPS for 2018:

  • 2018 Eligibility: Individual MIPS eligible clinicians or groups with less than or equal to $90,000 in Medicare part B allowed charges, or less than equal to 200 Part B beneficiaries are exempt from MIPS in 2018. Visit www.qpp.cms.gov/participation-lookup to see if you are eligible for MIPS in 2018.
  • 2018 Performance Threshold: In order to avoid a negative payment adjustment in 2020, MIPS eligible clinicians or groups need to score a minimum of 15 points in 2018 to receive a neutral payment adjustment.
  • 2018 Cost Category: Cost will be weighted as 10% of your MIPS score. Cost includes the Medicare spending per beneficiary and total per capita cost measures. Here is how 2018 MIPS scoring is weighted: Quality=50%, Advancing Care Information (now known as Promoting Interoperability) =25%, Improvement Activities=15%, Cost=10%.
  • 2018 Quality Reporting Period: The minimum quality reporting period has expanded from 90 days to the full calendar year.

SHINE of Missouri can help you meet 2018 MIPS requirements in a variety of ways:

  • Health Information Exchange: SHINE of Missouri has a physician-led, secure health information network that allows connected patients, physicians, health care facilities, and other health care providers to share patient information.
  • Qualified Clinical Data Registry (QCDR): SHINE of Missouri has a CMS-approved QCDR called the "Doctors Quality Reporting Network." Through our QCDR we are able to collect and submit your Quality (via eCQMs), Advancing Care Information (now known as Promoting Interoperability), and Improvement Activities for MIPS.
  • Hands On-Technical Support: Whether you have questions about MIPS or need help with quality measure documentation in your Electronic Health Record, representatives from SHINE are available to meet with you in person, via webinar, phone, or by email.

If you have questions regarding MIPS, or would like to schedule a demonstration of SHINE, contact jsmith@SHINEofMissouri.com or visit our website at www.SHINEofMissouri.com.
CMS Changes Name of the EHR Incentive Program And Advancing Care Information Performance Category
In late April, the Centers for Medicare and Medicaid Services (CMS) announced proposed rule changes directly aimed at empowering patients and reducing administrative burden for physicians. These changes are tied to CMS’s ongoing commitment to interoperability, patient data access and system-wide health information exchange (HIE).

The meaningful use EHR Incentive Programs will now be known as “Promoting Interoperability”, and the Merit-based Incentive Payment Program (MIPS) Advancing Care Information performance category will be known as the “Promoting Interoperability performance category” to maintain alignment across both programs. 

The goal is to put patients first so they may access high quality care, benefit from more choices and enjoy better outcomes. In addition, the proposed rule prioritizes price transparency and interoperability while also allowing hospitals greater flexibility. CMS is updating its guidelines to specifically require hospitals to post their standard charges. CMS is seeking comment from the public on what price transparency information would be most useful and how best to help hospitals create patient-friendly interfaces. The goal is to make it easier to access relevant health care data and to compare providers.

As part of CMS’ commitment to reducing burden, it is proposing the removal of unnecessary, redundant, and process-driven quality measures from a number of quality reporting and pay-for-performance programs. A significant number of the measures acute care hospitals are currently required to report would be eliminated, and duplicative measures across the five hospital quality and value-based purchasing programs would be removed. This would remove a total of 19 measures from the programs and de-duplicate another 21 measures.

CMS is proposing other changes that reduce the number of hours providers spend on paperwork, so more time can be spent providing patient care. The elimination of 25 total measures across the 5 programs is estimated to reduce 2 million burden hours and save approximately $75 million.

The proposed rule reiterates the requirement for providers to use the 2015 edition of certified electronic health record technology in 2019 as part of demonstrating meaningful use to qualify for incentive payments and to avoid reductions to Medicare payments. Under Promoting Interoperability, updates to EHR and related technology includes the use of application programming interfaces, or APIs for patients to collect their health information from multiple providers, and to potentially incorporate all of their data into a single portal, application, program, or other software.

Just a reminder CMS reporting for the Quality Payment Programs can be simplified using the tools and resources of the Show-Me Health Information Network of Missouri (SHINE). For more information on SHINE, contact jsmith@shineofmissouri.com .

For a fact sheet on the proposed rule (CMS-1694-P), please visit:  https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2018-Fact-sheets-items/2018-04-24.html .

To comment on the proposed ruling, CMS-1694-P, visit: www.regulations.gov no later than 5 p.m. on June 25, 2018. Follow the “Submit a comment instructions.” 
my MOHealtheRecords: a Smart Way to Manage Personal Health Care Information
SHINE of Missouri reminds members of the online patient portal which provides a secure, one stop site for health care data. my MOHealtheRecords eliminates a patient's need to login to multiple portals, hand-carry their records, or rely on another physician's office sending information via fax.

"Now is the time to take charge of your health care," said Jonathan Smith, Regional Manager at SHINE of Missouri. " my MOHealtheRecords is a smart way for patients to manage medical information. Data from participating providers is in one location—records on medications, allergies, previous illnesses, injuries and more. Access is simple and secure at any time."

SHINE of Missouri supports and encourages patient engagement by electronically transmitting medical records available in the health information exchange to patients who have an established my MOHealtheRecords account. Information can be updated, organized and accessed by computer, tablet or smartphone. my MOHealtheRecords is certified by the Office of the National Coordinator (ONC) and meets all of the Meaningful Use and Merit-Based Incentive Payment System Requirements.

Individuals can securely share medical information with trusted health care providers who may have access to full patient records including diagnosis, treatment, lab results, medications, etc., in an effort to deliver the most efficient and thorough care possible. Participants may create an emergency wallet card and access code when, if activated, gives physicians or emergency responders read-only access to critical health information.

To learn more, visit www.mymohealtherecords.com or call 844.424.4370.
Learn More About SHINE of Missouri
Did you know that SHINE of Missouri offers an Online Learning Center? Multiple videos showcase features available to SHINE of Missouri providers. Visit the Online Learning Center, and view:



To request additional resources, contact Jonathan Smith via email at jsmith@shineofmissouri.com or by phone at 844.424.4370.
Upcoming Webinars
An Open Demonstration of the SHINE HIE
May 2, 2018
Online Event, 12:00 - 1:00 P.M.
May 23, 2018
Online Event, 5:30 - 6:30 P.M.
Free CME Dinner Program
Quality Matters: The New Data Dilemma
May 14, 2018
St. Joseph, Mo., 6:00 - 8:30 P.M.
Come and See Us!
May 6 - 8, 2018
Missouri Medical Group Management Association 2018 Spring Conference
Lake of the Ozarks, Margaritaville's Tan-Tar-A Resort Osage Beach, MO.
Contact Information



Jonathan Smith
Regional Manager
SHINE of Missouri
844.424.4370