Forward the news to your colleagues and peers!
March 2019
From Around the State
Bryan Barnes, DO, Advanced Family Medicine and Wellness, Joplin, recently met with Jonathan Smith, MPH, Regional Manager at SHINE of Missouri, about MIPS and joining SHINE of Missouri.

Dr. Barnes shared, "Jonathan understands our needs and addressed them completely. The SHINE platform integrates providers to deliver patient continuity of care - that is a good thing. We are still in the implementation process, but we are excited for the opportunity."

To learn more about SHINE of Missouri or to schedule a MIPS meeting, contact Jonathan Smith at 844.424.4370.
Direct Messaging - An Opportunity to Improve Care Coordination, Patient Safety, Family Empowerment, Efficiency
Meaningful care coordination and more efficient clinical workflows depend on seamless data exchange between providers, specialists, facilities, and their patients. And while it has been a struggle to achieve universally, Direct messaging is one way to offer simple, secure sharing of patient data.

Trends in 2018 indicate more pronounced and broad-based growth in Direct messaging than ever before. Direct message transactions increased by 63 percent, including a 35 percent increase in patients usage.*

Direct messaging offers real-time competition with the fax machine. A recent  report on interoperability progress drafted by hospital organizations, including the American Hospital Association, identified security and privacy as two critical areas to be addressed to advance interoperability. Data sharing is believed to improve care coordination, patient safety, family empowerment, efficiency and cost.

The report noted stakeholders must be able to trust that shared data is accurate, secure and used in accordance with best practices and patient expectations. The movement to “kill the fax” has been underway for some time. The Centers for Medicare & Medicaid Services Administrator Seema Verma has encouraged the elimination of the use of fax machines in doctor’s offices by 2020.  
SHINE Dashboards
View the Centers for Medicare and Medicaid Services newly updated " Explore Measures " tool.

For additional details on the 2019 MIPS measures and activities, access the QPP Resource Library .
Available through SHINE of Missouri, Direct messaging is a key benefit for providers, organizations and patients. Direct messaging: 

  • Allows secure emailing of patient health information to providers and patients;
  • Reduces staff time dedicated to faxing and mailing records;
  • Provides an audit trail for medical records; and
  • Expedites communication among providers.

For more information on Direct messaging through SHINE of Missouri, visit:

*Data released by DirectTrust, 1/23/19.
CMS Interoperability & Patient Access to Health Data Push Aligns with my MOHealtheRecords
The Centers for Medicare & Medicaid Services (CMS) and CMS Administrator Seema Verma recently announced proposed policy changes encouraging improved patient access, and advance electronic data exchange and care coordination throughout the healthcare system. SHINE of Missouri and its patient portal my MOHealtheRecords already delivers  simple, secure access by medical personnel or individuals to health records in one place, any time.

The  my MOHealtheRecords  portal is a smart way to manage medical information: it's all in one place online – giving patients one location to keep records on everything from medications and allergies to previous illnesses and injuries.

Patient information can be updated, organized and accessed through  my MOHealtheRecords  using a computer, tablet or smartphone. Information can be shared with trusted healthcare providers, offering an accurate and complete health picture while reducing medical errors and duplicate tests.
New Innovations in Technology Promote Patient Access
In early February, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator (ONC) released proposed rules to support seamless and secure access, exchange, and use of electronic health information, encouraging increased choice, competition and innovation that promotes patient access to and control over their personal health information.

CMS’ proposed changes to the healthcare system support the goals of the MyHealthEData initiative, and would increase the seamless flow of health information, reduce burden on patients and providers, and foster innovation by unleashing data for researchers and innovators.

To view the CMS proposed rule (CMS-9115-P), visit:

One Stop Shop for Electronic Clinical Quality Resources
The Centers for Medicare & Medicaid Services (CMS) recently updated the Electronic Clinical Quality Improvement (eCQI) Resource Center website based on user feedback. It is the one-stop shop for the most current resources to support electronic clinical quality improvement. The website serves as a centralized location for federal eCQI initiatives and includes the most current Electronic Clinical Quality Measure (eCQM) specifications, as well as links to the tools, standards, education, and materials critical to support development, testing, implementation, and reporting of eCQMs. The eCQI Resource Center offers two new resources based on stakeholder feedback.  

The new eCQM Tools, Resources, and Collaboration (infoTRAC) previously named eCQM Tools & Resources, has been revised based on user input. This interactive graphic provides an in-depth overview of the tools, standards, and resources used in the various stages of the eCQM lifecycle. Stakeholders will find references and links to tools and resources specific to their areas of interest.  

Visit the eCQI Resource Center to learn more.

Submit specific questions regarding eCQMs, eCQM standards, and eCQM tools to the  eCQI Resource Center . The most updated measure specifications and supplemental materials can be found at the eCQI Resource Center .
Find the New Shared Savings Program and Quality Payment Program Interactions Guide Online
The Quality Payment Program Resource Library has a new interactions guide available to help clinicians understand participation tracks in 2019. The Medicare Shared Savings Program and Quality Payment Program (QPP) Interactions Guide provides:  

  • An overview of 2019 Shared Savings Program participation tracks and whether they meet the criteria of a Merit-based Incentive Payment System (MIPS) Alternative Payment Model (APM) or Advanced APM;
  • An explanation of the APM scoring standard and eligibility for eligible clinicians (ECs) participating in a Share Savings Program Accountable Care Organization (ACO);
  • Details on how ECs participating in an ACO are scored under MIPS if their Shared Savings Program participation agreement is terminated during the performance year; and
  • A description of how CMS identifies Qualifying APM Participants for ECs participating in an ACO meeting the Advanced APM criteria.

For details about how the SHINE of Missouri products support ACOs, please click here .

CMS encourages Shared Savings Program ACOs and their participants to review the guide.
Come and See Us!
March 12, 2019
Northwest Missouri Chapter of the MGMA
2019 March Chapter Meeting
Liberty Hospital Education Center
Liberty, MO
April 4 - 6, 2019
Missouri State Medical Association
161st MSMA Annual Convention
Westin Kansas City at Crowne Center
Kansas City, MO
April 10 - 11, 2019
Missouri MGMA
2019 Spring Conference
Margaritaville Lake Resort
Osage Beach, MO

Jonathan Smith, MPH
Regional Manager
SHINE of Missouri