Form CMS-10683 MIPS Feedback Request: 8 Quick Multiple Choice Questions

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (CMS-10415)

CMS-10683. MIPS Feedback Request - 8 Quick Multiple Choice Questions

MIPS Feedback Request: 8 Quick Multiple Choice Questions (CMS-10683)

OMB: 0938-1185

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MIPS Feedback Request: 8 Quick Multiple Choice Questions

Quality Insights is dedicated to helping your practice achieve success within the Quality Payment Program (QPP). Our goal
is to help you earn the highest Merit-based Incentive Payment System (MIPS) score possible for 2018.
Please take a few minutes to respond to the following questions to let us know what services and resources/tools have
been most helpful to your practice in your MIPS efforts.
Thank you in advance for your participation - we really appreciate your feedback!

* 1. Do you belong to an Accountable Care Organization (ACO)?
Yes
No
Plan to join one soon

* 2. What were your biggest challenges with QPP participation in 2017? (Please select all that apply.)
EIDM account set-up
Attesting
Staffing resources/lack of time
Lack of knowledge/education
Lack of interoperability
Inadequate EHR vendor support
EHR vendor delays
EHR limitations (measures not available or issues with EHR reports
Registry submission
No challenges
Did not participate in 2017
Other (please specify)

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* 3. If you are participating in 2018, what type of assistance will help you improve your MIPS score? (Please select all
that apply.)
Easier access to Quality Insights staff
Easier access to educational resources (i.e. websites, list serves, etc.)
Additional or more detailed educational resources
Additional one-on-one assistance
Better understanding of the MIPS performance feedback reports
N/A

* 4. What are your biggest challenges in your day-to-day work activities? (Please select all that apply.)
Limited staff
No EHR (i.e. utilizing paper charts)
Time or knowledge constraints
No internet available
Referrals: sending and receiving info electronically
Practice Management
Clinicians or staff resistant to change despite education
Practice has little or no formal quality improvement plans or activities in place
Difficult to stay current with QPP changes
Other: (please describe)

* 5. Which resources provide you the most value to successfully participate in QPP? (Please select all that apply.)
Webinars (live or recorded)
One-on-one virtual meetings (screen sharing)
E-newsletters & e-bulletins from Quality Insights
Support from EHR vendor
Websites
Educational Materials
Timely information in any format
Other

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* 6. Which of the following organization's webinars do you regularly attend and/or watch recordings of? (Please
select all that apply.)
Quality Insights
Centers for Medicare & Medicaid Services (CMS)
Medical Society
Registry
Specialized Society
Other: (please describe)

* 7. Which of the following websites do you regularly visit? (Please select all that apply.)
Quality Insights
CMS (qpp.cms.gov)
Medical Society
Registry
Specialized Society
Other: (please describe)

* 8. Which of the following types of educational materials do you like? (Please select all that apply.)
Fact sheets
Tip sheets
Checklists
Toolkits
Reference guides
Training videos
Software application (i.e. MIPS Calculator)
Other: (please describe)

9. Additional comments or suggestions:

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File Typeapplication/pdf
File TitleView Survey
File Modified0000-00-00
File Created2018-10-03

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