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Beacon Newsletter- June 2015
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CONGRATULATIONS!
 Together we achieved nearly $1 Million of savings in our Aetna contract for 2014... and there may be some other good news relating to our Aetna fee schedule soon. Stay tuned!

In this Issue:
Coming Soon: Beacon 2.0
Beacon Ranks Top Ten on 7 ACO Measures
Welcome New Docs

Beacon Accomplishments
Beacon's New Team Members 

UHC Contract
Epic ADT Feed
Domestic Utilization Success Story
NYS Changes Requirements for Physician Profiles

2015 Quality Measures 
Beacon U
CAHPS
CareNation
Success Story of the Month
Medical Identity Theft
Networking
Beach Volleyball
Calendar of Events 
The Beacon App
Follow Beacon

Welcome New Docs: 

Gastrointestinal Care of Long Island, PC
Massapequa
Herbert Pasternak, DO
 
Nassau- Suffolk OBGYN
West Islip
Athanasios Antoniadis, MD
 
 
Renal Consultants of Long Island
Port Jefferson
Joseph Boglia, MD
 
Susan Gunduz, MD
Northport
Susan Gunduz, MD
Linda Moerck, DO
Easter Sung, MD
 
Womack Primary Medical Care, PLLC
Islip Terrace
Lawrence Womack, MD

 

Beacon's New Team Members

Linda Iatrou, RN
Linda recently joined the Beacon Health Partners team as the Director of Quality Assurance and Compliance. She has over 25 years of experience as a nurse.  During the course of her nursing career, she was drawn to Quality Management, believing there is always opportunity for improvement.   She has worked as a Director of Quality in the Home Health and Managed Care Industries, including the Visiting Nurse Service of New York and Elderplan, for over 15 years.  She has also been involved in numerous start up programs including a for profit Home Health Agency in Manhattan.  Before joining BHP, Linda exercised her entrepreneurial skills and became an independent consultant for various managed care organizations, including Oscar, a health insurance organization on the NYS marketplace.  Linda will be responsible for implementing the Compliance Program and identifying quality improvement strategies that support the organization’s continued success.  

Maria Perez-Llona, MSW
Maria recently joined the Beacon Health Partners team as a Social Work Care Coordinator. Maria is bilingual and has twelve years of experience in the Social Work field. She has worked in Medicine, Geriatrics and has also provided counseling for individuals and families. Prior to Beacon, Maria worked as a Social Worker in the Community Guardianship Program with JASA. During her first year there she was promoted to Program Manager, to oversee patient care. Maria also has experience working in mental health and as Group Facilitator for Domestic Violence. In her role as a Group Facilitator, Maria conducted psycho-educational workshops to assist patients with managing their anger and stress. Maria is a great asset to our CareNation
Department!
 


Beacon is proud to announce its partnership with UnitedHealthcare. This is Beacon's third shared savings contract with a large commercial payor.
The contract goes live July 1, 2015.

Communications via Send Inc. &
Epic ADT Feed


The Beacon CareNation Team is now receiving an ADT (Admissions, Discharges, and Transfers) feed for Catholic Health Services Facilities. Thanks to the hard work and collaboration with the CHS team, Beacon is notified when one of your patients enters one of the six CHS Hospitals (St. Francis, Mercy Medical, Good Samaritan, St. Joseph’s, St. Catherine’s and St. Charles). As such, we would like to push this information to you as a means to inform you and to facilitate communication with hospitalists and discharge planners. 
When you have a patient on the ADT feed, we will send you a secure email informing you of the patient's name, date of birth, date of event, hospital name and reason for admission. This email will come from Send Inc. In order to open this secure message you will simply enter your email address and create a password.

NYS Changes Requirements for Physician Profile 

New York State’s physician profile requirements will change April 13, 2016. Physicians will have thirty (30) days, instead of one hundred twenty (120) days,  from the date they transmit an initial profile survey or update profile information to register for an account with the NYSDOH provider network (“HPN”). Failure to comply timely with profile reporting requirements is professional misconduct. 

For more information, please click here.

Attention MSSP Participants
2015 Quality Measures 


 

To date, we have completed 14.3% of our quality measures. We did not meet our targeted completion of 25% for Q1 and are not likely to meet our completion goal of 50% for Q2.

If you have any questions regarding the above, please contact your Provider Relations Representative.


 
There's still time to complete your patient satisfaction self assessment. To do so, please click here.

CareNation™ Success
Story of the Month 
Ms. M is an 80 year old female referred to Beacon CareNation™ by Dr. Fitzmaurice. Health Coach, Jennifer Torres was assigned. Ms. M needed assistance at home; however she had frequent disagreements with her home health aides. Ms. M has multiple chronic conditions including HTN, COPD, Osteoporosis, Hyperlipidemia and Mood Disorder. Ms. M was re-referred for home care but had a hard time building a relationship with the home health aide and discontinued the service. Jennifer maintained a relationship with Ms. M and continued to encourage her to accept assistance. Over time Ms. M displayed increased difficulty living independently and showed signs of memory loss. She was forgetting to take her medications, not attending her medical appointments and was falling frequently. Ms. M expressed to Jennifer that felt lonely in her apartment.  With Ms. M’s approval Jennifer worked to find an assisted living facility that would suit Ms. M’s needs.
During the process of researching assisted living options, Jennifer had a hard time accessing Ms. M’s financial information. Through conversations with Ms. M’s children, Dr. Fitzmaurice and contacts at the assisted living facility, Jennifer completed the placement. The entire process took about five months but the outcome for Ms. M. was a positive one.
In May Ms. M moved into her assisted living. Jennifer continues to call assistant living quarterly to check on Ms. M. and see how she is progressing. Ms. M is reportedly doing great; she is medically stable, socializing with other residents and is at ease with a great state of mind.
This case truly epitomizes the importance of building a rapport with a patient. It was Jennifer’s persistence in this case, along with Dr. Fitzmaurice’s collaboration that allowed for Ms. M to be safely transitioned to the most appropriate level of care.
Another success story from Beacon CareNation™!
Networking
Thank you for joining us in May at Jack Duggans in Floral Park. 100% of attendees surveyed were satisfied or extremely satisfied with the event. 
 
 

 
Don't miss our June event:
Thursday, June 25th
Sage Bistro
Bellmore

Beacon Beach Volleyball


Beacon is playing Beach Volleyball every Friday night in Long Beach. Come find us on the courts!

The Beacon App
If you are having difficulty with the Beacon app please contact Jose Delgado.

Follow Beacon

Beacon
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Facebook
Facebook
Instagram
Instagram
Twitter
Twitter
LinkedIn
LinkedIn
Google Plus
Google Plus

COMING SOON...
Beacon 2.0
Revised Participation Requirements

 



Beacon Ranks Top Ten on 7 ACO Measures
 

A report recently published by Healthcare Finance pulled out the top 10 MSSP ACOs by quality score for each individual ACO benchmark based on 2013 results. They used CMS data, provided by ACO performance tracker PulsePilot.

Beacon Health Partners, LLP scored in the Top 10 on 7 Measures, including:

  • ACO-14 – Influenza
  • ACO-16 – Adult Weight Screening
  • ACO-25 – Tobacco Non-Use
  • ACO-29 – IVD w/ Complete Lipid Profile
  • ACO-30 – IVD w/ Aspirin
  • ACO-32 – Drug Therapy for Lowering LDL
  • ACO-33 – ACE Inhibitor or ARB Therapy

The full report can be found by clicking here.

BEACON ACCOMPLISHMENTS


Dr. Simon Prince, President & CEO, Beacon Health Partners recently accepted a position on the Aetna Physician Advisory Committee. He will be representing Beacon's interest on a national level.


Dr. Adam Katof recevied the 2014 Doctors of Distinction Award. Dr. Katof was featured in the May issue of Long Island Pulse Magazine. Truly committed to his patients, Dr. Katof accepted a telephone call from a patient at 4:00 am. The patient was about to undergo emergency surgery and wanted assurance that he was making the right decision. In addition to reassuring the patient over the phone, Dr. Katof went to Winthrop University Hospital to support the patient's family while he was in surgery. "Dr. Katof believes his patients are extensions of his family, seeing the same people on a regular basis....Each appointment is like seeing an old friend...."
 

Jennifer Piscitelli, PCMH Facilitator & Compliance Officer is now a Certified Content Expert in Patient Centered Medical Home. Additionally, Jennifer received an award for Achievement in Healthcare & Human Services from Saint Joseph's College.
 

Domestic Utilization Success Story

Dr. Moshe Shirazi was seeing a patient, Mr. X, in his practice who presented with symptoms of rapid afib. Dr. Shirazi reviewed his patient's medications and completed an EKG. Mr. X was indeed having an atrial flutter and experiencing shortness of breath. Dr. Shirazi contacted Cardiovascular Consultants of Long Island, another Beacon practice, and was able to schedule Mr. X. for an immediate appointment with Dr. Gelber. Through Care Coordination, Dr. Shirazi and his team arranged for the patient's wife to drive Mr. X. to Dr. Gelber's office for a same day appointment. All medical information was sent with the patient and his wife. A few hours later, Dr. Shirazi received a personal phone call from Dr. Gelber to review the appointment. Mr. X had a full in office work up and is now being scheduled for an ambulatory ablation procedure.
This story truly embodies the goals of the Triple Aim. Mr. X received the highest quality care, avoided an unnecessary ER visit (and possible admission) and had a personalized, positive patient experience through direct hand off of this care from one physician to another. Additionally, Dr. Shirazi and Dr. Gelber demonstrated the true meaning of Domestic Utilization. Referring to other physicians in the Beacon network ensures that the patients are treated with population health in mind. In order to move towards Shared Savings, we also need to practice with patient centeredness and the Triple Aim in mind.
Thank you Dr. Shirazi and Dr. Gelber for sharing your best practice story.

 


To date, twenty-eight students have been accepted into Beacon U. Enrollment is necessary in order to earn BEU's (Beacon Educational Units). BEU's result in certificates of recognition and awards that will be distributed at Beacon's holiday party.
If you are interested in applying, please contact Kelli (Mastellon) Vasquez.


Upcoming seminars:

 
ICD-10
Tuesday, July 28th 4:00-6:00
1600 Stewart Ave., Lobby Conf. Rm
Click here to RSVP

Hiring & Business Legality
Wednesday, August 19th 4:00-6:00

1600 Stewart Ave., Lobby Conf. Rm
Click here to RSVP
 
Time Management
Wednesday, September 16th 4:00-7:00
1600 Stewart Ave., Lobby Conf. Rm
Click here to RSVP
How to Lose your Identity in Five Easy Steps

Recently, a Beacon member fell victim to identity theft after visiting a medical office. 
 
"Increasingly, identity theft isn’t happening as the result of a careless error on your part – or as an isolated incident. It’s practically an industry. Your Social Security number is a valuable commodity that can be bought and sold – and medical institutions like doctor’s offices, are easy pickings. It’s no surprise that the massive tax fraud takedown in Florida yielded personally identifying information (PII) gleaned from schools and health care providers. According to Michael DePalma, Special Agent in Charge for the Miami Field Office of Internal Revenue Service – Criminal Investigations (IRS-CI) and former National Identity Theft Coordinator for IRS-CI, criminals target institutions which store personally identifying information on a regular basis, noting, “any entity that houses data is vulnerable.” James Robnett, Special Agent in Charge for the Tampa Field Office of IRS-CI, confirmed that identifying information gleaned from sources like medical offices has increased.  Thieves determine your value. Personally identifying information is stored in institutions in bulk, making it easy from the inside to assemble information about you and package for sale – just like any other commodity. And like any commodity, the value of that data can vary. Information could be limited to your name and Social Security number but is clearly more valuable if it comes with other goodies, like your address and employment data. Printouts of data can be had for as little as $50/name – nearly five times the hourly salary of the average medical office receptionist. Thieves rely on finding the weak link – maybe getting a person at the front desk who might be a friend (of a friend) or relative to hand over that data for a price. And the more they can get, the more they get paid since the more your records say about you, the more valuable they are to potential identity thieves."
 
For the full article, please click here:
Calendar of Events
 
Beacon Orientation Session I
Tuesday, July 7th
Monday, August 3rd
Wednesday, September 2nd
All Orientation Seminars are from 
6 pm - 8 pm.
Location:
1600 Stewart Avenue
Lobby Conference Room
Westbury, NY 11590
For all new practices, attendance at one session is mandatory. 
Open to all new physicians, office managers and other office personnel.
To RSVP, click on the date you wish to attend.

Physician Networking Events
Thursday, June 25th
Sage Bistro
Merrick Rd.
Bellmore
Tuesday, July 21st
Bahama Breeze
Smith Haven Mall
Lake Grove

All Physician Networking Events are from 
6 pm - 9 pm.
Open to all physicians and 1 key member of staff
(i.e. Practice Administrator, Practice / Office Manager, etc.)

To RSVP, click on the date of the event you wish to attend.

 
Copyright © 2015, BEACON HEALTH PARTNERS, All rights reserved.

Our mailing address is:
Beacon Health Partners
1600 Stewart Avenue
Suite 401
Westbury, NY 11590 

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