Memorial Hermann ACO 2015 Quality Collection Registration Guide

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1 To: From: MHMD ACO Participating Physicians Shawn Griffin, MHMD Chief Quality and Informatics Officer Date: January 20, 2016 RE: ACO Quality Collection - Registration process for accessing secure web form Enclosed is the user guide created to assist you with the registration process to obtain access to the secure web form for inputting specific patient quality measures for the year measurement year of Your practice has been allocated 5 user ids and registration codes. You may assign up to 5 individuals in your practice to register and enter the ACO Quality Data in to the secure web form. Only those who have registered will have access to the web form. Requests for additional user ids will be reviewed and approved on a case by case basis. If you have any questions with the registration process/login issues, please contact the Physician Support Center at DOCS (3627). Thank you for your help in completing this required data submission.

2 Please use Internet Explorer 10 or higher or Firefox browser to access the web form. Please complete the data collection using the secure web form no later than February 19, To register and to access the secure web form type in the URL Initial login screen Initial Login Screen User Id: Password: Sign In New user, register by clicking here For ACO 2015 Quality Data Collection Registration Guide click here Forgot your password, click here After clicking on New user, register by clicking here you get this screen. The registration code and user id will be provided by us.

3 Registration Screen Tax Identifier Number: Registration Code: First Name: Last Name: Address: Retype Address: By submitting data, I am certifying that I understand and will follow CMS guidelines and documentation regarding all information submitted through this portal and the information is documented in my office records. These records will be made available to support any audit within required time frames. Failure to follow guidelines and documentation requirements may result in loss of program participation and incentives for my office. You will receive an with a temporary password after you register. Do not share this account with anyone. There are additional logins available for other staff Register If you do not check the box you will not be able to register. Check the box as an acknowledgement, and then click the Register button. If you do not check the box you will not be able to register. After you click the Register button you will receive an with the temporary password. Here is a sample: Hello User Name Below is your User Id and your temporary password. After you enter it in you will be prompted to enter a new password that you create. UserId: XXXXYYYYY Temporary Password:

4 This is the screen that appears after the user clicks the Register button. After they enter in the temporary password and their new password the will be brought to the main screen that shows their patient list. If the is delayed or the user needs to enter the temporary password at a later time they can enter the temporary password on the initial login screen and they will be prompted to create a new password. Reset Password Screen Temporary Password: New Password: Retype New Password: Passwords should be 8 to 20 characters long and contain at one least of each of these: an upper case letter, a lower case letter, a numeric digit and one of these symbols!@#$%^&() Sign In

5 This is the screen you get when you click on Forgot your password, click here from the login screen. The user will need to enter their TIN and User Id and a temporary password will be mailed to the account that they registered the account with. Forgot Password Screen Tax Identifier Number: After you click the Send Temporary Password button below an will be sent to the address that was entered for this user id during registration. If you are experiencing problems resetting your password you can call the Physician Support Center at DOCS (3627). You will need to provide your Tax Identifier Number and User Id. We will send you a temporary password to the that was registered with this User Id. If you do not have all your information please contact the Provider Relations Department at or to MHMDQualityReview@memorialhermann.org. Send Temporary Passw ord The statement There are only xx days to complete the data entry. is a day clock indicating how many days are left until February 19 th to complete the data collection.

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