Reporting Quality Metrics: Easier Said Than Done

Posted by Continuum on Oct 24, 2014 9:49:00 AM


Doctor-with-a-patient_for_PPT_onlyThe Rise of Value-Based Healthcare

The shift from volume-based, fee-for-service healthcare to a value-based model that focuses heavily on quality outcomes has created a host of challenges for providers. While providers have always regarded high quality care as imperative, the ability to demonstrate improved outcomes through quality measure reporting is easier said than done.  

Why is quality measure reporting so critical? In a recent study, payors predicted that traditional fee-for-service reimbursement will change dramatically over the next five years. By 2019, fee-for-service will represent about 30% of all contracts and the balance will consist of various value-based reimbursement programs such as pay for performance, bundled payment and global payments, among others.

Central to all of these value-based contracts is the provider's ability to improve outcomes and report on quality goals set forth by the payor.

Technology Helps, But It's Not the Whole Story

Leaders of well-run medical practices recognize that true patient care has always involved holistic, in-depth knowledge of each patient's history, condition and status. Patient visits, to be truly impactful, must be understood and recorded in a way that enables every member of the medical team to understand patient needs over time.

New technologies, with their dashboards, databases, and ease of use, are tools to support such quality care. But without expert coaching on how to fully maximize their power, providers will be hard pressed to meet quality goals.

Two key aspects worth consideration are the importance of understanding EHR data fields. A complete and accurate set of patient data is crucial to practice performance and quality metric reporting. Secondly, providers should consider a "single sign-on technology," so they are not burdened by logging into multiple applications. 

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Topics: Coordinated Care, EHR Technology, quality metrics

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