A blog dedicated to advancing healthcare quality.

Healthcare leaders continue to push for value-based care

Posted by Adam Voight on Feb 2, 2017 9:00:00 AM

A recent article from Fierce Healthcare highlights industry leaders’ commitment to “advancing the highest quality, most cost-effective healthcare system in the world”. They want to ensure the new administration supports a value-based care system. “Though private and public sector alignment, the move toward value-based care is succeeding, measurably improving healthcare quality and contributing to historically low costs. Now is not the time for policymakers to signal a shift away from value-based care, either through action or inaction,” they wrote.

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Topics: EHR, value-based care, population health

Here are Some Essential MACRA Resources for Physicians

Posted by Rachel Verslues on Dec 1, 2016 10:00:00 AM

MACRA is changing the way healthcare providers are reimbursed for care. If you are a physician, physician assistant, nurse practitioner, clinical nurse specialist or certified registered nurse anesthetist that bills Medicare $30,000 or more annually – or you care for at least 100 Medicare patients – MACRA applies to you.

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Topics: EHR, operational efficiency, MACRA, population health management, QPP

More Accountability for Health Outcomes is Motivation to Focus on Population Health Management

Posted by Rachel Verslues on Nov 24, 2016 10:00:00 AM

The Medicare Access and CHIP Reauthorization Act (MACRA) was passed in April of 2015, and from the very beginning, physicians have had conflicting feelings about the healthcare law. On one hand, nearly everyone is happy to say goodbye to the flawed Sustainable Growth Rate (SGR) formula, so there is reason to celebrate MACRA and the replacement of SGR. On the other hand, MACRA and the Quality Payment Program (QPP) are pushing large scale changes onto physicians, and there are legitimate concerns about whether or not practices can survive in the new reimbursement era.

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Topics: EHR, MACRA, population health management, MIPS, QPP

MACRA Ruling Buys Time for Workflow Adjustments Aimed at Managing Population Health

Posted by Rachel Verslues on Nov 17, 2016 10:00:00 AM

CMS recently released the final MACRA ruling. It contains detailed information about the Quality Payment Program (QPP) that will launch its first reporting phase in January of 2017. While it is helpful to finally have more information about the planned changes to Medicare reimbursements, the 2,000+ page final rule is not exactly light reading. Thankfully, CMS also released several other resources, like the new website for the Quality Payment Program, that offer need-to-know details in easier to digest portions.

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Topics: EHR, quality improvement, MACRA, population health management, MIPS

Data, Data Everywhere, But Nor a Drop to Report

Posted by Jacque Gabriel, RT, (R), (M), (QM) on Nov 1, 2016 10:00:00 AM

To paraphrase The Rime of the Ancient Mariner, “Water, water everywhere, Nor a drop to drink”, just because you may be surrounded by data from your EHR and other clinical systems, doesn't mean you have the right data you need to create the reports your require.

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Topics: EHR, quality improvement, data, data abstraction

The Sad State of Uncoordinated Care in the U.S.

Posted by Rachel Verslues on Oct 4, 2016 10:00:00 AM

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Topics: EHR, care coordination, quality improvement, value-based programs, value-based payments

Making Primary Care More Efficient

Posted by Rachel Verslues on Sep 8, 2016 10:00:00 AM

How can primary care be more efficient? As the healthcare industry pushes to improve efficiency across the entire care continuum, this question is top of mind for many primary care physicians and their teams. In response to heavy workloads, mounting financial pressure from new payment models, and growing patient expectations and consumerism, physicians are exploring many proven and experimental ways to improve efficiency in primary care, including:

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Topics: EHR, care coordination, operational efficiency, population health management

Five Things to Do Today to Prepare for MACRA

Posted by Richard A. Royer on Jul 18, 2016 10:00:00 AM

Last year, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) which replaced the much-maligned sustainable growth rate formula and included efforts to bring down costs while increasing quality.  MACRA rules are still being finalized but it will basically transform the way in which Medicare reimburses for physician services.

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Topics: EHR, Medicare, MACRA, value-based payments, quality measures, MIPS

Electronic Health Reporter: Value-Based Reimbursements Depend on Optimized EHRs

Posted by Revee White on Apr 6, 2016 10:25:18 AM

Richard-Royer.jpgPrimaris CEO Richard A. Royer was featured today in Electronic Health Reporter on "Value-Based Reimbursements Depend on Optimized EHRs."

As the United States healthcare system moves closer to value-based care, there are both opportunities and challenges for healthcare providers. 

Download Making the Leap: Value-Based Care Best Practices for Hospitals and Physicians.

"What many providers have learned along the way is that technology plays an important role in the transition to value-based care," said Royer. "Meaningful use of electronic health records is necessary for success under value-based incentive programs."

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Topics: meaningful use, EHR, value-based care

Do This To Improve Transitions Between Acute and Long-Term Care

Posted by Revee White on Feb 11, 2016 10:00:00 AM


Here is a tip for long-term care facilities and hospitals that want to make communicating transfer information more efficient: For every transfer, communicate three must-know patient details upfront. More specifically, reach out and share the three most important things about a patient that the receiving side needs to know.

If you make this a shared habit between you and the hospitals or nursing homes in your area, you can save time and ensure that the facility the patient is transferrinBlog_Post_4-1.jpgg to can meet that person’s needs.  

Why is this tip helpful? For one thing, it brings to the surface key pieces of info that would otherwise be buried in pages and pages of patient data, lab results, and health history information.

Everyone today seems to have a checklist of required patient data they need for admission. With so much requested patient data, lab results, and more, there is an information overload problem happening right from the start.

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Topics: EHR, care coordination, long-term care, acute care

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