A blog dedicated to advancing healthcare quality.

Navigating the Rapids of Healthcare Quality Improvement

Posted by Jodie Jackson, Jr. on Jun 1, 2017 9:00:00 AM

A lazy, carefree float trip on one of the Midwest's meandering rivers was memorable for a lot of good reasons, but mostly for the decision that one canoe team of co-workers made to challenge the rapid, churning current on the left side of the gravel bar.

navigating healthcare jodie blog image.jpg

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Topics: registry abstraction, value-based care, quality improvement, data abstraction

4 Obstacles in Transition to Value-based Care

Posted by Rachel Verslues on Apr 17, 2017 9:00:00 AM

The healthcare sector is undergoing dramatic change. The rules around caring for patients—and being compensated for that care—are very different under the value-based payment models that are coming down the pipeline.

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Topics: value-based care

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: value-based care, population health

Do You Have Your Team Line-up for Value-based Care?

Posted by Rachel Verslues on Jan 30, 2017 9:00:00 AM

In January of 2015, the U.S. Department of Health & Human Services (HHS) announced aggressive goals to push Medicare—and really the entire healthcare system—further toward value-based care. HHS’s goals of moving from volume to value include tying 50 percent of fee-for-service Medicare payments to value by the end of 2018. If you haven’t already began, it’s time to build your value-based care team.

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Topics: value-based care, value-based payments

What can we expect in healthcare in 2017?

Posted by Rachel Verslues on Jan 5, 2017 9:00:00 AM

There’s no doubt that the buzz around health care has only intensified with the recent election. Healthcare experts, politicians and media across the country are discussing what significant changes are possible this upcoming year.  “Top health industry issues of 2017: A year of uncertainty and opportunity,” one of the latest reports released from Pricewaterhouse Cooper (PwC), highlights the forces that will have the most impact in 2017.

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Topics: value-based care, population health

Certainties in a Changing Healthcare Industry

Posted by Rachel Verslues on Dec 27, 2016 10:00:00 AM

If you have any doubt about the fact that 2017 will be another year of transformation for healthcare, just consider everything that is happening in January. Not only does MACRA’s first reporting period begin, but in the first month of 2017, Donald Trump will be sworn in as the next President of the United States. Both MACRA and President-elect Trump are expected to have a significant impact on the direction of healthcare in the U.S., and those two things will be in place before most people have even broken their 2017 New Year’s resolutions. Of course, as changes are introduced and healthcare evolves, there will be constants that remain.

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Topics: care coordination, operational efficiency, value-based care

Value-Based Care Requires Sharing Responsibility For Patient Outcomes

Posted by Adam Voight on Dec 22, 2016 10:00:00 AM

Previously, Dr. Elisabeth Poorman wrote an opinion piece about why she is reluctant to push patients to lose weight. Her post, titled Why I've Stopped Telling My Patients To Lose Weight, describes challenges primary care physicians face when counseling patients about weight loss. In response, Dr. W. Scott Butsch drafted a contrarian post about why doctors need to be involved in helping patients achieve a healthy weight. The two viewpoints show that, when it comes to providing care aimed at driving lifestyle changes, healthcare providers don’t always agree on how to effectively influence behaviors or even whether they should attempt to in the first place. Neither post mentions the fact that changing reimbursement models are making doctors more responsible for health outcomes – a point that should weigh into decisions about care approaches.

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Topics: value-based care

What Happens to Healthcare After the Election?

Posted by Rachel Verslues on Nov 15, 2016 10:00:00 AM


You know we've all been thinking it. Since Donald Trump was elected the 45th President of the United States last Tuesday, we've all been asking ourselves, "What happens to healthcare? What happens to the Affordable Care Act (ACA), to the Medicare Access and CHIP Reauthorization Act (MACRA), and to value-based care?" The simple answer is—we don't know yet. 

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Topics: value-based care, MACRA, value-based payments

Basic MACRA Terms and Concepts Primary Care Physicians Need to Know

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

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and the Quality Payment Program (QPP) are bringing waves of change to the world of primary care. If you work in primary care, and you have felt uneasy about MACRA at any point, you are not alone. There are legitimate questions and concerns about how the healthcare law will impact practices, and there is an abundance of compliance information to absorb. It is a lot for any healthcare provider to wrap their head around.

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Topics: value-based care, MACRA, APM, MIPS

7 Important Things to Understand About QAPI

Posted by Rachel Verslues on Oct 31, 2016 10:00:00 AM

With the final rule recently being announced regarding QAPI regulations, the clock is ticking. All nursing homes will have one year from the effective date to develop their initial QAPI program. Here is a list of things to get nursing homes thinking all things QAPI:

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Topics: value-based care, nursing homes, quality improvement, QAPI

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