Healthcare providers have reported quality measures data to governmental agencies, accreditation bodies and other entities for many years. Most programs start as voluntary submissions without financial incentives or penalties… Until recently these programs operated in the so called Pay for Reporting (P4R) framework in which financial incentives or penalties were linked only to successful reporting of quality data without taking actual performance into account… With the roll out of Value Based Purchasing (VBP) for hospitals and Value Based Payment Modifier (VBPM) for physicians, CMS has taken a big step towards true pay for performance.
In the past, healthcare quality operated in its own silo, centered mainly on reporting data. Quality was important, but its use was generally restricted to meeting regulatory compliance. Improvements in quality measures did not directly impact a hospital’s revenue in the old “pay-for-reporting” and “fee-for-service” payment models. Today, the meaning of “quality” is much broader and its connection to payments is rapidly increasing. It incorporates patient safety, patient satisfaction, population health, and cost reduction into a new, “value-based” healthcare model. In other words, it’s a whole new ballgame.
For a facility our size, the burden of gathering all this data was overwhelming. Now, we have quick access to obtain the data for each of our providers, and management… and that is quality performance improvement. With Medisolv, we can quickly align quality measures for Meaningful Use, Patient Centered Medical Home and PQRS.
We are better able to manage our quality measures and reporting processes, and better utilize our data.
It's a pretty tall order to have excellent quality and exceptional patient experience at a low cost, and it's getting harder and harder to do that. We're fortunate to have Medisolv, which provides a single platform within our health system focused on pay-for-performance measures, with data for us to look at that's refreshed every day.
We used Medisolv's ENCOR quality reporting solution to successfully report core measures electronically without any abstraction ... Our substantial investments in an EHR and clinical workflow optimization were crucial in the production of high quality data that made submission possible.
“This process did not start just this year for us. We have worked with Medisolv for over four years to ensure that our electronic quality measures were an accurate reflection of the quality of care in our hospital. The ease with which this submission transpired speaks to the years of mutual dedication to improving quality at Rockdale Medical Center.”