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.
"ENCOR gave us the visibility we needed to identify quality performance issues. This allowed us to quickly intervene and make the necessary changes to improve our MIPS score. We worked closely with our Medisolv consultant who provided ongoing guidance which helped us to achieve a final MIPS score of 97.6, qualifying us for the Exceptional Performance Bonus.
With Medisolv, there is always someone there to offer assistance and support. They help us make sure our data is accurate. They make sure we are compliant with government regulations. They tell us step by step how to build our system and advise us on what users should be putting into our EHR. They have been a tremendous help in improving our processes.
It's a pretty tall order to have excellent quality and exceptional patient experience at a low cost. We're fortunate to have Medisolv, which provides a single platform 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.
With a user-friendly software that allows us to quickly and easily abstract data, we now have more time to focus on providing the best quality of care for patients and be proactive about ensuring that our measures are successful.
We submitted our first eCQMs accurately, three months early, and under budget … It gives me comfort that as we move forward and the landscape changes, Medisolv will be right there with us.
We successfully filed eCQMs for the first time because Medisolv came in and met the expectation that they had set. We were up against the gun for our deadline, but they provided us with the support and resources to pull it off.