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Requirement for MIPS Reporting Tool

Requirement for MIPS Reporting Tool

Requirement for MIPS Reporting Tool

QUESTION
Describe the requirements for a reporting tool that would facilitate the tracking of a merit-based incentive payment system (MIPS) quality performance in an emergency department environment (e.g., clinical dashboard). In your responses to peers, discuss at a high level how MIPS quality measure performance is determined for one or more quality measures that may be used by an emergency department.

Please make document single spaced and provide 3 responses for this discussion on the second page. THANKS!
Requirement for MIPS Reporting Tool

ANSWER
Requirement for MIPS Reporting Tool

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The requirement by the Centers for Medicare and Medicaid Services (CMS) for eligible caregivers to participate in Quality Payment Program (QPP) was a move to improving healthcare processes, patient experiences, and outcomes.CMS rewards value and outcomes through Advanced Alternative Payment Models(APMs) and Merit-based Incentive Payment System (MIPS). Focusing on quality is a crucial aspect in healthcare, and outcomes need to be always checked against one or more of the quality goals of healthcare. There are numerous tools that can be used to assess quality, say in an emergency department setting, but all have to focus on the over 250 MIPS quality measures. Broadly the tool has to consider Improvement Activities, quality, interoperability, and cost since they are the basis of measuring performance (Rathi et al., 2018).This paper aims to elaborate on the requirements for a reporting tool that would facilitate the tracking of a merit-based incentive payment system (MIPS) quality performance say in an emergency department environment.
One of the aspects that the reporting tool needs to consider is the quality of care one provides. The measure is in line with the needs of CMS, different stakeholder groups, and that of the nursing profession. Measures of performance tend to focus mostly on the quality goals of timeliness, equity, patient-centeredness, safety, effectiveness, and efficiency (Rathi et al., 2018). The reporting tool has to have room and elements for measuring performance. For example, in the QPP, the main elements of measuring quality assess care structure, process, intermediate outcome, outcome, efficiency, the patient-reported outcome, patient engagement, and experience. The seven elements generally are applicable to the various tasks that caregivers perform to prevent, maintain, and improve health and wellbeing.
The other aspect that the reporting tool for tracking of a merit-based incentive payment system (MIPS) quality performance in an emergency department environment needs to consider is how the system promotes interoperability. Interoperability is measured by how the system promotes a streamlined workflow and communication. The main assessment is on how the various tools used in healthcare promote patient engagement and the application of certified electronic health record technology (CEHRT) that supports the electronic exchange of health information (Squitieri & Chung, 2017). The reporting tool assesses meaningful use, which was once a performance category under the Medicare EHR incentive program before it was scrapped off. In assessing interoperability, the reporting tool has to consider how information is proactively shared with patients and other care specialists meaningfully (Squitieri & Chung, 2017). The tool reviews how care is coordinated, for example, by sharing results, therapeutic plans, visit summaries and billing with patients and other stakeholders in health care.
The other detail to consider when developing a MIPS assessment tool is where and how to note improvement activities. This is a performance category that aims to promote innovation and the use of evidence-based practice. To assess improvement activities, caregivers have to maintain an inventory of ideas and practices aimed at improving care processes, enhancing access to care, and promotes patient engagement (Rathi et al., 2018). In an emergency care setting, the caregivers have to focus on activities that promote evidence-based practice in patient and caregiver shared decision-making, care coordination, and advancement of practice.
When assessing MIPS quality measures, the reviewing tool has to consider the costs of care. The performance indicator replaces the value-based medicine through the calculation of the cost of care provided, which are assessed through Medicare claims. The current problem with healthcare systems is to reduce the costs of healthcare while promoting quality. MIPS capitalize on cost measures to assess the annual cost of care or cost during a hospital stay (Squitieri & Chung, 2017). In conclusion, we note that MIPS links payments to costs of efficient care and quality while at the same time promoting advancements in care processes and outcomes. MIPS capitalizes on informatics to improve the healthcare system.

References
Rathi, V. K., Naunheim, M. R., Varvares, M. A., Holmes, K., Gagliano, N., & Hartnick, C. J. (2018). The Merit-based Incentive Payment System (MIPS): a primer for otolaryngologists. Otolaryngology–Head and Neck Surgery, 159(3), 410-413.
Squitieri, L., & Chung, K. C. (2017). Measuring Provider Performance for Physicians Participating in the Merit-Based Incentive Payment System (MIPS). Plastic and reconstructive surgery, 140(1), 217e.

Requirement for MIPS Reporting Tool

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