24 Oct How Are Your Quality Metrics Moving?
First-Year Data for CPC+ Round 1 Participants Due Soon!
Vanessa Aburn, Principal and Steven Pierdon, MD, MMM, Chief Medical Officer, Care Redesign & Management Advisors, xG Health Solutions, October 24, 2017
For healthcare providers in the 14 regions included in the first round of CPC+, your year end is coming quickly. Do you know how well your metrics are moving?
As we close out the year, let’s revisit these pertinent facets of the program:
Results will not be averaged across a provider’s entire network — each site will receive separate grades. Great performance at one location will not insulate a separate, under-performing clinic or hospital.
Benchmarks continue to be based on deciles of national performance and will remain in flux. Given this uncertainty, you need to demonstrate continued performance improvement on the core eCQM (electronic clinical quality measure) data and results that you report.
Sites that fail to make any improvements may face potential penalties including being required to establish and execute a remedial action plan to being forced to pay your Performance-Based Incentive Payment (PBIP) bonus money back.
For every healthcare provider, consistency is an area of concern, but it is especially important for CPC+ participants to reduce variability and increase standardization, which in turn leads to improved scores and avoids potential clawbacks. Creating consistency sounds like a huge lift, but we have seen success by enabling organizations to build a reproducible, reliable performance improvement process. These components include:
- Build a process to support and drive consensus building. Achieving buy-in across providers and sites is essential.
- Develop and clarify current state processes and variability across providers.
- Develop a future state, building from consensus steps and incorporating verification metrics.
- Hardwire your process into your EHR, rooming process, etc.
- Develop a reporting and measurement feedback loop.
Our team of clinically-led experts have proven experience helping organizations accelerate and redesign workflow processes and systems of care that achieve greater consistency and while reliably moving a broad range of metrics in the right direction.
“Now that we have streamlined processes, we have standardized them across the practice and as a result moved our selected quality process metrics up approximately 21%.”
— Lacy Jones, Best Practice Team Lead and Nursing Services Supervisor, Cody Clinic (Billings Clinic)