Aligning incentive and quality programs with existing Accountable Care Organization (ACO) agreements is essential to improving patient outcomes and confidently negotiating private payer risk-based contracts. I started installing EHR's in 1999 with expected benefits of prescription legibility and reduced chart pulls. Today’s EHR has a similar impact to medicine as that of the electrocardiogram (EKG) in 1903. Electric pulses display patterns to determine heart health and EHR's capture electric data patterns for a population to assess and manage the health of our communities. Population Health is dependent on EHR data and evidence-based interventions to ensure the population is stratified accurately. Nobody argues the benefit of being able to track results for improvements as this is a benchmark in all industries. The strategy providers and hospitals execute will determine who is providing services five years from now. The five steps below are critical to establishing this strategy.
Crosswalk Program Measures Utilizing the National Quality Forum (NQF) Number
Building a crosswalk is an exercise that defines like measures across ACO contracts, incentive and quality programs. Pick a baseline program to draw measure correlations to the other programs. We recommend utilizing the NQF number as the common thread among these programs; however, not every measure within each program has a NQF number. In addition, not every program uses the same measure subset nor are all measures applicable to each medical specialty or to your business.
The objective of the crosswalk is to determine the measure pool for which supports the achievement of all programs by providers as a byproduct of providing good quality care.
EHR Capability and Reporting