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MIPS Performance Categories, Part 3: Clinical Practice Improvement Activities Print E-mail
Written by HealthFusion   
Wednesday, 24 August 2016 00:00

The Clinical Practice Improvement Activities piece of the MIPS puzzle is a new performance category for CMS, and it's weighted 15 percent of the MIPS total score. Clinicians choose from approximately 90 activities that have been designed with the intention of measuring capabilities in areas like care coordination, beneficiary engagement and patient safety.
 
60 points = 100 percent credit
 
Clinicians who are part of a PCMH will automatically receive 100 percent credit for this performance category, APM participants (who do not qualify as an Advanced APM QP) automatically receive 50 percent credit for this category. For providers in groups of fewer than 15, CMS proposes to require them to complete any two CPIAs for full credit in the category. Read more about becoming a PCMH.

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MIPS Performance Categories, Part 2: Advancing Care Information (AKA What Meaningful Use Will Become) Print E-mail
Written by HealthFusion   
Wednesday, 17 August 2016 00:00

As part of our MACRA blog series, we're breaking down each of the four performance categories under the Merit-based Incentive Payment System (MIPS). Our most recent blog in the series covered the Quality performance category, which counts for 50 percent of an eligible clinician's composite performance score (CPS). In this blog, we'll review Advancing Care Information, the second most heavily weighted performance category under MIPS - and the category that will absorb Meaningful Use. Beginning in 2017, eligible clinicians who currently participate in Meaningful Use will stop doing so and the majority will instead report through MIPS. The first performance period for Advancing Care Information is proposed to be from January 1, 2017 through December 31, 2017.

Remember that MACRA is performance based and that your score will be compared to that of your peers. Those with poor performance will receive less compensation - making MACRA a competition of sorts.

In order to get the full 25 percent of the MIPS score allocated to Advancing Care Information, you must gain a total of 100 points out of the following...

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MIPS Performance Categories, Part 1: QUALITY Print E-mail
Written by HealthFusion   
Tuesday, 02 August 2016 00:00

As we mentioned in our recent MACRA related blog posts, the new Merit-based Incentive Payment Program (MIPS) will streamline the current patchwork of reporting programs into four performance categories (all under MIPS): Quality, Advancing Care Information, Clinical Practice Improvement Activities and Cost. Each of the categories

We're going to take a deep dive into all four of the performance categories, one-by-one. Each of the four categories carry a percentage of the overall MIPS composite performance score (CPS) - and these weighted scores vary per category. We'll begin our deep dive with the MIPS Quality Performance category, since it carries the most weight within the total MIPS CPS.

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Last Updated on Saturday, 13 August 2016 12:56
 
Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? Print E-mail
Written by FHI's Week in Review   
Monday, 01 August 2016 00:00

In the Lancetpublished online 7-27-16, authors Prof Ulf Ekelund, PhD, Jostein Steene-Johannessen, PhD, Prof Wendy J Brown, PhD, Morten Wang Fagerland, PhD, Prof Neville Owen, PhD, Kenneth E Powell, MD, Prof Adrian Bauman, PhD and Prof I-Min Lee employ a harmonized meta-analysis of data from more than 1 million men and women to determine if physical activity attenuates or even eliminates the detrimental effects of prolonged sitting.

Read more in the current issue of Week in Review>>

Last Updated on Tuesday, 02 August 2016 17:20
 
Studies Reveal Potential Pitfalls for Surgeons, Surgical Practices, ASCs and Hospitals Print E-mail
Written by Jeffrey Herschler   
Tuesday, 26 July 2016 17:14

Surgical specialty can mean the difference 

between life and death

In a study, published late last month in The BMJ and entitled Surgeon specialization and operative mortality in United States: retrospective analysis, researchers attempt to measure the association between a surgeon's degree of specialization in a specific procedure and patient mortality. The authors concluded, "For several common procedures, surgeon specialization was an important predictor of operative mortality independent of volume in that specific procedure. When selecting a surgeon, patients, referring physicians, and administrators assigning operative workload may want to consider a surgeon's procedure specific volume as well as the degree to which a surgeon specializes in that procedure".

Surgeons reluctant to discuss 
adverse events with patients

In a study, published 7.20.16 in JAMA Surgery and entitled Surgeons' Disclosures of Clinical Adverse Events, researchers attempt to quantitatively assess surgeons' reports of disclosure of adverse events and aspects of their experiences with the disclosure process. The authors concluded, "Surgeons who reported they were less likely to discuss preventability of the adverse event, or who reported difficult communication experiences, were more negatively affected by disclosure than others. Quality improvement efforts focused on recognizing the association between disclosure and surgeons' well-being may help sustain open disclosure policies."

Last Updated on Friday, 19 August 2016 16:45
 
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