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Related Experiment Videos

Quality measures for neurologists: Financial and practice implications.

Adam B Cohen1, Amy E Sanders, Rebecca J Swain-Eng

  • 1Departments of Neurology and Radiology (ABC), Massachusetts General Hospital, Harvard Medical School, Boston; Saul R. Korey Department of Neurology (AES), Albert Einstein College of Medicine, Yeshiva University, Bronx, NY; American Academy of Neurology (RJS-E, GG, STT), Minneapolis, MN; Neurology and Research Services (CTB), VA Maryland Health Care System and Department of Neurology, University of Maryland School of Medicine, Baltimore; Department of Neurology (EMC), VA Greater Los Angeles Healthcare System, Los Angeles, CA; and Department of Neurology (EMC), David Geffen School of Medicine, University of California, Los Angeles.

Neurology. Clinical Practice
|May 2, 2013
PubMed
Summary

Quality measurement programs are now essential for neurologists, impacting reimbursement and certification. Understanding these evolving healthcare quality metrics is crucial for navigating practice changes and avoiding penalties.

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Area of Science:

  • Health Services Research
  • Medical Quality Improvement
  • Neurology Practice Management

Background:

  • Quality measurement and reporting are integral to modern healthcare, influencing clinical practice and specialist reimbursement.
  • Major programs from Centers for Medicare and Medicaid Services (CMS) and specialty boards (e.g., American Board of Psychiatry and Neurology) link quality metrics to payment and certification.
  • Neurologists may find current quality programs confusing, burdensome, and not always aligned with patient care goals.

Purpose of the Study:

  • To clarify current and emerging quality measurement and reporting programs relevant to neurological practice.
  • To provide neurologists with a better understanding of the landscape of healthcare quality initiatives.
  • To prepare neurologists for the shift from incentive-based to penalty-based quality programs.

Main Methods:

  • Review of current major quality measurement programs impacting neurologists.
  • Analysis of requirements from Centers for Medicare and Medicaid Services (CMS) and specialty boards.
  • Synthesis of information regarding the evolution of quality reporting from incentives to penalties.

Main Results:

  • Quality measurement is increasingly tied to reimbursement and maintenance of certification for neurologists.
  • Key programs include Physician Quality Reporting System, Electronic Health Record Incentive Program, and Accountable Care Organizations.
  • A significant shift towards penalties for non-participation in quality programs is anticipated.

Conclusions:

  • Integrating quality metrics into practice is a mainstream requirement for neurologists.
  • Understanding and adapting to quality measurement programs is essential for financial viability and professional standing.
  • Neurologists need to be aware of the evolving nature of these programs to ensure continued successful practice.