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Value-Based Approaches for Emergency Care in a New Era.
Laura Medford-Davis1, David Marcozzi2, Shantanu Agrawal3
1Baylor College of Medicine, Houston, TX; Centers for Medicare & Medicaid Services Center for Medicare and Medicaid Innovation, Baltimore, MD.
Annals of Emergency Medicine
|January 10, 2017
Summary
Integrating emergency departments (EDs) into healthcare reform can improve value-based care. Better coordination and health information exchange are key to enhancing emergency care delivery and patient outcomes.
Area of Science:
- Health Services Research
- Healthcare Policy
- Emergency Medicine
Background:
- Emergency departments (EDs) are crucial for acute care but lack integration into broader healthcare reform.
- Limited communication and coordination between EDs and ambulatory settings disconnect emergency care from patients' longitudinal health records.
- This disconnect represents a missed opportunity for improving healthcare value in a system focused on quality, cost, population health, and patient experience.
Purpose of the Study:
- To outline a strategy for enhancing the value of emergency care within the current healthcare landscape.
- To leverage the Merit-Based Incentive Payment System (MIPS) as a framework for this strategy.
- To identify key components for integrating emergency care into value-based healthcare models.
Main Methods:
- Utilizing the Merit-Based Incentive Payment System (MIPS) from the Medicare Access and CHIP Reauthorization Act (MACRA) as a strategic framework.
- Proposing the integration of quality and resource use measures across diverse healthcare settings and patient populations.
- Advocating for enhanced care coordination originating from the ED and the implementation of robust health information exchange (HIE) systems.
Main Results:
- The proposed strategy aims to improve the efficiency and effectiveness of emergency care delivery.
- Integration can lead to better alignment of ED services with primary and subspecialty care.
- Potential for meeting the needs of patients, providers, and payers more effectively.
Conclusions:
- Integrating EDs into healthcare reform is essential for improving value-based care.
- A coordinated approach involving quality measures, resource utilization, and health information exchange is critical.
- Strategic integration of emergency care can optimize patient outcomes and system efficiency.
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