MACRA and the Quality Payment Program: How Does It Relate to Orthopaedic Nursing?

Area of Science:

• Healthcare Policy
• Nursing Practice
• Value-Based Care

Background:

• The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) introduced the Quality Payment Program (QPP) in 2017.
• The QPP aims to shift Medicare payments towards value-based care models.
• Successful implementation requires active stakeholder engagement, particularly within specialized medical fields.

Purpose of the Study:

• To highlight the critical role of orthopaedic nurses in the successful implementation of the Quality Payment Program (QPP).
• To emphasize the importance of orthopaedic nurses understanding the QPP's impact on value-based payment in orthopaedic care.
• To explore the correlation between the QPP's structure and nursing diagnoses and care plans.

Main Methods:

• This study is a conceptual analysis and review of the MACRA legislation and its implications for nursing.
• It examines the integration of QPP requirements into orthopaedic nursing practice.
• The analysis focuses on the alignment of nursing diagnoses and care delivery with QPP objectives.

Main Results:

• Orthopaedic nurses are essential for improving quality, reducing costs, and incorporating value within the QPP framework.
• A thorough understanding of the QPP by nurses is necessary for effective participation and success.
• The QPP's structure can be directly linked to nursing diagnoses and the development of targeted care plans.

Conclusions:

• Active involvement of orthopaedic nurses is paramount for the effective implementation of the QPP in orthopaedics.
• Nurses must grasp the QPP's significance for value-based reimbursement and its influence on patient care delivery.
• Integrating QPP principles with nursing practice enhances the quality and value of orthopaedic services.