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EHR quality indicator tracking: A process improvement pilot project to meet MACRA requirements.

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The Quality Payment Program incentivizes value-based care. A pilot project improved electronic health record (EHR) tracking to support the Medicare Access and CHIP Reauthorization Act of 2015.

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Area of Science:

  • Health Services Research
  • Healthcare Information Technology
  • Primary Care Medicine

Background:

  • The Centers for Medicare and Medicaid Services (CMS) established the Quality Payment Program (QPP) to promote value-based care.
  • The Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act of 2015 (MACRA) mandates significant changes in provider reimbursement.
  • Primary care practices face challenges in adapting to new quality reporting requirements.

Purpose of the Study:

  • To describe an information technology (IT) process improvement pilot project.
  • To assess the feasibility of using new EHR features for QPP readiness.
  • To support a large primary care practice in meeting MACRA requirements.

Main Methods:

  • Implementation of a pilot project focused on IT process improvements.
  • Utilization of new electronic health record (EHR) quality indicator tracking functionalities.
  • Data collection and analysis of practice performance on key quality metrics.

Main Results:

  • The pilot project demonstrated the potential of EHR enhancements for quality tracking.
  • The practice showed improved readiness for QPP reporting through IT process adjustments.
  • Specific EHR features were identified as crucial for efficient quality data management.

Conclusions:

  • Information technology process improvements are vital for QPP success.
  • Leveraging EHR capabilities can streamline compliance with MACRA.
  • This pilot offers a model for other practices preparing for value-based care initiatives.