为脏健康提供最佳护理:开发基于优点的激励支付系统 (MIPS) 价值途径
Sri Lekha Tummalapalli1,2, Sarah A Struthers3, David L White4
1Division of Healthcare Delivery Science & Innovation and Division of Nephrology & Hypertension, Weill Cornell Medicine, New York, New York.
Journal of the American Society of Nephrology : JASN
|July 3, 2023
概括
美国脏病学会开发了基于优点的激励支付系统 (MIPS) 价值途径 (MVP) 的脏健康最佳护理,以提高脏病学质量评估. 这条新的途径简化了MIPS措施,以更好地评估脏护理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 卫生政策 卫生政策
- 提高质量 提高质量
背景情况:
- 基于功绩的激励支付系统 (MIPS) 在评估科护理方面存在局限性,包括行政负担和相关性.
- 现有的MIPS措施不能充分捕捉病管理的细微差别.
- 需要一个专门的,有效的质量评估程序,用于科.
研究的目的:
- 在MIPS框架内开发脏健康的最佳护理途径.
- 创建一个更相关和有意义的质量评估程序,用于科实践.
- 简化参与MIPS的病学家的质量测量选择.
主要方法:
- 美国脏病学学会质量委员会 (2020年5月-2022年7月) 的一项代的共识建设过程.
- 两轮排名选择投票来选择质量指标,改进活动和成本指标.
- 与医疗保险和医疗补助服务中心 (CMS) MVP开发团队合作,并通过"正在考虑的措施"流程提交.
主要成果:
- 健康最佳护理MIPS价值路径 (MVP) 已最终确定并发表在2023年医疗保险医生费用表最终规则中.
- 该MVP包括ACE抑制剂/ARB使用,高血压控制,再入院,需要透析的急性损伤和事先护理规划等措施.
- 这代表了 MIPS 适用于科护理的重要一步.
结论:
- 科MVP简化了措施选择,提高了对脏护理质量的评估.
- 这种协作努力为专业组织和监管机构在政策制定方面提供了典范.
- 该途径旨在改善患者的治疗结果,并降低病学领域的医疗保健成本.
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