As a Quality Improvement Organization, we understand the importance of and fully support measuring progress towards goals, both in the HCP LAN and internally within our organization. We commit to leveraging our quality improvement work to support the providers across the healthcare spectrum being introduced to these alternate payment models for the first time. We have been supporting healthcare providers throughout the various payment model/incentive changes for many years, including Hospital Value Based Purchasing, PQRS, Meaningful Use, the Readmission Reduction Program, and the HAC Reduction Program.
Great Plains QIN commits to continuing to be the local “go to” organization for providers with questions about CMS quality and payment initiatives. Some of the work that we are currently performing in the 11th Statement of Work – forming community coalitions to better coordinate care – confirms that we are a neutral convener of healthcare partners regardless of care setting, health system, or payer.
We have specific recruitment, technical support, and outcome goals in the 11th SOW that aligns very well with those of the LAN. A few examples of goals of moving to value over volume are:
- Recruiting 75% of our 1-star nursing homes to participate in a collaborative to improve quality
- Assisting 50% of our nursing homes to achieve a Quality Composite Score (a cumulative measure CMS created comprised of 13 quality measures) less than 6.0
- Lowering statewide readmissions and admissions per 1,000 beneficiaries by 2%
- Helping 55% of eligible hospitals perform better than the national median for the Hospital Value-Based Purchasing Program
- Helping 60% of MIPS-eligible clinicians complete CME/CEU education
The alternative payment models being introduced by CMS have already had a direct positive impact on our work. With the numerous quality improvement projects that providers have participated in over the last decade, they are seeing why it was important that we were working with them to reduce infections or avoid re-hospitalizations. Healthcare providers have realized that quality and payment will go hand-in-hand in the future.