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Why an EHR System is Necessary in the Era of MIPS (Part 2)

Thursday, May 4, 2017   (0 Comments)
Posted by: Jason Weisstein, Modernizing Medicine
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Dr. Jason Weisstein presented at the AAOE 2017 Annual Conference in Indianapolis. His session was titled "Strategies to Outperform Your Peers in the New Era of Value Based Healthcare and MIPS." This is part two of his two-part article on the benefits of EHR systems and how to select the right system for your practice. To read part one, click here.

The Future of Private Practice

So how do EHR systems tie into the future of private practices? A trending topic that seems pervasive is the thought that MIPS and value-based care is going to be the demise of private practices, specifically ones that are smaller in scale. While it has become a bit more challenging to practice medicine in a highly government regulated environment, I am here to state that private practices, small and large, will still be able to thrive and here’s why.

First, the final ruling from MACRA has given physicians the ability to report with the ‘pick your pace’ model.  The introduction for MIPS is intentionally being done slowly, which is a good thing to give practices a window of time, albeit a fairly short one, to get on track. 2017 is the transitional year giving practices time to identify an EHR system that best fits their needs. The time to do this is now as the cost for non-participation will potentially be significant. By the time a group decides to partake it may be too late to make meaningful progress or catch up with exceptional performers. 

Second, the importance of selecting the right vendor that offers an all-in-one suite of solutions and will be there to guide you along the way is crucial. Forming a strong relationship with the right team outside of your own will streamline the process and assist you in collecting the right data to put you on the path towards clinical, operational, and financial success for your orthopaedic practice. 

Additionally, the government has earmarked an extra $500 million for exceptional performance for each year in the first five years. You want a vendor that makes it easy for you to attain exceptional performance. This is not a zero-sum game. If you are an exceptional performer you put yourself in the best standing for future payments.

You also want to work with a vendor who is looking to next year when cost will become an increasingly important percentage of your MIPS score.

To help you in the decision-making process, here are 10 questions that you should ask your EHR vendor with their ideal responses to ensure that they are prepared to enable you to excel under value-based care.


10 Questions to Ask Your EHR Vendor about MIPS Readiness & What Their Answers Should Be

1. Is your company’s EHR system certified according to the 2014 or 2015 guidelines so my practice can participate in Value-Based Care? Yes. Our EHR is certified and our clients can participate in all categories of MIPS. We will re-certify to the 2015 guidelines later in 2017, although it is not required until 2018.

2. Which Advancing Care Information requirements will be featured in your company’s EHR? In 2017 we will have advancing care information transition objectives and measures and in 2018 we will have advancing care information objectives and measures.

3. How is your company going to help me be successful in MIPS? Our EHR system features built-in MIPS composite score reporting, robust analytics, and benchmarking reports that document your performance in real-time. In addition, we offer patient engagement tools such as telemedicine, patient kiosk, and patient portal, along with concierge coaching and advisory services.

4. Which clinical practice improvement area options will be included/built into your company’s EHR? Some of the features of our EHR system include:

  • 24/7 access to MIPS-eligible clinicians
  • Intensive care management
  • Medication management
  • Participation in a QCDR, clinical data registries, or other registries run by other government agencies
  • An enhanced patient portal that provides up-to-date information related to relevant chronic disease health or blood pressure control

5. Can your EHR system submit the MIPS quality data for me as a qualified registry or do you (or I) outsource this to a third party? We are a qualified registry and can submit the MIPS data on our clients’ behalf.

6. Is the data that I need to report MIPS automatically captured in your company’s EHR at the point of care or do you (or I) need to export this type of data outside of your EHR? Our EHR system automatically captures all the data you need at the point of care to build and report your composite MIPS score. Our solutions also feature a built-in, easy-to-read scorecard to show you how you are performing in MIPS. 

7. Does your EHR have built-in, real-time analytics reports for all MIPS categories (Quality, Resource Use, Advancing Care Information, and Clinical Improvement) so I can see how I am performing?  Our solutions automate the composite score elements that are used to calculate and monitor your MIPS score.

8. Will your company have everything I need to be successful with MIPS or do I need to outsource any functions or reporting to a third party? We offer all the products and solutions you need to succeed with MIPS without outsourcing to a third party, including time-saving features like automation.

9. Is your company offering any type of consulting or advisory services to help me be successful in MIPS?  Yes, we have a couple of options based on a practice’s needs and wants. The options are designed to help clients avoid negative Medicare payment adjustments.

10. What makes you confident that your company can help me be successful with MIPS? With our successful track record in Meaningful Use attestations and PQRS reporting this is important because the advancing care and quality components of MIPS are based on meaningful use and PQRS.

MIPS doesn’t have to be a four-letter word. Having the right EHR system in place in your practice will help you excel under the new landscape of value-based care with MIPS.


About the Author

 Dr. Jason Weisstein is the Medical Director of Orthopedics at Modernizing Medicine. He presented on the topic of “Strategies to Outperform Your Peers in the New Era of Value-based Healthcare and MIPS" during the 2017 AAOE Conference. 

A native of southern California, Dr. Jason Weisstein graduated Valedictorian from the Mount Sinai School of Medicine in New York City in 1998. Simultaneous with his medical education, Dr. Weisstein received a Masters of Public Health at Columbia University in New York, NY. He subsequently completed his surgical internship and orthopedic surgery residency training at the University of California, San Francisco and then went on to receive fellowship training at the University of Washington. Dr. Weisstein specializes in joint replacement and limb salvage surgery. His interest lies in the restoration of function in limbs that are in jeopardy, either from arthritis, tumors or other diseases. He currently serves as the Director of both the Center for Joint Preservation and Replacement and the Center for Musculoskeletal Oncology at the Paley Institute in West Palm Beach, Florida. He also serves as an Affiliate Assistant Professor in Orthopaedic Surgery at Florida Atlantic University Schmidt College of Medicine.

Prior to his arrival at the Paley Institute, Dr. Weisstein directed one of the largest joint replacement programs in California at Eisenhower Desert Orthopedic Center. Before that, he worked as an Assistant Professor of Orthopedic Surgery at the University of Washington, with a dual specialization in hip and knee reconstruction, as well as bone and soft tissue tumors. While in Washington, Dr. Weisstein trained orthopedic surgery residents and co-directed the orthopedic oncology fellowship. He has presented original research at both the national and international levels, and has published in major textbooks and journals. Dr. Weisstein’s most recent accolade includes being voted by his clinical peers as one of Castle Connolly’s top orthopedic doctors for 2015. He serves as a consultant editor for the journals Clinical Orthopedics and Related Research, and Orthopedics. Dr. Weisstein was selected as a Fellow by both the American Association of Hip and Knee Surgeons and the American College of Surgeons, elite societies reserved for highly trained surgeons who adhere to the highest ethical and professional standards. Dr. Weisstein also serves as an elected member of the Tumor and Metabolic Bone Disease Committee of the American Academy of Orthopedic Surgeons and is board certified by the American Board of Orthopedic Surgery.

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