AHA Endorses Quality Reporting Software for Value-Based Care
By - The American Hospital Association (AHA) recently announced that it has endorsed ENCOR Quality Reporting and Management Solution from Medisolv Inc. for providing services and products that help member healthcare providers improve value-based care.
“Medisolv's Quality Reporting and Management Solution enables hospitals and their associated physicians to measure, monitor and improve quality, cost and efficiency," said Tim Steffl, AHA Solutions Chief Operating & Development Officer. “The solution is distinguished by its comprehensive scope, which includes support for all three types of quality measures (abstraction, claims and eCQMs), and for ambulatory, outpatient and inpatient quality programs. It also stands apart for its implementation success — confirmed by its 95 percent client retention rate — in more than 300 hospitals.”
The software integrates with the hospital’s database of electronic health records and other information systems. Integration with healthcare information systems enables providers to quickly and efficiently translate large amounts of clinical, financial, and operational data into manageable information.
As claims reimbursement methods transition to a value-based system, there is a growing need for reliable quality reporting for physicians. Organizations and programs, such as CMS, Physician Quality Reporting System (PQRS), and Value-Based Payment Modifier (VBPM), are linking hospital quality with claims reimbursement.
Recent reports indicate that current PQRS and other reporting programs are burdensome to healthcare providers because of the large scope of quality measures. Some healthcare providers claim that they spend too much time and effort sifting through data for a lengthy list of quality control measures that may or may not be relevant for their practice.
In a recent announcement, CMS reported that for the 2016 VBPM, an estimated 39 percent of eligible physician groups received a negative payment adjustment to their Medicare claims due to a failure to meet reporting requirements.
The quality reporting requirements are also constantly changing to reduce provider burden. Healthcare providers need to keep up to date with current reporting models to partake in incentive programs.
AHA recognizes the use for a software that streamlines the quality reporting system. To be eligible for financial incentives to transition to value-based care, hospitals need to satisfactorily report on all quality data measures, and usually in the form of electronic quality measures (eCQMs).
In efforts to increase quality of care while reducing costs, many hospitals are also merging with other healthcare providers to form networks of care. AHA acknowledges a growing need for a system that can integrate extensive volumes of data from across multiple healthcare providers.
AHA endorses ENCOR for simplifying how healthcare providers use quality reporting to improve hospital performance. Some notable functions of ENCOR are daily reports of core measures, daily updates on hospital claims, management and reporting of Meaningful Use and eCQMs, easy reporting of eCQM data, and convenient data dashboards for monitoring hospital performance.
