Christopher Dube, Chief Operating Officer
Before we dive into how rounding can support your MACRA initiative, it is important to understand what MACRA is exactly. Simply put, MACRA is the Medicare Access & CHIP Re-Authorization ACT of 2015. It was designed to reform the Medicare payment system by repealing the sustainable growth rate formula. In addition, it creates a framework to reward physicians who provide higher value care. Basically, MACRA focuses on and provides reimbursements on quality measures that improve outcomes as well as better quality of life for patients: an improve Patient Experience.
There are a number of ‘pace’ options and reporting options designed to help your organization be prepared for 2019. Regardless of the pace option you select, MACRA requires the tracking of value and quality, or organizations will not be reimbursed. In fact, the penalties can be quite steep. For organizations that do not comply, they will face a decrease in reimbursements by 4% in 2019 and an additional 5% in 2022.
This means that the data around patient experience, quality, as well as patient safety needs to be collected and measured in real-time. Mailing or calling for post-discharge rounds for your patients will not have as much as the response and service recovery is delayed. Likewise, the data collected during Nurse Manager Rounds or Purposeful Rounds should be collected in real-time – delayed data has less value. Using a rounding solution will allow your organization to gather the data around quality and value in real-time and provides the ability to track trends.
MACRA also allows for what are called “Improvement Activities”. This is a new feature of MIPS (Merit Based Incentive Payment) that allows credit for process innovations that improve the safety and quality of care. Using the reporting and dashboards within a rounding solution, areas thhat require improvement can easily be identified and corrected, increasing your reimbursements.