Population Health Plus: Succeed in MIPS With Population Health

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Allie Henderson  
Manager, Add-on Modules
Government Affairs & Client Solutions

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Welcome back to our latest blog series Population Health Plus: Population Health Management with a Personal Touch! If you haven’t read the first two blogs in our series, go back and check them out now:

Population Health Plus: An Innovative Approach to Population Health Management

Population Health Plus: Real People. Real Results.

As time spent with patients has decreased, the quality of care has also decreased. The Centers for Medicare & Medicaid Services (CMS) introduced the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) to emphasize the importance of care quality and to improve patient outcomes. However, simply putting a new federal policy in place does not improve patient care overnight; physicians need tools, resources, and guidance to take their practices to the next level.

Click here to learn more about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

Population health management solutions were created as a response to help physicians successfully transition to value-based care, but is your current solution effectively helping your practice meet Merit-based Incentive Payment System (MIPS) measures and identify gaps in care? Keep reading to find out why a population health management system without hand-held support is not enough to help you succeed with MIPS in 2018.

Identify Quality Measures
Before you can build customized patient profiles to help you meet Quality measures, you must identify those measures. The Quality category will account for 50% of your overall MIPS composite score in 2018, making it the most heavily weighted category in MIPS.  It is crucial that your practice report on measures that reflect positively on the quality of care provided to your patients. In addition, your practice should choose measures that correlate directly to your specialty as this will increase your likelihood of attaining maximum points. A population health solution can help you meet certain MIPS measures through automated outreach based on your specialty.

TSI Healthcare Tip: Remember, you are being judged against your peers so you should research best practices about how to excel in this category.

Build Customized Patient Profiles
Once you identify your quality measures, you need a team that will work closely with your practice to configure outreach campaigns to help you meet those measures. Whether it be following up with patients that had an A1c greater than 9% on their last visit reaching out to patients that have not had a DEXA scan in the past 2 years, or anything in between, your practice needs a hands-on expert ready to customize patient profiles. You need a population health management solution with an extensive campaign library combined with hand-held support to guide your care management and patient recall workflows.

Identify Gaps in Care
In addition to creating Quality measure specific campaigns, you need to be able to identify high-risk patients that require follow-up appointments or patients that have recommended care guidelines. Without a team behind your population health solution, configuring outreach campaigns will prove extremely tedious. Automating this process alongside a population health specialist will ensure your patients come back for the care they need.

Track Outcomes
To properly track patient outcomes for the Quality category, your practice must regularly assess the performance of your outreach campaigns in terms of booked appointments, additional procedures charges, and overall revenue generated by the system.  Population health management solutions can’t walk you through your outcomes. Without support personnel guiding you through these factors, ensuring your practice is staying ahead of your outreach needs will cost your staff hours each month.

Your practice needs a population health management solution that is guided by industry experts who know your specialty and federal policy. Population Health Plus is ready to join your team to help you meet MIPS through identifying gaps in care and engaging your patients.

If you’re interested in TSI Healthcare’s innovative approach to population health management through Population Health Plus, please contact helpdesk@tsihealthcare.com for more information.


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