Pharmacy OneSource Blog

New Metrics Released for Value Based Purchasing Measures

Posted on 08/17/16

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The specific guidelines for reaching the value-based care benchmarks can be difficult to manage correctly. This puts healthcare providers in a difficult position – the structure or processes that are needed to reach these benchmarks may be unclear. The lack of standardized terminology within healthcare has been burdensome to administrators who have to put additional resources into figuring out how to correctly represent caregiver-patient interactions, and patients who likewise have trouble interpreting what their own healthcare data is meant to indicate.

A group of healthcare stakeholders intends to change that by making things easier for both hospitals and the patients they serve. An article in HealthData Management reports that new quality measures are being released in order to streamline the reporting process and get people on all sides of the healthcare equation on the same page.1

A common vocabulary does not exist currently for measuring and describing the quality of care. The effort to remedy this situation is called the Core Quality Measures Collaborative, the name for a consortium made up of stakeholders including America’s Health Insurance Plans, The Centers for Medicare & Medicaid Services and the National Quality Forum as well as physicians associations and consumer and employer groups.

According to HealthData Management, there are seven new measures being launched pertaining to the areas of primary care, cardiology, gastroenterology, HIV and Hepatitis C, oncology, orthopedics, and OB/Gyn, and they will be updated on an ongoing basis.

A Frequently Asked Questions document released notes that the recent measures were built out along 10 proposed principles. Among these principles were to reduce data collection and reporting burden, increase comprehensiveness and create evidence-based measures that focus on improving healthcare outcomes and improving the effectiveness and efficiency of care.2

These new core guidelines for measurement means hospitals will have to invest fewer resources on decrypting reporting requirements, allowing them to spend more resources and effort on providing the high-quality care that the reporting requirements are intended to evaluate, support and encourage.

Such an evolution of these reporting criteria is an expected and necessary part of the technologically enabled healthcare landscape. As stakeholders work out the kinks in the reporting process and make the metrics better, more comprehensive and more tied to the real-life workings of the industry, so will the EHRs and other technological solutions for recording and transmitting healthcare data improve. Together, these changes will continue to bring more effective, efficient and patient-focused care environments.   

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References:

  1. Goedert, Joseph. New set of quality measures coming soon for value-based care. HealthData Management. February 17, 2016.: http://www.healthdatamanagement.com/news/new-set-of-quality-measures-coming-soon-for-value-based-care
  2. CQMC Frequently Asked Question. AHIP Coverage. 3. Accessed: April 13, 2016.: http://www.ahipcoverage.com/wp-content/uploads/2016/02/CQMC_FAQ__2_12.2016.pdf

Topics: Value-Based Purchasing

About the Author

Deb Oroszlan is the Marketing Director for Pharmacy OneSource - Wolters Kluwer.