When I was at the Fall CHIME conference in San Antonio, I attended a presentation by a customer of ours (Licking Memorial Health Systems in Ohio) on the topic “Leveraging Actionable Data to Combat Sepsis." With four excellent sessions to choose from, I attended this session because I was interested in the topic and because we offer multiple solutions to help with sepsis management. I always like to hear the customer perspective whenever possible, but I had no idea of what I was really walking into that day.
Treating patients with sepsis is challenging enough without confusion about which protocol to use or whether you are following it correctly. Clinicians depend on clarity as they care for critically ill patients. When guidelines are replaced or revised, those changes need to be incorporated into their workflows. Those decisions, however, aren’t always made with awareness of the work required to implement them, by people further down the food chain.
Years ago, I was working on an oncology unit when I picked up a nosocomial infection which morphed into sepsis. Halfway through a twelve-hour shift, I dropped to my knees and couldn’t walk. My blood pressure was dropping, I had chills and was shaking uncontrollably. My temperature was 104.3F, which made my head feel like it was going to explode. Luckily, I made it to the emergency room (with help from some coworkers and a shaking wheelchair).
We may be living in an era of medical miracles, but when it comes to sepsis, we’ve got a long way to go. It’s the most expensive condition in the U.S. healthcare system, with a human and financial cost that’s mind-boggling to me.
Many hospitals are gearing up to start another reporting period for electronic Clinical Quality Measures. As you may know, with proposed CMS changes released in April, the requirements were reduced for 2017 reporting. The final rule is not out, but historically CMS follows through with proposed rules, so we can plan for these changes.
We all know that MU Stage 3 brought its fair share of confusion, including a long waiting period and delays on the final rulings. Back in November, CMS released what they called “Final, Final.”
I understand hospitals are trying to digest information about hospital-based physicians based on the latest information from The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Let's take a look at the questions we need to ask. Do you need to participate in Quality Payment Program (QPP)? Do you need to participate in Merit-based Incentive Payment System (MIPS)? The answer is yes to both!
So who Isn’t Eligible?
For Medicare and Medicaid participating providers and suppliers, the CMS Final Rule on Disaster Preparedness has been published. This 17-page document, plus its hundreds of pages of comments, spells out all the requirements for disaster preparedness — and you need to comply to receive your reimbursements.
Have you noted the changes in the CHPL? In my opinion, the changes make it easier for you, as a healthcare provider, to check for your full list of certified products, and to secure your Medicare ID number each year to attest.
CMS has been auditing Meaningful Use payments since 2012, and since that time, we’ve been helping our customers through the process. Our experience has proven time and time again, the better a site prepares now, the more likely it is that the site will pass. This includes tracking of how they met their reporting measures and which supporting documents are to be provided to the auditor.