Provide clinicians with their data
Mark Townsend, MD, medical director of operations for the Centra Medical Group Stroobants Cardiovascular Center in Lynchburg, Virginia, reports that his team has approached the Merit-based Incentive Payment System track of MACRA by building a scorecard to track performance, with a focus on key metrics that they have chosen.
Townsend offers this further guidance:
o Focus the attention of clinicians on their own personal performance. This is the strategy that will lead to greatest success.
o Remember that the Centers for Medicare & Medicaid Services will post quality scores and patients’ survey scores on its Physician Compare website. This means that a doctor’s online reputation, which has previously rested on listings at sites such as Healthgrades and Yelp, will now also depend upon information at Physician Compare.
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o Recognize that results in the areas of “advancing care information” and “resource use” will be associated with costs, and will inevitably impact physicians’ reimbursement and employability.
Townsend points out that the Advisory Board has developed and published blueprints for scorecards, which are available to Advisory Board members seeking models. Townsend also notes that MACRA includes provisions to give technical assistance to help small practices with 15 or fewer clinicians and to practices in rural or others areas that have a shortage of medical professionals.
“MACRA will change medicine and the practice of medicine,” says Townsend. “This legislation is designed to replace life in a widget factory where we were paid to work as quickly as we could, and the more widgets we produced the more we got paid. The new notion is that you are paid no only for production for how well you do your work.”