ME: Is it realistic for the government to expect the necessary data tracking and reporting for MIPS when the technology is still not optimized to do so?
NP: To be fair, the federal government has provided ample warning and instruction to address MIPS reporting requirements. However, 75 percent of providers are struggling to get up to speed with the new program and feel unprepared. The reporting technology at their disposal is partly to blame. EHRs are designed to manage patient care, and are not necessarily designed to optimize performance in value-based programs or extract the requisite variables. Measuring the quality of patient care rather than a focus on fee-for-service is an entirely different way of measuring success for many health care providers. For smaller practices that lack the means to incorporate technology that helps optimize their workflows, MIPS reporting presents a large structural change that requires leadership to educate and strategize.
As for whether is it realistic to expect this to be done in the current technology environment, the requirement to submit the data will drive the technology solutions. Where the money goes in health care, the solutions follow. So, while it is difficult to launch a program of this breadth and depth, it will result in the provision of services and tools to support this data submission. And, in the end, patients will ultimately benefit.
Nancy Pratt is the chief operating officer of AirStrip.