Editor's Note: which features contributions from members of the medical community. These blogs are an opportunity for bloggers to engage with readers about a topic that is top of mind, whether it is practice management, experiences with patients, the industry, medicine in general, or healthcare reform. The series continues with this blog by Lori E. Rousche, MD, a family physician in Souderton, Pennsylvania. She is also the hospice medical director for Grand View Health in Sellersville, Pennsylvania. The views expressed in these blogs are those of their respective contributors and do not represent the views of or UBM Medica.
Comprehensive Primary Care Plus (CPC+), the new model for primary care in America, is changing the way physicians run their offices in a revolutionary way. I am seeing many improvements in outreach to our most complicated patients and hopefully will see improved outcomes and enhanced care going forward. Let’s take a look at the evolving role of the clinical staff in regards to the quality measures that the government is tracking:
More from Dr. Rousche: Dipping a toe into the world that is CPC+
There are 14 electronic Clinical Quality Measures (eCQMs) that will be scored for our involvement in CPC+. (More information on the Quality Payment Program and MIPS can be found at https://qpp.cms.gov/.) Nine of these measures must be reported on for our first year of involvement. For the 2017 reporting period, a practice must choose to report results on two of the three outcome measures. The three measures are: depression remission at twelve months, controlling high blood pressure, and diabetes: hemoglobin A1c poor control with result greater than 9%.
Practices must also report on two of the four complex care measures: use of high-risk medications in the elderly; dementia cognitive assessment; falls, screening for future fall risk; and initiation and engagement of alcohol and other drug dependence treatment.
Further reading: Why physicians may want to apply for the CPC+ program
In addition, an office must pick to report on five of the ten remaining measures from the outcome measures or the complex care measures, or from the seven choices as follows: closing the referral loop (receiving a specialist report); communication and care coordination; cervical cancer screening; diabetes eye exams; preventive care and screening of tobacco use; population health; use of imaging in low back pain, efficiency and cost reduction; and breast cancer screening.
To accurately track these measures and to reach out to patients to fulfill these actions requires a joint effort from all of the office personnel. We have doled out some of these responsibilities to our administrative staff and some of them to the clinical staff.