ODs have debated the question, “With technology, is optometry changing for the better?” The amount of time spent on coding and paperwork seems to take time away from caring for our patients. Except for those few ODs who operate on a cash-only basis, ODs and other healthcare providers are no longer responsible only for their individual patients, but for a network of patients.
We have heard our colleagues publicly say they are not going to concern themselves with understanding the Merit-Based Incentive Payment System (MIPS) and Medicare Access and CHIP Reauthorization Act (MACRA). Many think they are too complicated, and they would rather pay a penalty and see a few more patients a day to make up for the lost income.
While this short-term strategy may work for the time being, in the long run it is a flawed approach to improving your practice’s patient outcomes and maximizing your practice’s profitability.
Let’s look at how optometrists can use technology to navigate the growing clinical data landscape.
Ways to measure performance
In 2000, the American Medical Association (AMA) created the Physician Consortium for Performance Improvement (PCPI) as a physician-led program to develop clinical performance measures.
The PCPI has evolved into a more diverse organization that has in partnership with its members developed more than 350 measures, many of which are used in the Physician Quality Reporting System (PQRS) and meaningful use, as well as private health plan payment models.
The American Optometric Association (AOA) was a charter member and an integral part of the PCPI, which now includes other diverse membership organizations. The AOA also partnered with Prometheus Research to create and maintain AOA’s Measures and Outcomes Registry for EyeCare (MORE).
In 2011, the PCPI and a group of volunteer leaders established the National Quality Registry Network (NQRN), a national, multi-stakeholder network of clinical registry stewards and other professionals interested in clinical registries.
NQRN has designed tools and educational programs and raised the visibility and perceived value of clinical registries as both reporting and improvement systems. In 2016, NQRN was merged into the PCPI as a core program.