QUALITY TOOLKIT FEATURE


How do


you do quality? How a new collection of resources will help SIR members demonstrate health care quality


I


f you don’t yet know your PQRS from your SPQR, you may want to take note: reporting health care quality will soon no longer be an option—it will


be a requirement for getting reimbursed for the care you provide to patients.


Penalties associated with current quality reporting programs will sunset in 2018. That is, starting in 2019, the Medicare quality reporting programs you’re familiar with (including the Physician Quality Reporting System [PQRS], electronic health record [EHR]/meaningful use incentives and value-based modifiers) will essentially be consolidated into one system called the Merit-based Incentive Payment System (MIPS).


The mandate for monitoring and reporting quality is clear. Less apparent, however, is the best way to do so. From what quality measures to report and how they’re related to the five domains of quality, to how to determine when penalties and bonuses apply, the system is fraught with nuances that can be a challenge to sort through—particularly for a busy IR practice that has little time to do so.


At an SIR/SIR Foundation leadership meeting in summer 2014, a practice development discussion group quickly identified quality as an increasingly critical and timely topic. Although the group’s members agreed that understanding how to demonstrate quality was key, they weren’t as certain


how they should. As one member jokingly asked, “How do I do ‘quality?’”


What IRs need, the group decided, is clear guidance on how the concept of quality will impact interventional radiology and precisely what the community can do about it. While SIR already has many resources available on its website—and additional resources can be found from numerous other organizations—the key points of quality are largely buried in other information like so many needles in a haystack of data. The group concluded that IRs need a way of quickly finding and accessing informational resources specific to quality—that is, a quality toolkit.


What you’ll find in the SIR Quality Toolkit


Although the contents of the SIR Quality Toolkit will evolve and and grow, its contents at the time of launch are outlined below.


Section 1: What do I need to know? • How to use this toolkit • Timeline • What do I need to know? • The regulatory environment


• Development/use of quality outcomes indicators


• PQRS • Additional resources


32 IR QUARTERLY | WINTER 2016


Section 2: What can I do now? • Value Based Modifier


• Practice Quality Improvement (PQI) Projects


• Helpful links/resources • Developing QI methods • Registries & data collection


• Participating in value-based purchasing/HCAHPS programs


Section 3: How can I help lead?


• Strategic goals that require support by individual practice data


• SIR Registry initiatives • Structured reporting


• Proposals for IR performance/ QI data collection


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