HCI 655 Explain CMS quality-based reporting requirements
Explain the CMS Requirements for Quality-Based Reporting.
In the healthcare system, quality improvement is a key procedure. Different healthcare providers have different quality techniques that can be used to ensure that quality healthcare delivery procedures result in beneficial patient outcomes. In addition, quality reporting is constantly required to verify compliance with regulatory systems and operational requirements. CMS has always been active in formulating laws that govern public health and reporting requirements for quality measurement (Rosenkrantz et al., 2017). Immunization registry reporting, syndromic surveillance reporting, electronic reportable laboratory results reporting, and electronic case reporting are all examples of CMS quality-based reporting. These reporting methods can help people comprehend how quality has improved in healthcare settings as a result of the use of technology and other treatment methods (Beck et al., 2018).
To improve data collection and storage, an electronic health record (EHR) system has been designed. EHR systems are routinely used in healthcare settings to collect high-quality data that is subsequently used in decision-making (Dolin et al., 2018). Medical or treatment histories are stored in the EHR
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system. Historical data can be used to improve treatment procedures. To put it another way, historical data may be studied to identify trends and novel approaches that can be used to improve the quality of healthcare service. Quality-based reporting nowadays is based on data that has been collected and recorded over a period of time. Data about healthcare-acquired infections, for example, can be evaluated and the results used in decision-making.
As a result, the EHR system is crucial in ensuring successful treatment outcomes. The technology has improved performance in terms of quality. The CMS quality-based reporting of healthcare information or research findings is likewise followed by the system.
W. E. Beck, C. Kelly-Aduli, and B. B. Sanderson (2018). Preserving revenue at risk: Healthcare administrators should be conversant with Medicare’s new “pay-for-value” quality standards and develop strategies for effective performance under them. 62-68 in Healthcare Financial Management, vol. 72, no. 4. https://go.gale.com/ps/i.do?id=GALE percent 7CA537405342&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=07350732&p=AONE&sw=w&userGroupName=anon percent 7E9ba82aec&linkaccess=abs&issn=07350732&p=AONE&sw=w
R. H. Dolin, K. Goodrich, C. Kallem, L. Alschuler, and P. Holtz (2018). Creating a benchmark: Because of meaningful use, EHR quality reporting is becoming more prominent. AHIMA Journal, 85(1), 42-48. https://library.ahima.org/doc?oid=300255
A. B. Rosenkrantz, G. N. Nicola, B. Allen Jr., D. R. Hughes, and J. A. Hirsch (2017). An update for radiologists on MACRA, MIPS, and the new Medicare quality payment model. 14(3), 316-323, Journal of the American College of Radiology. https://www.sciencedirect.com/science/article/abs/pii/S1546144016310845