Earlier this month, the National Quality Forum (NQF) endorsed four new measures aimed at tracking resource utilization within certain patient populations. The measures center on diabetes and cardiovascular care costs, requiring organizations to measure per member per month expenditures within each cohort. Maybe not surprisingly, CMS intends to add a similar measure to their VBP program aimed at isolating Medicare spending per beneficiary (MSPB).
These tandem efforts to redefine value of care may be indicators of what’s to come—increased scrutiny over total-cost-of-care management. As risk begins to shift towards providers with the advent of new payment models, organizations must learn to both understand and then inflect total cost of care in order to remain financially viable.
NQF endorses four new measures to redefine value of care
As the most prevalent cardiac arrhythmia, atrial fibrillation has given rise to a multitude of interventions with variable effectiveness. While drug-based interventions have certainly seen success, as of late, ablation procedures have received significant interest among organizations looking to grow their cardiac service lines through the addition of new services. However, organizations seeking to develop AF ablation programs are likely to encounter a number of barriers along the way.
Effective data collection a top priority for new AF ablation programs
As physician acquisitions have accelerated in recent years, many hospitals have found themselves faced with a previously unfamiliar problem, the need to integrate data from across multiple organizations. A recent article in Cardiovascular Business profiles Atlanta’s Piedmont Heart Institute and the hurdles they faced as they worked to find an effective and efficient method of data management after merging with three physician practices.
Merging data at center of physician-hospital IT integration challenges