Overview
The challenge
Many hospitals and health systems have a siloed approach to CMS quality reporting governance due to the constant evolution of reporting requirements. In addition, internal factors like multiple electronic health records (EHRs) and staff turnover make it challenging to coordinate quality reporting efforts across the Quality Payment Program (QPP), Promoting Interoperability (PI) program, and Alternative Payment Models (APM). We profiled four organizations that have made significant progress in addressing this challenge.
The organizations
- Intermountain Healthcare is a 24-hospital health system based in Idaho, Nevada, and Utah. They participate in an MSSP1 Track 1+ ACO2 and have one EHR.
- Mass General Brigham is a 10-hospital health system in Massachusetts and New Hampshire. They participate in an MSSP Enhanced ACO and have one EHR.
- West Willow Hospital (a pseudonym) is a 5-hospital health system based in the Southeastern United States. They have 2 inpatient EHRs and 18 outpatient EHRs.
- Community Hospital Corporation (CHC) owns, manages, and consults with over 120 hospitals to guide, support, and enhance the mission of community hospitals and providers. Their hospitals operate on five EHRs.
The approach
All four organizations have evolved their governance structures over time to adapt to changing CMS requirements and take advantage of alignment between program requirements.
The result
Breaking down silos between QPP and PI program management enables the health systems to coordinate efficiently between departments, make decisions quickly, and reduce redundant efforts.
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