Lessons Learned to Help You Prepare for MIPS 2018
Congratulations to everyone who worked diligently to understand the Merit-Based Incentive Payment System (MIPS) program and implement a quality improvement strategy for a successful MIPS Submission!
It would be nice to take a long summer break. However, MIPS is a year-long process, and now is the time to start planning and optimizing your measure results for success in 2018.
SPH Analytics (SPH) would like to share the challenges, successes, and lessons learned from the 2017 reporting year.
Gastroenterology Associates of Pensacola, one of the busiest endoscopy centers in Florida, partnered with SPH to report on MIPS for 2017, to set the practice up for success in years to come.
One of the challenges the practice faced was that their current EHR and Practice Management System were not automatically generating the Quality Data Codes (QDCs) required for the MIPS Registry Measures. Data mining would be needed to access documentation of these quality actions.
The Gastroenterology Associates of Pensacola team worked with SPH to identify to 6 measures to target for the 2017 MIPS submission. The practice’s providers were already performing the necessary quality actions for these measures. The challenge would be accessing the correct data elements in the EHR and Practice Management System to demonstrate achievement of these measures.
SPH Analytics used its proprietary Three Facet Data Mining™, to identify additional data points in their EHR or other Practice Management Systems that qualify for their selected measures. This approach was iterative over multiple data pulls, identifying data elements for numerator credit and denominator exclusions to increase performance scores and accurately capture the true performance.
Partnering with SPH Analytics allowed Gastroenterology Associates of Pensacola to achieve a 100% score for the Quality Performance Category while maintaining the optimal workflow in their EHR, reducing the burden on their providers. This would not have been accomplished using their EHR alone.
Gastroenterology Associates of Pensacola is now fully prepared for a successful submission in 2018!
Are you prepared for a successful 2018 MIPS submission? Healthcare organizations should begin now to prepare in order to avoid negative penalties and be eligible for bonus payments.
Gastroenterology Associates of Pensacola took some important actions to follow the path to success. Here are some recommendations based on lessons learned:
We hope sharing Gastroenterology Associates of Pensacola’s success story has provided valuable insight as you prepare for MIPS 2018 submissions. It is important to begin preparing now to become a MIPS 2018 Success Story.
Contact SPH if you have any questions or would like to request a MIPS planning consultation.