Sur­geons to re­view pro­fu­sion of qual­ity-im­prove­ment ini­tia­tives

Modern Healthcare - - THE WEEK AHEAD - —Sabriya Rice

From pa­tient-cen­tered med­i­cal homes to ac­count­able care or­ga­ni­za­tions to bun­dled pay—a del­uge of new healthcare pay­ment and de­liv­ery mod­els have arisen as the U.S. shifts away from fee-for-ser­vice and at­tempts to rein in healthcare costs.

Physi­cians face a dizzy­ing ar­ray of new qual­ity and ef­fi­ciency mea­sures.

Last week, the CMS pro­posed a bun­dled pay­ment ini­tia­tive in 75 ge­o­graphic ar­eas for hip and knee re­place­ments with the goal of im­prov­ing care co­or­di­na­tion for Medi­care ben­e­fi­cia­ries and re­duc­ing costs. That pro­gram will put par­tic­u­lar pres­sure on or­tho­pe­dic sur­geons.

These var­i­ous ini­tia­tives will be dis­cussed at the Amer­i­can Col­lege of Sur­geons’ an­nual Na­tional Sur­gi­cal Qual­ity Im­prove­ment Pro­gram meet­ing July 25-28 in Chicago. About 1,400 are ex­pected to at­tend the con­fer­ence, which will in­cludes ses­sions fo­cused on value- and ev­i­dence-based care, the de­mand for greater team­work in sur­gi­cal care, and process im­prove­ment.

While he’s sup­port­ive of the CMS’ ef­forts to boost qual­ity, Dr. Frank Opelka, med­i­cal di­rec­tor for qual­ity and health pol­icy for the Amer­i­can Col­lege of Sur­geons, strikes a cau­tious note. There are risks about go­ing down the wrong paths, he said. “Then it’s hard to re­cover. The pros are that we are mov­ing for­ward try­ing to match ad­vances in medicine with po­ten­tial busi­ness sys­tems. The sim­ple con is that it’s hard to know which one is go­ing to work and do they work in ev­ery mar­ket.”

Also an­tic­i­pated at the con­fer­ence is an up­date on a soon-to-be-re­leased sur­gi­cal qual­ity-im­prove­ment man­ual meant to help sur­gi­cal teams es­tab­lish a frame­work to drive bet­ter qual­ity and safer care.


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