MACRA

This topic contains 2 replies, has 3 voices, and was last updated by  Donnalussier 1 year ago.

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  • #12344
    Morgan Morgan

    There are a number of mixed opinions concerning recent proposed changes to MACRA. This is the place to discuss how MACRA might impact your ability to care for patients, ask questions, express concerns, etc.

    #12985

    As you are likely aware, infusion providers didn’t appear to get a very favorable nod when framing the Merit-based Incentive Payment System, better known as “MIPS”. But, you see this all the time! Decision-makers developing a one-size-fits-some? (or none) mold that healthcare providers across every facet of our health care system must now fit into. This is one of the reasons NICA was formed: to provide a cohesive voice to the non-Oncology, non-hospital, office-based Infusion Center and ensure that the infusion provider perspective was considered when reshaping the health care landscape. Well, now is your chance! CMS is accepting recommendations for NEW QUALITY MEASURES THAT ACTUALLY APPLY TO YOUR PRACTICE! If you have not yet considered the following, we encourage you to now do so and engage in the discussion that will shape our recommendations to CMS.

    From an office-based infusion perspective, (1) what do you feel are the most appropriate key performance indicators for quality? (i.e., in what areas should the quality of your infusion services be evaluated?) (2) How should the quality of your infusion services be measured in these areas? And, (3) what are the optimal outcomes in those areas that should define “quality”?

    Lead Goon, Team NICA

    #13908

    In reply to your questions, albeit late as I just recently joined, I will go in order that they are asked. I work as an infusion nurse and manage an infusion room for a physician’s practice in Rheumatology administering biologics.

    1. What do you feel are the most appropriate key performance indicators for quality?:
    —-Safety, free from injury with needle-sticks
    —-Reduced PIV insertions on same patient
    —-Highest degree of sterile compounding
    —-Reduced or zero waiting time
    —-Reduced or zero medication waste

    2. How should the quality of your infusion services be measured in these areas?:
    —-Safety, patient satisfaction surveys and incident reports
    —-PIV insertions, – indicators on treatment forms stating how many needle-sticks required.
    —-Sterile compounding, – indicators on treatment forms reporting items used to compound i.e. caps, sterile gown, counter wipe down, sterile drapes, sterile gloves, alcohol wiping, etc.,
    —-Wait Time: Patient satisfaction forms.
    —-Medication waste: indicator on treatment forms for waste, use rounding where-ever indicated.

    3. What are the optimal outcomes in those areas that should define “quality”?:
    —-Safety, Decreased or zero incident reports. Patient surveys indicate a high percentage of satisfaction, free from needle-stick infection/phlebitis, etc.,
    —-PIV insertions, graph displaying amount of insertions required on any one particular patient
    —-Sterile compounding, graph displaying how often the nurse followed protocol for sterile compounding
    —-Wait Time, decreased or zero wait time expected.
    —-Medications waste: Minimal waste with a high percentage of zero waste.

    This is just a rough draft and could be more defined as well as detailed.

    Donna

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