Fact sheet: Policy on Nursing Informatics and Related Healthcare
Policy or Regulation: Medicare Access and CHIP Reform Act (MACRA).
Short Description: The Medicare Access and CHIP Reauthorization Bill (MACRA), is a 2015 healthcare policy that reforms Medicare payments to health care providers. The Sustainable Growth Rate (SGR), which was used to determine Medicare payments to doctors, has been replaced by the Quality Payment Program (QPP). QPP is designed to promote quality care, improve care delivery, and encourage value-based care. It penalizes providers who fail to meet specific performance criteria.
MACRA Impact on System Implementation. MACRA has had an adverse impact upon the implementation and maintenance of healthcare information technology (HIT). QPP mandates that providers use EHR systems certified by the QPP and provide data about performance metrics. To avoid any financial penalties, healthcare organizations will need to ensure their HIT systems comply with QPP.
MACRA Impact on Clinical care, Patient/Provider interactions and Workflow. MACRA has had significant impacts on clinical care, provider/patient interactions and workflow. Quality measures regarding patient outcomes, patient experience and care coordination must be reported by providers. It encourages providers to deliver high-quality patient-centered, quality care. The reporting requirements may also create administrative headaches and cause disruption to workflow.
Policies and procedures for healthcare organizations: We have implemented policies to comply with MACRA. The EHR system has been certified and our employees have been taught how to use it to report on quality measures. Our workflows have been implemented to make sure quality measures are timely and accurately reported. The quality improvement program in our organization monitors and highlights areas for improvement. This will allow us to improve the quality of care, patient outcomes and comply with MACRA regulations.