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Making 1 + 1 = 3
Making 1 + 1 = 3 |
| Rich Temple, MBA Executive Consultant |
I’m sure you are keenly aware of the many government mandates converging on our organizations. The Meaningful Use Stage 2 final rule is due this summer, and the Supreme Court decision on the individual insurance mandate in the Patient Protection and Affordable Care Act (PPACA) was announced in June. When we couple increasing project demands with a short supply of resources, it is hard to imagine how to get everything completed on time. The solution? Synergy. I know, it’s a buzzword. But synergy, or getting more out of the whole than the parts, is imperative for our organizations to embrace when planning for Meaningful Use Stage 2.
What are the parts?
There are a number of mandates converging in late 2013 to late 2014. For those who attest for Stage 1 in 2012, Stage 2 takes effect in fiscal year 2014. This means that providers need to have Stage 2 functionality in place in early 2013. Stage 2 compliance dates for 2013 attesters are pushed back a year to October 2014. ICD-10 also has a proposed due date of October, 2014, and is a major enterprise-wide initiative in and of itself. There are a number of requirements coming out of the Affordable Care Act such as the individual mandate, Medicaid expansion, value-based purchasing, and bundled payments. In addition, the Stark Safe Harbor will be expiring (unless action comes forth from Congress to extend it). All of these initiatives utilize the same human and financial resources. Not to mention the strategic goals specific to your organization – physician alignment, other new evolving business models, acquisitions, consolidations, new product lines, constructions and so on.
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How do we assemble these parts?
How do we assemble these parts?
Clearly, we are facing huge demand in a short time period. We have a need to assemble the parts to yield benefits that exceed the sum of the gains from individual initiatives. Successful organizations know not to take a siloed approach, but rather to have a coordinated approach to meet these requirements as a whole. When we approach the projects as a whole, we begin to see inter-relationships. For example, policies and procedures that support computerized physician order entry (CPOE) will help the organization meet Meaningful Use, store information in an EHR which improves data sharing initiatives like HIEs, and improve clinical documentation used with new ICD-10 codes. Further benefits can be realized by harnessing this information to optimize population management and possible Accountable Care Organization (ACO) or Patient-Centered Medical Home (PCMH) initiatives.
A single initiative mindset focused on quality and safety meets the needs of all initiatives, while also strategically positioning the organization for better efficiency and improved patient care. Thinking “holistically” is the way to go for provider organizations to best position themselves for the uniquely challenging times ahead.
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