When responding to at least two of your peers, consider the following:
· In what other ways does the initiative reviewed by your peer improve healthcare?
· How is the initiative reviewed by your peer different from or similar to the initiative you discussed?
· What other strategies might be used to address the gap?
The Promoting Interoperability Program was created by Centers for Medicare and Medicaid (CMS) in 2011, formerly known as the Medicare and Medicaid EHR Incentive Program. This program was created to encourage eligible hospitals and critical access hospitals (CAH) to demonstrate meaningful use of certified electronic health record technology (CEHRT). For 2021, Medicare is requiring that eligible hospitals and CAHs show a 90 day reporting period and to report on one of four measures including; Electronic prescribing, Health information exchange, Provider to Patient exchange, or Public Health and Clinical Data Exchange. As for Medicaid, requirements differ slightly within this program. Eligible professionals document quality measures that are directly related to their scope of practice (CMS, 2021).
I am an Occupational Therapy Assistant and the Director of Rehabilitation at a Retirement Community (now called Life-Plan communities) and in June of this year the Administration staff received emails from the CEO reporting that as part of the new Interoperability requirement from the Department of Health and CMS, our campus had partnered with Health Share Exchange in order to connect with the NJHIE via Point Click Care (the system all departments use for documentation on residents). As per the CEO the levels of care that participate include skilled nursing and assisted living; however not the independent living residents. The process is for new admitting residents to sign a paper with their approval or denial for their health information to be a part of the health sharing network.
This program addresses the gap in health care of poor care coordination between providers and settings. Care coordination is important for many reasons including; decreasing readmission rate to hospitals, improving continuity of care specifically when transitioning from various settings or providers, reducing duplication of services and therefore reducing health care costs. The health share exchange allows hospitals, physician offices and other facilities to view medical records and services, which is crucial for providing quality care. In terms of the Triple Aim, the initiative of Promoting Interoperability Programs will ultimately lower costs as stated above with reducing unnecessary or duplication of services, improving population health with care coordination that delivers appropriate treatment, and improving the patient experience with increased communication between providers.
Centers for Medicare and Medicaid Services. (2021). Medicare and Medicaid Promoting Interoperability
Program Basics. https://www.cms.gov/Regulations-and
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