Quality measures don’t match patient-reported outcomes in inpatient behavioral health

November 10, 2021Garrett SchmittNo CommentsBehavioral Health, inpatient behavioral health, JQQ, mental health, NAQH, patient experience, patient outcomes, patient reports, Patient Satisfaction, psychiatric hospitals, quality measures, quality of care, self-reported outcomes, SROs

At psychiatric hospitals and other inpatient behavioral health facilities, good performance on routine quality measures does not necessarily lead to improvement in symptoms and other patient self-reported outcomes (SROs), reports a study in the November/December issue of the Journal for Healthcare Quality (JHQ), the peer-reviewed journal of the National Association for Healthcare Quality (NAHQ). “[O]ur analyses suggest…

Chief Medical Officer’s Guide: Tracking Provider Performance, Reducing Low-value Care, and Improving Healthcare Accessibility

October 22, 2021Garrett SchmittNo CommentsChief Medical Officer, Chief Medical Officer's Guide, CMO, healthcare accessibility, provider performance, quality of care, value of care

The role of chief medical officer (CMO) is ever-evolving, with crucial responsibilities added year-over-year, including guiding organizational strategy, managing gaps in care infrastructure, overseeing technology acquisition and implementation, and streamlining process improvement, among others. This guide presents solutions to CMO’s top-of- mind issues using CareJourney’s platform of clinically relevant analytics derived from one of the…

Lack of Healthcare Interoperability Hinders Electronic ACO Reporting

September 16, 2021Garrett SchmittNo CommentsACO, ACO reporting, clinical quality measures, CMS, eCQM, eCQMs, EHRs, electronic clinical quality measures, fee schedule, Interoperability, Medicare Physician Fee Schedule, MSSP, Physician Fee Schedule, quality of care, reporting

CMS is looking to modernize the ACO reporting process by mandating the use of electronic clinical quality measures (eCQMs). However, accountable care organizations (ACOs) are concerned that the lack of healthcare interoperability will make electronic ACO reporting near impossible. “CMS must avoid making eCQMs mandatory until standard data fields exist across EHRs, and true interoperability…

The Fundamentals of Medicare Advantage Star Rating Methodology

August 10, 2021Garrett SchmittNo CommentsCMS, Medicare, Medicare Advantage, Medicare Advantage Star Rating, quality measures, quality of care

The way to determine the quality of a Medicare Advantage health plan is simple: look at the five-star rating on the Medicare website. However, the Medicare Advantage Star Rating methodology that produces that star indicator is much more complex. A Medicare Advantage plan is a private payer health plan which the federal government funds and…

Realizing Equitable Access and Quality of Care

August 4, 2021Garrett SchmittNo Commentsequitable access, equitable care, equitable healthcare, quality care, quality of care, SDOH, social determinants

In conversation with NEJM Catalyst’s Executive Editor, the Director of the Johns Hopkins Center for Health Equity and Johns Hopkins Urban Health Institute defines health equity, equitable access, and equitable quality of care, describes how antiracism strategies at both the structural and personal level support these concepts and will improve care for all patients, and…

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