ITEMS IN FPM ON TOPIC:
The QRUR is essentially an annual report card, and its data can affect how you get paid in the future.
Many practices are looking to transition to a patient-centered medical home. Terry Reilly Health System made that move while also serving as a safety net clinic for several communities in southern Idaho. The system's key steps included getting early buy-in by clinic leadership, continually adjusting patient panels for individual physicians to provide quality care but avoid burnout, creating care teams to improve efficiency, hiring care coordinators, and using the electronic health record to improve patient outcomes.
The number of people speaking a language other than English in the United States has increased to almost 20 percent of the population. In addition, the aging population is increasing the number of patients who are deaf or hard of hearing. This demographic shift as well as legal obligations mean many practices should develop a strategy to accommodate language barriers and ensure continued quality care. Those strategies include developing an organizational policy, determining the appropriate method of communication during the patient encounter, seeking financial support for medical interpretation, and providing language-appropriate patient forms and educational resources.
The drive away from fee-for-service and toward efficiency is requiring integrated health care groups to decrease hospitalization and procedures while still needing to maximize revenue. Including care coordinators can bridge this gap, helping identify and manage chronically ill patients who most need regular health services while freeing up physicians' time to provide care and actually increasing patient visits.
The author describes a way to use online shared document editing with Google Docs to facilitate communication between reception and back office in a large practice.
The authors, who have published results of a study of the costs and benefits of participating in the Physician Quality Reporting Initiative (PQRI), Improving Performance in Practice (IPIP), Bridges to Excellence (BTE) and a North Carolina program (Ann Fam Med 7:495-503 ) offer practical suggestions based on their research.
Sometimes, what matters most is how far a patient has come.
The article will explain how to use the patient experience as an easy way to measure practice function and outcomes and how to correct performance gaps.
Reports on the results of the FPM survey of EHR users that was distributed in the April 2007 issue of the journal.
“If X then Y” rarely works when you're dealing with patients.