Health systems often rely on EHRs to record data necessary to succeed under the Merit-based Incentive Payment System (MIPS). With the complex reporting requirements of MACRA, are EHRs up to the task?
A recent study conducted by software firm SA Ignite and Porter Research found that although most practices rely on EHR or population health management (PHM) solutions for quality reporting, the majority (61 percent) are unsatisfied with the performance of those systems when it comes to functions related to CMS' Quality Payment Program (QPP) performance.
Practices are unsatisfied with their ability to identify all eligible clinicians, pinpoint focus areas to increase scores, and see their overall MIPS score under CMS' QPP. Failure to record these functions accurately puts organizations at risk of missing out on their goals of maximizing payment incentives, experts say.
Physicians Practice spoke with Matt Fusan, Director of Customer Experience at SA Ignite to learn more about the study and what these results mean for practices.
Were the findings of the study surprising?
The results match our hypothesis. EHRs and population health management are great tools, but they are not…driving success in regulatory programs and strict value-based-care programs. At their core are patient records. They are aimed at improving patient care and for the most part, they do a great job. A lot of times, for a regulatory perspective or client pressure, they add in base functionality for programs such as Meaningful Use or MIPS. But, that functionality isn't going to be something that lets [practices] excel in MACRA.
Why do the majority of practices lack confidence in their EHRs when it comes to performing for MIPS?
A lot of that comes from history and living through Meaningful Use and the Physician Quality Reporting System (PQRS). The sentiment that I have gotten throughout the years is that docs don't feel their EHRs can aid their success in these complex programs.