The historic Institute of Medicine’s (IOM) Crossing the Quality Chasm brought quality of medical care issues to the forefront of the industry’s reform efforts. Add to that efforts to bend the cost curve and the dissonance between costs and outcomes heightened awareness about the lack of standard and definitions between clinicians and hospitals.
Today, for physician groups and health systems, quality improvement efforts largely remain focused on reporting data. This is partly due to the investment required needed in appropriate analytics and staff able to take near-time data and make it actionable for clinicians at the point of care.
That is where SCG Health comes in. Our quality improvement activities streamline analytics, patient engagement and reimbursement reform in a way that physicians can understand and be a part of the dialog to provide affordable, quality healthcare to all patients.
SCG Health is committed to identifying real solutions to barriers for data sharing and customer access and offering quality improvement to ensure that the solutions meet consumer needs while bending the cost curve. To accomplish these goals, we offer a Medicare Qualified Clinical Data Registry (QCDR) for the Medicare Physician Quality Reporting System under a special reporting method approved by Medicare.
What is quality improvement?
The Health Resources and Service Administration defines quality improvement activities as consisting “of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups”. The IOM defines “quality” in health care as “a direct correlation between the level of improved health services and the desired health outcomes of individuals and populations.” Therefore a “quality improvement program” (QI) evaluates how medical care is delivered and using six sigma principles identifies way to reduce waste and improve staff efficiency and patient outcomes.
Why is this so important?
The introduction and progression to later stages of the federal electronic medical record (EMR) Incentive Program and meaningful use, along with the national shift towards value-based payment in public and private payor payment models has revealed an entirely new set of requirements and challenges to quality measurement.
Healthcare professionals, hospitals and systems are faced with an ever-increasing burden related to quality reporting. As healthcare reform takes hold, the number of quality reporting programs is growing exponentially in number and complexity. Creating alignment across quality reporting programs and performance improvement initiatives is necessary in order to decrease the burden on healthcare providers and systems.
What we offer
SCG Health performs onsite and remote audits of key aspects of clinical workflow, documentation and the revenue cycle management process to confirm compliance, identify best practice opportunities and review supporting clinical documentation.
SCG Health is also pleased to provide registry services where we act as a clearinghouse and send data to the Centers for Medicare & Medicaid Services (CMS). An annual subscription fee covers an entire reporting year of relaying data to CMS. Base subscriptions include self-service submission of data to SCG Health, portal support, data submission, data verification and communication to CMS as required.
Additional services increase the real-time support and consulting services available to the group to improve data collection, ease workflow problems and enable near-time reporting. This assures that eligible professionals meet all of the data, scoring and attestation requirements before submission to CMS.
Who we work with
SCG Health works with local, state and national professional associations representing eligible professionals of all types. Here are just a few that we currently work with:
- American Academy of Dermatology
- American Association of Nurse Anesthetists
- American Osteopathic Association
- Association of Dermatology Administrators & Managers