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Flashcards in Health care quality Deck (18):
1

Stakeholders in quality?

Providers
Payers
Patients
Employers

2

Value in Healthcare measured by

outcomes achieved.

not volume

3

What are methods of cost reduction

payment cuts
move away from fee-for-service

4

Value=

quality/cost

5

Includes clinical outcomes and patient experience

quality

6

spending money doesn't mean

better health care

7

Report on dimensions where US HC system functions lower than it should

IMO crossing the quality chasm

8

What is STEEEP

safe
timely
effective
efficient
equitable
Patient centered.

9

Why are there quality problems?

fragmentation of system
Lack of coordination with professionals
Payment quality neutral.

10

What is the Triple Aim?

improve experience of care
improve health population
reduce per capita cost

11

Barriers to Triple Aim?

supply driven demand
new technology
physician-centric care
no competition

12

effort to improve quality of health and healthcare in US, guided by triple aim

National Quality Strategy

13

Priorities of National Quality Strategy

safer care
include patient and fa
communication
prevention treatment
affordable.

14

NQS guided by what?

better care
Healthy ppl
affordable care

15

medicare access and CHIP reauthorization act

MACRA

16

What does MACRA do?

repeal rate formula to determine medicare payment
Reward clinician for value
Meritbased incentive payment system

17

move to outcome-based payment, quality reporting with provider performance using 4 categories

Merit based incentive program

MIPS

18

MIPS 4 categories

quality
advancing care info
clinical practice improvement activities
cost/resource use.