The Cost of Patient-Reported Outcomes

In a January 25, 2018 post in NEJM Catalyst, authors Judith F. Baumhauer, MD, MPH, Christopher Dasilva, BS, David Mitten, MD, Paul Rubery, MD & Michael Rotondo, MD outline the several options and costs of implementing patient-reported outcomes in a clinical practice.  The authors outline the costs of a custom-built, an EHR solution, and standalone commercial product, citing the costs, advantages and disadvantages of each.


GAO recommends priority setting to reduce quality measurement burden

The US Government Accounting Office said in a report that the Department of Health and Human Services (HHS) should comprehensively plan and set timelines in developing more meaningful quality measures, and prioritize development of electronic quality measures.  The Medicare Access and CHIP Reauthorization Act of 2015 called for GAO to examine the use of quality measures across HHS programs and private payers, with a focus on reducing burden. In the report, HHS concurs with the GAO recommendations.

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Use of virtual huddles support ACO care coordination; mobile devices helping improve quality and physician satisfaction

A recent article from Hospitals and Health Networks  highlights the growing use of virtual medical huddles to help coordinate care across the care team.

Communication is critical to successfully implementing new models of care to reduce costs and keep patients from making return trips to the hospital.  But communicating across care teams can be a big hurdle for accountable care organizations.

One such organization using virtual huddles is Meritage Medical Network based in Novato, Calif. The physician-led, Medicare Shared Savings ACO includes numerous physician practices and a hospital with disparate records systems, covering a 26,000 square-mile region.

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