Why do we need quality measures in emergency medicine?
Abstract Quality measures increasingly influence the delivery and reimbursement of care provided in emergency departments. While emergency physicians are accustomed to using quality measures to improve care delivery, payors, including the Centers for Medicare and Medicaid Services (CMS), are increas...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.13329 |
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| author | Shamie Das Gregg Miller Christopher Libby Cameron J. Gettel Elaine Rabin Michelle Lin |
| author_facet | Shamie Das Gregg Miller Christopher Libby Cameron J. Gettel Elaine Rabin Michelle Lin |
| author_sort | Shamie Das |
| collection | DOAJ |
| description | Abstract Quality measures increasingly influence the delivery and reimbursement of care provided in emergency departments. While emergency physicians are accustomed to using quality measures to improve care delivery, payors, including the Centers for Medicare and Medicaid Services (CMS), are increasingly adjusting reimbursement to measure performance as a means to bend the cost curve and improve the value of healthcare services. The American College of Emergency Physicians Quality and Patient Safety Committee presents this whitepaper to guide practicing emergency physicians through the policy context of implementing measures in emergency care and understanding its impact reimbursement. This paper summarizes current CMS programs such as the merit‐based incentive payment system (MIPS), MIPS value pathways, and alternative payment models and various reporting mechanisms. It is crucial for emergency physicians to understand the quality measure development process, the need for more emergency medicine‐specific quality measures, and the growing significance of measure performance in the payment of emergency care. |
| format | Article |
| id | doaj-art-d572303b5dac41b3a33ea5100da3ca2f |
| institution | OA Journals |
| issn | 2688-1152 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-d572303b5dac41b3a33ea5100da3ca2f2025-08-20T02:03:47ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522024-12-0156n/an/a10.1002/emp2.13329Why do we need quality measures in emergency medicine?Shamie Das0Gregg Miller1Christopher Libby2Cameron J. Gettel3Elaine Rabin4Michelle Lin5Department of Emergency Medicine Emory University School of Medicine Atlanta Georgia USAVituity Emeryville California USADepartment of Emergency Medicine Cedars Sinai Medical Center Los Angeles California USADepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USADepartment of Emergency Medicine Icahn School of Medicine at Mount Sinai New York New York USADepartment of Emergency Medicine Stanford University Palo Alto California USAAbstract Quality measures increasingly influence the delivery and reimbursement of care provided in emergency departments. While emergency physicians are accustomed to using quality measures to improve care delivery, payors, including the Centers for Medicare and Medicaid Services (CMS), are increasingly adjusting reimbursement to measure performance as a means to bend the cost curve and improve the value of healthcare services. The American College of Emergency Physicians Quality and Patient Safety Committee presents this whitepaper to guide practicing emergency physicians through the policy context of implementing measures in emergency care and understanding its impact reimbursement. This paper summarizes current CMS programs such as the merit‐based incentive payment system (MIPS), MIPS value pathways, and alternative payment models and various reporting mechanisms. It is crucial for emergency physicians to understand the quality measure development process, the need for more emergency medicine‐specific quality measures, and the growing significance of measure performance in the payment of emergency care.https://doi.org/10.1002/emp2.13329CMSemergency medicinepayment reformquality measuresreimbursementvalue‐based care |
| spellingShingle | Shamie Das Gregg Miller Christopher Libby Cameron J. Gettel Elaine Rabin Michelle Lin Why do we need quality measures in emergency medicine? Journal of the American College of Emergency Physicians Open CMS emergency medicine payment reform quality measures reimbursement value‐based care |
| title | Why do we need quality measures in emergency medicine? |
| title_full | Why do we need quality measures in emergency medicine? |
| title_fullStr | Why do we need quality measures in emergency medicine? |
| title_full_unstemmed | Why do we need quality measures in emergency medicine? |
| title_short | Why do we need quality measures in emergency medicine? |
| title_sort | why do we need quality measures in emergency medicine |
| topic | CMS emergency medicine payment reform quality measures reimbursement value‐based care |
| url | https://doi.org/10.1002/emp2.13329 |
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