Embracing MACRA: The Value of Quality Reporting

In a KPMG survey released this June, 70 percent of physicians responded that they were preparing to meet the requirements of the Quality Payment Program in 2017 under the Medicare Access and CHIP Reauthorization Act (MACRA). Of those respondents, only 23 percent said that they were well prepared to start collecting data. The next major QPP deadline is March 31, and the sooner clinicians, healthcare organizations and health systems embrace quality reporting, it will become easier to implement quality-improving care strategies.


As a national, multi-specialty healthcare provider group that views improving provider performance and clinical outcomes as key pillars, Envision Physician Services has already started to see the value in quality reporting. Together, our anesthesia, emergency medicine and radiology service lines report data on more than 32 million patients in the U.S. To harness that data into actionable insights and best practices, we implemented a comprehensive reporting initiative a few years ago. Since then, we have been developing strategies that advance our clinicians’ efforts to provide value-based care. Some of the benefits of quality reporting include:


  • Improved Clinical Outcomes – We have learned from experience that integrating service lines and operationalizing clinical data are key drivers in improving the delivery of care. For example, we know that the sooner an Emergency Department patient is admitted, the better the outcome. Our emergency medicine and hospital medicine teams work together closely and use our Rapid Admission Process & Gap Orders™ with Rounding Charge Capture to treat and admit patients in a timely manner. With the software and our Door to Discharge™ program, one hospital saw a 47 percent increase in the number of patients discharged before 11 a.m. The approach has helped decrease emergency department wait times, improve bed availability and reduce the average length of stay as well as the costs associated with a stay.
  • Positive Patient Experience – Whether we are coordinating seamless care transitions, employing staffing models that increase physician contact time or learning from patient surveys, our goal is to enhance patients’ care experiences. In a sample of the different sized eastern U.S. facilities we partnered with in 2016, all of our “door to doctor” rates were under 25 minutes and lower than the benchmark set by the Emergency Department Benchmarking Alliance. However, a positive patient experience is more than just numbers – our team members take a comprehensive approach to ensuring patients receive the best care. With the support of a larger organization, our clinicians can focus less on the administrative tasks and spend more time caring for patients and improving their skills as providers.
  • Physician Education and Development – Envision strives to help clinicians become better providers and improve patient safety. Recently, the Envision Healthcare Center for Quality and Patient Safety was listed as a Patient Safety Organization by the Agency for Healthcare Research, a division of the U.S. Department of Health and Human Services. Strict internal quality reporting measures and access to a large database enable us to identify gaps in care, study care trends, improve best practices and enhance providers’ skills. This includes an extensive learning management system, which enables providers to assess their performance and utilize a variety of educational tools. Clinicians are also encouraged to participate in our many different employee-led committees, thought leadership workshops and professional development programs.


  • Job Satisfaction – With a network of more than 26,000 clinicians and a business team that is highly engaged in the delivery of care, we have valuable insight into what resources providers need to perform their jobs well and produce quality outcomes. Envision approaches quality reporting with the Quadruple Aim in mind – improve population health, enrich the patient experience, reduce costs and enhance clinician satisfaction. With the understanding that physicians do not want to be overwhelmed with quality reporting, our teams work to ensure that physicians have the support they need to make reporting less cumbersome and focus on being doctors rather than record-keepers.


While the adjustment to quality reporting and MACRA may not be quick or without challenges, there is value in the new value-based model. Most importantly, the shift will hold providers and healthcare organizations accountable. It will help us understand which areas of care need improvements, guide us in being more strategic in how we care for patients and, ultimately, advance caregivers’ missions to improve population health. Contact us today to learn more.

Sponsoring company bio: Envision Physician Services is a multispecialty physician group and healthcare management team providing anesthesia, emergency medicine, hospital medicine, radiology, surgical services, and women’s and children’s health services. Our collective experience enables us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Envision Physician Services serves more than 780 healthcare facilities in 45 states and the District of Columbia and employs or contracts with more than 23,000 physicians and other healthcare professionals.

This article was created in collaboration with the sponsoring company and our sales and marketing team. The editorial team does not contribute.