OR Manager - April 2018 - 3

Editorial
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Vol. 34, No. 4 April 2018 * OR Manager (ISSN 8756-8047)
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Certified Surgical Services Manager
This CE meets eligibility requirements to recertify the Certified Surgical
Services Manager (CSSM®
for the CSSM®
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exam. Surgical services leaders interested in improving patient
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ixed signals about the direction
of healthcare reform, payment
models, and policy decisions
have characterized much of the
past year. Given the number of highprofile
personnel changes in the Trump
Administration, the lack of continuity
isn't surprising.
M
In recent days, however, the Centers
for Medicare & Medicaid Services
(CMS) has announced some new initiatives
that may make patients' and
healthcare providers' lives easier:
* MyHealthEData, a program to give
patients electronic access to their
health records from the device or application
of their choice
* Blue Button 2.0, a secure way for
Medicare beneficiaries to access
and share their personal health data
in a universal digital format
* an overhaul of meaningful use requirements,
which is intended to
reduce time and compliance costs
related to the program
* $30 million in grant funding to develop
new quality measures for the
Medicare Access and CHIP Reauthorization
Act of 2015 (MACRA).
Through this funding, CMS plans to
collaborate with clinicians, patients, and
other stakeholders to improve healthcare
delivery.
" The CMS Quality Measure Development
Plan provides a strategy for filling
clinician and specialty area measure
gaps, " writes Kate Goodrich, MD, director,
CMS Center for Clinical Standards
and Quality and CMS chief medical officer,
in a blog. Gap areas include orthopedic
surgery, pathology, radiology,
Create a
competitive playing
field where value
is rewarded.
mental health and substance use conditions,
oncology, palliative care, and
emergency medicine.
Though the efficacy of such initiatives
is unknown, their objectives reflect
a commitment by CMS to shore up a
troubled system. And there are hints
that the government may be leaning
more toward value-based care (VBC)
than in the past.
The ROI of value
Cancellation of Medicare's mandatory
episode payment models and the cardiac
rehabilitation payment incentive
payment model that would have started
this year seemed to slow the momentum
for moving away from fee-for-service
payment. But at the recent Federation
of American Hospitals Public Policy Conference
& Business Exposition, Health
and Human Services Secretary Alex
Azar expressed the administration's
support for value: " There is no turning
back to an unsustainable system that
pays for procedures rather than value.
We want to look at bold measures that
will fundamentally reorient how Medicare
and Medicaid pay for care and
create a true competitive playing field
where value is rewarded handsomely. "
While hardly a policy statement,
Continued on page 5
nurses. Learn
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OR Manager - April 2018

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