Reimbursement: The Centers for Medicare and Medicaid Services (CMS) is transitioning physician payment to the Merit-based Incentive Payment System (MIPS), and private payers are following suit. As of January 2017, your Medicare Part B payments (and probably payment from all the other payers) will be linked in large part to the reporting of clinical quality measures using your electronic health record (EHR). Transmitting data to the Wound Registry is also how you can be successful with “Advancing Care Information (ACI)”, previously known as the “meaningful use” of an EHR.
Benchmarking: The data in CCDs will be used to provide you with benchmarking reports that will compare your patient and practice data in comparison with national aggregate data. You can look for outliers in your practice patterns or use of technology, and you can understand the risk level of your patients in comparison to the rest of the country. You can use benchmarking reports for Quality Improvement (QI) activities by identifying which practice patterns might be outside of the norm. You can also use these reports to identify the prevalence rate of certain co-morbid diseases like diabetes in your practice. These data can be used to understand the importance of care in prevention of diabetic lower extremity amputations.
Business Intelligence: Reporting to the Wound Registry means you will also have access to business intelligence metrics. This is especially important as providers struggle to develop compliance plans in advance of increasing scrutiny from Federal recoupment programs.
Quality Improvement: The USWR is a Qualified Clinical Data Registry (QCDR). We can use Wound Registry data to determine whether practitioners are following evidence based guidelines for clinical patient care. You can compare yourself with your peers in both quality and patient outcomes. This is important in an era when quality data will be publicly reported by Medicare on websites like Physician Compare using measures that are irrelevant to physicians. You can access your confidential benchmarking reports via a secure portal on our Physician Compare page. If you identify practice patterns that are outside the norm, you can create quality improvement (QI) goals for your practice. Using data reported through the USWR QCDR for QI is a Clinical Practice Improvement Activity (CPIA) in the Population Management category of MIPS.
Striving for Health Equity: Chronic diseases are a significant problem in the USA. Physicians care for many patients who struggle to cope with the burden of managing chronic diseases like diabetes, in addition to social, language and economic barriers. CMS has identified areas disparities between subgroups of Medicare beneficiaries (e.g., racial and ethnic groups) in health outcomes, utilization, and spending. The USWR QCDR can help you understand whether your practice is caring for patients likely to live in an area where disparities exist. Using the USWR to screen for social determinants of health is another Clinical Practice Improvement Activity in the category of Achieving Health Equity.
Patient Benefit: Registry participation can help patients. Clinical trials usually exclude patients with serious co-morbid diseases and target the least severe problems. As a result, while clinical trials can prove an intervention or device is efficacious under perfect conditions, they can’t prove it is effective in the real world. Because payer coverage policy usually mirrors the criteria of a clinical trial, the patients who most need a treatment or a product are later excluded from receiving it by coverage policy. The data from registries can be used to improve payer coverage policy by providing information about the effectiveness interventions in different real world populations.
The US Wound Registry is listed on the National Institute of Health (NIH) Clinical Trials website.