BMN Blog

JUL 18
The Value of the Team Approach

Most all medical practices are preparing a MACRA project this summer. Our healthcare team has had the opportunity to speak to many physicians and managers regarding preparation for the transition from volume to value based medicine and reimbursement.  A large project can be overwhelming for any practice but this is more than a project, it is a culture change!

In preparing a checklist to approach the Merit Based Incentive Program, one key factor is choosing a team to lead the effort. Some physicians want to assign a single person or the manager to manage the project alone but this transition is at the very root of the patient visit.  The staff who collects information at triage to the medical assistant facilitating orders should be involved in MACRA.  We may be reporting performance for 90 days but we are transforming our practices to exhibit high quality and to become efficient by using electronic resources. 

Optimal outcomes are more likely when a provider and/or practice:

  • Provides team based care,
  • Has processes that are proactive in nature,
  • Uses decision support within provider workflow to both decrease variation and increase effectiveness,
  • Engages patients in a manner intended to help them manage their own condition, and
  • Uses information systems to find and fix gaps in care

Transformation and quality improvement is dependent on physician leaders to create a shared vision for the practice’s direction. The staff needs to align with the purpose and the cause to assure goals are reached.  Employee engagement breeds loyalty and satisfaction, and creates buy-in for meeting transformation goals.  Once engagement occurs, an employee brings more positive energy and ideas to translate into better patient outcomes. 

Processes and optimal workflows are key to employee training and building a decision support team to prepare for patient visits, which will allow the physician and other providers to work at a higher level with the patient during the patient visit.

Keys to Employee Engagement:

  • Solicit ideas on improving processes
  • Discuss outcomes at staff meetings
  • Celebrate ideas generated by the staff
  • Identify future leaders from staff with passion for transformation and improvement
  • Provide educational resources to staff to further understanding

There is a great deal of flexibility in the 2017 MACRA program to allow practices and EHR vendors to update technology to track performance. While flexibility is proposed for 2018, practice leaders should analyze resources, such as technology, and staff members who could rise to a team leader role to lead the team to success.

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