LINDSBORG — Staff at Lindsborg Community Hospital take caring for their patients seriously.
Recently, all four providers at the hospital scored above the national average in all six measures of the MIPS program, otherwise known as Merit-based Incentive Payment Systems.
“This program is about how we are paid and Medicare determines what they are going to pay the organization (MIPS). What they’ve done is very incredible. Our physicians decided to utilize electronic health records to manage patients with chronic diseases such as diabetes, COPD, congestive heart failure and arthritis,” said Betty Nelson, marketing and development director at the hospital.
“I am proud of how we jumped in with both feet to tackle MIPS. We wanted to receive higher Medicare payments based on our performance and we did it. We not only reported the minimum 90 day reporting period, but we chose to report a whole year of data. It truly was a group effort involving clinicians, nursing and our front desk staff, led by Julie Worcester, BA, RMA Quality Improvement Coordinator at our clinic,” said Karna Peterson, Family Health Care Clinic Manager at the hospital.
The areas of performance doctors excelled on were: diabetes in poor control, preventive care and screening, influenza immunization flu and pneumonia vaccinations for older adults, pneumococcal vaccination status for older adults, colorectal cancer screening, breast cancer screening, preventive care and screening tobacco use and screening and cessation intervention.
MIPS was designed to tie payments to the quality and cost of efficient care, drive improvement in care processes and health outcomes, while increasing the use of healthcare information and reducing the cost of care.
“Physicians keep a close tab on the likelihood of a patient ending up in the emergency room or being hospitalized again or even developing a serious problem related to the lack of control of their disease,” Nelson added.
“As a healthcare organization and as individual physicians, physician assistants and nurse practitioners, our payment from insurance companies like Medicare will be dependent on not just completing a service, but the quality with which we provide care overall. We are blessed to have the providers and team members across the organization that enable us to score well on the insurance quality measures. This not only improves our financial viability but most importantly, demonstrates to our patients that we provide quality healthcare and will continue to seek ways to improve our service,” said Larry Van Der Wege, the Administrator at the hospital.
Doctors at the Lindsborg Community Hospital want patients to understand their chronic disease to lessen their amount of times coming into the office and to take preventatives before seeing their doctor.
“Doctors look at this program and ask patients for early detection including flu and pneumonia vaccines, breast cancer screenings things like that. Then all the data is reported back and it’s based on for example, if the doctor saw two Medicare patients, it means they need to hit the criteria for all those things that apply to that patient like their flu vaccine and so on,” Nelson noted.
While the hospital only has five providers, they realize the perfect score won’t happen every time. However, they are still recognizing the major achievement.
“We know it’s probably not going to happen everywhere, but we know that we’re a clinic with five providers and it’s a lot harder to do that when other practices may have 30 providers. We’re going to take credit for it right now though,” Nelson said.
For more information, call the hospital at 785-227-3308 or visit their website at https://lindsborghospital.org.
Contact Brooke Haas by email at firstname.lastname@example.org or follow her on Twitter @ MacSentinel.