Introduction
The healthcare sector undergoes an ever-changing nature, and consequently, preserving quality and safety remains a relevant topic. An influential instrument for elevating the outcomes of patients, the quality of health care, and the cost efficiency of health care organisms is the merit-based incentive payment system (MIPS). MIPS implementation in nursing practice, MIPS contribution to the improvement of care quality, MIPS’s help to the practice organization’s financial stability, and APNs’ role in the implementation of MIPS quality metrics are the key issues regarding this conversation.
Application of Course Knowledge
For a potential nurse practitioner who is working in primary care, MIPS could help to fill a system that is used to come up with robust metrics to check the quality of care delivered. MIPS boosts physicians’ care for patients and also bases treatments on science by using indicators for weight control results—patient education programs and cancer screenings (Berdahl et al., 2019). MIPS also supports the employing of certified EHR technologies (EHR) that assist in data handling, care coordination, and communication between the health care providers, which slantedly will improve patient outcomes and satisfaction levels.
Implementation Experience of MIPS
A shift in medical insurance goals towards a comprehensive approach to healthcare that advocates for escalated innovation in chronic disease management is made achievable by the MIPS. It is particularly notable in cases of diabetes mellitus treatment (Berdahl et al., 2019). In the context of MIPS, proactive interventions such as patient self-management strategies, nutritional counseling, and multidisciplinary teams within healthcare, along with regular checks of hemoglobin A1C levels, would be chosen as the preventive plan for chronic diabetes disease.
Positive Effects of MIPS on Practice Area
MIPS for diabetes management practice turns out handy not only for IT and preventive strategies but also in other areas. The enhancement of MIPS brings healthcare providers to drive evidence-based regimens for patients’ education and continuous monitoring, which is the assessment of the pattern of blood sugars that remains close to target values and the prevention of complications (Johnston et al., 2020). Additionally, by offering incentives to providers who actively involve nurses and other healthcare professionals in care coordination activities like conferences and shared decision-making approaches, MIPS emphasizes the importance of interprofessional collaboration.
Role of MIPS in Financial Viability and Client Health Outcomes
MIPS proposes a link between finances and quality care so that the latter will be paid for with the money intended to cover its cost. Eligible healthcare providers should avoid penalties and be able to qualify for financial incentives by obtaining MIPS ratings (Johnston et al., 2020). Primarily, this results in organizations allocating their resources to leadership topics, infrastructure improvements, and patient care improvements.
Contribution of Advanced Practice Nurses to MIPS Development
Firstly, physicians have expert clinical experience at all levels of care, which is significant to the development of MIPS quality indicators. APNs are skilled and equipped to promote coverage of policies portraying a proper understanding of nursing practice and the patient impact by participating actively in nursing professional associations, quality improvement committees, and advisory panels (Wilk & Jain, 2019). Advanced Practice Nurses are not only limited to quality improvement programs (QI) and finding data that measures the relevance of MIPS metrics for nursing practices but also research studies.
Conclusion
In summary, the merit-based incentive payment system (MIPS) can be an instrument to improve patient outcomes and quality in nursing practice. MIPS rewards help carrier providers achieve high-efficiency resource use, coordination of care, and preventative healthcare. To ensure that the indicators for MIPS are valid and valuable not only to protect the patient’s high-quality safety but also for everyone, advanced practitioners are required to commit themselves to developing and improving those indicators.
References
Berdahl, C. T., Easterlin, M. C., Ryan, G., Needleman, J., & Nuckols, T. K. (2019). Primary care physicians in the merit-based incentive payment system (MIPS): a qualitative investigation of participants’ experiences, self-reported practice changes, and suggestions for program administrators. Journal of General Internal Medicine, 34, 2275-2281.
Johnston, K. J., Wiemken, T. L., Hockenberry, J. M., Figueroa, J. F., & Maddox, K. E. J. (2020). Association of Clinician Health System affiliation with outpatient performance ratings in the Medicare Merit-based Incentive Payment System. Jama, 324(10), 984-992.
Wilk, A. S., & Jain, S. (2019). Effective Population Health Care Delivery Under Medicare’s Merit-based Incentive Payment System: Realigning Accountability with Capability. The American Journal of Accountable Care, 7(1), 28-30.
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