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2020 MIPS IA_CC_15: PSH Care Coordination

Activity ID

IA_CC_15

Activity Weighting

Medium

Subcategory Name

Care Coordination

Activity Description

Participation in a Perioperative Surgical Home (PSH) that provides a patient -centered, physician-led, interdisciplinary, and team-based system of coordinated patient care, which coordinates care from pre-procedure assessment through the acute care episode, recovery, and post-acute care. This activity allows for reporting of strategies and processes related to care coordination of patients receiving surgical or procedural care within a PSH. The clinician must perform one or more of the following care coordination activities:

  • Coordinate with care managers/navigators in preoperative clinic to plan and implementation comprehensive post discharge plan of care;
  • Deploy perioperative clinic and care processes to reduce post -operative visits to emergency rooms;
  • Implement evidence-informed practices and standardize care across the entire spectrum of surgical patients; or
  • Implement processes to ensure effective communications and education of patients' post-discharge instructions.

Validation

Evidence of participation in a Perioperative Surgical Home (PSH) model that provides a patient-centered, physician-led, interdisciplinary, and team-based system of coordinated patient care

Suggested Documentation

1) Coordinate with care managers/navigators in preoperative clinic to plan and implement comprehensive post discharge plan of care that could take into account patients' post discharge environment and support system out of the hospital; and
2) Deploy perioperative clinic and care processes to reduce post -operative visits to emergency rooms; and
3) Implement evidence-informed practices and standardize care across the entire spectrum of surgical patients; and
4) Implement processes to ensure effective communications and education of patients' post-discharge instructions, taking into account patients' literacy level, language and communication preferences, and cognitive or functional impairments.

Examples of Additional Activities that Qualify for Attestation

Completing these alternate activities can fulfill the requirements of this Improvement Activity; and Notes

Sub-IA-1: Participate in a Perioperative Surgical Home

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