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2020 MIPS IA_PSPA_17: Implementation of analytic capabilities to manage total cost of care for practice population

Activity ID

IA_PSPA_17

Activity Weighting

Medium

Subcategory Name

Patient Safety and Practice Assessment

Activity Description

In order to receive credit for this activity, a MIPS eligible clinician must conduct or build the capacity to conduct analytic activities to manage total cost of care for the practice population.
Examples of these activities could include:

  • Train appropriate staff on interpretation of cost and utilization information;
  • Use available data regularly to analyze opportunities to reduce cost through improved care.

An example of a platform with the necessary analytic capability to do this is the American Society for Gastrointestinal (GI) Endoscopy’s GI Operations Benchmarking Platform.

Validation

Use of analytic capabilities to manage total cost of care for practice population (e.g. the American Society for Gastrointestinal (GI) Endoscopy’s GI Operations Benchmarking Platform is a sufficient example of a tool used for identifying opportunities to reduce cost).

Suggested Documentation

1) Staff Training - Documentation of staff training on interpretation of cost and utilization information (e.g. training certificate); or
2) Cost/Resource Use Data - Availability of cost/resource use data for the practice population that is used regularly to analyze opportunities to reduce cost.

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: Engage with local Regional Health Improvement Collaborative (RHIC) to measure and utilize Total Cost of Care (TCoC) to identify practice improvement opportunities, create a practice improvement plan(s), and execute on the plan(s)

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