Wk 2 Discussion Response Anthony Minimum Data Sets (MDS) are important standards

Wk 2 Discussion Response
Anthony
Minimum Data Sets (MDS) are important standards for the collection, documentation, and reporting of patient assessments. This data is collected in a consistent format to create research products that guide the creation of standards and measure performance. The Center for Medicare and Medicaid Services uses data to maintain awareness of conditions in nursing homes nationwide (cms.gov, 2013). Static or canned reports occur at scheduled intervals and contain data that had an anticipated use upon collection. Regulatory burdens are typically met with these canned reports which provide data identified by the regulatory agency prior to collection. Organizations use ad hoc reporting to satisfy specific information needs that were often unanticipated at the time of system design (Duncan, 2020). Large health care organizations have practice problems arise and can use a request for ad hoc data to provide a strong basis for decision making. Ad hoc reports are flexible and can be tailored for the specific data problem. Data that does not exist in an intractable format creates a roadblock for researchers. Analysts working on a data problem may need to perform time consuming tasks of translating data or reading through information to convert subjective narrative into data. This creates problems with data integrity as there are obstacles to standardization when converting data. 
Centers for Medicare and Medicaid Services. (2013) MDS 3.0 Frequency Report. https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Minimum-Data-Set-3-0-Public-Reports/Minimum-Data-Set-3-0-Frequency-Report
Duncan, S.. (2020, January 16). Big data drives the need for frequent ad-hoc reporting. The Capital. https://medium.com/the-capital/big-data-drives-the-need-for-frequent-ad-hoc-reporting-bf027ba890c6
Jennifer
Minimum Data Sets (MDS) are important standards for the collection, documentation, and reporting of patient assessments. This data is collected in a consistent format to create research products that guide the creation of standards and measure performance. The Center for Medicare and Medicaid Services uses data to maintain awareness of conditions in nursing homes nationwide (cms.gov, 2013). Static or canned reports occur at scheduled intervals and contain data that had an anticipated use upon collection. Regulatory burdens are typically met with these canned reports which provide data identified by the regulatory agency prior to collection. Organizations use ad hoc reporting to satisfy specific information needs that were often unanticipated at the time of system design (Duncan, 2020). Large health care organizations have practice problems arise and can use a request for ad hoc data to provide a strong basis for decision making. Ad hoc reports are flexible and can be tailored for the specific data problem. Data that does not exist in an intractable format creates a roadblock for researchers. Analysts working on a data problem may need to perform time consuming tasks of translating data or reading through information to convert subjective narrative into data. This creates problems with data integrity as there are obstacles to standardization when converting data. 
Centers for Medicare and Medicaid Services. (2013) MDS 3.0 Frequency Report. https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Minimum-Data-Set-3-0-Public-Reports/Minimum-Data-Set-3-0-Frequency-Report
Duncan, S.. (2020, January 16). Big data drives the need for frequent ad-hoc reporting. The Capital. https://medium.com/the-capital/big-data-drives-the-need-for-frequent-ad-hoc-reporting-bf027ba890c6
Susan
A merit-based incentive payment system (MIPS) is part of the Medicare payment adjustments system – “The Merit – Based Incentive Payment System (MIPS) is the program that will determine Medicare payment adjustments. Using a composite performance score, eligible clinicians (ECs) may receive a payment bonus, a payment penalty or no payment adjustment.” (Merit-based Incentive Payment System (MIPS), n.d.)  Comparing the reporting tool to an MIPS system, the tool should focus on the following categories: 
Quality – “In order to comply with 2021 reporting requirements, most eligible clinicians must report on six quality measures, including one outcome measure. If an outcome measure is not available, you must then select one high priority measure.”(Quality, n.d.) You want a system that is high quality so that it operates in a way that is expected with improvements for clinical staff. 
Improved Activities – “Improvement Activities (IA) was created to promote ongoing improvement and innovation. IA’s account for 15% of your total MIPS score…Participants of each Practice Improvement Projects (PIPs) are required to systematically review and document their activities, which CMS requires a monthly documentation for Quality Improvement Activities, to assess performance in practicing by reviewing outcomes, addressing areas of improvement, and evaluating the results.” (Improvement activities, n.d.) It would be a good idea to revisit the improvement activities associated in a period of time post completion in an attempt to make any improvements if needed. 
Promoting Interoperability – “The Promoting Interoperability (PI) category of MIPS replaces the Medicare HER Incentive Program, also known as Meaningful Use and is responsible for 25% of your total MIPS score.” (Promoting interoperability, n.d.) How clinical staff interact with patients along with the sharing of information via electronic health records should be the priority; encouragement of the interoperability should be included within the payment scheme. 
Cost – “The cost category replaces the Medicare Value Modifier Program for eligible clinicians. Cost is responsible for 15% of your final MIPS score.” (Cost, n.d.) Additionally, cost is divided between two separate measures: Medicare Spending Per Beneficiary (MSPB), which simply evaluates Medicare Parts A & B for episodes immediately prior to, during and after a patient’s hospital stay. Total Per Capita Cost (TPCC) is responsible for evaluating Medicare Parts A &B associated with a patient over a year’s time. You want to assure that the price is not too much while still implementing a system that is beneficial for the organization. 
References
Merit-based Incentive Payment System (MIPS). aapmr.org. (n.d.). Retrieved January 23, 2022, from https://www.aapmr.org/quality-practice/quality-reporting/merit-incentive-payment-system 
Quality. aapmr.org. (n.d.). Retrieved January 23, 2022, from https://www.aapmr.org/quality-practice/quality-reporting/merit-incentive-payment-system/quality 
Improvement activities. aapmr.org. (n.d.). Retrieved January 23, 2022, from https://www.aapmr.org/quality-practice/quality-reporting/merit-incentive-payment-system/improvement-activities 
Promoting interoperability. aapmr.org. (n.d.). Retrieved January 23, 2022, from https://www.aapmr.org/quality-practice/quality-reporting/merit-incentive-payment-system/advancing-care-information 
Cost. aapmr.org. (n.d.). Retrieved January 23, 2022, from https://www.aapmr.org/quality-practice/quality-reporting/merit-incentive-payment-system/cost

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