241-242 - In-Brief Sessions: IHI, IOM, CMS, OPPS - Understanding the Alphabet Soup in Ambulatory Care; Connecting the Dots Between ACO, CMS, MU and Other Pay for Performance Initiatives

Description

IHI, IOM, CMS, OPPS - Understanding the Alphabet Soup in Ambulatory Care: Today's ambulatory nurse needs to demonstrate improved patient outcomes with data. National organizations such as CMS, IHI, IOM, NCQA, BTE, and TJC set standards and metrics for improving patient care. This session helps clarify the alphabet soup and demonstrates easy ways to achieve compliance with national indicators for best practice.

Learning Objectives:

• Identify the IOM Six AIMS for improving healthcare and describe how to integrate them into the contextual framework of ambulatory care.
• Describe the IHI Triple Aim and how it provides the framework for Ambulatory care in the newer care models (ACO, PCMH).
• Identify 3 evidence-based practice measures or pay for performance measures in ambulatory care.

Connecting the Dots Between ACO, CMS, MU and Other Pay for Performance Initiatives: Health Care Reform introduced a pay-forperformance initiative called Accountable Care Organization (ACO). The role of ambulatory care nursing in this initiative is significant. The ACO's proposed quality measures are parallel to CMS meaningful use, HEDIS, and other initiatives. This session discusses prioritizing quality measures to enable organizations to build a robust quality program aligned with strategic goals and initiatives.

Learning Objectives:

• Outline the role of ambulatory organization in the ACO Model.
• Relate quality measures required by the ACO model with other models of care and pay-for-performance initiatives.
• Identify at least three performance measures for the ACO model also aligned with other pay-for-performance initiatives.

Speaker(s):

• Author Eileen M. Esposito, DNP, RN, AMB-BC, CPHQ
• Patricia Ruiz, MA, RN, NEA-BC