NCQA Digital Summit workshop - streamlining HEDIS reporting with NLP
Fractured Fairy Tale - the Price of Quality
Recently, an esteemed colleague pointed out an eye-opening research article to me when we were on the subject of Quality Measures and the expenses that occur in the digital age: "US Physician Practices Spend More Than $15.4 Billion Annually To Report Quality Measures".
This article was published in 2016, however I am willing to wager that this annual expense has not gone down in the past couple of years. This expense is accrued by not only hospital care organizations (HCOs) but by the insurance companies (payers) as well, all in the name of trying to make our population healthier.
We know that time equates to money in the workforce. How much time does this reporting take on the clinical side in addition to required duties for patient care? No wonder we are facing a clinician burnout epidemic. Medscape’s 2019 report determined that 44% of physicians described themselves as being burned out. And this report only mentioned the physicians, on nursing.org statistics nurses only reported a burnout rate of 15.6%. Which almost sounds like a relief until you learn 41% of nurses reported they felt “unengaged”. How frightening would it to be to be under the care of a nurse that was “checked-out” of his/her job? Burned-out and checked out. How do we achieve better outcomes this way? And how do we know payers are obtaining the correct information from the clinical staff?