Hackensack Radiology Group, PA, River Edge, New Jersey.
Department of Radiology, NYU Langone Medical Center, New York, New York.
J Am Coll Radiol. 2018 Jan;15(1 Pt A):29-33. doi: 10.1016/j.jacr.2017.02.043. Epub 2017 Apr 21.
Radiology has historically been at the forefront of innovation and the advancement of technology for the benefit of patient care. However, challenges to early implementation prevented most radiologists from adopting and integrating certified electronic health record technology (CEHRT) into their daily workflow despite the early and potential advantages it offered. This circumstance places radiology at a disadvantage in the two payment pathways of the Medicare Access and CHIP Reauthorization Act of 2015: the Merit-Based Incentive Payment System (MIPS) and advanced alternative payment models (APMs). Specifically, not integrating CEHRT hampers radiology's ability to receive bonus points in the quality performance category of the MIPS and in parallel threatens certain threshold requirements for advanced APMs under the new Quality Payment Program. Radiology must expand the availability and use of CEHRT to satisfy existing performance measures while creating new performance measures that create value for the health care system. In addition, radiology IT vendors will need to ensure their products (eg, radiology information systems, PACS, and radiology reporting systems) are CEHRT compliant and approved. Such collective efforts will increase radiologists' quality of patient care, contribution to value driven activities, and overall health care relevance.
放射科在创新和技术进步方面一直处于领先地位，旨在改善患者的护理服务。然而，早期实施的挑战使得大多数放射科医生无法采用和整合经认证的电子健康记录技术（CEHRT），尽管它具有早期和潜在的优势。这种情况使放射科在 2015 年《医疗保险获得和儿童健康保险计划再授权法案》的两种支付途径中处于不利地位：基于质量的激励支付系统（MIPS）和先进的替代支付模式（APMs）。具体而言，不整合 CEHRT 会阻碍放射科在 MIPS 的质量绩效类别中获得额外积分，并且同时威胁到新的质量支付计划下某些高级 APM 的门槛要求。放射科必须扩大 CEHRT 的可用性和使用，以满足现有绩效指标，同时创建为医疗保健系统创造价值的新绩效指标。此外，放射科 IT 供应商需要确保其产品（例如，放射信息系统、PACS 和放射科报告系统）符合 CEHRT 标准并获得批准。这种集体努力将提高放射科医生的患者护理质量、对价值驱动活动的贡献以及整体医疗相关性。
