There is a disconnect between the MIPS / MACRA push for physicians and what is happening on the hospital side of the equation.
Physicians might be ready for MIPS and MACRA, but are their EHRs and other technology tools up to the challenge?
It depends on who you ask.
"It's unfortunate that some physicians and hospitals have not made the investments in the tools that can improve the provision of care for patients," says Bill Kramer, MBA, executive director for national health policy at the San Francisco-based Pacific Business Group on Health.
"They were given lots of money under the meaningful use program to put those tools in place. There are many quality improvement organizations, consultants, to help providers improve the quality and efficiency of care," he says.
"There are clinical guidelines that specialty societies have developed that should be used and they aren't. There are measures to improve patient safety in hospitals that have only been used sporadically."
"I think," continues Kramer, "physicians and clinicians and hospitals should be doing the right thing to improve care for patients, not just doing this in response to regulations."
And yet, in my own reporting on MIPS and MACRA, I have often heard that the technology tools built all around meaningful use remain immature when it comes to the kind of quality reporting that MIPS and MACRA will require from day one, January 1, 2017.
Scott Mace is the former senior technology editor for HealthLeaders Media. He is now the senior editor, custom content at H3.Group.