Publications by authors named "M O Granovsky"
Article Synopsis
- The study highlights the importance of documenting social determinants of health (SDoH) through Z codes in clinical care, noting that they are rarely used in emergency department (ED) charts, with only 1-2% of inpatient cases including them.
- An analysis of ED data from 2016-2019 found that the use of Z codes increased slightly, from 0.65% to 1.17%, with certain demographics (specifically younger adults, males, Black patients, and those on Medicaid or self-pay) showing higher likelihoods of Z code usage.
- The findings suggest that while Z code documentation in EDs remains low, it is improving, indicating a need for
Background: The delivery and financing of health care services were altered in unprecedented ways by COVID-19 and subsequent policy responses. We estimated reimbursement losses to emergency physicians in 2020 compared to 2019 related to shifting acute care utilization during COVID-19.
Methods: This was an observational analysis of the Clinical Emergency Department Registry (CEDR) and the Nationwide Emergency Department Sample (NEDS).
The future of value-based emergency care: Development of an emergency medicine MIPS value pathway framework.
J Am Coll Emerg Physicians Open
April 2022
The Centers for Medicare & Medicaid Services (CMS) implemented the Merit-based Incentive Payment System (MIPS) to accelerate the transition of physician payment toward value-based care models and away from traditional fee-for-service payment programs. In recent years, CMS has sought to modify the program by developing a MIPS Value Pathway (MVP) framework intended to use existing and future physician quality and cost measures to reward value-based care delivery. This article describes the multi-step process of the MVP Task Force, convened by the American College of Emergency Physicians (ACEP) to develop an emergency medicine-specific MVP proposal informed by diverse stakeholder perceptions regarding: (1) which existing quality measures reflect high quality emergency care, and (2) the degree to which emergency clinicians can impact clinical outcomes and cost for the care domains captured by existing quality measures.
View Article and Find Full Text PDFBackground: The Merit-based Incentive Payment System (MIPS) is the largest national pay-for-performance program and the first to afford emergency clinicians unique financial incentives for quality measurement and improvement. With little known regarding its impact on emergency clinicians, we sought to describe participation in the MIPS and examine differences in performance scores and payment adjustments based on reporting affiliation and reporting strategy.
Methods: We performed a cross-sectional analysis using the Centers for Medicare & Medicaid Services 2018 Quality Payment Program (QPP) Experience Report data set.