Farzad Mostashari leads this session. Although he will not be focusing on the rehabilitation industry, the same theme is occuring in the rehabilitation world: models that reward value over volume. Our system readily captures care outcomes to determine value.
This session will bring back memories for FOTO Team. We've been there and done that - and we haven't stopped. We have defined the standard for measuring quality in the rehabilitation industry.
2:00 PM - 3:0 PM CT in Room W192
Shafic Rab, MD, MPH and Paul Oates, FHIMSS will be sharing the required resources for not only altering a patient's care experience, but also for pushing and pulling data between systems/organizations for payment models. Our experience with third party payers has the same level of frustration. In order to move from a volume based payment model to a value based model, claims data is not enough to tell the whole story in the rehabilitation world. Clinicians only have their own episode of care data and don't know the whole story on their value without access to claims data. Claims do not include the clinical change that occurs with rehabilitation services.
Soyal Momin, MS, MBA and Suma Thomas, MD, MBA, FACC will delve into the nuances of risk adjusting for bundled payment scenarios. In the rehabilitation world, our system is the only system that risk adjusts based on peer reviewed literature. We understand the key to success in equalizing patients lies in as accurate as possible risk adjusting. Clinicians rely on our system for risk adjusted predictions to help with clinical decision making while providing services. This session will definitely focus on the importance of comparing apples to apples to ensure appropriate payments.
Pravene Nath and Yohan Vetteth introduce how the use of analytics applications can drive clinical improvement. At FOTO we've known for years that variation in practice exists. Rehabilitation outcomes can be all over the map. We also know that when clinicians are provided with motivation to deliver effective and efficient care, the variation lessens. External motivation such as partnering with a payer focused on quality aligns the focus for all involved.
Alan Muney, MD, MHA will provide examples of how the right connections with the right technology can improve outcomes. One example will be the model developed within Cigna. FOTO paved the way for incentive based payment for outcomes as demonstrated in a 2006 Final Report, titled "Pay-for-Performance for Physical Therapy and Occupational Therapy: Medicare Part B Services," to Centers for Medicare and Medicaid Services.
Alex Bohl, PhD and P. Jon White, PhD share how the wave of the future will connect and combine data from various resources within a system to improve quality. In the rehabilitation world, FOTO attempts to create a seamless process by allowing integration with electronic medical records. The quarterly reports may be used for unbiased performance reviews of clinical outcomes for each clinician entered into the system.
If you happen to be in attendance this year and are interested in ways to incorporate a payment model for rehabilitation services that focuses on value, please stop by booth 7664 in the new exhibitor section. We love talking about outcomes and quality focused payment models! If you aren't in attendance OR are too crazy busy to stop by, no worries, fill out this information and we'll reach out to you!
Until next time,