CMSA Today - Issue 5, 2015 - (Page 16)
NTOCC Update
"As the nation moves toward fully interoperable system, NTOCC is pleased
that transitional care is a major part of the conversation."
was an early supporter of NTOCC and has been instrumental in helping
NTOCC achieve so much success.
NTOCC's public policy goals are centered on three major priorities:
payment model reform, telehealth, and new member education. Congress
and CMS are working to create and implement new payment models that
move away from the traditional fee-for-service system and focus more on
value and quality measures. As this work continues, NTOCC strongly believes
care coordination and transitional care need to be an important part of
these new payment models. Telehealth has also been a major focus for
2015. Both branches of Congress and the Office of the National Coordinator
(ONC) have asked for external input on creating a health IT system that will
work in today's changing environment. NTOCC provided comments to
ONC on the importance of interoperability across different providers and
systems in order to create smooth transitions. Finally, Congress has seen a
large number of new members win elections. With these new members
and their new staff, we have been focused on educating them on the
importance of transitional care.
On Capitol Hill, NTOCC saw a long awaited win with the end of the "Doc
Fix." After 17 short-term fixes, Congress was able to produce a bipartisan,
bicameral package to repeal and replace the Sustainable Growth Rate
- an issue that has plagued health care since its creation in 1997. The
SGR package establishes a simpler payment that focuses on value and
quality measures instead of the current system that rewards volume over
everything else. Transitional care is an important part of the new valuebased system. Congress established at least one new payment code on
care management services for individuals with chronic conditions and
gives flexibility for CMS to implement more if needed.
In addition, on Monday, April 20, NTOCC hosted its first congressional
briefing titled Transitional Care 101: How to Improve Care Transitions
in Today's Healthcare Environment. The briefing attracted a large crowd,
including staffers representing multiple Congressional offices from both
the House and Senate. The purpose was to introduce those staffers to
transitional care and the current legislative and regulatory barriers to
full implementation.
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Issue 5 * 2015 * DIGITAL
The event featured three panelists: Peggy Leonard, senior vice
president for Clinical Services at Hudson/MVP, who gave remarks on
the current state of transitional care in the U.S.; Dr. Jim Lett, from the
Society for Post-Acute and Long-Term Care Medicine (AMDA), who
discussed important elements of a successful transitional care system
built on NTOCC's Seven Essential Elements; and Gail Embt, founder of
Kinergy Health, who shared her own personal experiences dealing with
the health system as she tried to seek adequate care for her mother.
Cheri Lattimer, executive director of NTOCC, served as moderator for
the briefing. The event was a great success and has allowed NTOCC
public policy staff to be involved in advising Congressional staff on
upcoming legislation affecting the transitional care community. It
also was an important tool in educating new staff on the importance
of transitional care.
With telehealth, NTOCC has been closely involved in the work of
the House's Energy and Commerce telehealth working group. These
members have expressed interest in improving the current telehealth
standards and working toward interoperability. Everyone is hopeful
that final language will be included as part of the House's 21st Century
Cures Initiative, but it is too early to tell what that package will contain.
2015 also saw the ONC release their draft nationwide health IT
interoperability roadmap titled Connecting Health and Care for the
Nation: A Shared Nationwide Interoperability Roadmap Version 1.0,
referenced by Kelly Cronin at the National Transitions of Care Summit
this past December. This is a continuation of the commitment to
building a more robust health IT structure as part of a departmentwide effort to achieve better care, smarter spending, and improved
health outcomes by improving our health care delivery system. As
part of this work, HHS is focused on three key areas: improving the
way providers are paid; improving and innovating care delivery; and
sharing information more broadly to providers, consumers, and others
to support better decisions while maintaining patient privacy.
NTOCC submitted a comment letter focused on creating a better
system for patients and providers to access health records and health
information technology to empower patients. The comment letter
incorporated two of NTOCC's Seven Essential Elements: information
transfer and shared accountability across providers and organizations.
NTOCC was strongly supportive of ONC's goal to leverage health IT
to increase the quality of health care while lowering the cost. As the
nation moves toward a fully interoperable system, NTOCC is pleased
that transitional care is a major part of the conversation.
As Congress and CMS continue to work on health policy issues, NTOCC
will continue pushing for improved care transitions for providers, patients,
and their families. Through the end of the year, NTOCC is looking forward to
working with all stakeholders as legislation moves through the policy process,
and as CMS is gearing up to release more rules and regulations affecting
transitional care. If you have any specific questions around NTOCC's policy
statements or goals, please feel free to contact NTOCC's policy director,
Jessica Layson at jlayson@vennstrategies.com. â–
Table of Contents for the Digital Edition of CMSA Today - Issue 5, 2015
PRESIDENT’S LETTER
ASSOCIATION NEWS
CMSA CORPORATE PARTNERS
INDEX OF ADVERTISERS
Blazing Trails Together
Public Policy On-the-Go
Making Improvements in Transitions of Care
Building Relationships
CMSA Today - Issue 5, 2015
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