Fall 2017 Alumni Spotlight
Lindsay Tarolli '14
I manage the electronic health record (EHR) software for a large physician medical group in Northern New Jersey.
Recently, I have been digesting The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and Merit-based Incentive Payment System (MIPS) program that went into action at the start of 2017. Specifically, I assessed how it will impact our company and our best way to participate in the program.
I’m thankful I took the Changing American Health Systems and Public Health Policy courses when I realized I had the skills to absorb and understand over 2,000 pages of regulatory requirements. Understanding how ACOs, PCMHs and other entities operate within the healthcare industry prior to tackling this project gave me the edge I needed to succeed within my position.
A new wave of change is going on throughout the healthcare industry as we try to manage all of the data that our EHRs gather. Right now, most health care systems, hospitals and large groups are isolated when it comes to their patients’ data and typically rely on claims data and internal analysis only for any kind of patient population analysis.
We are starting to see a lot of interoperability projects begin. Health Information Exchanges (HIEs) are gaining traction, particularly through the implementation of the MIPS program, to exchange patient data among various healthcare entities in the hopes of always maintaining an up-to-date patient chart. The hope is not only to prevent repeated tests and radiology studies to reduce the cost of care, but also to improve the quality of care and outcomes for each patient.
I find myself relying on the Health Services Outcome/Research course as we try to harness massive amounts of data. We anticipate a transition away from fee-for-service to pay-for-performance payment models as the insurance industry traditionally follows payment models formed by CMS.
Each healthcare entity will have to understand, monitor and improve upon clinical quality measures to be successful. The analysis of patient data at the population level will allow us to improve patient outcomes and hold ourselves at an even higher standard, ensuring that, collectively, we are providing the highest quality care possible.
I may not have chosen the most traditional career after earning my MPH, but as technology further integrates itself within the healthcare industry, I find myself using the skills and knowledge from the Masters in Public Health program every single day.