Overview of Action Plan

Action Plan to Reduce Excessive Administrative Tasks in Health CareMarch 30, 2017ACP Medical Practice & Quality CommitteeShari M. Erickson, MPH, Vice President, Governmental Affairs and Medical Practice

Overview of Action Plan • Policy Development • Advocacy Letters • Collaborations - Webinars and Listening Sessions • Reducing Administrative Burden Toolkit

Patients Before Paperwork Web Page Link: https://www.acponline.org/advocacy/where-we-stand/patients-before-paperwork

Policy Development • “Putting Patients First by Reducing Excessive Administrative Tasks in Health Care: A Position Paper of the American College of Physicians,” Ann Intern Med. Online First March 28, 2017. • "Clinical Documentation in the 21st Century," Ann Intern Med. Online First February 17, 2015. • Medicare Advantage (MA) Policy Development: The College is developing policy recommendations to: • Align administrative policies across all MA plans to address any additional, unnecessary administrative burdens associated with participating in the MA program • Promote transparency among MA plans regarding the intent of plan-specific requirements so that physicians can provide the same high-quality care to all patients regardless of the type of MA plan

Advocacy Letters • Formal letters from ACP leadership to external stakeholders outlining framework and policy recommendations • Initial set of external stakeholders: • America’s Health Insurance Plans (AHIP) • Blue Cross Blue Shield Association (BCBSA) • Electronic Health Record Association (EHRA) • Medical Device Manufacturers Association (MDMA) • Centers for Medicare and Medicaid Services (CMS) • Office of the National Coordinator for Health IT • Medicare Payment Advisory Commission (MedPAC) • Additional regulatory and legislative advocacy efforts to follow

Collaborations • Alignment with ACP’s broader efforts to promote physician wellness • With external stakeholders: Webinars and Listening Sessions to discuss types of administrative tasks faced by practicing clinicians and identify best practices and solution to reduce/streamline/eliminate excessive administrative tasks • Key Stakeholder Groups Invited Include: AHIP, BCBSA, EHRA, MDMA, CMS, ONC, etc.

Reducing Administrative Burden Toolkit • Reducing Administrative Burden Basics – Two-Pagerand PowerPoint Presentations: Can be used at local ACP Chapter meetings and educational opportunities COMING SOON: • Individual Advocacy: Letter template for individual members to contact external stakeholders identified as sources of administrative burden • Administrative Burdens Library: Repository of internal and external administrative and regulatory burdensand best practices Also, Existing ACP Practice Resources…

Reducing Administrative Burden Toolkit:Existing ACP Practice Resources

Feedback Welcome! • The Reducing Administrative Burden Action Plan will continue to evolve as new issues and opportunities arise • We welcome your feedback and any suggestions you may have for future action • Please email policy-regs@acponline.org with suggestions or specific examples to add to the Administrative Burden Library

Supplemental Slides

Figure 1: A Framework for Analyzing Administrative Tasks

ACP Policy Recommendations: • Stakeholders who develop or implement administrative tasks should provide financial, time, and quality of care impact statements for public review and comment. • Tasks that cannot be eliminated must be regularly reviewed, revised, aligned and/or streamlined with the goal of reducing burden • Stakeholders should collaborate to aim for performance measures that minimize unnecessary burden, maximize patient- and family-centeredness, and integrate measurement of and reporting on performance with quality improvement and care delivery • Stakeholders should collaborate in making better use of existing health IT, as well as develop more innovative approaches. • As the US health care system evolves to focus on value, stakeholders should review and consider streamlining or eliminating duplicative administrative tasks • Rigorous research is needed on the impact of administrative tasks on our health care system • Research on and dissemination of evidence-based best practices to help physicians reduce administrative burden within their practices and organizations

Figure 2: Taxonomy of Administrative Tasks External to the Practice & Health Care Environment Legend: Each circle indicates a characteristic of an administrative task Administrative tasks in these categories are worthwhile Administrative Tasks in these categories require careful consideration of alternatives ? Administrative tasks in these categories should be eliminated

Overview of Action Plan