Quality & Regulatory Affairs  |   July 2017
From Questions to Solutions: Applying Regulation in an Era of Complexity
Article Information
Advocacy and Legislative Issues / Quality Improvement / Quality & Regulatory Affairs
Quality & Regulatory Affairs   |   July 2017
From Questions to Solutions: Applying Regulation in an Era of Complexity
ASA Monitor 07 2017, Vol.81, 50-51.
ASA Monitor 07 2017, Vol.81, 50-51.
In 2016, the ASA Department of Quality and Regulatory Affairs (QRA) responded to more than 750 written inquiries from members and their practices via the QRA email account (qra@asahq.org). Questions ranged from quality reporting requirements and measurement to identifying practice parameters that may assist in local policy development to questions about accreditation standards. For many of these questions, staff responded with additional resources for the practice to consider, especially as they pertained to how certain rules and regulations could impact a practice’s specific structure, workflows and needs.
By far, most of the questions submitted to QRA were related to federal quality data reporting programs and quality measure interpretation. The U.S. federal government publishes proposed and final rules, notifications and announcements in the Federal Register each day. The Centers for Medicare & Medicaid Services (CMS) often publishes several rules or notifications that affect a wide range of issues and programs the agency oversees, including those affecting physician anesthesiologists. Most regulations and notices are quite short – perhaps a paragraph or two – but for larger rules like the Medicare Physician Fee Schedule or the rules governing the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), such rules can be hundreds of pages long. ASA staff and physician experts study these rules and regulations closely, determining each rule’s significance and its applicability to anesthesiologists and their practices. From this, ASA staff create educational and explanatory materials to aid members in their understanding of new or changing requirements.
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