The use of value-based purchasing is increasing, and the 2015 Priority List supports a number of EHR functions that support the maintenance of health, avoidance of unnecessary medical utilization, and advances in self-management, which are becoming more important for providers receiving global payments in place of fee-for-service payments. Also, practices or health systems may use global payment funds to incentivize the shift of care to less expensive delivery channels (e.g., use of email or telephonic contacts in place of face to face visits, or the use of funds to support the delivery of care coordination services for patients). The 2015 Priority List includes items that support emerging care models.
By improving the ability of EHRs to support the tracking and management of well-child care in accordance with evidence-based guidelines, children’s adherence to recommended immunization schedules, and additional opportunities for preventive care, practices will be able to track and improve their delivery of preventive care services, and report their performance to payers.
The 2015 Priority List includes functionality for several guideline-based care domains such as preventive care and immunizations, but not all areas relevant to value-based care. The future identification of additional high priority requirements that support the implementation of value-based payment will be important.