CONCLUSION
The PHITA offers a way to quickly assess the ability of clinical
practices to report CQMs. Substantial proportions of primary care
practices are inadequately prepared for the reporting and analytic
requirements of value-based reimbursement. The gap is greatest in
independent practices, which are also those least likely to have
resources to pay for technical assistance. If these practices are to
successfully transition to value-based reimbursement, stable funding for
TA will need to be an integral part of national health policy. TA can
target the elements of Health IT preparedness identified by the PHITA,
and help small-to-medium sized practices identify and overcome the
barriers they face meeting the requirements for value-based
reimbursement.
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