Optimizing Care Delivery Framework
Optimizing Care Delivery: A Framework for Improving the Health Care Experience
CMS has a critical role in advancing health system efficiency and improving the experience of delivering and receiving health care. Administrative burden is a persistent challenge that can come in many forms and be a factor in limiting a patient’s ability to access quality, timely care. Such frictions can take time away from clinicians and their patients, contribute to inequities in care, and negatively affect the health and well-being of the nation’s health care workforce.
These burdens can be reduced or eliminated through thoughtful interventions at all levels of the health care system. Reducing or simplifying required steps in an administrative process, making systems less onerous, and finding ways to automate tasks can all help. Advancing and enabling collective action in this direction is a top priority for CMS.
Notice:
What Is Administrative Burden?
For the purposes of this framework, CMS refers to administrative burdens as the redundant, outdated, or overly complex requirements or processes that may inhibit or delay the ability to deliver or access equitable, quality, safe, and affordable care.
How Is CMS Reducing Burden?
Optimizing Care Delivery: A Framework for Improving the Health Care Experience is CMS’ five-year strategy for improving health care delivery and the care experience by addressing administrative burdens and other frictions in the programs it oversees as well as the health system more broadly.
This effort will enable CMS, the health care industry, patients and caregivers, and all other relevant parties to better share ideas and challenges and pursue administrative burden reduction activities aimed at returning time to clinicians and improving their experience of delivering care, enabling the delivery of equitable, safe, quality care, and improving health outcomes for patients.
Priorities for Addressing Administrative Burden
Informed by evidence-based research and feedback received through public outreach, CMS established seven strategic priorities that will guide efforts to improve the health care experience over the next five years.
Integrate the voice of the patient and caregiver into opportunities to increase equity in care access and delivery.
Associated Objective: Engage patients and caregivers to understand their needs and challenges in their care experiences.
Improve patient safety and reduce administrative burden in care transitions.
Associated Objective: Ensure safe, coordinated and timely care transitions.
Address well-being and experience for health care workers across the health care enterprise.
Associated Objective: Support the overall health and needs of all care team members.
Improve care approval processes to increase access to care and reduce care delays.
Associated Objective: Ensure delivery of quality care in a timely manner.
Reduce redundant or outdated data collection, documentation, and reporting requirements.
Associated Objective: Increase provider time with patients by continuing to reduce redundancy and complexity in data reporting requirements from payers, providers, and regulatory agencies.
Leverage technology to accelerate innovation and the adoption of best practices.
Associated Objective: Optimize the care experience through innovative technology and best practices.
Convene and support public-private partnerships to advance health care experience and burden reduction efforts.
Associated Objective: Work across the health care ecosystem to catalyze progress in reducing administrative burden at scale.
Send Us Feedback
Feedback from the public has already helped shape our Framework, and we're eager to hear more. To let us know your thoughts and share your best practices for identifying and eliminating sources of administrative burden, please fill out the form below.
Page Last Modified:
12/09/2024 12:47 PM