Excessive administrative tasks that are not central to direct patient care can lead to delayed or missed patient care, clinician dissatisfaction and workplace burnout. The ACC understands that administrative burdens facing clinicians can be both externally driven by other stakeholders and internally initiated by the medical practice or healthcare system. The following principles guide the College’s advocacy efforts toward minimizing or eliminating barriers to efficient, high-quality cardiovascular care in all practice settings by addressing administrative burdens imposed by government programs and private health plans. ACC members regularly highlight three high priority areas for administrative burden: Electronic Health Records (EHRs), Prior Authorization and Payment and Quality Measurement. To increase effective, high-quality patient care and reduce clinician administrative burden, the ACC advocates for stakeholders to:
Electronic Health Records
- Optimize EHR workflow designs to increase operational efficiency and productivity while continuing to improve quality care.
- Advocate for and adopt consensus methods and standards that allow effortless data transmission, extraction, interpretation and manipulation to ensure interoperability on all medical devices and platforms.
Prior Authorization and Payment
- Standardize prior authorization requirements in accordance with national clinically supported guidelines and criteria developed by medical societies.
- Streamline documentation requirements, e.g., reduce the number of mandatory evaluation and management (E/M) documentation elements or quantity of information necessary for Family and Medical Leave Act forms.
- Simplify coding guidelines across clinical care settings, including increased alignment with standardized coding requirements and clinical documentation among payers.
- Improve patient access to timely and appropriate care by working with all stakeholders to reduce insurer-denials of physician-recommended services.
- Adopt relevant, standardized, actionable, evidence-based quality measures based on clinician medical specialties/subspecialties.
- Promote the transparent and timely exchange of robust and meaningful measurement data from government and payer programs.
- Streamline and prioritize quality measures across government and payer programs.
- Minimize the operational burden of quality management programs.