Multiple Chronic Conditions Blog
Turf War Between the American Medical Association and the American Nurses Association
Without the use of data, we cannot participate in good practice patterns that yield positive
patient-centered outcomes. All healthcare should be practiced from a team approach and not
driven by one discipline - the patient and family do not benefit from a medical perspective only.
The data that is now collected on patient specific outcomes under the MACRA 2015 legislation
and use of MIPS (Merit Incentive-based Payment System) allows NPs, CNS, CRNA and
Physician Assistants the ability to show-case patient outcomes - this is the data that can be
used to level the playing field. Centers for Medicare and Medicaid recently updated the MIPS
criteria with the expectation that all providers seeking Medicare reimbursement participate in
transparent quality measures - meeting these metrics provides financial incentives to providers
and practices. This is an opportunity for both the AMA and the ANA to promote the use of
quality metrics generated from prudent practice. Why isn't anyone discussing the fact that the
3rd leading cause of adult death in the U.S. come from Medical Mistakes and the U.S. is the
most expensive health care system in the world and our outcomes are comparable to Pakistan
and Costa Rica? The U.S. healthcare system, has tremendous room for improvement and that
includes working together as a professional team that supports the patient and family.
Dr Kim Kuebler
Dr. Kim Kuebler DNP, APRN, ANP-BC, FAAN, Founder and Director Multiple Chronic Conditions Resource Center, CEO Advanced Disease Concepts, LLC., Award winning author of 8 textbooks on chronic conditions and palliative care. Multiple appointments to Federal and state initiatives on pain, chronic conditions and palliative care. Clinician, educator, researcher and patient advocate.