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        <div id="content-top2">P. 36</div>
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    <pre style="white-space:pre-line"><code>63rd Annual Siouxland/Washington Conference

To ensure that MACRA is implemented in a manner that best serves Medicare patients and the physicians
that care for our nationâ€™s seniors, we urge Centers for Medicare & Medicaid Services (CMS) to interact
and listen to physician advocacy groups more closely; slow down the timeline for implementing a quality
scorecard; and ensure that more feasible and valid programs can mature through accredited processes
and organizations. The Neurosurgical Quality Council subcommittee of the American Association of
Neurological Surgeons and Congress of Neurological Surgeons is a case in point, whereby that specialty
has implemented a clinical data registry that addresses all the MIPS elements in a very scientiï¬c and
granular manner. They have learned a great deal in how to deï¬ne quality, create benchmarks with
appropriate risk stratiï¬cation and embrace the quality improvement tools that all neurosurgeons will need
to provide best care in real time.
We urge Congress to provide continued oversight of MACRAâ€™s quality payment program to preclude the
CMS from implementing MIPS and APM rules that are highly burdensome, inaccurate and expensive, and
which will negatively impact physicians and patients, alike.
AUTHOR(S)
Greg Carlson, CEO, Center for Neurosciences, Orthopedics & Spine (CNOS), greg.carlson@cnos.net,
605.217.2667
James FitzPatrick, President/CEO, Mercy Medical Center, james.ï¬tzpatrick@mercyhealth.com,
712.279.2297
Suzi Gausman, Director of Quality, Compliance & Risk Management Center, Center for Neurosciences,
Orthopedics & Spine (CNOS), suzi.gausman@cnos.net, 605.217.2851
Stacy Harmelink, Administrator, Midlands Clinic, sharmelink@midlandsclinic.com, 605.217.5550
Mari Kaptain Dahlen, CEO, Siouxland Community Health Center, mkaptaindahlen@slandchc.com,
712.202.1011
Deb Lemmon, Director of Planning & Advocacy, Mercy Medical Center, lemmond@mercyhealth.com,
712.294.7400
Greg Miner, CEO, Dunes Surgical Hospital, gminer@uspi.com, 605.232.3332
Dave Smetter, Vice President Communications/Community Development, Mercy Medical Center,
smetterd@mercyhealth.com, 712.279.2915
Mike Stiles, Chancellor, St. Lukeâ€™s College, michael.stiles@stlukescollege.edu, 712.279.3148
Karen Van De Steeg, Executive Director, Health Inc., vandesteegk@jencc.com, 712.252.9301
Lynn Wold, President & CEO, UnityPoint Health - St. Lukeâ€™s, lynn.wold@unitypoint.org, 712.279.3632

                                                                       18</code></pre>
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