Value-Based Care Readiness Scorecard

Your EHR can export patient data in a structured format (FHIR, HL7, or CSV) without manual work.

You track quality measure denominators and numerators in real time (not just at year-end reporting).

You can produce a list of patients with a specific chronic condition and their last relevant lab value in under 10 minutes.

When a patient is discharged from a hospital, your practice receives timely notification and has a follow-up protocol.

You have defined care pathways for your top 3 chronic conditions, and staff consistently follow them.

Your practice uses care managers or health coaches for high-risk patient outreach between visits.

You participate in at least one value-based contract, MIPS, or alternative payment model today.

You review quality metric performance at least quarterly with clinical and operational staff.

You know your current HEDIS or MIPS composite score and the specific measures dragging it down.

Patients can complete health risk assessments or symptom check-ins digitally between visits.

You use secure messaging or patient portal messaging to communicate about care plan adherence.

You have a defined approach to identifying and addressing Social Determinants of Health (SDOH) for at-risk patients.

Your practice has analyzed your payer mix and knows which contracts include quality or utilization incentives.

Leadership has discussed taking on downside financial risk (shared savings with clawback) in the next 3 years.

You have a clear picture of your total cost of care per patient per year for your highest-volume chronic conditions.