Performance Measures Resources
This section discusses the use of performance measures for quality improvement, pay-for-performance programs, such as the Physician Quality Reporting Initiative (PQRI), and health information technology. Performance measurement is the quantitative assessment of health care processes and outcomes for which a health care practitioner, health care organization, or health care system may be accountable. Pay-for-performance is a payment model that joins quality of care with the level of reimbursement for health care services.
Centers for Medicare and Medicaid Services' (CMS) – Physician Quality Reporting Initiative (PQRI)
The Physician Quality Reporting Initiative (PQRI) is a voluntary reporting program that offers an incentive payment to Eligible Professionals who satisfactorily report data on quality measures.
UPDATED! 2010 PQRI
A Physiatrists Guide to Getting Started
- What's new for 2010 - This fact sheet includes important information about changes to the Physician Quality Reporting Initiative (PQRI) for 2010.
- List of Eligible Professionals - This document references the professionals who are eligible to participate in PQRI
- Measures List - This document identifies the quality measures selected for the 2010 PQRI.
- Measure Specifications Manual - This document includes measure specifications (including codes and reporting instructions) for the individual PQRI quality measures for claims or registry-based reporting.
- Decision Tree (PDF Download) - This is a guide for selecting reporting method.
- Implementation Guide - This guide helps promote understanding about how to implement 2010 PQRI claims-based reporting of measures in clinical practice.
2010 Reporting Options
Claims-based Reporting Tips for your PM&R Practice
- Implementation Guide - This document helps to facilitate satisfactorily reporting of quality data by eligible professionals who wish to participate in 2010 PQRI.
- 2010 Tip Sheet: Claims & Registry
- Reporting Measures Groups - This document contains general implementation guidance for reporting 2010 PQRI Measures Groups.
- 2010 Tip Sheet: Measures Groups
- Measure-Applicability Validation (MAV) Process - This document identifies and explains the two-step process to the measure-applicability validation process.
- MAV: Flow Chart - This displays the MAV processes.
- Alternative Reporting Mechanisms - Includes information on reporting via Registry/Electronic Health Record (EHR)
- Group Practice Reporting Option - Includes information for Group Practices
Additional Links
CMS/PQRI Website
PQRI Portal User Guide
Analysis & Payment
Help Desk
American Medical Association
Clinical Quality Improvement Articles
This series of six
articles appeared in The Physiatrist between July/August 2008 and
February 2009.
-
What is Quality
Improvement? (PDF Download)
-
Measuring Quality:
Influencing Our Future (PDF Download)
-
Developing
Performance Measures (PDF Download)
-
Understanding Systems
of Measure Endorsement (PDF Download)
-
Mutual Impact: How
Quality and Education Work Together
(PDF Download)
-
Certification Ensures
Quality and Patient Safety (PDF Download)
Resources
The following tables provide references
to articles on performance measures and pay-for-performance programs related to
physical medicine and rehabilitation. In addition, there are links to established
performance measurement sets and online resources. To access these resources,
click on a topic below.
Abstracts
Abstracts for the articles
referenced below may be obtained from the
MEDLINE Web site. The PMID numbers in the far right column have been
provided for each reference to facilitate downloading abstracts that are on
Medline's Web site.
Copies of Articles
Copies of most of the articles
referenced in this database may be obtained for a fee by contacting the
journals in which the articles were published. Entire articles that are free to
download are noted in the far right column of the table.
Comments
If there are any questions or comments about the
Performance Measures section, please contact Lisa Kaplan at
lkaplan@aapmr.org or (847) 737-6000.
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