Improving Quality of Care for Medicare Patients:...
Transcript of Improving Quality of Care for Medicare Patients:...
DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services
Improving Quality of Care for Medicare Patients:
Accountable Care OrganizationsFACT SHEET http://www.cms.gov/sharedsavingsprogram
Overview
On October 20, 2011, the Centers for Medicare & Medicaid Services (CMS), an agency within the 'HSDUWPHQW�RI�+HDOWK��+XPDQ�6HUYLFHV��++6���¿QDOL]HG�QHZ�UXOHV�XQGHU�WKH�$IIRUGDEOH�&DUH�$FW�to help doctors, hospitals, and other health care providers better coordinate care for Medicare patients WKURXJK�$FFRXQWDEOH�&DUH�2UJDQL]DWLRQV��$&2V���$&2V�FUHDWH�LQFHQWLYHV�IRU�KHDOWK�FDUH�SURYLGHUV�WR�ZRUN�WRJHWKHU�WR�WUHDW�DQ�LQGLYLGXDO�SDWLHQW�DFURVV�FDUH�VHWWLQJV�±�LQFOXGLQJ�GRFWRU¶V�RI¿FHV��KRVSLWDOV��DQG�ORQJ�WHUP�FDUH�IDFLOLWLHV��7KH�0HGLFDUH�6KDUHG�6DYLQJV�3URJUDP��6KDUHG�6DYLQJV�3URJUDP��ZLOO�UHZDUG�$&2V�WKDW�ORZHU�WKHLU�JURZWK�LQ�KHDOWK�FDUH�FRVWV�ZKLOH�PHHWLQJ�SHUIRUPDQFH�VWDQGDUGV�RQ�TXDOLW\�RI�FDUH�DQG�SXWWLQJ�SDWLHQWV�¿UVW��3URYLGHU�SDUWLFLSDWLRQ�LQ�DQ�$&2�LV�SXUHO\�YROXQWDU\�
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ACO Final Quality Measures and Performance Scoring Methodology
Quality Measures:�7KH�¿QDO�UXOH�DGRSWV����LQGLYLGXDO�PHDVXUHV�RI�TXDOLW\�SHUIRUPDQFH�WKDW�ZLOO�EH�XVHG�WR�GHWHUPLQH�LI�DQ�$&2�TXDOL¿HV�IRU�VKDUHG�VDYLQJV��7KHVH����PHDVXUHV�VSDQ�IRXU�TXDOLW\�GRPDLQV��3DWLHQW�([SHULHQFH�RI�&DUH��&DUH�&RRUGLQDWLRQ�3DWLHQW�6DIHW\��3UHYHQWLYH�+HDOWK��DQG�$W�5LVN�3RSXODWLRQ��7KH�OLVW�RI�PHDVXUHV�LV�LQFOXGHG�DV�DQ�DSSHQGL[�WR�WKLV�IDFW�VKHHW��
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ICN 907407 October 2011
Improving Quality of Care for Medicare Patients:
Accountable Care Organizations
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Quality Performance Scoring:�$V�UHTXLUHG�E\�WKH�$IIRUGDEOH�&DUH�$FW��EHIRUH�DQ�$&2�FDQ�VKDUH�LQ�DQ\�VDYLQJV�FUHDWHG��LW�PXVW�GHPRQVWUDWH�WKDW�LW�PHW�WKH�TXDOLW\�SHUIRUPDQFH�VWDQGDUG�IRU�WKDW�\HDU�
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Improving Quality of Care for Medicare Patients:
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Appendix
Quality Measures for Accountable Care Organizations
Domain Measure TitleNQF Measure
#/Measure Steward
Method of Data
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Pay for Performance Phase InR = Reporting P = Performance
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Improving Quality of Care for Medicare Patients:
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Improving Quality of Care for Medicare Patients:
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Domain Measure TitleNQF Measure
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Proportion of Adults 18+ who had their Blood Pressure Measured within the preceding 2 years
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Diabetes Composite (All or Nothing Scoring): Tobacco Non Use
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26. At Risk Population – Diabetes
Diabetes Composite (All or Nothing Scoring): Aspirin Use
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Diabetes Mellitus: Hemoglobin A1c Poor Control (>9 percent)
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28. At Risk Population – Hypertension
Hypertension (HTN): Blood Pressure Control
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Improving Quality of Care for Medicare Patients:
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Domain Measure TitleNQF Measure
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Improving Quality of Care for Medicare Patients:
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