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Tamar Sapir, Erica Rusie, Laurence Greene, Jinoos Yazdany, Mark L Robbins, Eric M Ruderman, Jeffrey D Carter, Barry Patel, Kathleen Moreo
INTRODUCTION: In recent years researchers have reported deficits in the quality of care provided to patients with rheumatoid arthritis (RA), including low rates of performance on quality measures. We sought to determine the influence of a quality improvement (QI) continuing education program on rheumatologists' performance on national quality measures for RA, along with other measures aligned with National Quality Strategy priorities. Performance was assessed through baseline and post-education chart audits...
December 2015: Rheumatol Ther
Laxmaiah Manchikanti, Standiford Helm Ii, Ramsin M Benyamin, Joshua A Hirsch
UNLABELLED: The Merit-based Incentive Payment System (MIPS) was created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) to improve the health of all Americans by providing incentives and policies to improve patient health outcomes. MIPS combines 3 existing programs, Meaningful Use (MU), now called Advancing Care Information (ACI), contributing 25% of the composite score; Physician Quality Reporting System (PQRS), changed to Quality, contributing 50% of the composite score; and Value-based Payment (VBP) system to Resource Use or cost, contributing 10% of the composite score...
September 2016: Pain Physician
J A Hirsch, T M Leslie-Mazwi, G N Nicola, M Bhargavan-Chatfield, D J Seidenwurm, E Silva, L Manchikanti
No abstract text is available yet for this article.
September 22, 2016: AJNR. American Journal of Neuroradiology
Julie Capistran, Rose Martini
INTRODUCTION: Cognitive Orientation to daily Occupational Performance (CO-OP) approach has been shown to be effective for improving the performance of tasks worked on in therapy and the use of cognitive strategies. No study to date seems to have explored its effectiveness for improving performance of untrained tasks (inter-task transfer) in children with Developmental Coordination Disorder (DCD). OBJECTIVE: This study aimed to determine whether CO-OP leads to improved performance in an untrained task...
October 2016: Human Movement Science
Molly Peltzman
No abstract text is available yet for this article.
May 2016: Bulletin of the American College of Surgeons
Debra Cameron, Tammy Craig, Brydne Edwards, Cheryl Missiuna, Heidi Schwellnus, Helene J Polatajko
AIMS: The results of a small single-case study series suggested that Cognitive Orientation to daily Occupational Performance (CO-OP) may be a successful approach for children with cerebral palsy (CP). Therefore a pilot randomized controlled trial was conducted with the following research questions-is CO-OP a feasible approach to use with children with CP, what are the effects of CO-OP when compared to usual practice, and is a larger study warranted? METHODS: 18 children between age 7 and 12 (nine in CO-OP group and nine in Current Usual Practice Approach (CUPA) group) received ten 1-hour sessions of intervention on average once per week at home...
June 9, 2016: Physical & Occupational Therapy in Pediatrics
Avni P Finn, Sheila Borboli-Gerogiannis, Stacey Brauner, Han-Ying Peggy Chang, Sherleen Chen, Matthew Gardiner, Scott H Greenstein, Carolyn Kloek, Joan W Miller, Teresa C Chen
OBJECTIVES: To assess resident cataract surgery outcomes at an academic teaching institution using 2 Physician Quality Reporting System (PQRS) cataract measures, which are intended to serve as a proxy for quality of surgical care. DESIGN: A retrospective review comparing cataract surgery outcomes of resident and attending surgeries using 2 PQRS measures: (1) 20/40 or better best-corrected visual acuity following cataract surgery and (2) complications within 30 days following cataract surgery requiring additional surgical procedures...
September 2016: Journal of Surgical Education
Brittney A Frankel, Tara F Bishop
BACKGROUND: Starting in 2015, the Center for Medicare and Medicaid Services (CMS) requires all Medicare providers to report quality measures through Physician Quality Reporting System (PQRS) or incur a 1.5 % financial penalty. Research indicates that physicians believe this reporting does not lead to high quality care; however, little research has examined what PQRS actually measures, which is reflective of the physicians and patient disease populations being assessed. OBJECTIVES: (1) Identify the proportion of measures that apply to different medical specialties, types of quality measurement, and National Quality Strategy (NQS) priorities...
August 2016: Journal of General Internal Medicine
Janet Bull, Arif H Kamal, Christopher Jones, Lindsay Bonsignore, Jean Acevedo
The U.S. healthcare system is shifting from a fee-for-service (FFS) system to a valued-based reimbursement system focused on improving the quality of healthcare. The Centers for Medicare and Medicaid Services (CMS) implemented the Physician Quality Reporting System (PQRS) as an important component of this transition. All clinicians, including physicians, nurse practitioners, or physician assistants who bill to Medicare Part B FFS, should submit quality data to the PQRS in 2015 or they will receive up to a 4% negative reimbursement penalty in 2017...
August 2016: Journal of Palliative Medicine
Amy Mullins
No abstract text is available yet for this article.
March 2016: Family Practice Management
Jennifer L Wiler, Michael Granovsky, Stephen V Cantrill, Richard Newell, Arjun K Venkatesh, Jeremiah D Schuur
In 2007, the Centers for Medicaid and Medicare Services (CMS) created a novel payment program to create incentives for physician's to focus on quality of care measures and report quality performance for the first time. Initially termed "The Physician Voluntary Reporting Program," various Congressional actions, including the Tax Relief and Health Care Act of 2006 (TRHCA) and Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) further strengthened and ensconced this program, eventually leading to the quality program termed today as the Physician Quality Reporting System (PQRS)...
March 2016: Western Journal of Emergency Medicine
Amy Lynn Sorrel
One-quarter of physicians who participate in the Physician Quality Reporting System and the value modifier program risked payment cuts stemming from difficulties the Centers for Medicare & Medicaid Services had with collecting and analyzing 2014 quality data.
March 2016: Texas Medicine
Bonnie Swaine, Clément Dassa, Anna Koné, Élisabeth Dutil, Louise Demers, Claire Trempe
Purpose To determine the factorial validity, internal consistency, criterion-related and concurrent validity of the Perception of Quality of Rehabilitation Services - Montreal (PQRS-Montreal) questionnaire for persons receiving traumatic brain injury (TBI) rehabilitation services. Design Cross-sectional study. Setting Seventeen facilities providing acute care and intensive inpatient and outpatient TBI adult rehabilitation. Participants Five-hundred thirty adults (GCS  =  3-15; mean age  =  41...
February 17, 2016: Disability and Rehabilitation
Tamar Sapir, Kathleen Moreo, Jeffrey D Carter, Laurence Greene, Barry Patel, Peter D R Higgins
BACKGROUND: Low rates of compliance with quality measures for inflammatory bowel disease (IBD) have been reported for US gastroenterologists. AIMS: We assessed the influence of quality improvement (QI) education on compliance with physician quality reporting system (PQRS) measures for IBD and measures related to National Quality Strategy (NQS) priorities. METHODS: Forty community-based gastroenterologists participated in the QI study; 20 were assigned to educational intervention and control groups, respectively...
July 2016: Digestive Diseases and Sciences
W Clark Lambert, Lawrence Charles Parish
No abstract text is available yet for this article.
July 2015: Skinmed
Adam Weinstein, Amy Beckrich, Dale Singer
It is important for providers and practices to begin working with registry level data. Submitting data to a qualified clinical data registry currently satisfies Meaningful Use Stage II menu set items. In the future, with the rollout of MIPS and the increasing focus on sharing risk, registry data will be used as a benchmark for both publicly-reported performance (the physician compare program will be linked to provider-level QCDR data) and modifications to reimbursement. It is important to remember that PQRS data is the basis for the value based modifier now and MIPS- related quality data after 2018...
November 2015: Nephrology News & Issues
Scott L Parker, Matthew J McGirt, Kimon Bekelis, Christopher M Holland, Jason Davies, Clinton J Devin, Tyler Atkins, Jack Knightly, Rachel Groman, Irene Zyung, Anthony L Asher
Meaningful quality measurement and public reporting have the potential to facilitate targeted outcome improvement, practice-based learning, shared decision making, and effective resource utilization. Recent developments in national quality reporting programs, such as the Centers for Medicare & Medicaid Services Qualified Clinical Data Registry (QCDR) reporting option, have enhanced the ability of specialty groups to develop relevant quality measures of the care they deliver. QCDRs will complete the collection and submission of Physician Quality Reporting System (PQRS) quality measures data on behalf of individual eligible professionals...
December 2015: Neurosurgical Focus
Andrew B Rosenkrantz, Danny R Hughes, Richard Duszak
PURPOSE: To characterize and compare the performance of radiologists in Medicare's new Physician Compare Initiative with that of other provider groups. METHODS: CMS Physician Compare data were obtained for all 900,334 health care providers (including 30,614 radiologists) enrolled in Medicare in early 2015. All publicly reported metrics were compared among eight provider categories (radiologists, pathologists, primary care, other medical subspecialists, surgeons, all other physicians, nurse practitioners and physician assistants, and all other nonphysicians)...
March 2016: Journal of the American College of Radiology: JACR
Bryan E Dowd, Tami Swenson, Shriram Parashuram, Robert Coulam, Robert Kane
Medicare's Physician Quality Reporting System (PQRS) is the largest quality-reporting system in the U.S. health care system and a basis for the new value-based modifier system for physician payment. The PQRS allows health care providers to report measures of quality of care that include both the process of care and physiological outcomes. Using a multivariate difference-in-differences model, we examine the relationship of PQRS participation to three claims-computable measures of inappropriate utilization of health care services and risk-adjusted per capita Medicare expenditures...
February 2016: Medical Care Research and Review: MCRR
Yamini Natarajan, Fasiha Kanwal
With the advent of the Affordable Care Act, pay-for-performance programs have become widespread in the United States and are here to stay. The Centers for Medicare and Medicaid Services started its pay-for-performance program, the Physician Quality Reporting Initiative, in 2007, and made it a permanent system, the Physician Quality Reporting System, in 2011. Although it started off as a pay-for-performance initiative, in which physicians and other health care professionals were rewarded for satisfactorily reporting on selected quality measures, it now has evolved into a penalty-based program...
November 2015: Clinical Gastroenterology and Hepatology
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