Advocacy and Health Policy
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ACS Advocacy and Health Policy Staff

Interim Director
Christian Shalgian
1640 Wisconsin Ave NW
Washington, DC 20007
Phone: 202-337-2701
Fax: 202-337-4271
cshalgian@facs.org

Assistant Director, Regulatory Affairs and Quality Improvement Programs
Elizabeth W. Hoy, MHA
Phone: 202-337-2701
E-Mail: ehoy@facs.org

Manager, State Affairs
Jon Sutton
Phone: 312-202-5358
jsutton@facs.org

General Information
ahp@facs.org

Physician Quality Reporting Initiative (PQRI)

Please note that this section of the American College of Surgeons Web site is continually updated as additional information on the PQRI becomes available. Please check back periodically for updates.

The Centers for Medicare & Medicaid Services (CMS) have continued the Physician Quality Reporting Initiative (PQRI) into 2008 after a 6-month trial of the voluntary pay-for-reporting program from July 1 to December 31 in 2007.  PQRI is the first CMS national program to link the reporting of quality data to physician payment.

Additional information is provided in the following links to help surgeons learn more about the program.

Introduction to PQRI:

NewsScope and Bulletin Journal Articles about PQRI

Introduction to Measure Specifications (200K PDF)

ACS Presentations/Webinars:

Webinar for 2007 PQRI Participants (1050K PDF)

Webinar for New PQRI Participants (1240K PDF)

Step-by-Step Overview Presentation (1140K PDF)

PQRI Example Claim Form (640K PDF)

2008 Test Measure Set (166K PDF)

Measures Crosswalk of AQA adoptions and NQF endorsements (145K XLS File)

Results (through 11/2007) and Payment Information for Successful Participants:

2007 Preliminary Information -- Executive Summary (16K PDF)

Dashboard -- PQRI Participation (57K PDF)

Submission by Carrier (22K PDF)

Submission by Measure (57K PDF)

Total Submission Errors (23K PDF)

QDC Errors by Measure (30K PDF)

Reporting Rates by Measure (23K PDF)

Performance Rates by Measure (35K PDF)

CMS Presentation from July National Provider Call—Feedback Reports (1885K PDF)

CMS 2007 PQRI Payment Press Release (7/15) (45K PDF)

CMS 2007 PQRI Payment Fact Sheet (7/15) (60K PDF)

CMS Presentation from August National Provider Call (130K PDF)

Steps for Individuals to Access 2007 Feedback Reports (85K PDF)

Steps for Organizations to Access 2007 Feedback Reports (85K PDF)

New 2008 Information:

CMS Presentation from June National Provider Call (480K PDF)

2008 PQRI Reporting Options Slides (190K PDF)

Tables for Claims-based and Registry-based Reporting Options (20K PDF)

2008 PQRI Quick Reference Chart (285K PDF)

2008 PQRI Reporting Tip Sheet (75K PDF)

Data Registry Reporting Information:

2008 PQRI Registry Requirements (30K PDF)

2008 PQRI Registry Pilot Testing Participants (15K PDF)

Qualified Registries for 2008 PQRI Reporting (45K PDF)

Proposed Changes to PQRI in 2009 (from 6/30/08 Physician Fee Schedule CMS-1403-P):

2009 Proposed Measures Changes from 2008 (16K PDF)

2009 Proposed Measures Groups Changes from 2008 (14K PDF)

 

2007 PQRI Information:

Links to 2007 Information

Additional Resources:

http://www.cms.hhs.gov/pqri/

For further information, please contact Caitlin Burley at cburley@facs.org.

 

Revised July 22, 2008

 

Advocacy and Health Policy


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by the American College of Surgeons, Chicago, IL 60611-3211