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Reputational incentives through traditional pay-for-reporting programs, such as nationwide hospital quality data collected under the Hospital Inpatient Quality Reporting (IQR) Program and publicly displayed by CMS through its Care Compare website and Star Ratings methodology, also creates indirect financial incentives to improve quality as C ...
In 2015 CMS identified 254 quality measures for which providers may choose to submit data. The measures map to U.S. National Quality Standard (NQS) health care quality domains: [4]
Over the first three years of the project (2003–2006), participating hospitals raised overall quality by an average of 15.8 percent [3] based on their delivery of 30 nationally standardized and widely accepted care measures [4] [5] to patients in these five clinical areas: acute myocardial infarction (AMI/heart attack) coronary artery bypass ...
For broader quality control, CMS also created Hospital Compare, which is a large public reporting program that measures and also reports processes of care and outcomes for various health care interventions including heart failure, pneumonia, and acute myocardial infarction. [35]
HCUP Logo. The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products from the United States that is developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ).
HEDIS results must be audited by an NCQA-approved auditing firm for public reporting. NCQA has an on-line reporting tool called Quality Compass that is available for a fee of several thousand dollars. It provides detailed data on all measures and is intended for employers, consultants and insurance brokers who purchase health insurance for groups.
It created the Medicare Quality Payment Program. [2] Clinicians can choose to participate in the Quality Payment Program through the Merit-based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs). [3] MIPS is an incentive program that consolidates three incentive programs into one, for eligible physicians.
How quality is maintained and improved in hospitals and healthcare services is the subject of much debate. Hospital surveying and accreditation is one recognised means by which this can be achieved. [citation needed] It is not just an issue of hospital quality. There are financial factors as well.