Features  |   February 2014
PQRS: At the Intersection of Quality Improvement and Consumerism
Author Affiliations
  • Lee A. Fleisher, M.D.
    Committee on Performance and Outcomes Measurement
  • Daniel J. Cole, M.D.
    ASA First Vice President
Article Information
Quality Improvement / Features
Features   |   February 2014
PQRS: At the Intersection of Quality Improvement and Consumerism
ASA Monitor 02 2014, Vol.78, 16-17.
ASA Monitor 02 2014, Vol.78, 16-17.
“What gets measured gets done” is an all-too-familiar doctrine in Washington among health policy experts in their quest to leverage payment to quality improvement. The Physician Quality Reporting System (PQRS) is a program developed in 2007 and administered by the Centers for Medicare & Medicaid Services (CMS) to promote reporting of a defined set of quality measures through payment incentives and payment adjustments for eligible professionals. Currently, it provides an incentive payment to the participant for services provided to Medicare Part B fee-for-service beneficiaries. Beginning in 2015, PQRS will include a 1.5 percent payment adjustment (reduction in payment) for those who do not report (with a scheduled reduction of 2.0 percent in 2016). The PQRS submission can be on individual claims, through an approved registry, directly to CMS via a qualified electronic health record, or to a qualified Physician Quality Reporting electronic health record. Alternatively, group practices may participate through the Group Practice Reporting Option. ASA was proactive in developing an approved PQRS registry – the National Anesthesia Clinical Outcomes Registry (NACOR) – that is maintained by the Anesthesia Quality Institute (AQI). NACOR currently contains more than 14 million cases, and participation is free to ASA members.
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