Performance Rates for Individual EP PQRS Measures 2017

$179 / year

This dataset includes information regarding eligible professional (EP) participation under clinical quality of care in 2017 Centers for Medicare & Medicaid (CMS) quality program as well as the 2017 Physician Quality Report System (PQRS) Group Practice Reporting Option (GPRO) performance rates for 6 Individual eligible professional (EP) measures now publicly reported on Physician Compare.

Complexity

This dataset contains performance rates for the 6 Individual eligible professional (EP) 2017 Physician Quality Reporting System (PQRS) measures reported via claims that are available for public reporting. The Centers for Medicare & Medicaid Services (CMS) is committed to ongoing data transparency and creating a patient-centered healthcare system, where clinicians are challenged to lower costs and increase the quality of care CMS provides. CMS wants to empower patients to make more informed healthcare decisions by providing meaningful information about their healthcare providers.

The number of Qualifying Alternative Payment Model (APM) Participants in Advanced APMs—nearly doubled in 2018 from the previous year, increasing from 99,076 to 183,306 clinicians QPs receive a five percent APM incentive payment and are excluded from the Merit-Based Incentive Payment System (MIPS) reporting requirements and payment adjustment. The number of clinicians participating in MIPS through APMs also increased from 341,220 participants in 2017 to 356,828 in 2018. These participation improvements may be related to the increasing number of participation opportunities in 2018, particularly through Accountable Care Organizations (ACOs) in the Shared Savings Program.

Date Created

2017-08-25

Last Modified

2019-08-01

Version

2019-08-01

Update Frequency

Annual

Temporal Coverage

2016-01 to 2017-12

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

PQRS Reporting, How to Report PQRS on Claims, PQRS Group Reporting, PQRS Measures, Physicians Report, PQRS Measures 2017

Other Titles

Free Data Physician Compare Group Practice 2017, Enquiry Physician Compare Group Practice 2017, Database Download Physician Compare Group Practice 2017, Performance Rates for the 6 Individual Eligible Professional (EP) 2017 Physician Quality Reporting System (PQRS) Measures, Physician Compare 2017 Individual EP Public Reporting - Clinical Quality of Care

NameDescriptionTypeConstraints
NPIUnique professional ID assigned by National Plan and Provider Enumeration System (NPPES).integerrequired : 1 level : Nominal
PAC_IDGroup Practice ID assigned by PECOS (Provider Enrollment, Chain, and Ownership System) to the Group Practice.stringrequired : 1
Last_NameIndividual professional last name.string-
First_NameIndividual professional first name.stringrequired : 1
Measure_IdentifierComponents of measure ID: [program]_[reporting entity]_[measure number]_[stratum]; where program is defined as "PQRS" or "QCDR"; reporting entity is indicated as "EP" for clinician; measure number denotes the PQRS measure number or QCDR measure name abbreviation; and finally measures that only have a single stratum have a suffix of "_1"string-
Measure_TitlePQRS (Physician Quality Report System) Measures Titlestring-
Is_Inverse_MeasureInverse Measure or notboolean-
Measure_Performance_RatePerformance Rates for CAHPS for PQRS Measuresintegerlevel : Ratio
Denominator_CountDenominator Count for CAHPS for PQRS Measuresintegerlevel : Ratio
Reporting_MechanismReporting mechanisms are defined as: "CLM" for Claims; "REG" for Registry; and "QCDR" for Qualified Clinical Data Registry reporting.string-
Is_Reported_On_PC_Live_SiteIndicator for whether or not the measure is reported on the Physician Compare live siteboolean-
NPIPAC IDLast NameFirst NameMeasure IdentifierMeasure TitleIs Inverse MeasureMeasure Performance RateDenominator CountReporting MechanismIs Reported On PC Live Site
10030013714385734086KANTERDAVIDMIPS_EC_226_overallPreventive Care and Screening: Tobacco Use: Screening and Cessation InterventionFalse74.072.0CLMFalse
10030016457517056583TRIVEDIVINODACI_EC_TRANS_PPHI_1Security Risk AnalysisFalseFalse
10030020727214189315GOTESMANALEXANDERMIPS_EC_046_18-64Medication Reconciliation Post-DischargeFalse74.027.0CLMFalse
10030020727214189315GOTESMANALEXANDERMIPS_EC_046_65+Medication Reconciliation Post-DischargeFalse63.097.0CLMFalse
10030020727214189315GOTESMANALEXANDERMIPS_EC_046_overallMedication Reconciliation Post-DischargeFalse65.0124.0CLMFalse
10030020727214189315GOTESMANALEXANDERMIPS_EC_048_overallUrinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and OlderFalse95.0117.0CLMFalse
10030020727214189315GOTESMANALEXANDERMIPS_EC_128_overallPreventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up PlanFalse62.0621.0CLMFalse
10030020727214189315GOTESMANALEXANDERMIPS_EC_130_overallDocumentation of Current Medications in the Medical RecordFalse100.01718.0CLMFalse
10030020727214189315GOTESMANALEXANDERMIPS_EC_131_overallPain Assessment and Follow-UpFalse96.01502.0CLMFalse
10030020727214189315GOTESMANALEXANDERMIPS_EC_226_overallPreventive Care and Screening: Tobacco Use: Screening and Cessation InterventionFalse99.0621.0CLMFalse