With the implementation of the Affordable Care Act, and as part of the national effort to control costs and ensure quality for patients, Medicare is aligning reimbursement with performance. These programs include:
Hospital Value-Based Purchasing (VBP) Program
Medicare's hospital value-based purchasing (VBP) program ties payment to hospitals' performance on a number of quality measures. Because calculations change year to year, it is important that hospitals stay current on what measures are included and how their performance on those measures during defined performance periods will roll up into an overall total performance score (TPS). Visit our Hospital Value-Based Purchasing Program web page to learn more about the program.
Inpatient Quality Reporting (IQR) Program, including the:
Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS)
Healthcare-Associated Infections (HAI) data submission to the National Healthcare Safety Network (NHSN)
Outpatient Quality Reporting (OQR) Program
Our Roadmap to Effective Quality Data Reporting outlines our recommended approach to successfully meeting the requirements of those programs. Please note that CMS manages several other hospital reporting programs. Please see below for related links.
Qualis Health is now working with Ambulatory Surgical Centers (ACSs) in Idaho and Washington to assist them in understanding and using the Centers for Medicare & Medicaid Services (CMS) quality measures. With the possibility of CMS raising expectations that “pay for reporting” will evolve into “public reporting” and then “pay for performance,” Qualis Health is here to assist your organization in navigating these changes. The Qualis Health ASC Learning and Action Network will provide ASCs across Washington and Idaho an opportunity to receive technical assistance and peer-to-peer sharing. Qualis Health invites all Ambulatory Surgical Centers (ASCs) across Washington and Idaho to participate in the ASC Learning and Action Network (LAN).
Qualis Health does not provide assistance related to the following programs.
Please click the program name for related information.