Under the Affordable Care Act, 2014 is the last year that a clinician may receive an incentive payment for satisfactorily reporting to the Centers for Medicare and Medicaid Services’ (CMS) Physician Quality Reporting System (PQRS). Clinicians can either receive a 0.5 percent incentive payment the following year for satisfactorily reporting or be penalized a 2.0 percent payment decrease for not satisfactorily reporting. Click here for a list of relevant quality measures that ID specialists can report.
Beginning in 2015, CMS will transition to a mandatory pay-for-performance program that will apply a payment penalty to clinicians who do not satisfactorily report data on quality measures. In an effort to build a robust portfolio of quality measures from which ID physicians can report, IDSA is taking a leadership role in the development of measure concepts that apply to ID. The society is making available to potential partners the measure concepts that have been developed. We intend to engage other interested parties (i.e. payers, Quality Improvement Organizations) in the next steps in the quality measure development process, taking the concepts through testing and validation phases, to ultimately submit them for approval by the National Quality Forum (NQF) or CMS. Currently, the Staphylococcus aureus Measures Concept Set is available for review. Additional measure concept sets are in development by the IDSA Quality Improvement Work Group, in collaboration with the respective guideline panel. IDSA is open to productive collaboration with other healthcare stakeholders. IDSA members are encouraged to review and disseminate the IDSA Quality Improvement Measure Concepts page to interested parties.
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