PQRS and Value Based Modifier Details

Centers for Medicare and Medicaid Services (CMS) released the 2014 Medicare Physician Fee Schedule Final Rule. This webpage summarizes the quality-related sections of the rule, including provisions specific to the Physician Quality Reporting System (PQRS), the Physician Value-Based Payment Modifier (VBM), and Physician Compare. Click here for ACEP highlights & details.

ACEP Highlights of CMS Final Rule Quality Provisions Jan 17, 2014



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The ACEP Board of Directors approved the development of quality measures to protect and enhance

emergency care in February 2013 in conjunction with the American Board of Emergency Medicine
(ABEM) and the Emergency Medicine Action Fund (EMAF).

Quality Measures (QMs) Technical Expert Panel (TEP)Objectives:

  • To define the value of emergency care and develop a set of performance measures that will meet the criteria for the CMS value-based payment modifier (VBPM), which must apply to all physicians by legislative mandate by 2017 based on the 2015 quality reporting period. 
  • To develop new performance measures for inclusion in the Physician Quality Reporting System (PQRS)and other programs to protect and enhance emergency care. 
  • To continue the ongoing cyclical work of, testing,updating and maintaining ACEP's current performance measures for CMS reporting programs. 
  • To identify areas for internal quality improvement through MOC Part IV, OPPE, and other QI and data collection activities for important topics, that do not yet meet the criteria for CMS value-based programs in terms of reliability and validity. 

 

Call for Nominations: ACEP Multi-Stakeholder Quality Measures Technical Expert Panel

The American College of Emergency Physicians (ACEP) is requesting nominations for a technical expert panel that will aim to develop quality measures for emergency care with a focus on clinical effectiveness and appropriateness. Appropriateness measures will focus on topics of overuse including but not limited to imaging for atraumatic back pain, imaging for minor head trauma,and diagnostic coagulopathy studies for patients with no acquired or inherited coagulopathy or bleeding. Clinical effectiveness measures will focus on early interventions for patients with sepsis in the emergency department. 

 An in-person meeting of the workgroup is scheduled for Wednesday, May 21, 2014 in Washington, DC. 

We invite PCPI members to submit nominations for membership on this technical expert panel. Please complete the technical expert panel nomination form and submit your nomination by Friday, April 11, 2014, to Diana Crowley via email at dcrowley@acep.org.

 View the nomination formhere.

 2014 Conflict of Interest Disclosure,Confidentiality & Copyright Assignment Agreement

 For additional information, please contact Diana Crowley,MPH, Manager, Quality and Health IT, American College of Emergency Physicians at 202-370-9304 

 

 

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