Performance measures are a key component in health care quality. They serve as a mechanism to evaluate quality and cost-of-care performance. They drive improvement, allow patients to make informed decisions, and are used to influence provider payment. Measures can also provide an objective assessment of how well and how appropriately health care is delivered compared to recognized standards. Measures help evaluate the structure, process and outcomes of care, or a patient’s experience with care.
The AMA-convened PCPI is a driving force in evidence-based clinical performance measurement, having been the sole developer or a collaborating party for a portfolio that includes:
In 2014, AMA-PCPI has worked with associations and multispecialty societies to transfer stewardship for various performance measure sets. This transfer in stewardship allows for society leads to be solely responsible for the review and enhancement of measure sets. Ongoing maintenance activities of measures will ensure the accuracy and currency of measure information.
Listed below are performance measurement sets that may be relevant to diagnostic radiology, interventional radiology and radiation oncology practices.
For Calendar Year (CY) 2016 payment determinations, six Outpatient Imaging Efficiency (OIE) measures are required in the Hospital Outpatient Quality Reporting (OQR) Program:
These six publicly reported OIE measures are calculated using data from hospital outpatient claims paid under Medicare’s Outpatient Prospective Payment System (OPPS). Hospitals need not submit any additional data for calculation of the measures.
View the complete measure specifications »