Change text size: Decrease Text Size Increase Text Size


Physician Quality Reporting System

Value Driven Health Care employs standardized methods for measuring health care quality and pricing information and then puts this information into the hands of consumers. With the information available to them, empowered consumers become motivated to make informed decisions about their healthcare. Informed consumers are able to seek the best available care, which in turn stimulates the entire healthcare system to provide better quality and more efficient care. High quality, efficient health care translates into savings – in terms of both lives and dollars.

The four “cornerstones” of Value Driven Health Care (VHC) as defined by the US Department of Health and Human Services include:
  • Interoperable HIT / Meaningful Use / HIE – supporting the development and use of HIT / Meaningful Use / HIE that meets health data and interoperability standards recognized by the U.S. Department of Health and Human Services’ Secretary when implementing, acquiring, upgrading or contracting for health information technology systems and products. Interoperability promises to enable the exchange of clinical data and to create greater efficiency in health care delivery by reducing redundancy and enabling the collection and sharing of data to measure and improve the quality of care.
  • Transparency of Quality Information – promoting the use of national consensus-based standardized quality measures for public reporting purposes; supporting the development of new standardized measures; and participating in regional public-private collaborative Value Exchanges, Better Quality Information for Medicare Beneficiaries (BQI) pilots, or other recognized collaboratives to establish and support uniform measuring or reporting of quality information to promote provider performance improvement. At the present time, the measures most fully developed are adopted by the AQA [formerly known as the Ambulatory Quality Alliance], a multi-stakeholder group focused on physician quality measures, Hospital Quality Alliance (HQA), other recognized Alliances and those endorsed by the National Quality Forum (NQF).
  • Transparency of Price Information - promoting use of price measures for public reporting purposes where appropriate and working with regional collaboratives where possible; supporting the development of standardized measures and methods for price measurement, including episodic pricing methodologies; and, presenting such data in tandem with quality data to the maximum extent possible.
  • Incentives for High-Value Health Care – adopting one or more of four strategies:
    (a) encouraging beneficiaries to use providers with the highest quality and the lowest cost;
    (b) offering providers incentives and rewards for delivering high-value care;
    (c) providing beneficiaries with incentives for prevention and wellness and for self- management of chronic illness; or
    (d) offering consumer-directed health plan products.
Design © 2009 FMQAI, Inc. All Rights Reserved
FMQAI 5201 W. Kennedy Boulevard Suite 900 • Tampa, Florida 33609-1822