PQRS Measures

January 6, 2016
On December 10th, the Centers for Medicare and Medicaid Services (CMS) announced that they will be including new quality data from the Physician Quality Reporting System (PQRS) on its Physician Compare website
PQRS data has been included on the Physician Compare website since February, 2014, but CMS is expanding the number of quality measures publicly reported on the Physician Compare website. The 2014 quality measure data for groups are now published on Physician Compare, as well as – for the first time – a subset of quality measures for individual health care professionals. 


A total of 14 group-level Physician Quality Reporting System (PQRS) measures reported via the Group Practice Reporting Option Web Interface and six individual eligible professional (EP)-level PQRS measures reported via claims are now available on Physician Compare. In addition, eight patient experience measures are publicly reported for group practices of 25 or more EPs who reported Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS summary survey measures. The CAHPS/PQRS surveys ask Medicare patients for feedback about their experiences getting care from a particular group practice. CMS intends to add additional measures in the future. 
The American Medical Association (AMA) opposes the expanded PQRS measures on the website due to inaccuracies reported by the provider community and acknowledged by CMS. 
The 14 group-level measures include 
  • Getting a flu shot during flu season 
  • Making sure older adults have gotten a pneumonia vaccine 
  • Screening for depression and developing a follow-up plan 
  • Screening for tobacco use and providing help quitting when needed 
  • Screening for an unhealthy body weight and developing a follow-up plan 
  • Screening for high blood pressure and developing a follow-up plan 
  • Screening for breast cancer 
  • Comparing new and old medications 
  • Screening for colorectal (colon or rectum) cancer 
  • Controlling blood pressure in patients with diabetes 
  • Patients with heart failure and a weakened pumping chamber of the heart who got a beta blocker 
  • Using aspirin or prescription medicines to reduce heart attacks and strokes in patients with diabetes 
  • Prescribing medicine to improve the pumping action of the heart in patients who have both heart disease and certain other conditions 
  • Using aspirin or prescription medicines to reduce heart attacks and strokes 


The six individual EP-level measures include 
  • Screening for an unhealthy body weight and developing a follow-up plan 
  • Screening for tobacco use and providing help quitting when needed 
  • Screening for high blood pressure and developing a follow-up plan 
  • Screening for depression and developing a follow-up plan 
  • Comparing new and old medications 
  • Using aspirin or prescription medicines to reduce heart attacks and strokes 


The eight patient experience measures include 
  • Getting timely care, appointments, and information 
  • How well health care professionals communicate 
  • Health promotion and education Patients' rating of doctor 
  • Health care professionals working together for your care 
  • Courteous and helpful office staff 
  • Between visit communication 
  • Attention to patient medication cost 

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