Regarding the article "CMS ups quality-reporting program measures":
In reference to: "The 2007 project, voluntary for physicians who treat Medicare beneficiaries, was designed to provide financial incentives for doctors to report on 74 quality measures. Incentives are based only on reporting the measures, not patient outcomes, although the project does provide performance feedback as well. Physicians will receive a bonus of 1.5% of total allowed charges under the 2007 physician-fee schedule." What I said was that participation increased month over month for the six months July to December 2007. More providers submitted in October than in September, more in November than October, etc.
In response to: "The CMS has seen an increase in participation among providers over the first year, said Daniel Green, a physician with the CMS' Office of Clinical Standards and Quality. He presented an overview of the PQRI project on Sunday during a session at the Healthcare Information and Management Systems Society's 2008 annual conference." PQRI doesn't require physicians to report on 119 measures. I said for 2008 there are 119 measures to choose from. As in 2007, physicians only need to report on more than 80% of eligible patients for three measures, assuming at least four apply.
Finally, in reference to: "This year's project will also track five measures in the adoption of healthcare information technology, such as electronic medical records." I said that we have five measures specified electronically and will be testing the use of EHRs for transmission of these five measures. There are two structural measures in the program that look at practitioners' use of health information technologyEHRs and e-prescribing.
Daniel Green, M.D.Medical officerQuality Measurement & Health Assessment GroupCMSBaltimore