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This page contains information about PQRI quality measures, including detailed specifications and related release notes for the individual PQRI quality measures and measures groups and other measures-related documentation needed by individual EPs for reporting the PQRI measures through claims or registry-based reporting. Note: The PQRI measure documents for the current program year may be different from the PQRI measure documents for a prior year. EPs are responsible for ensuring that they are using the PQRI measure documents for the correct program year. 2010 PQRI The following documents pertaining to the 2010 PQRI individual quality measures and measures groups are available in the "Downloads" section below: • 2010 PQRI Measures List. This document identifies the 179 quality measures (this includes 175 individual quality measures and the 4 measures in the Back Pain measures group, which are not reportable as individual PQRI quality measures) selected for the 2010 PQRI. • 2010 PQRI QDC Categories. A table that outlines, for each measure, each QDC that should be reported for a corresponding quality action performed by the individual EP as noted in the measures specification. This determines how each code will be used when calculating performance rates. This also clarifies those measures that require 2 or more QDCs to report satisfactorily. Insufficiently reporting the QDCs (as specified in the 2010 PQRI measure specifications) will result in invalid reporting. • 2010 PQRI Single Source Code Master. This file includes a numerical listing of all codes included in 2010 PQRI for incorporation into billing software. 2010 PQRI Individual Quality Measures The following documents specific to the 2010 PQRI individual quality measures are available in the "Downloads" section below: • 2010 PQRI Measures Specifications Manual for Claims and Registry Reporting of Individual Measures and Release Notes. This zip file contains two documents which are the authoritative documents that describe 1) the 2010 measure specifications (including codes and reporting instructions) for the 175 individual PQRI quality measures for claims or registry-based reporting and 2) changes from the 2009 PQRI Measure Specifications in the form of release notes delineated by measure number. • 2010 PQRI Implementation Guide. Guidance about how to implement 2010 PQRI claims-based reporting of measures to facilitate satisfactory reporting of quality data codes by EPs. 2010 PQRI Measures Groups PQRI measures can be reported for thirteen (13) measures groups that were created for specific conditions that are addressed by at least 4 measures that share a common denominator specification: Diabetes Mellitus, Chronic Kidney Disease, Preventive Care, Coronary Artery Bypass Graft Surgery, Rheumatoid Arthritis, Perioperative Care, Back Pain, Coronary Artery Disease, Heart Failure, Ischemic Vascular Disease, Hepatitis C, HIV/AIDS, and Community-Acquired Pneumonia. The following documents are available in the "Downloads" section below: • 2010 PQRI Measures Groups Specifications Manual and Release Notes. Measures group specifications are different from those of the individual measures that form the group. Therefore, the specifications and instructions for measures group reporting are provided in a separate manual. This zip file contains two documents which are the authoritative documents that describe 1) the 2010 measures groups specifications (including codes and reporting instructions) for the 13 PQRI measures groups for claims or registry-based reporting and 2) changes from the 2009 PQRI Measures Groups Specifications Manual in the form of release notes. • Getting Started with 2010 PQRI Reporting of Measures Groups. A guide to implementing the 2010 PQRI measures groups. 2010 PQRI EHR Measure Specifications The measure specifications and other related documents for the submission of ten (10) PQRI measures through a qualified an Electronic Health Record (EHR) system for the 2010 PQRI are available on the "Alternative Reporting Mechanisms" link at left.
Page Last Modified: 11/17/2009 9:16:02 AM
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