Development of a qualified clinical data registry for emergency medicine.
Development of a qualified clinical data registry for emergency medicine.
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DOI：
10.1002/emp2.12547
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发表时间：
2021-12
影响因子：
2.3
通讯作者：
Venkatesh AK
中科院分区：
文献类型：
--
作者：
Epstein SK;Griffey RT;Lin MP;Augustine JJ;Goyal P;Venkatesh AK
2015 年《医疗保险准入和 CHIP 再授权法案》(MACRA) 的通过标志着医疗保险和医疗补助服务中心 (CMS) 的医生支付方式从传统的按服务付费模式向基于价值的模式发生了根本性转变。 MACRA 促成了 CMS 质量支付计划 (QPP) 的创建，该计划的医生护理价值在很大程度上基于医生质量报告。 QPP 实现了从对个别专业适用性有限的传统 CMS 管理的质量衡量标准的转变，转向由医师专业协会使用合格临床数据注册中心 (QCDR) 开发和管理的针对特定专业的质量衡量标准。本文介绍了第一个全国范围内的急诊医学 QCDR 的开发，作为急诊医生参与 QPP、衡量和基准急诊医生质量的一种手段。
The passage of the Medicare Access and CHIP Reauthorization Act (MACRA) in 2015 marked a fundamental transition in physician payment by the Centers for Medicare and Medicaid Services (CMS) from traditional fee‐for service to value‐based models. MACRA led to the creation of the CMS Quality Payment Program (QPP), which bases the value of physician care in large part on physician quality reporting. The QPP enabled a shift away from legacy CMS‐stewarded quality measures that had limited applicability to individual specialties toward specialty‐specific quality measures developed and stewarded by physician specialty societies using Qualified Clinical Data Registries (QCDRs). This article describes the development of the first nationally available emergency medicine QCDR as a means for emergency physicians to participate in the QPP, measure, and benchmark emergency physician quality.