Merit-based Incentive Payment System Quality Reporting in Urology Practices.
Merit-based Incentive Payment System Quality Reporting in Urology Practices.
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泌尿外科实践中基于绩效的激励支付系统质量报告。
DOI：
10.1097/upj.0000000000000392
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发表时间：
2023
期刊：
影响因子：
0.8
通讯作者：
Golla,Vishnukamal
中科院分区：
文献类型：
--
作者：
Maganty,Avinash;Krampe,Noah;Shah,AnupA;Golla,Vishnukamal
简介大多数泌尿科医生都需要参与基于绩效的激励支付系统，这是一种替代支付模式，医生必须跟踪和报告质量措施。然而，基于绩效的激励支付系统措施是泌尿科特有的，目前还不清楚泌尿科医师选择跟踪和报告哪些措施。方法我们对泌尿科医师最近业绩年度报告的基于绩效的激励支付系统措施进行了横断面分析。泌尿科医师按其报告隶属关系（即个人、团体或替代支付模式）进行分类。我们确定了泌尿科医生最常报告的措施。在报告的措施中，我们确定了那些针对泌尿科疾病的措施和那些“达到顶峰”的措施（即，医疗保险认为不加区别的措施，因为很容易实现高绩效）。结果在 2020 绩效年度期间，共有 6,937 名泌尿科医生在基于绩效的激励支付系统中报告，其中 14% 作为个人报告，56% 作为团体报告，30% 作为替代支付模式报告。在最常报告的 10 项措施中，没有一项是专门针对泌尿科的。 11% 的泌尿科医生报告了直接针对泌尿系统疾病的措施； 65% 的个体泌尿科医生、58% 的团体泌尿科医生和 92% 的替代支付模式报告了至少 1 种或多种“顶级”措施。 结论 泌尿科医生报告的大多数措施并非专门针对泌尿科疾病，因此基于绩效的激励支付系统中的绩效可能并不能很好地反映所提供的泌尿科护理质量。随着医疗保险转变基于绩效的激励支付系统以实施具体的质量措施，泌尿外科社区将需要制定并提交对泌尿外科患者最有影响力的措施。
IntroductionMost urologists are required to participate in Merit-based Incentive Payment System—an alternative payment model in which physicians must track and report quality measures. However, Merit-based Incentive Payment System measures are urology-specific, and it remains unclear what measures urologists are choosing to track and report.MethodsWe performed a cross-sectional analysis of Merit-based Incentive Payment System measures reported by urologists for the most recent performance year. Urologists were categorized by their reporting affiliation (ie, individual, group, or alternative payment model). We identified the measures most frequently reported by urologists. Among reported measures, we identified those that were specific to urological conditions and those that were “topped out” (ie, measures considered indiscriminate by Medicare because high performance is easily achieved).ResultsA total of 6,937 urologists reported in Merit-based Incentive Payment System during the 2020 performance year, of whom 14% reported as an individual, 56% as a group, and 30% as an alternative payment model. Among the top 10 most frequently reported measures, none were urology-specific. Eleven percent of urologists reported measures that were directly specific to urological conditions; 65% of individual urologists, 58% of those in groups, and 92% in alternative payment models reported at least 1 or more “topped out” measures.ConclusionsMost measures reported by urologists are not specific to urological conditions, and therefore performance within Merit-based Incentive Payment System may be a poor indicator of the quality of urological care provided. As Medicare transitions Merit-based Incentive Payment System to implement specific quality measures, the urological community will need to develop and submit measures that will be most impactful for urology patients.