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Quality Metrics

Centers for Medicare and Medicaid Services (CMS) will measure Accountable Care Organization performance in 4 ways:

  1. Clinical Quality Measures: 15 evidence-based standards of care such as breast cancer screening and fall risk assessment. You will receive detailed information on the requirements for these clinical metrics.
  2. Patient Experience of Care Survey:  This patient survey contains 8 measures of experience and will be administered by a vendor engaged by Community Healthcare Partners’ Accountable Care Organization (CHP ACO).
  3. CMS Claims Data: CMS calculates performance on 7 metrics such as readmissions, directly from standard claims. No additional submission is required.
  4. Administrative Data: Under the ACO model, all clinicians must report the Advancing Care Information (ACI) metric (formerly Meaningful Use) to CMS. Clinician submissions are then aggregated to determine the overall CHP ACO score. CHP ACO has engaged Purdue Healthcare Advisors (PHA) to support individual practices in meeting all necessary requirements of ACI and will support them through the attestation process to ensure compliance. CHP ACO offices that are not employed by the health system will be contacted by PHA staff to begin this process.
  5. MSSP Quality Benchmarks Guidance Document (2018-2019 reporting years)
  6. MSSP 2018 ACO 2018 Quality Measures Specifications Document (2018)