Efficiency is defined as the cost and quantity of services (i.e., total resources used) for the episode of care. For additional information, see "Measuring Provider Efficiency Version 1.0" available at and "Advancing Physician Performance Measurement: Using Administrative Data to Assess Physician Quality and Efficiency" available at For preventable ED/ER visits, please see and Category of PQRS Level of detail Indicate if Description (preferred) (alternate) Row Measure & Other for reporting of Other (if Physicians (PCP Physicians # Measures comparative covers plan and SCP) in the being reported public primary care selected relevant on as % total reporting to and/or response specialties contracted members of specialty option 6) being reported physicians in physicians physicians (PPO) on as % of total market who meet the (PPO) contracted (Denominator threshold of physicians = all PCPs and reliability for (Denominator = all specialists in reporting. all PCPs and network) (PPO) (PPO) relevant specialists) (PPO) Diabetes Mellitus Multi, Multi, 50 words. Percent. Percent. 1 Checkboxes. Checkboxes. N/A OK. N/A OK. 1: Individual 1: Primary care, From 0 to 100. From 0 to 100. Physician, 2: Specialty 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Preventive Care Multi, Multi, 50 words. Percent. Percent. 2 (Osteoporosis Checkboxes. Checkboxes. N/A OK. N/A OK. screening, urinary 1: Individual 1: Primary care, From 0 to 100. From 0 to 100. Physician, 2: Specialty incontinence, flu 2: Practice Site, shot, pneumonia 3: Medical vaccination, Group/IPA/Staff screening model Group, 4: PCMH, mammography, 5: ACO, colorectal cancer 6: Other screening, BMI (describe), screening and 7: None of the follow-up, above screening unhealthy alcohol use, tobacco
Efficiency is defined as the cost and quantity of services (i.e., total resources used) for the episode of care. For additional information, see "Measuring Provider Efficiency Version 1.0" available at and "Advancing Physician Performance Measurement: Using Administrative Data to Assess Physician Quality and Efficiency" available at For preventable ED/ER visits, please see and Category of PQRS Measure & Other Measures Level of detail for comparative public reporting to members of physicians who meet the threshold of reliability for reporting. (PPO) Indicate if reporting covers primary care and/or specialty physicians (PPO) Description of Other (if plan selected response option 6) (PPO) (preferred) Physicians (PCP and SCP) in the relevant specialties being reported on as % of total contracted physicians (Denominator = all PCPs and relevant specialists) (PPO) (alternate) Physicians being reported on as % total contracted physicians in market (Denominator = all PCPs and all specialists in network) (PPO) Row # Diabetes Mellitus Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Percent. N/A OK. From 0 to 100. Percent. N/A OK. From 0 to 100. 1 Preventive Care (Osteoporosis screening, urinary incontinence, flu shot, pneumonia vaccination, screening mammography, colorectal cancer screening, BMI screening and follow-up, screening unhealthy alcohol use, tobacco Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Percent. N/A OK. From 0 to 100. Percent. N/A OK. From 0 to 100. 2