Annual electrocardiograms (EKGs) or any (As above) (As cardiac screening for low-risk patients without symptoms Stress cardiac imaging or advanced (As above) (As imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present Annual stress cardiac imaging or advanced (As above) (As non-invasive imaging as part of routine follow-up in asymptomatic patients Stress cardiac imaging or advanced (As above) (As imaging as a pre-operative assessment in patients scheduled to undergo low-risk non-cardiac surgery Echocardiography as routine follow-up for (As above) (As mild, asymptomatic native valve disease in adult patients with no change in signs or symptoms Stenting of non-culprit lesions during (As above) (As percutaneous coronary intervention (PCI) for uncomplicated hemodynamically stable ST-segment elevation myocardial infarction (STEMI) 8.4.12 Value Based Reimbursement Inventory and Value Pricing Programs 8.4.12.1 Indicate if the following elements are applied when determining eligibility of measures for assessment, public reporting and payment rewards. Purchasers expect health plans to comply with the Consumer-Purchaser Disclosure Project "Patient Charter" for Physician Performance Measurement, Reporting and Tiering Programs (available at .) 1: Measures are nationally standardized, 2: Defined clinical specifications, 3: Methodology for attributing patients to physicians, practice sites or medical group/IPAs, 4: Minimum number of observations, 5: Statistical significance test or confidence interval when reporting performance differences, 6: Case mix or severity adjustment, 7: Geographic adjustment to determine peer group average, 8: Handling of outlier cases in measurement of cost or resource use,
Annual electrocardiograms (EKGs) or any cardiac screening for low-risk patients without symptoms (As above) (As Stress cardiac imaging or advanced imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present (As above) (As Annual stress cardiac imaging or advanced non-invasive imaging as part of routine follow-up in asymptomatic patients (As above) (As Stress cardiac imaging or advanced imaging as a pre-operative assessment in patients scheduled to undergo low-risk non-cardiac surgery (As above) (As Echocardiography as routine follow-up for mild, asymptomatic native valve disease in adult patients with no change in signs or symptoms (As above) (As Stenting of non-culprit lesions during percutaneous coronary intervention (PCI) for uncomplicated hemodynamically stable ST-segment elevation myocardial infarction (STEMI) (As above) (As 8.4.12 Value Based Reimbursement Inventory and Value Pricing Programs 8.4.12.1 Indicate if the following elements are applied when determining eligibility of measures for assessment, public reporting and payment rewards. Purchasers expect health plans to comply with the Consumer-Purchaser Disclosure Project "Patient Charter" for Physician Performance Measurement, Reporting and Tiering Programs (available at .) 1: Measures are nationally standardized, 2: Defined clinical specifications, 3: Methodology for attributing patients to physicians, practice sites or medical group/IPAs, 4: Minimum number of observations, 5: Statistical significance test or confidence interval when reporting performance differences, 6: Case mix or severity adjustment, 7: Geographic adjustment to determine peer group average, 8: Handling of outlier cases in measurement of cost or resource use,
2017-QHP-Certification-Application-DRAFT-1-21-16.docx