HQA MYOCARDIAL Multi, Checkboxes. 65 INFARCTION (AMI) 1: Shared-risk (other than bundled payment) and/or gainsharing with quality, N/A N/A 1: 2: FFS-based OK. OK. with quality, 1: 3: Non-FFS-based HMO 2: with quality, ACO, 4: FFS plus pay for 2: 3: performance, PPO, 5: Full capitation with quality, 3: 6: Partial or condition Both or specific capitation with HMO quality, and 7: Bundled payment with PPO, quality, 4: 8: FFS-based non-visit EPO 4: functions, only Other 9: Non-FFS-based non-visit 5: All functions, 10: Non-payment policy for specific services associated 6: with hospital-acquired Not conditions that were preventable or services that were unnecessary, 11: Other non-FFS based payment reform models (describe in next column) HEART FAILURE (HF) (As (As (As above) (As (As (As PNEUMONIA (PNE) (As (As (As above) (As (As (As SURGICAL (As (As (As above) (As (As (As INFECTION PREVENTION (SIP) Surgical Care (As (As (As above) (As (As (As Improvement Project (SCIP)
HMO HQA MYOCARDIAL INFARCTION (AMI) 1: 2: PPO, 3: Both HMO and PPO, 4: EPO only 5: All 6: Not Multi, 1: 2: ACO, 3: or 4: Other Checkboxes. 1: Shared-risk (other than bundled payment) and/or gainsharing with quality, 2: FFS-based with quality, 3: Non-FFS-based with quality, 4: FFS plus pay for performance, 5: Full capitation with quality, 6: Partial or condition specific capitation with quality, 7: Bundled payment with quality, 8: FFS-based non-visit functions, 9: Non-FFS-based non-visit functions, 10: Non-payment policy for specific services associated with hospital-acquired conditions that were preventable or services that were unnecessary, 11: Other non-FFS based payment reform models (describe in next column) 65 N/A OK. N/A OK. HEART FAILURE (HF) (As (As (As above) (As (As (As PNEUMONIA (PNE) (As (As (As above) (As (As (As SURGICAL INFECTION PREVENTION (SIP) (As (As (As above) (As (As (As Surgical Care Improvement Project (SCIP) (As (As (As above) (As (As (As
2017-QHP-Certification-Application-DRAFT-1-21-16.docx