Does Physician Compare Affect Me?
Few physician anesthesiologists may know that their performance in quality payment programs and participation in alternative payment models are on public display via Physician Compare. Physician Compare is an online platform that provides the public (although targeted toward Medicare patients) with demographic, education, licensure, quality measure and Medicare participation status of physicians and other clinicians. Established through the Patient Protection and Affordable Care Act of 2010 (ACA) and run by the Centers for Medicare & Medicaid Services (CMS), Physician Compare aims to equip beneficiaries with information for them to make informed choices about their healthcare.
Each year, CMS analyzes reported quality measures to determine which will be posted to Physician Compare (prior to 2017, this would include Physician Quality Reporting System or “PQRS” measures; in 2017, quality measures would include Merit-based Incentive Payment System or “MIPS” measures). CMS chooses which measures to post based on criteria including accuracy, consumer relevance, reliability and validity of the measures. New measures, those measures in their first year of reporting are not eligible for Physician Compare publication.
Historically, physician anesthesiologists have had few anesthesia-specific quality measures that meet inclusion criteria for display on the Physician Compare website. This is usually due to too few physicians reporting a measure to meet Physician Compare’s reliability and validity testing for benchmarking.
For 2017, Physician Compare displays 2015 PQRS measure performance, including three anesthesia-specific measures:
• Prevention of Central Venous Catheter (CVC) – Related Bloodstream Infections (claims only)
• Perioperative Temperature Management (claims only)
• Coronary Artery Bypass Graft (CABG): Prolonged Intubation
Depending on which measures an individual anesthesiologist or group reports, they may have multiple performance measures displayed, or none at all. ASA routinely communicates with CMS and ASA membership will be notified when additional anesthesia-specific measures are added to Physician Compare.
In the fall, physician anesthesiologists and members of their practice will have 30 days to review their public profile and quality measure performance that will be displayed in 2018. Any inaccurate data should be identified and submitted to CMS prior to the review deadline. For more information on Physician Compare reports, please review Physician Compare Information for Professionals or contact PhysicianCompare@Westat.com.
FAQRAs are created by ASA’s Department of Quality and Regulatory Affairs (QRA). These short articles address informative and relevant topics related to quality in anesthesia practice. For additional questions or information, please contact QRA at (202) 289-2222 or via email firstname.lastname@example.org.