Definition 1 of 22
Bench Marking - process of measuring & comparing data to internal or external results
Internal Benchmarking - compare measurements acquired from internal processes overtime.
External Benchmarking - compare measurements to other orgs or industries.
Exs. MGMA, QIOs, JC (in healthcare)
Exs. Disney, Nordstrom, Ritz Carlton (customer svcs outside healthcare)
-Hospitals are required to have quality efforts in place to meet the requirements of the Joint
Commission (JC)
Steps to Initiate Effective BenchMarking Efforts
- Identify what you what to measure & improve and how you will obtain measurements
- Measure the performance of the process you have selected
- Identifying what benchmark you are going to compare your measurements to
- Comparing your measurements to that of your identified benchmark
- Identifying the difference b/t your measurements & that of your benchmark
- Deciphering reason for the differences
- Deciding what improvements can be made to improve your processes
- Implementing new processes or policies to accomplish improved measurements
- Repeating process to identify if goals are accomplished to identify continual opps for
improvement
Human Resource Management - Part 2
Quality in Health Care - Part 2
Quality in Health Care - Part 4
Medical Office Accounting - Part 2
,Definition 2 of 22
(HIT) Health Information Technology
(CPOE) Computerized Provider Order Entry
Physician Quality Reporting
2006 Tax Relief & Health Care Act authorized CMS to establish a physician quality reporting
system. CMS named the system Physician Quality Reporting Initiative (PQRI)
- now the Physician Quality Reporting Systems (PQRS) program implemented in 2007 & included
incentive payment to qualified physicians who voluntarily chose to report quality measures
furnished to Medicare Part B beneficiaries (including RRB & Medicare Secondary Payer)
- Incentive payments and to Eligible Professionals (EPs)
- Listing of all EPs on CMS Website www.cms.gov/Physicians that successfully report PQRS/ the
specified quality measures may be eligible to receive on incentive payment equal to 1% of their
Medicare Physician Fee Schedule (MPFS) total estimated allowed charges furnished during the
reporting period.
Annual PQR measure codes: www.cms.gov/PQR1/15_MeasureCodes.asp
Manual - www.cms.gov/PQR1
Also instructs how to report Quality Data Codes (QDCs)
Medical Office Accounting - Part 2
Quality in Health Care - Part 2
Quality in Health Care - Part 4
Health Care Reform - Part 3
, Definition 3 of 22
The American Recovery & Reinvestment Act of 2009 (ARRA)
-created an economic stimulus package enacted by Congress to help stimulate economy &
consumer spending during recession.
Resulting from ARRA - key pieces of legislature aimed at transforming US health care used
technology.
HITECH Act - allocates $36 billion in incentive payments for providers to adopt the use of
electronic records (EMR)- late/non-adopters reduce Medicare reimbursements starting 2015 &
fully phased in by 2017.
-Gov't grants & funding for development of HIEs
-Introduction of National Broadband Plan; FCC introduced country's 1st national broadband plan
in Mar 2010
Quality in Health Care - Part 1
Health Care Reform - Part 1
Medical Office Accounting - Part 3
Health Care Reform - Part 2
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