JULY 2009


FPG Approved to Report Quality Data

The Centers for Medicare and Medicaid Services (CMS) has named UCLA Faculty Practice Group (FPG) a qualified data registry under the 2009 Physician Quality Reporting Initiative (PQRI), a Medicare pay-for-reporting program. UCLA FPG is one of only five academic health systems in the nation to achieve this designation.

Designed to promote quality improvement in the Medicare fee-for-service program, the 2009 PQRI consists of 153 quality measures focusing on specific health conditions most prevalent among Medicare patients. Through PQRI, professionals receive a 2 percent incentive on total allowed charges for services delivered in 2009 when they successfully report data on quality measures to CMS. UCLA FPG began PQRI reporting with many departments in 2007 through an older claims-based reporting system.

To become a qualified data registry, UCLA FPG demonstrated its ability to develop a database infrastructure adequate to support the project and selected a number of quality indicators to measure. For registry reporting, UCLA FPG will begin with the Community Physician Network (CPN) as well as the departments of medicine, radiation oncology and radiology to measure, report and improve quality related to preventive services, diabetes care, oncology care and imaging in stroke patients. FPG will expand these efforts as it gains more experience with the PQRI registry program.

“We’re not afraid to tackle something new, and the PQRI program fit in with our quality agenda,” says Samuel A. Skootsky, M.D., medical director of UCLA FPG, who leads the PQRI effort on behalf of the organization. With the PQRI registry, Medicare patients who have certain conditions or who require specific preventive care services can be systematically reviewed. Care gaps can be corrected and appropriate quality-of-care indicators reported to CMS in early 2010. Providers not using a registry must report the quality-of-care data at the time each claim is submitted. The new registry program, Dr. Skootsky says, has greater potential to improve quality by enabling providers to systematically evaluate patient care.