title: Implementing the physician quality reporting system in an academic multispecialty group practice: lessons learned and policy implications.
abstract: The Centers for Medicare and Medicaid Services (CMS) introduced the Physician Quality Reporting System (PQRS) in 2007. PQRS was developed as a value-based, pay-for-reporting initiative intended to increase quality and decrease costs. Jefferson University Physicians (JUP) was an early participant in this voluntary program. In this article, the policy context for CMS's launch of PQRS and JUP's implementation strategy, lessons learned, and an account of benefits and barriers to participation are reviewed. In 2010, JUP achieved 94% provider participation and an average incentive of $772 per participating provider. Net incentives earned across JUP in 2010 topped $171 000, although these earnings were significantly offset by implementation and maintenance costs. PQRS represents CMS's first step toward aligning quality and cost in the ambulatory care setting. Faculty practice plans must be prepared to meet this challenge in order to avoid future penalties and to advance quality of care.
authors.affiliation: 1Thomas Jefferson University, Philadelphia, PA.
authors.forename: Bettina
authors.initials: B
authors.lastname: Berman
authors.forename: Valerie P
authors.initials: VP
authors.lastname: Pracilio
authors.forename: Albert
authors.initials: A
authors.lastname: Crawford
authors.forename: William R
authors.initials: WR
authors.lastname: Behm
authors.forename: Richard
authors.initials: R
authors.lastname: Jacoby
authors.forename: David B
authors.initials: DB
authors.lastname: Nash
authors.forename: Neil I
authors.initials: NI
authors.lastname: Goldfarb
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D030881:Disclosure; D006123:Group Practice; D006801:Humans; D008511:Medicine; D019982:Organizational Case Studies; D016134:Organizational Policy; D015143:Philadelphia; D016730:Program Development; D011786:Quality Control; D058996:Quality Improvement / Q000458:organization & administration*; D012052:Reimbursement, Incentive; D014481:United States; D062505:Value-Based Purchasing
keywords: PQRS; pay for performance; performance improvement; value-based purchasing