Physician Performance Improvement

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PCPI- Physician Consortium for Performance Improvement The American Medical Association (AMA) brings the Physician Consortium for Performance Improvement (PCPI) as a national leadership program, led by physicians for the purpose of improving quality and patient safety in healthcare. The PCPI currently works on a mission of aligning patient-centered care, quality improvement and performance measurement.
The Physician Consortium for Performance Improvement (PCPI) introduces the performance measures based on evidences for the purpose of national accountability as well as quality improvement programs. These measures are clinically meaningful and meet the current and future needs of the Physician Consortium for Performance Improvement
NQF- National …show more content…
These HAC require high cost which ultimately affects payment agencies. The USA Medicare designated more than 1000 categories for HAC under ICD-9-CM diagnosis and according to July 31, 2008, the IPPS (Inpatient Prospective Payment System) Fiscal Year 2009 Final Rule, Center of Medicare and Medicaid Services (CMS) included 10 categories of conditions for the HAC payment provision. These payment implications began on October 1, 2008 for the HAC.

Never Event
The CMS has issued the State Medicaid Director Letter for the guidance related to the coordination of State Medicaid Payment Policies along with policies that are recently adopted by the Medicare. This is required when healthcare providers claim for the selected HACs and this includes some conditions of the NQF list of the Serious Reportable Events. These events are called “Never Events”.
The NQF has identified 28 Never Events as they are serious errors during the medical care and are of concern to the public as well as health care providers. Additionally these never events are clearly identifiable, measurable and should be able to be proved as they significantly occurred as a result of the policies and procedures of the health care organization. Definitely, all the never events are HAC but not all the HACs are considered as never …show more content…
This is a federal law and includes set minimum standards for the most voluntarily established pension as well as health plans in any private industry to provide protection for the individuals in the plans. ERISA have determined plans and provided detailed plan information to participants, fiduciary responsibilities to the managers of the plans as well as determined detailed appeal process for the participants to get benefits from the plans. Additionally, the process of suing for their benefits and breaches of the fiduciary duty for the participants has also been determined by
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