(ACO) regulations - American Society of Anesthesiologists

CMS-1345-P 174
Table 1. Proposed Measures for Use in Establishing Quality Performance Standards
that ACOs Must Meet for Shared Savings
Domain Measure Title & Description CMS Program,
NQF Measure
Number, Measure
Steward
AIM: Better Care for Individuals
1. Patient/Care Giver Experience Clinician/Group CAHPS:
Getting Timely Care, Appointments, and
Information
2. Patient/Care Giver Experience Clinician/Group CAHPS:
How Well Your Doctors Communicate
3. Patient/Care Giver Experience Clinician/Group CAHPS:
Helpful, Courteous, Respectful Office
Staff
4. Patient/Care Giver Experience Clinician/Group CAHPS:
Patients' Rating of Doctor
5. Patient/Care Giver Experience Clinician/Group CAHPS:
Health Promotion and Education
6. Patient/Care Giver Experience Clinician/Group CAHPS:
Shared Decision Making
7. Patient/Care Giver Experience Medicare Advantage CAHPS:
Health Status/Functional Status
8. Care Coordination/Transitions Risk-Standardized, All Condition
Readmission:
The rate of readmissions within 30 days
of discharge from an acute care hospital
for assigned ACO beneficiary population.
Method of Data
Submission
Measure Type
NQF #5 Survey Patient
Experience of
Care
NQF #5 Survey Patient
Experience of
Care
NQF #5 Survey Patient
Experience of
Care
NQF #5 Survey Patient
Experience of
Care
NQF #5 Survey Patient
Experience of
Care
NQF #5 Survey Patient
Experience of
Care
NQF #6 Survey Patient
Experience of
Care
CMS Claims Outcome