Quality-based reporting is no longer optional for clinicians. CMS programs tying reimbursement to quality have providers spending significant time and money on quality tasks–but many medical groups feel frustrated and concerned their efforts are not actually paying off.

This briefing shares how you can successfully meet quality reporting requirements. Learn best practices to streamline reporting, track valuable data, integrate quality measures into physician compensation, and build a governance structure.

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1. Optimize reporting strategy

Approximately 5,500 physician groups are receiving downward Medicare payment adjustments in 2016 as part of the PQRS and VBPM programs. The vast majority of these penalties are due to reporting failures, as opposed to poor performance.

Some groups might have skipped reporting, due to low Medicare patient volumes or lack of reporting resources. However, the typical group seems to be failing despite significant effort.

Learn how to maximize your time and financial investment in reporting starting on p. 23.

2. Track and share valuable quality data

Quality reporting and tracking are two sides of the same coin. After the medical group has a handle on reporting basics, its next step is to continuously monitor measure performance.

Medical groups should strive for accurate data, shared with the right stakeholders on the right time table, and delivered in an organized format.

Skip to p. 39 to learn the four questions you should ask about quality data, as well as how to clean and circulate data within the medical group.

3. Share performance risk with physicians

Medical groups should work steadily to develop an incentive structure that aligns physician contracts to medical group risk and that keeps all stakeholders within the medical group engaged in quality.

Learn strategies for incorporating quality measures into clinicians' compensation starting on p. 57.

4. Design a governance structure

Once the medical group has refined its measure selection strategy and begun tracking data and incentivizing clinicians, the final step to mastering quality reporting is to create an oversight structure. Though some medical groups have quality directors or quality committees, many lack formal oversight structures for ambulatory quality.

Learn how to build a best-in-class quality governance structure starting on p.71.

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