Awards & Honors

PQRI Results: Methodist Physicians Clinic a National Leader in Quality

3/11/2009

Todd D. Grages, FACMPE, FACHE
President
Methodist Physicians ClinicTodd Grages

I am pleased to announce that Methodist Physicians Clinic achieved a level of success in the 2007-2008 Physician Quality Reporting Initiative (PQRI) attained by only 8 percent of the nation’s 700,000 eligible medical professionals.  Furthermore, Methodist is the only health system in the Omaha area that participated in this important government initiative, which is designed to improve clinical care in defined measures of quality.

I want to thank and congratulate all of the physicians and staff who make our success possible by working to continuously improve our processes and practices. Your commitment is deeply appreciated by the Methodist family and the patients we serve. The PQRI results are just one more affirmation that we are delivering quality care.

The following Methodist Physicians Clinic specialties achieved a remarkable 80 to 100 percent success rate for performance of PQRI measures throughout 2007-2008: Dermatology, Family Medicine, Hospitalists, Internal Medicine, Orthopedic Surgeons and Rheumatology.

Understanding PQRI
The U.S. government established the Physician Quality Reporting Initiative to help make certain that Medicare dollars are well-spent. Participating providers track and report delivery of quality measures for specific covered services. Documented delivery of defined care to 80 percent or more of applicable cases results in a small incentive payment. The first PQRI reporting period was the second half of 2007.

General examples of PQRI quality measures include:

  • Diabetes: control of blood pressure, blood glucose levels and LDL levels
  • Heart failure: prescription of angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) medication
  • Melanoma: complete skin exam and medical history
  • Rheumatology: screening and management of osteoporosis
  • Surgery: appropriate type and timing of preoperative antibiotic therapy to prevent infection; appropriate therapies to prevent venous thromboembolism, the formation of blood clots.

PQRI quality measures were developed by American Medical Association – Physician Consortium for Performance Improvement, physician specialties and National Committee for Quality Assurance according to established benchmarks for the diagnosis and treatment of disease. PQRI began with 74 measures of clinical quality in 2007, expanded to 119 quality measures in 2008, and will increase to 153 quality measures in 2009.

More Information
For more information on PQRI, including a detailed listing of quality measures, visit www.cms.hhs.gov/PQRI.