PQRI

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Physician Quality Reporting Initiative (PQRI) formerly known as “Pay for Performance” is a CMS (Medicare) program that provides financial incentives for certain provider actions. While MedSuite can accommodate any procedure codes for PQRI measures, the following measures have been created to facilitate billing and reporting.

 

Measure Number

Description

30

Perioperative Care: Timely Administration of Prophylactic Parenteral Antibiotics

45

Perioperative Care: Discontinuation of Prophylactic Antibiotics (Cardiac Procedures)

76

Prevention of Catheter-Related Bloodstream Infections (CRBSI): Central Venous Catheter (CVC) Insertion Protocol

193

Perioperative Temperature

 

Access

Access to PQRI setup is secured. Administrators have access by default however other users can be granted permissions via the User Groups section of the application. Select the group you wish to grant access to and then select Edit. Select the Dictionary tab and then select PQRI.

 

Configuring PQRI in MedSuite

PQRI setup is Practice specific, not global, therefore this setup must be completed for each Practice that is participating in PQRI reporting. Perform the following activities to set up PQRI in MedSuite:

 

Add the desired plans to each measure.

Set up the procedures.

Set up the plans.

Refresh the Dictionary Cache to make the changes visible to all users. If users are currently entering visits, they will need to refresh their local Dictionary Cache as well.