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Quality Measures and Performance Standards

2013 ACO Quality Documents

Narrative and Technical Specifications

2013 Quality Performance Standards Narrative Measure Specifications [PDF, 807KB] -These summary specifications apply to quality measure data to be captured during 2013 by ACOs and ACO participants and reported in early 2014.  This document provides guidance about the 33 required quality measures that are part of the quality performance standard, including the Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient experience survey measures, claims-based measures, the Electronic Health Record (EHR) Incentive Program measure, and the required Group Practice Reporting Option (GPRO) web interface quality measures that are required for purposes of ACO participants earning a Physician Quality Reporting System (PQRS) incentive under the Medicare Shared Savings Program.

GPRO Web Interface Page  - In the downloads area at the bottom of the GPRO Web Interface page you will find the following 2013 Supporting Documents and Release Notes, and 2013 Measure Flows, among other documents:

  • 2013 Supporting Documents and Release Notes for ACO and PQRS GPRO Web Interface Users

This zip file contains a list of the 22 ACO GPRO Web Interface reporting method measures and the following titled documents apply to ACOs:

2013 GPRO CARE Supporting Documents v4.2
2013 GPRO DM Supporting Documents v4.2
2013 GPRO HF Supporting Documents v4.2
2013 GPRO HTN Supporting Documents v4.2
2013 GPRO IVD Supporting Documents v4.2
2013 GPRO PREV Supporting Documents v4.2
2013_ACO_SupportingDocumentation_ReleaseNotes_v1.1_June2013.pdf

  • 2013 Measure Flows for ACO GPRO and PQRS GPRO Web Interface Users

This zip file contains the following titled documents that apply to ACOs and describe performance rate calculation algorithms for the 22 ACO GPRO Web Interface reported measures.

2013 GPRO CAD Flows v1.2
2013 GPRO CARE Flows v1.2
2013 GPRO DM Flows v1.2
2013 GPRO HF Flows v1.2
2013 GPRO HTN Flows v1.2
2013 GPRO IVD Flows v1.2
2013 GPRO PREV Flows v1.2

  • 2013 GPRO Web Interface XML Specification

View the 2013 Web Interface XML Specification as a web page by clicking the following link 2013 Web Interface XML Specification. Included in the XML Specification are the valid XML format and values, the 2013 GPRO Web Interface XML Specification Release notes, a downloadable PDF version of the specifications, and downloadable XSD files which may be useful to GPROs for custom coding.

2013 ACO Quality Reporting Videos

2012 ACO Quality Documents

CAHPS Documents

The CAHPS Survey for ACOs participating in Medicare Initiatives will be carried out yearly. The first surveys were collected in 2013 for the 2012 reporting period.  Visit the ACO CAHPS webpage acocahps.cms.gov to learn how to become an approved vendor and more.

Supplemental Documents