Quality Improvement Resources

    Quality improvement is a formal approach to the analysis of performance and systematic efforts to improve it. As the leader in Female Pelvic Medicine and Reconstructive Surgery (FPMRS), AUGS promotes the highest quality patient care through excellence in education, research and advocacy. AUGS has recognized the need to develop performance measures for FPMRS to help shape what is standard of care in our ever-growing subspecialty. The AUGS Quality Outcomes Committee has made performance measure development it's priority.

    Here you will find up-to-date available information on current strategies for quality improvement in healthcare which will help shape the subspecialty of FPMRS.

    Quality Improvement & Outcomes Research Network (QI-ORN)

    The QI-ORN will inform future decisions in the development and maintenance of relevant FPMRS quality measures, clinical practice guidelines, appropriate use criteria and health care policy. Click here to learn more about the QI-ORN and participating members.

    Quality Measures

    The AUGS Quality Outcomes Committee has developed and validated several measures relevant to the subspecialty of FPMRS. These measures are available for use in PQRS: 

    PQRS 422: Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury 
    Domain: Patient Safety

    PQRS 428: Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence 
    Domain: Effective Clinical Care

    PQRS 429: Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy 
    Domain: Patient Safety

    PQRS 432: Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair
    Domain: Patient Safety

    PQRS 433: Proportion of Patients Sustaining a Major Viscus Injury at the Time of Any Pelvic Organ Prolapse Repair
    Domain: Patient Safety

    PQRS 434: Proportion of Patients Sustaining A Ureter Injury at the Time of any Pelvic Organ Prolapse Repair
    Domain: Patient Safety

    AUGS Value Study

    The “Value Study” is a project of the AUGS Quality Outcomes Committee. In the fall of 2011, the PFD Research Foundation suggested that the committee consider a study to demonstrate the “value” of a specialist in FPMRS.  The Quality Outcomes Committee subsequently proposed to study performance measures for Urogynecology that it had recently developed as a response to the need/demand for efforts to improve patient safety and quality of care. Specifically, the Quality Outcomes Committee proposed evaluating “physician practice patterns with respect to surgical treatment of pelvic organ prolapse.” It was hypothesized that if a gap in the quality of care was identified, it could demonstrate the “value” of a FPMRS and provide data for the National Quality Forum (NQF) endorsement of the performance measures. Once the study is published, membership will be notified.

    Two artciles of the "Value" study were published in Female Pelvic Medicine and Reconstructive Surgery:

    • Analysis of High-, Intermediate-, and Low-Volume Surgeons When Performing Hysterectomy for Uterovaginal Prolapse (click here to read)
    • Differences in Patterns of Preoperative Assessment Between High, Intermediate, and Low Volume Surgeons When Performing Hysterectomy for Uterovaginal Prolapse (click here to read).

    Physician Quality Measure Reporting (PQRS)

    PQRS provides a financial incentive to eligible professionals (EPs) who satisfactorily report information on specified quality measures for covered professional services provided under the Medicare Physician Fee Schedule. Click here to learn more about physician quality measure reporting, incentives and penalties.

    CMS announced the posting of several 2016 PQRS educational materials:

    • The “2016 Implementation Guide,” available on the PQRS How To Get Started webpage, contains information for individual eligible professionals and PQRS group practices participating in 2016 PQRS.

    • The 2016 PQRS measures documents, for those reporting via the claims and registry reporting mechanism, are located on the PQRS Measures Codes webpage.

    • The 2016 group practice reporting option (GPRO) Web Interface measures documentation is available on the PQRS GPRO Web Interface webpage.

    • The PQRS Spotlight webpage contains a list of all recent documents and resources. Please check this page regularly for updates.

    Resources from the AUGS Quality Committee

    View a PQRS interview with Dr. Rony Adam, past chair of the Quality Outcomes Committee:

    Download Everything You Wanted to Know about Quality Reporting and Were Afraid to Ask.

    FPMRS Webinar Series: "Show Me the Quality"

    If you missed the Show Me the Quality Webinar and would like to view it, please click on this direct link to the FPMRS Webinar Series* for access. 

    *You will need to sign in and then navigate to the “Show Me the Quality” Webinar

    This webinar was designed to inform the AUGS membership about the recent changes on the Quality Payment Program (formerly MACRA). The webinar addresses the following questions:

    • What is the new quality payment program?
    • Who will be affected?
    • How will my practice/reimbursement be affected?
    • How does the program work?
    • How do I prepare?

    Additional Resources

    Value-Based Modifiers

    The value-based modifier was mandated by Congress under the Affordable Care Act to reimburse or penalize payments from Centers for Medicare & Medicaid Services (CMS) based on cost and quality of healthcare delivered. Click here to learn more.

    FPMRS Taxonomy Code
    If you passed the FPMRS Boards examination, it is important to update your Medicare Enrollment and Private Insurance Contract Information to reflect this Specialization. Click here to get more information on the new FPMRS Taxonomy Code.

    Sustainable Growth Rate (SGR) and Physician Payment Update
    Click here for healthcare reform information.

    Links of Interest

    National Quality Forum (NQF)
    NQF is a not-for-profit, nonpartisan, membership-based organization that works to catalyze improvements in healthcare. NQF endorsement is the gold standard for healthcare quality, and NQF-endorsed measures are evidence-based and valid.

    Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
    A national, standardized, publicly reported survey of patient s’ perspectives of hospital care.

    A leader in health care quality improvement, the AMA-convened Physician Consortium for Performance Improvement (PCPI) is a national, physician-led program dedicated to enhancing quality and patient safety. The ongoing mission of the PCPI is to align patient-centered care, performance measurement and quality improvement.

    Surgical Care Improvement Project (SCIP)
    A national quality partnership of organizations interested in improving surgical care by significantly reducing surgical complications. Develops measures used to improve quality of care.

    Medicare Total Performance Score (TPS)
    Used as part of Medicare’s Hospital Value-Based Purchasing program to calculate overall performance an adjust hospital payments, based on a hospital’s performance on four domains that reflect hospital quality (clinical process of care; patient experience of care, patient outcomes, and hospital efficiency).

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