Quality improvement is a formal approach to the analysis of performance and systematic efforts to improve it. 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.
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. Current network projects include Quality in Prolapse Surgery (QuIPS) and Quality in Anti-Incontinence (QuAIlS).
AUGS 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)
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare Electronic Health Record (EHR) Incentive Program, the Physician Quality Reporting System (PQRS), and the Value-Based Payment Modifier (VM) with one system for physicians serving the Medicare population. Every Medicare physician and clinician may receive higher Medicare payments based on performance. The two new paths in the Quality Payment Program are:
- Merit-based Incentive Payment System (MIPS)
- The four categories connected to Medicare payments – Quality, Clinical Practice Improvement Activities, Advancing Care Information, and Resource use
- Advanced Alternative Payment Models (APMs)
The AUGS Urogynecology Quality Registry, AQUIRE, is a national Urogynecology-focused qualified clinical data registry designed to measure and report healthcare quality and patient outcomes. The AQUIRE Registry has been developed by urogynecologists for urogynecologists. Through the aggregation and organization of clinical, and patient-reported outcomes, the Registry will provide participants with benchmarking tools to monitor your outcomes compared to your peers and identify areas for continued improvement. The CMS Qualified Data Registry option allows for, pass-through, to submit quality measures to CMS as part of the CMS PQRS program, but is still active for 2017 QPP reporting.
Resources from the AUGS Quality Committee
Toolkit: Everything You Wanted to Know about Quality Reporting and Were Afraid to Ask
Archived Webinar: Show Me the Quality