Cleveland Clinic, OH 44195, USA.
Adv Anat Pathol. 2010 Jan;17(1):49-52. doi: 10.1097/PAP.0b013e3181c69442.
The Physicians Quality Reporting Initiative (PQRI) was instituted in the latter half of 2007. PQRI is a voluntary reporting system in which the aim is to improve patient care, whereas at the same time, an eligible practitioner may receive an incentive payment for successful participation. Two pathology-specific measures were instituted in 2008; 1 for breast cancer reporting and the other for colon cancer reporting. In 2009, Current Procedural Terminology Category II code 3250F was instituted, which allows proper coding of cases from metastatic sites when ICD 9 code and Current Procedural Terminology Category I inclusion criteria are met. After the review of the 2007 data obtained from other specialties, submission of invalid codes was predominantly attributed to failure to adhere to measurement specifications. With increased awareness and experience, the amount of invalid code submission will decrease. More performance measures would be needed to make the program available to more pathologists. PQRI is thought by many to be the first step in transforming to a Pay for Performance Program.
医师质量报告倡议（PQRI）于 2007 年下半年设立。PQRI 是一个自愿报告系统，旨在改善患者护理，同时，符合条件的医生可以因成功参与获得奖励性付款。2008 年设立了两项特定于病理学的措施；一项用于乳腺癌报告，另一项用于结肠癌报告。2009 年，设立了当前程序术语类别 II 代码 3250F，当符合 ICD 9 代码和当前程序术语类别 I 纳入标准时，允许对转移性部位的病例进行正确编码。在审查了其他专业获得的 2007 年数据后，提交无效代码主要归因于未能遵守测量规范。随着认识和经验的提高，无效代码提交的数量将会减少。需要更多的绩效衡量标准使该计划能够惠及更多的病理学家。许多人认为 PQRI 是向绩效付费计划转变的第一步。
