![]() Surgery had the highest percentage of patient safety (31.9 %) and communication and care coordination measures (27.8 %) compared with internal medicine (5.4 % and 6.5 %). For NQS categories, internal medicine had the highest percentage of effective clinical care measures (68.5 %), compared to 22.2 % in surgery. For subcategories within each specialty in 2015, differences in measure type were statistically significant: surgery had the highest percentage of outcomes (61.1 %) compared to 21.7 % of internal medicine and 5.9 % of obstetrics/gynecology. The measures showed no significant specialty or NQS category differences. KEY RESULTSīetween 20, the type of measures changed significantly, with fewer processes (85.4 % vs. One hundred and ninety-eight and 254 individual measures, respectively, were analyzed by three domains: medical specialty measured, type of measure, and NQS priority category. This was a categorical qualitative analysis of 20 PQRS measures. (2) Identify how different specialties are required to measure quality and NQS priorities. (1) Identify the proportion of measures that apply to different medical specialties, types of quality measurement, and National Quality Strategy (NQS) priorities. Research indicates that physicians believe this reporting does not lead to high quality care however, little research has examined what PQRS actually measures, which is reflective of the physicians and patient disease populations being assessed. Starting in 2015, the Center for Medicare and Medicaid Services (CMS) requires all Medicare providers to report quality measures through Physician Quality Reporting System (PQRS) or incur a 1.5 % financial penalty. ![]()
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