Da Vinci Value-Based Performance Reporting Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-vbpr/ and changes regularly. See the Directory of published versions

Examples

The following examples are published with this guide, and all are available as a downloadable zip file here.

Example Value-Based Performance Report - vbp-measurereport101

This example value-based performance MeasureReport (vbp-measurereport101) includes example payment streams:

• shared savings - gated on quality,
• care coordination fee,
• quality incentive payment chronic care management incentive program, and
• quality incentive payment annual office visits

The example “shared savings - gated on quality” payment stream’s weighted average star score is based on 9 quality measures.

vbp-measurereport101	Example Value-Based Performance MeasureReport for a value-based contract between ABC Payer and GoodHealthClinic
quality-measurereport01	Example Quality Performance MeasureReport for Breast Cancer Screening
quality-measurereport02	Example Quality Performance MeasureReport for Colorectal Cancer Screening
quality-measurereport03	Example Quality Performance MeasureReport Diabetes Care - Blood Sugar Controlled
quality-measurereport04	Example Quality Performance MeasureReport Diabetes Care - Eye Exam Controlled
quality-measurereport05	Example Quality Performance MeasureReport Medication Adherence for Cholesterol (Statins)
quality-measurereport06	Example Quality Performance MeasureReport Medication Adherence for Hypertension (RAS antagonists)
quality-measurereport07	Example Quality Performance MeasureReport Medication Adherence for Diabetes Medications
quality-measurereport08	Example Quality Performance MeasureReport Statin Therapy for Patients with Cardiovascular Disease
quality-measurereport09	Example Quality Performance MeasureReport Statin Use in Persons with Diabetes (SUPD)
vbp-measure01	Example VBP Measure
vbp-payer01	Example Organization: ABC Payer
vbp-provider01	Example Organization: Good Health Clinic

Example Value-Based Performance Report - vbp-measurereport102

This example value-based performance MeasureReport (vbp-measurereport102) includes example payment streams:

• utilization incentive payment
• shared savings - gated on quality

The example “shared savings - gated on quality” is based on 5 quality measures.

vbp-measurereport102	Example Value-Based Performance MeasureReport for a value-based contract between ABC Payer and EveryHospital
quality-measurereport11	Example Quality Performance MeasureReport for Breast Cancer Screening
quality-measurereport12	Example Quality Performance MeasureReport for Colorectal Cancer Screening
quality-measurereport13	Example Quality Performance MeasureReport Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
quality-measurereport14	Example Quality Performance MeasureReport Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)
quality-measurereport15	Example Quality Performance MeasureReport Diabetes: Medical Attention for Nephropathy
vbp-measure02	Example VBP Measure
vbp-payer01	Example Organization: ABC Payer
vbp-provider02	Example Organization: Every Hospital

Example Value-Based Performance Report - vbp-measurereport103

The example shows an example report with 6 quality measures and 2 alternative measures.

vbp-measurereport103	Example Value-Based Performance MeasureReport for a value-based contract between ABC Payer and EveryHospital
quality-measurereport20	Example Quality Performance MeasureReport for Breast Cancer Screening
quality-measurereport21	Example Quality Performance MeasureReport for Colorectal Cancer Screening
quality-measurereport22	Example Quality Performance MeasureReport Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control (<8.0%)
quality-measurereport23	Example Quality Performance MeasureReport Controlling High Blood Pressure
quality-measurereport24	Example Quality Performance MeasureReport Plan All-Cause Readmissions
quality-measurereport25	Example Quality Performance MeasureReport Member Satisfaction Survey
vbp-measure02	Example VBP Measure
vbp-payer01	Example Organization: ABC Payer
vbp-provider02	Example Organization: Every Hospital

Example Value-Based Performance Report - vbp-measurereport104

vbp-measurereport104	Example Value-Based Performance MeasureReport for a value-based contract between ABC Payer and EveryHospital
quality-measurereport30	Example Quality Performance MeasureReport for Breast Cancer Screening
quality-measurereport31	Example Quality Performance MeasureReport for Colorectal Cancer Screening
quality-measurereport32	Example Quality Performance MeasureReport Diabetes Care - Blood Sugar Controlled
quality-measurereport33	Example Quality Performance MeasureReport Diabetes Care - Eye Exam
vbp-measure02	Example VBP Measure
vbp-payer01	Example Organization: ABC Payer
vbp-provider02	Example Organization: Every Hospital