Da Vinci Value-Based Performance Reporting Implementation Guide
1.1.0 - STU 1.1 United States of America flag

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 1.1.0 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

Example MeasureReport: vbp-measurereport102

Page standards status: Informative

Measure Report Category: Value-Based Performance

status: Complete

type: Summary

measure: Example Value-Based Contract - ABC Payer and EveryHospital

subject: Every Hospital

date: 2022-12-31

reporter: Organization ABC Payer

period: 2022-10-01 --> 2022-12-31

group

id

ubip-group-01

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 250 /10*3 (Details: UCUM code/10*3 = '/10*3')
  • period: 2021-01-01 --> 2021-12-31

code: In patient admission

measureScore: 400 /10*3 (Details: UCUM code/10*3 = '/10*3')

group

id

ubip-group-02

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 180 /10*3 (Details: UCUM code/10*3 = '/10*3')
  • period: 2021-01-01 --> 2021-12-31

code: In patient acute

measureScore: 350 /10*3 (Details: UCUM code/10*3 = '/10*3')

group

id

ubip-group-03

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 51 /10*3 (Details: UCUM code/10*3 = '/10*3')
  • period: 2021-01-01 --> 2021-12-31

code: Readmission

measureScore: 120 /10*3 (Details: UCUM code/10*3 = '/10*3')

group

id

ubip-group-04

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 350 per 100 (Details: UCUM code/100 = '/100')
  • period: 2021-01-01 --> 2021-12-31

code: ED visit

measureScore: 300 /100 (Details: UCUM code/100 = '/100')

group

id

ubip-group-05

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 51 /10*3 (Details: UCUM code/10*3 = '/10*3')
  • period: 2021-01-01 --> 2021-12-31

code: Skilled Nursing Facility admission

measureScore: 50 /10*3 (Details: UCUM code/10*3 = '/10*3')

group

id

ubip-group-06

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 22 d (Details: UCUM coded = 'd')
  • period: 2021-01-01 --> 2021-12-31

code: Skilled Nursing Facility average length of stay

measureScore: 15 d (Details: UCUM coded = 'd')

group

id

ssq-group-starscore

Payment Stream

  • type: Shared savings gated on quality

code: Weighted average star

measureScore: 2.5

group

id

financial-group-01

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: $800.00 (USD)
  • period: 2021-01-01 --> 2021-12-31

code: Total medical expense PMPM

measureScore:

group

id

financial-group-02

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: $800.00 (USD)
  • period: 2021-01-01 --> 2021-12-31

code: Total medical expense PMPM

measureScore:

evaluatedResource: