Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1
Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1
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
{
"resourceType" : "MeasureReport",
"id" : "vbp-measurereport104",
"meta" : {
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString" : "VBP MeasureReport Example 104"
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{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown" : "This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile."
}
],
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"vbp-measurereport104\"> </a><a name=\"hcvbp-measurereport104\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MeasureReport "vbp-measurereport104" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vbp-performance-measurereport.html\">Value-Based Performance MeasureReport</a></p></div><p><b>Measure Report Category</b>: Value-Based Performance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-measurereport-category.html\">Measure Report Category</a>#vbp)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"Measure-vbp-measure02.html\">Example Value-Based Contract - ABC Payer and EveryHospital</a></p><p><b>subject</b>: <span>: Every Hospital</span></p><p><b>date</b>: 2023-05-31</p><p><b>reporter</b>: <a href=\"Organization-vbp-payer01.html\">Organization/vbp-payer01</a> "ABC Payer"</p><p><b>period</b>: 2022-01-01 --> 2022-08-31</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-01</blockquote><p><b>code</b>: Eligible member <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#eligible-member)</span></p><p><b>measureScore</b>: 2914</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-02</blockquote><p><b>code</b>: Hierarchical Condition Category <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#hcc)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-03</blockquote><p><b>code</b>: Preventive Care Visits <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#quality-pmt-office-visit "Quality payment annual office visit")</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-04</blockquote><p><b>code</b>: Star Performance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#star-performance)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-05</blockquote><p><b>code</b>: Advance Care Planning <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#advance-care-planning)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-06</blockquote><p><b>code</b>: Encounter Palliative Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#encounter-palliative-care)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-07</blockquote><p><b>code</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#supplemental-data)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-08</blockquote><p><b>code</b>: Estimated YTD Grand Total <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#closed-gaps)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-09</blockquote><p><b>code</b>: Total gaps <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#total-gaps)</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-10</blockquote><p><b>code</b>: Closed gaps <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#closed-gaps)</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-11</blockquote><p><b>code</b>: Minimum Base Incentive Target Percentage <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#min-base-incentive-target)</span></p><p><b>measureScore</b>: 80 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-12</blockquote><p><b>code</b>: Base Incentive Per Member <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#base-incentive-pm)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-13</blockquote><p><b>code</b>: Early Performance Bonus Met <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#early-performance-bonus-met)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-14</blockquote><p><b>code</b>: Estimated Bonus Incentive Per Member <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vbp-performance-metric#estimated-bonus-incentive-pm)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-15</blockquote><p><b>code</b>: Estimate Incentive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#earned-incentive "Earned incentive")</span></p><p><b>measureScore</b>: </p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"MeasureReport-quality-measurereport30.html\">MeasureReport/quality-measurereport30</a></li><li><a href=\"MeasureReport-quality-measurereport31.html\">MeasureReport/quality-measurereport31</a></li><li><a href=\"MeasureReport-quality-measurereport32.html\">MeasureReport/quality-measurereport32</a></li><li><a href=\"MeasureReport-quality-measurereport33.html\">MeasureReport/quality-measurereport33</a></li></ul></div>"
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/measurereport-category",
"valueCodeableConcept" : {
"coding" : [
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"system" : "http://hl7.org/fhir/CodeSystem/measurereport-category",
"code" : "vbp"
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}
],
"status" : "complete",
"type" : "summary",
"measure" : "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02",
"subject" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject",
"valueReference" : {
🔗 "reference" : "Organization/vbp-provider02"
}
}
],
"display" : "Every Hospital"
},
"date" : "2023-05-31",
"reporter" : {
🔗 "reference" : "Organization/vbp-payer01"
},
"period" : {
"start" : "2022-01-01",
"end" : "2022-08-31"
},
"group" : [
{
"id" : "group-01",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "eligible-member"
}
],
"text" : "Eligible member"
},
"measureScore" : {
"value" : 2914
}
},
{
"id" : "group-02",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "hcc"
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],
"text" : "Hierarchical Condition Category"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 500,
"currency" : "USD"
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}
]
}
},
{
"id" : "group-03",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "quality-pmt-office-visit",
"display" : "Quality payment annual office visit"
}
],
"text" : "Preventive Care Visits"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 180,
"currency" : "USD"
}
}
]
}
},
{
"id" : "group-04",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "star-performance"
}
],
"text" : "Star Performance"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 132884,
"currency" : "USD"
}
}
]
}
},
{
"id" : "group-05",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "advance-care-planning"
}
],
"text" : "Advance Care Planning"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 100,
"currency" : "USD"
}
}
]
}
},
{
"id" : "group-06",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "encounter-palliative-care"
}
],
"text" : "Encounter Palliative Care"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 1200,
"currency" : "USD"
}
}
]
}
},
{
"id" : "group-07",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "supplemental-data"
}
],
"text" : "Supplemental Data"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 0,
"currency" : "USD"
}
}
]
}
},
{
"id" : "group-08",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "closed-gaps"
}
],
"text" : "Estimated YTD Grand Total"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 134864,
"currency" : "USD"
}
}
]
}
},
{
"id" : "group-09",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "total-gaps"
}
],
"text" : "Total gaps"
},
"measureScore" : {
"value" : 2
}
},
{
"id" : "group-10",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "closed-gaps"
}
],
"text" : "Closed gaps"
},
"measureScore" : {
"value" : 2
}
},
{
"id" : "group-11",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "min-base-incentive-target"
}
],
"text" : "Minimum Base Incentive Target Percentage"
},
"measureScore" : {
"value" : 80,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"id" : "group-12",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "base-incentive-pm"
}
],
"text" : "Base Incentive Per Member"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 125,
"currency" : "USD"
}
}
]
}
},
{
"id" : "group-13",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "early-performance-bonus-met"
}
],
"text" : "Early Performance Bonus Met"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueBoolean" : false
}
]
}
},
{
"id" : "group-14",
"code" : {
"coding" : [
{
"system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
"code" : "estimated-bonus-incentive-pm"
}
],
"text" : "Estimated Bonus Incentive Per Member"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 0,
"currency" : "USD"
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}
]
}
},
{
"id" : "group-15",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "earned-incentive",
"display" : "Earned incentive"
}
],
"text" : "Estimate Incentive"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 500,
"currency" : "USD"
}
}
]
}
}
],
"evaluatedResource" : [
{
🔗 "reference" : "MeasureReport/quality-measurereport30"
},
{
🔗 "reference" : "MeasureReport/quality-measurereport31"
},
{
🔗 "reference" : "MeasureReport/quality-measurereport32"
},
{
🔗 "reference" : "MeasureReport/quality-measurereport33"
}
]
}
IG © 2023+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-vbpr#1.0.0 based on FHIR 4.0.1. Generated 2024-05-10
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