Physicians' explanations for apparent gaps in the quality of rheumatology care: results from the US Medicare Physician Quality Reporting System.

Arthritis Care & Research
Jeffrey R CurtisElizabeth Delzell

Abstract

The metrics used to assess quality of care and pay for performance in rheumatology are increasingly important. The Centers for Medicare and Medicaid Services established the Physician Quality Reporting System (PQRS) to allow physicians to report performance measures for many conditions, including osteoporosis and rheumatoid arthritis (RA). We described the frequency and nature of physician-reported reasons why recommended care for individual osteoporosis and RA patients was not provided. Using national data on Medicare fee-for-service beneficiaries (2007-2009), we identified health care providers reporting on quality of care for any of 3 osteoporosis or 3 RA measures. PQRS reason codes allowed physicians to submit explanations why recommended care was not given. In 2009, 1,775 physicians reported on ≥1 osteoporosis PQRS measure and 630 physicians reported on ≥1 RA measure. For the older women whose physician reported on lifetime dual x-ray absorptiometry screening at least once since the age of 60 years via PQRS, 76% received such screening. Among the patients with physician-diagnosed osteoporosis reported via PQRS, 82% received prescription osteoporosis medication in the preceding year. For RA medication use reported via PQRS,...Continue Reading

References

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Aug 13, 2003·Southern Medical Journal·Amy S MudanoKenneth G Saag
Jul 30, 2005·Arthritis and Rheumatism·Jeffrey R CurtisKenneth G Saag
Aug 1, 2007·Arthritis and Rheumatism·Gabriela SchmajukDaniel H Solomon
Feb 28, 2008·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Jeffrey R CurtisElizabeth Delzell
Jul 20, 2010·Arthritis Research & Therapy·Jeffrey R CurtisElizabeth Delzell
Feb 3, 2011·JAMA : the Journal of the American Medical Association·Gabriela SchmajukJinoos Yazdany
Feb 25, 2011·Arthritis Research & Therapy·Seo Young KimDaniel H Solomon
Jan 20, 2012·The New England Journal of Medicine·Margaret L GourlayUNKNOWN Study of Osteoporotic Fractures Research Group

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Citations

Oct 3, 2013·Current Osteoporosis Reports·Stuart L Silverman, Jeffrey Curtis
Sep 4, 2017·BMC Musculoskeletal Disorders·Irazú Contreras-YáñezVirginia Pascual-Ramos
Jun 7, 2019·JBI Database of Systematic Reviews and Implementation Reports·Eduardo J F SantosMaria Barbieri-Figueiredo
Apr 10, 2015·Current Rheumatology Reports·Ana-Maria Orbai, Clifton O Bingham
May 15, 2013·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Lisa Marina LiInés Colmegna
Nov 30, 2019·Current Osteoporosis Reports·S FrenchGabriela Schmajuk

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