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Hospital Outpatient Quality Reporting Overview

The Hospital Outpatient Quality Reporting (Hospital OQR) Program is a quality data reporting program implemented by the Centers of Medicare & Medicaid Services (CMS) for outpatient hospital services. Under this program, hospitals report data using standardized measures of care to receive the full annual update to their Outpatient Prospective Payment System (OPPS) payment rate, effective for payments beginning in calendar year (CY) 2009. The Hospital OQR Program is modeled on the current quality data reporting program for inpatient services, the Hospital Inpatient Quality Reporting Program (Hospital IQR). More...


Hospital OQR Measures

There are a total of 15 quality of care measures for hospitals participating in the Hospital Outpatient Quality Data Reporting Program (HOP QDRP). The quality of care measures, listed below, include seven clinical performance measures, seven Medicare fee-for-service claims-based measures, and one Web-based structural measure.  More...


Specifications Manual for Hospital OQR Measures

The Specifications Manual for Hospital Outpatient Quality Reporting (Hospital OQR) Measures was developed by the Centers for Medicare & Medicaid Services (CMS) to provide a uniform set of quality measures to be implemented in hospital outpatient settings. The primary purpose of these measures is to promote high quality care for patients receiving services in hospital outpatient settings. More…


Hospital Outpatient Program Resources

Various informational resources regarding the Hospital Outpatient Quality Reporting (Hospital OQR) Program are made available as part of the monthly teleconference for hospitals and vendors, hosted by the Hospital OQR Support Contractor and the Centers for Medicare & Medicaid Services (CMS). More...


Benchmarks of Care

The Centers for Medicare & Medicaid Services (CMS) calculates quarterly benchmarks of care, based on hospital data submitted to its clinical data warehouses. These benchmarks were developed using the Achievable Benchmarks of Care™ (ABC) methodology and are based on the reported performance of the top facilities. Developed at the University of Alabama at Birmingham for the Agency for Healthcare Research and Quality (AHRQ), this methodology identifies benchmark care levels achieved by "best-in-class" providers. They identify superior performance and encourage performance improvement. More…

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