Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0-ballot - ballot United States of America flag

This page is part of the Da Vinci Value-Based Performance Reporting Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Example MeasureReport: vbp-measurereport102

Generated Narrative: MeasureReport

Resource MeasureReport "vbp-measurereport102"

Profile: Value-Based Performance MeasureReport

status: complete

type: summary

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

subject: : Every Hospital

date: 2022-12-31

reporter: Organization/vbp-payer01 "ABC Payer"

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

group

id

ubip-group-01

Payment Stream

url

type

value: Utilization incentive payment (Payment Stream Codes#ubip)

Baseline

url

Baseline

value: 250 {/1000} (Details: UCUM code {/1000} = '{/1000}')

url

period

value: 2021-01-01 --> 2021-12-31

code: In patient admission (Performance Metric Codes#inpatient-admission)

measureScore: 400 {/1000} (Details: UCUM code {/1000} = '{/1000}')

group

id

ubip-group-02

Payment Stream

url

type

value: Utilization incentive payment (Payment Stream Codes#ubip)

Baseline

url

Baseline

value: 180 {/1000} (Details: UCUM code {/1000} = '{/1000}')

url

period

value: 2021-01-01 --> 2021-12-31

code: In patient acute (Performance Metric Codes#inpatient-acute)

measureScore: 350 {/1000} (Details: UCUM code {/1000} = '{/1000}')

group

id

ubip-group-03

Payment Stream

url

type

value: Utilization incentive payment (Payment Stream Codes#ubip)

Baseline

url

Baseline

value: 51 {/1000} (Details: UCUM code {/1000} = '{/1000}')

url

period

value: 2021-01-01 --> 2021-12-31

code: Readmission (Performance Metric Codes#readmission)

measureScore: 120 {/1000} (Details: UCUM code {/1000} = '{/1000}')

group

id

ubip-group-04

Payment Stream

url

type

value: Utilization incentive payment (Payment Stream Codes#ubip)

Baseline

url

Baseline

value: 500 {/100} (Details: UCUM code {/100} = '{/100}')

url

period

value: 2021-01-01 --> 2021-12-31

code: ED visit (Performance Metric Codes#ed-visit)

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

group

id

ubip-group-05

Payment Stream

url

type

value: Utilization incentive payment (Payment Stream Codes#ubip)

Baseline

url

Baseline

value: 51 {/1000} (Details: UCUM code {/1000} = '{/1000}')

url

period

value: 2021-01-01 --> 2021-12-31

code: Skilled Nursing Facility admission (Performance Metric Codes#snf-admission)

measureScore: 50 {/1000} (Details: UCUM code {/1000} = '{/1000}')

group

id

ubip-group-06

Payment Stream

url

type

value: Utilization incentive payment (Payment Stream Codes#ubip)

Baseline

url

Baseline

value: 15 d (Details: UCUM code d = 'd')

url

period

value: 2021-01-01 --> 2021-12-31

code: Skilled Nursing Facility average length of stay (Performance Metric Codes#snf-avg-los)

measureScore: 22 d (Details: UCUM code d = 'd')

group

id

ssq-group-starscore

Payment Stream

url

type

value: Shared savings gated on quality (Payment Stream Codes#ssq)

code: Weighted average star (Performance Metric Codes#weighted-avg-star)

measureScore: 2.5

group

id

financial-group-01

Payment Stream

url

type

value: Utilization incentive payment (Payment Stream Codes#ubip)

Baseline

url

Baseline

value: US$800.00 (USD)

url

period

value: 2021-01-01 --> 2021-12-31

code: Total medical expense PMPM (Performance Metric Codes#med-cost-pmpm)

measureScore:

group

id

financial-group-02

Payment Stream

url

type

value: Utilization incentive payment (Payment Stream Codes#ubip)

Baseline

url

Baseline

value: US$800.00 (USD)

url

period

value: 2021-01-01 --> 2021-12-31

code: Total medical expense PMPM (Performance Metric Codes#ibnr-pmpm)

measureScore:

evaluatedResource: