Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1 United States of America flag

This page is part of the Da Vinci Value-Based Performance Reporting Implementation Guide (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example MeasureReport: vbp-measurereport102

Generated Narrative: MeasureReport

ResourceMeasureReport "vbp-measurereport102"

Profile: Value-Based Performance MeasureReport

Measure Report Category: Value-Based Performance (Measure Report Category#vbp)

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

url

period

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

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

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

group

id

ubip-group-02

Payment Stream

url

type

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

Baseline

url

Baseline

value: 180 /10*3 (Details: UCUM code/10*3 = '/10*3')

url

period

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

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

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

group

id

ubip-group-03

Payment Stream

url

type

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

Baseline

url

Baseline

value: 51 /10*3 (Details: UCUM code/10*3 = '/10*3')

url

period

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

code: Readmission (Performance Metric Codes#readmission)

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

group

id

ubip-group-04

Payment Stream

url

type

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

Baseline

url

Baseline

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

url

period

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

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

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

group

id

ubip-group-06

Payment Stream

url

type

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

Baseline

url

Baseline

value: 22 d (Details: UCUM coded = '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: 15 d (Details: UCUM coded = '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: $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: $800.00 (USD)

url

period

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

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

measureScore:

evaluatedResource: