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Physician Quality measurement Program (PQM). Blue Solutions: Transparency Solutions. Blue Cross Blue Shield of Minnesota (Blue Cross) is launching Physician Quality Measurement (PQM) as one of three key initiatives to support consumer transparency. Patient Review of Physicians.
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Blue Solutions: Transparency Solutions Blue Cross Blue Shield of Minnesota (Blue Cross) is launching Physician Quality Measurement (PQM) as one of three key initiatives to support consumer transparency. • Patient Review • of Physicians • Members search for quality healthcare information online. • Displays physician performance information to assist members in selecting a doctor. • Physician Quality • Measurement • Blue Physician • Recognition
Physician Quality Measurement: Overview Blue Cross is launching an online capability that displays physician performance measures to help members select a doctor.
Physician Quality Measurement: How It Works A subset of HEDIS measures were chosen based on high-impact metrics that have statistically valid results and correlate with outcomes.
Physician Quality Measurement: How It Works The selected PQM measures help Blue members understand how their doctor performs compared to local norms. • Performance Ratings • A three-star rating communicates if physicians or professional providers are rated as below (1 star), meets (2 stars) or exceeds (3 stars) local benchmarks. These scores are based on locally calculated measures and comparisons. Note: Functionality views are illustrative.
Physician Quality Measurement: Benefits PQM is the basis of practice improvement efforts and highlights the commitment of a physician or group practice to provide safe and evidence-based care.
