Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1

Publication Build: This will be filled in by the publication tooling

## 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:

- MeasureReport/quality-measurereport11
- MeasureReport/quality-measurereport12
- MeasureReport/quality-measurereport13
- MeasureReport/quality-measurereport14
- MeasureReport/quality-measurereport15