Quality Improvement and Patient Safety
The AANS and CNS are committed to quality improvement and supports innovative efforts to provide high quality, cost-effective care to patients. While Congress has taken the first steps towards implementing quality improvement programs, the current Physician Quality Reporting System (PQRS — formerly PQRI) needs to be drastically reworked to better incorporate a system for clinical data collection and reporting. A "one-size-fits-all" approach will not result in better patient outcomes. The AANS and CNS support a pay-for-participation system under which data regarding physician quality are collected in a nonpunitive environment and analyzed using accurate risk‐adjustment mechanisms; public reporting of data only occurs at the aggregate level and not at the individual level; and physicians receive performance feedback continually and in a timely manner. Organized neurosurgery will continue to push the message that Congress should rescind the PQRS penalties, reconsider the value‐based payment modifier and streamline the federal quality improvement programs created by the Affordable Care Act (ACA).
