报告
质量激励池 (QIP) 计划年份 (PY) 3.5 评估
4 月 29 日，DHCS 向 CMS 提交了QIP PY 3.5 评估报告。 在 QIP 中，DHCS 指示 Medi-Cal MCP 根据临床质量措施的绩效向参与的公立医院系统支付基于绩效的质量奖励金。要获得 QIP 付款，医院系统必须达到规定的改进目标，并对使用服务的所有 Medi-Cal 受益人进行衡量。为期 6 个月的 "快速启动方案 3.5 计划年 "是向新的日历年按人头付费分摊期的过渡，该分摊期于1,2021 （"快速启动方案 "第 4 计划年）生效。 3.5 年度对 QIP 计划进行了调整，除已参与的指定公立医院 (DPH) 系统外，还将地区和市立公立医院 (DMPH) 纳入参与实体，并在 QIP 中 增加了 公立医院重新设计 和 Medi-Cal 奖励 措施(PRIME) 和资金。在 3.5 年度，由于 COVID-19 PHE，经 CMS 批准，对衡量期和付款目标进行了修改。为激励 QIP 实体提高 2020 日历年的免疫接种率，增加了免疫接种子库。
The PY 3.5 evaluation report showed that across all 17 DPHs, for the projects that DPHs were required to report, entities met their payment target on 48 percent of reported measures. The number of additional measures chosen by DPHs varied, and only four DPHs met all of their quality improvement targets for the measures chosen. Similarly to DPHs, the number of measures chosen by DMPHs varied, and only 15 percent (5 of 33) met all of their quality improvement targets for the measures chosen. Immunization measure rates varied widely for both DPHs and DMPHs. For more information about the DPH QIP program, visit the Directed Payments Quality Incentive Pool Program webpage.