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CMS Updates 'Physician Compare' Online Tool

 |  By John Commins  
   January 04, 2011

The Centers for Medicare & Medicaid Services on Monday launched an enhanced version of its Physician Compare online tool which provides detailed information about physicians and other healthcare workers.

The updated Physician Compare tool expands and updates CMS' Healthcare Provider Directory, which for more than one decade has helped Medicare beneficiaries find participating doctors online. The new tool expands the doctor-specific information into the suite of informational tools for Medicare beneficiaries and other consumers.

The CMS tool "begins to fill an important gap in our online tools by providing more information about physicians and other healthcare workers," said CMS Administrator Donald Berwick, MD, in a statement. "This helps to pave the way for consumers to have similar information about their physicians as they have for nursing homes, home health agencies and health and drug plans."

Mandated by the Affordable Care Act, Physician Compare contains information about physicians enrolled in Medicare, which include doctors of medicine, osteopathy, optometry, podiatric medicine, and chiropractic. The site also contains information about other health professionals who routinely care for Medicare beneficiaries, including nurse practitioners, clinical psychologists, registered dietitians, physical therapists, physician assistants, and occupational therapists.

The tool is designed to help all patients—whether on Medicare or not—locate health professionals in their communities. The information on the site includes contact and address information for offices, the professional's medical specialty, where the professional completed his or her degree as well as residency or other clinical training, whether the professional speaks a foreign language, and the professional's gender. The tool can also help Medicare beneficiaries identify which physicians participate in Medicare.

Physician Compare also shows consumers whether the practice reported certain data to CMS through the Physician Quality Reporting System. Currently, PQRI is voluntary and rewards physicians and other healthcare professionals for reporting data on quality measures related to Medicare beneficiaries. In 2009, more than 200,000 healthcare professionals reported data to CMS through the PQRI.

Later this year, CMS plans a second phase of the tool which will indicate whether professionals chose to participate in a voluntary effort to encourage doctors to prescribe medicines electronically. Eventually, Physician Compare will include information about the quality of care Medicare beneficiaries receive from physicians and the other healthcare professionals profiled on the site. The expansion will include information on quality of care and patient experience that can help consumers learn more about the care provided by Medicare-participating physicians. CMS is required by the Affordable Care Act to develop a plan to implement this expansion by 2013.

"Today's release of Physician Compare moves us closer towards CMS' goal to improve the quality of healthcare for people with Medicare in all the places where they receive care, including the doctor's office," Berwick said. "By using a considered, step-wise approach to spotlighting quality of care, we can create a tool that will help doctors and patients for decades to come."

John Commins is a content specialist and online news editor for HealthLeaders, a Simplify Compliance brand.

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