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NCQA Performance Assessment

In order to receive the rewards available under the Bridges to Excellence programs, eligible physicians must pass the corresponding performance assessment program administered by the National Committee for Quality Assurance (NCQA).

• for POL Rewards: pass NCQA's office practice performance assessment program
NCQA's office practice performance assessment program involves a set of standards associated with comprehensive systems in three critical areas: clinical information systems, patient education and support, and care management. NCQA evaluates office practices to determine if they meet the established performance standards in each of these three systems areas.

• for DCL Rewards: pass NCQA's diabetes care performance assessment program
NCQA's diabetes performance assessment program consists of a set of standards associated with processes and outcomes involved in the care of patients with diabetes, such as HbA1c levels and blood pressure. NCQA evaluates physicians to determine if they meet the established diabetes care standards for either 3-year recognition through the Diabetes Physician Recognition Program (DPRP) or 1-year certification.

• for CCL Rewards: pass NCQA's cardiac performance assessment program
NCQA's cardiac performance assessment program consists of a set of standards associated with processes and outcomes involved in the care of patients with cardiovascular disease or who have had a stroke, such as blood pressure and lipid testing. NCQA evaluates physicians to determine if they meet the established cardiac care standards for 3-year recognition through the Heart Stroke Recognition Program (HSRP).

Physicians applying for performance assessment must pay fees established by NCQA for administering the PPC, DPRP, and HSRP programs. Physicians who pass NCQA's performance criteria will be reimbursed by Bridges to Excellence for 1 average applicant fee per 50 POL patients (for NCQA's PPC program), 10 DCL patients (for NCQA's DPRP program), or 10 CCL patients (for NCQA's HSRP program).