Measure-Level Tracking Against Benchmark Performance Rates
The MIPS Quality category is worth 30% of your final score. Vizier tracks every submitted measure against CMS benchmark data, projects your point total in real time, and flags measures where you are at risk of falling below the 30th percentile — the threshold below which points are not awarded.
HRRP Measures Tracked Before CMS Calculates Penalties
The Hospital Readmissions Reduction Program measures excess readmission ratios for six conditions: acute myocardial infarction (AMI), heart failure (HF), pneumonia, COPD, total hip/knee arthroplasty (THA/TKA), and coronary artery bypass graft (CABG). Hospitals in the highest penalty tier face up to 3% Medicare payment reduction.
Vizier tracks 30-day readmissions by condition, computes your excess readmission ratio against national cohort data, and projects penalty exposure for each program year. Discharge planning gaps — missing follow-up appointments, unfilled prescriptions, social determinant flags — are surfaced at the individual patient level before discharge.
CAUTI, CLABSI, and SSI Tracking for Joint Commission Readiness
Healthcare-associated infections (HAIs) are tracked through standardized infection ratios (SIR) benchmarked against the CDC National Healthcare Safety Network (NHSN). CAUTI, CLABSI, MRSA bacteremia, C. difficile, and SSI rates are monitored in real time with control chart visualization.
Joint Commission survey preparation is continuous, not episodic. Vizier maintains a live survey-readiness dashboard against the Comprehensive Accreditation Manual for Hospitals (CAMH) standards — flagging documentation gaps, policy expiration dates, and performance measure variances before a surveyor walks through the door.
CMS Star Rating Optimization and HEDIS Performance Tracking
CMS Medicare Advantage star ratings determine plan bonus payments — a 5-star plan receives a 5% quality bonus on benchmark payments. Moving from 3 stars to 4 stars unlocks quality bonus payments that can exceed $500 per member per year. The star rating calculation covers five categories: Staying Healthy screenings (25%), Managing Chronic Conditions (25%), Member Experience (20%), Member Complaints (20%), and Health Plan Administration (10%).
HEDIS measure performance across 40+ measures is visible at the individual patient, provider, and population level. Vizier maps care gaps directly to HEDIS denominators — identifying which patients need breast cancer screening (BCS), cervical cancer screening (CCS), comprehensive diabetes care (CDC), or blood pressure control (CBP) to move the measure rate.
The Promoting Interoperability (PI) performance category accounts for 25% of the MIPS final score. Vizier tracks all required PI measures automatically from your EHR data: e-prescribing rates, health information exchange (HIE) usage, patient access through APIs, public health registry reporting, and clinical data registry submissions.
Quality Extends Across Every Role
Real-Time MIPS Tracking, Not Year-End Surprises
Upload your EHR data export and see your projected MIPS final score, measure-level performance against benchmarks, and penalty risk — in under 48 hours.