Program: Family Medicine As a part of the Medicare Quality Payment Program: (QPP), reimbursement now depends on pay-for-performance quality measures, with the percentage of Medicare payments -incentives and penalties -being dependent on performance, and increasing in size annually. The intent of this project was to expand the learning of quality metrics within the academic setting into the systemic approach found in the Department of Defense. Here at UNMC, we designed and implemented clinical

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... cision support, called Quality Metric Alerts, and an electronic health record (EHR)-integrated provider quality dashboard for twelve significant Patient Quality Reporting System (PQRS) measures. We implemented the metric alerts quarterly, three at a time, and found improvement in all measured metrics that continued with each successive wave of implementation. The greatest improvement was seen in process measures allowing the entire clinic team to participate in care delivery, which is consistent with the patient centered healthcare model of the military health system. We also found that performance did not deteriorate as additional metrics were implemented, thus refining quality improvement projects within Ehrling Bergquist Clinic (the Offutt AFB Medical Treatment Facility), and allowing us to utilize our limited resources with an optimized strategy. 