Reporting Materials
Materials and information used across hospitals to support yearly quality related programs, including reporting for Pay for Performance (P4P), Value Based Reimbursement (VBR), and other Collaborative initiatives. These resources help teams complete required submissions, understand measure expectations, and access the documents needed throughout the reporting cycle.
Included are annual performance materials, measure specifications, and a range of program specific forms and policies approved by the MSTCVS Quality Committee to guide performance evaluation and support ongoing quality improvement efforts across Michigan.
2026 MSTCVS Quality Collaborative Performance Index Information (P4P)
Pay-for-Performance Index Forms
- 2026 Hospital CQI Performance Index (P4P)
- 2026 Hospital CQI Performance Specifications (P4P)
- 2026 Adult Cardiac P4P / VBR Specifications
Progress Reports
- 2026 MSTCVS QC P4P Progress Report (Word)
- 2026 MSTCVS QC P4P Progress Report (PDF)
Patient Reported Outcomes
- EQ-5D-3L Cardiac Surgery Health Status Questionnaire
- Patient Reported Outcomes Manual
- REDCap Database User Instructions
Clinical Frailty Scale Documents
- Complete package Clinical Frailty Scale Overview and Coding Instructions (PDF)
- Quick Reference Guide – Clinical Frailty Scale
- Top Tips – Clinical Frailty Scale
- Classification Tree – Clinical Frailty Scale
- Import Template – Clinical Frailty Scale
2026 Value Based Reimbursement (VBR)
Adult Cardiac
- 2026 Adult Cardiac VBR Measures
- 2026 Adult Cardiac P4P / VBR Specifications
- Patient Reported Outcomes
General Thoracic
MISHC
- 2026 MISHC VBR Measures
2025 MSTCVS Quality Collaborative Performance Index Information (P4P)
Pay-for-Performance Index
- 2025 Hospital CQI Performance Index (P4P)
- 2025 Hospital CQI Performance Specifications (P4P)
- 2025 Adult Cardiac P4P / VBR Specifications
- PERForm Data Quality Report and Hybrid Analytics Instructional Videos – ARMUS ZenDesk
- Using PERForm to Validate ‘Adult Surgical’ Matching Data Fields
2025 Value Based Reimbursement (VBR)
Adult Cardiac
- 2025 Adult Cardiac VBR Measures
- 2025 Adult Cardiac P4P / VBR Specifications
- Patient Reported Outcomes
- Clinical Frailty Scale Documents
General Thoracic
MISHC
Surgeon Extra Credit Policy
Other Forms
- MSTCVS Other Readmission Report Template
- Cardiac Surgery Phase of Care Mortality Analysis (POCMA) Form – PDF Format
- Cardiac Surgery Phase of Care Mortality Analysis (POCMA) Form – Word Format
- TAVR Phase of Care Mortality Analysis (POCMA) Form
- Phase of Care Evaluation of Readmissions (POCER) Form
- Professional Development and Enrichment Funds (PDE) Policy and Request Form
- Professional Development and Enrichment Funds (PDE) Reimbursement Policy
- Cardiovascular Surgery 30-Day Patient Follow-Up
- PERForm Registry Data Manager Variables Entry Form