Figure: 1 TAC §354.1667(e)(10)(B)
PY3 QISMC Goal Setting for Category 3 P4P Outcomes
Direction Baseline PY3 Goal
Positive
(higher rates
indicate
improvement)
Below the MPL MPL + .15*(HPL - MPL)
Between the MPL &
HPL
the greater of:
baseline + .25*(HPL - baseline); or
baseline + .10*(HPL - MPL) †
Above the HPL the lesser of:
baseline + .125*(1-baseline); or
baseline + .10*(HPL - MPL) †
Negative
(lower rates
indicate
improvement)
Above the MPL MPL -.15*(MPL - HPL)
Between the MPL &
HPL
the lesser of:
baseline - .25*(baseline - HPL); or
baseline - .10*(MPL - HPL) †
Below the HPL the greater of:
baseline - .125*(baseline); or
baseline - .10*(MPL - HPL) †
Goal set using the improvement floor