How does total score gets calculated?

[Sumanth Bandaru]

Hello Team,

I have few questions regarding Quality submission score response from score-preview end point. I had 6 Quality measures and each one got 4 points which sums up to 24 points. However I see 40 points as a value in "original" -> "value". 

1. Can you please tell us how this 40 points is coming up?

I understand the Total score is 18 which is 45% of 40 points. Not sure how 40 points is coming up. 

Please see the json response.

{
  "data": {
    "score": {
      "name": "total",
      "title": "Total Score",
      "detail": "7.5.0",
      "value": 18,
      "parts": [
        {
"name": "quality",
"title": "QUALITY component of total score",
"detail": "Scoring based on weight of 45%.",
"value": 18,
"original": {
  "name": "quality",
  "value": 40,
  "detail": "Picked the highest scoring measurement set registry",
  "parts": [
    {
      "name": "quality",
      "value": 40,
      "detail": "registry",
      "parts": [
        {
          "name": "021",
          "value": 4,
          "detail": "Contributing 4",
          "instrumentations": [
            "QUALITY-009",
            "QUALITY-053",
            "QUALITY-086",
            "QUALITY-096",
            "QUALITY-111",
            "QUALITY-113",
            "QUALITY-117",
            "QUALITY-005"
          ],
          "metadata": {
            "performanceRate": 50,
            "reportingRate": 100,
            "measurementSetId": "05a332b5-5c91-4e5a-8caf-db074f6143e2",
            "measurementId": "05a332b5-431f-4ea6-bb86-15d426d09c6e",
            "measureClass": "Class 2",
            "measureTitle": "Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second-Generation Cephalosporin",
            "highPriorityBonusEligible": true,
            "endToEndBonusEligible": true,
            "endToEndBonus": 1,
            "outcomeOrPatientExperienceBonus": 0,
            "highPriorityBonus": 0,
            "highPriorityBonusIgnored": true,
            "decileScore": 3,
            "performanceDenominator": 2,
            "performanceNumerator": 1,
            "eligiblePopulation": 3,
            "partialDecileScore": 0,
            "partialPoints": 0,
            "decile": -1,
            "deciles": null,
            "processingStatus": "PICKED",
            "totalMeasurementPoints": 4,
            "totalBonusPoints": 1,
            "messages": {
              "measurementClass": "Eligible population is less than 20, reporting rate is greater than 60%",
              "decileScore": "Applied maximum points for Class 2 measure meeting data completeness",
              "e2eBonusScore": "Bonus from isEndToEndReported",
              "highPriorityBonus": "Measure having highest decile score is not eligible for high priority bonus",
              "measurementPicker": "Picked at 1",
              "totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
            },
            "noBenchmarks": false,
            "benchmarkType": "registry",
            "eMeasureId": null,
            "toppedOut": true,
            "isGhost": false,
            "submissionMethod": "registry",
            "performanceStart": "2019-01-01",
            "performanceEnd": "2019-12-31",
            "isCpcPlus": false,
            "unroundedScoreValue": 4
          }
        },
        {
          "name": "006",
          "value": 4,
          "detail": "Contributing 4",
          "instrumentations": [
            "QUALITY-009",
            "QUALITY-053",
            "QUALITY-086",
            "QUALITY-096",
            "QUALITY-111",
            "QUALITY-113",
            "QUALITY-117",
            "QUALITY-005"
          ],
          "metadata": {
            "performanceRate": 66.67,
            "reportingRate": 100,
            "measurementSetId": "05a332b5-5c91-4e5a-8caf-db074f6143e2",
            "measurementId": "05a332b5-4585-49cb-9d1d-44e246f33ef0",
            "measureClass": "Class 2",
            "measureTitle": "Coronary Artery Disease (CAD): Antiplatelet Therapy",
            "highPriorityBonusEligible": false,
            "endToEndBonusEligible": true,
            "endToEndBonus": 1,
            "outcomeOrPatientExperienceBonus": 0,
            "highPriorityBonus": 0,
            "decileScore": 3,
            "performanceDenominator": 3,
            "performanceNumerator": 2,
            "eligiblePopulation": 4,
            "partialDecileScore": 0,
            "partialPoints": 0,
            "decile": -1,
            "deciles": null,
            "processingStatus": "PICKED",
            "totalMeasurementPoints": 4,
            "totalBonusPoints": 1,
            "messages": {
              "measurementClass": "Eligible population is less than 20, reporting rate is greater than 60%",
              "decileScore": "Applied maximum points for Class 2 measure meeting data completeness",
              "e2eBonusScore": "Bonus from isEndToEndReported",
              "measurementPicker": "Picked at 2",
              "totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
            },
            "noBenchmarks": false,
            "benchmarkType": "registry",
            "eMeasureId": null,
            "toppedOut": true,
            "isGhost": false,
            "submissionMethod": "registry",
            "performanceStart": "2019-01-01",
            "performanceEnd": "2019-12-31",
            "isCpcPlus": false,
            "unroundedScoreValue": 4
          }
        },
        {
          "name": "014",
          "value": 4,
          "detail": "Contributing 4",
          "instrumentations": [
            "QUALITY-009",
            "QUALITY-053",
            "QUALITY-086",
            "QUALITY-096",
            "QUALITY-111",
            "QUALITY-113",
            "QUALITY-117"
          ],
          "metadata": {
            "performanceRate": 50,
            "reportingRate": 100,
            "measurementSetId": "05a332b5-5c91-4e5a-8caf-db074f6143e2",
            "measurementId": "05a332b5-4b97-4107-bde3-4287413df351",
            "measureClass": "Class 2",
            "measureTitle": "Age-Related Macular Degeneration (AMD): Dilated Macular Examination",
            "highPriorityBonusEligible": false,
            "endToEndBonusEligible": true,
            "endToEndBonus": 1,
            "outcomeOrPatientExperienceBonus": 0,
            "highPriorityBonus": 0,
            "decileScore": 3,
            "performanceDenominator": 2,
            "performanceNumerator": 1,
            "eligiblePopulation": 3,
            "partialDecileScore": 0,
            "partialPoints": 0,
            "decile": -1,
            "deciles": null,
            "processingStatus": "PICKED",
            "totalMeasurementPoints": 4,
            "totalBonusPoints": 1,
            "messages": {
              "measurementClass": "Eligible population is less than 20, reporting rate is greater than 60%",
              "decileScore": "Applied maximum points for Class 2 measure meeting data completeness",
              "e2eBonusScore": "Bonus from isEndToEndReported",
              "measurementPicker": "Picked at 3",
              "totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
            },
            "noBenchmarks": false,
            "benchmarkType": "registry",
            "eMeasureId": null,
            "toppedOut": true,
            "isGhost": false,
            "submissionMethod": "registry",
            "performanceStart": "2019-01-01",
            "performanceEnd": "2019-12-31",
            "isCpcPlus": false,
            "unroundedScoreValue": 4
          }
        },
        {
          "name": "023",
          "value": 4,
          "detail": "Contributing 4",
          "instrumentations": [
            "QUALITY-009",
            "QUALITY-053",
            "QUALITY-086",
            "QUALITY-096",
            "QUALITY-111",
            "QUALITY-113",
            "QUALITY-117",
            "QUALITY-005"
          ],
          "metadata": {
            "performanceRate": 50,
            "reportingRate": 100,
            "measurementSetId": "05a332b5-5c91-4e5a-8caf-db074f6143e2",
            "measurementId": "05a332b5-4db0-4901-82f7-c2acd0791dec",
            "measureClass": "Class 2",
            "measureTitle": "Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)",
            "highPriorityBonusEligible": false,
            "endToEndBonusEligible": true,
            "endToEndBonus": 1,
            "outcomeOrPatientExperienceBonus": 0,
            "highPriorityBonus": 0,
            "decileScore": 3,
            "performanceDenominator": 2,
            "performanceNumerator": 1,
            "eligiblePopulation": 3,
            "partialDecileScore": 0,
            "partialPoints": 0,
            "decile": -1,
            "deciles": null,
            "processingStatus": "PICKED",
            "totalMeasurementPoints": 4,
            "totalBonusPoints": 1,
            "messages": {
              "measurementClass": "Eligible population is less than 20, reporting rate is greater than 60%",
              "decileScore": "Applied maximum points for Class 2 measure meeting data completeness",
              "e2eBonusScore": "Bonus from isEndToEndReported",
              "measurementPicker": "Picked at 4",
              "totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
            },
            "noBenchmarks": false,
            "benchmarkType": "registry",
            "eMeasureId": null,
            "toppedOut": true,
            "isGhost": false,
            "submissionMethod": "registry",
            "performanceStart": "2019-01-01",
            "performanceEnd": "2019-12-31",
            "isCpcPlus": false,
            "unroundedScoreValue": 4
          }
        },
        {
          "name": "024",
          "value": 4,
          "detail": "Contributing 4",
          "instrumentations": [
            "QUALITY-009",
            "QUALITY-053",
            "QUALITY-086",
            "QUALITY-096",
            "QUALITY-111",
            "QUALITY-113",
            "QUALITY-117",
            "QUALITY-005"
          ],
          "metadata": {
            "performanceRate": 50,
            "reportingRate": 100,
            "measurementSetId": "05a332b5-5c91-4e5a-8caf-db074f6143e2",
            "measurementId": "05a332b5-40d9-4df3-99c0-971e4ea764c0",
            "measureClass": "Class 2",
            "measureTitle": "Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older",
            "highPriorityBonusEligible": false,
            "endToEndBonusEligible": true,
            "endToEndBonus": 1,
            "outcomeOrPatientExperienceBonus": 0,
            "highPriorityBonus": 0,
            "decileScore": 3,
            "performanceDenominator": 2,
            "performanceNumerator": 1,
            "eligiblePopulation": 3,
            "partialDecileScore": 0,
            "partialPoints": 0,
            "decile": -1,
            "deciles": null,
            "processingStatus": "PICKED",
            "totalMeasurementPoints": 4,
            "totalBonusPoints": 1,
            "messages": {
              "measurementClass": "Eligible population is less than 20, reporting rate is greater than 60%",
              "decileScore": "Applied maximum points for Class 2 measure meeting data completeness",
              "e2eBonusScore": "Bonus from isEndToEndReported",
              "measurementPicker": "Picked at 5",
              "totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
            },
            "noBenchmarks": false,
            "benchmarkType": "registry",
            "eMeasureId": null,
            "toppedOut": true,
            "isGhost": false,
            "submissionMethod": "registry",
            "performanceStart": "2019-01-01",
            "performanceEnd": "2019-12-31",
            "isCpcPlus": false,
            "unroundedScoreValue": 4
          }
        },
        {
          "name": "051",
          "value": 4,
          "detail": "Contributing 4",
          "instrumentations": [
            "QUALITY-009",
            "QUALITY-053",
            "QUALITY-086",
            "QUALITY-096",
            "QUALITY-111",
            "QUALITY-113",
            "QUALITY-117",
            "QUALITY-005"
          ],
          "metadata": {
            "performanceRate": 50,
            "reportingRate": 100,
            "measurementSetId": "05a332b5-5c91-4e5a-8caf-db074f6143e2",
            "measurementId": "05a332b5-4366-4567-be73-8fe9aec88e49",
            "measureClass": "Class 2",
            "measureTitle": "Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation",
            "highPriorityBonusEligible": false,
            "endToEndBonusEligible": true,
            "endToEndBonus": 1,
            "outcomeOrPatientExperienceBonus": 0,
            "highPriorityBonus": 0,
            "decileScore": 3,
            "performanceDenominator": 2,
            "performanceNumerator": 1,
            "eligiblePopulation": 3,
            "partialDecileScore": 0,
            "partialPoints": 0,
            "decile": -1,
            "deciles": null,
            "processingStatus": "PICKED",
            "totalMeasurementPoints": 4,
            "totalBonusPoints": 1,
            "messages": {
              "measurementClass": "Eligible population is less than 20, reporting rate is greater than 60%",
              "decileScore": "Applied maximum points for Class 2 measure meeting data completeness",
              "e2eBonusScore": "Bonus from isEndToEndReported",
              "measurementPicker": "Picked at 6",
              "totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
            },
            "noBenchmarks": false,
            "benchmarkType": "registry",
            "eMeasureId": null,
            "toppedOut": false,
            "isGhost": false,
            "submissionMethod": "registry",
            "performanceStart": "2019-01-01",
            "performanceEnd": "2019-12-31",
            "isCpcPlus": false,
            "unroundedScoreValue": 4
          }
        }
      ],
      "instrumentations": [
        "QUALITY-058",
        "QUALITY-071",
        "QUALITY-101",
        "QUALITY-116"
      ],
      "metadata": {
        "messages": {
          "denominator": "At least 1 high or outcome or patient experience measure available. So denominator is 60",
          "totalDecileScore": "Decile score points for measurements included in measurement set score, excluding bonus points",
          "totalBonusPoints": "Sum of measurement bonus points included in the measurement set score",
          "totalMeasurementPoints": "Sum of applicable measurement points.",
          "picked": "Measurement set selected for category score."
        },
        "measurementSetId": "05a332b5-5c91-4e5a-8caf-db074f6143e2",
        "maxContribution": 100,
        "measuresPicked": [
          "021",
          "006",
          "014",
          "023",
          "024",
          "051"
        ],
        "measuresSubmittedCount": 6,
        "measuresSubmitted": [
          "021",
          "006",
          "014",
          "023",
          "024",
          "051"
        ],
        "totalDecileScore": 18,
        "totalBonusPoints": 6,
        "totalMeasurementPoints": 24,
        "denominator": 60,
        "e2eBonusScore": 6,
        "maxMeasurementsAllowed": 6,
        "mergedWithCahps": false,
        "processingStatus": "PICKED",
        "smallPracticeBonusEligible": false,
        "smallPracticeBonus": 0,
        "unroundedScoreValue": 24,
        "measurementSetPicked": true,
        "reweightedScore": 18
      }
    }
  ],
  "metadata": {
    "unroundedScoreValue": 40
  },
  "instrumentations": [
    "QUALITY-058",
    "QUALITY-071",
    "QUALITY-101",
    "QUALITY-116"
  ]
},
"metadata": {
  "maxContribution": 45,
  "unroundedScoreValue": 18
}
        },
        {
"name": "feedback-quality",
"parts": [
  {
    "name": "021",
    "detail": "Focus on improving measure 021"
  },
  {
    "name": "006",
    "detail": "Focus on improving measure 006"
  },
  {
    "name": "014",
    "detail": "Focus on improving measure 014"
  }
]
        },
        {
"name": "bonuses",
"value": 0,
"parts": []
        }
      ],
      "instrumentations": [],
      "metadata": {
        "messages": {},
        "maxTotalScore": 100,
        "maxHighContributionIA": 20,
        "maxMediumContributionIA": 10,
        "maxContributionIA": 15,
        "maxContributionQuality": 45,
        "maxContributionCost": 15,
        "maxContributionPI": 25,
        "piRollupBase": 0,
        "piRollupBonus": 0,
        "iaCategoryScoreUnrounded": 0,
        "iaCategoryScore": 0,
        "iaWeightedScore": 0,
        "qualityImprovementBonus": 0,
        "previousYearQualityScore": 0,
        "previousYearNumerator": 0,
        "previousYearDenominator": 0,
        "qualityCategoryScoreUnrounded": 40,
        "qualityCategoryScore": 40,
        "qualityWeightedScore": 18,
        "isSubmissionFabricated": false,
        "hasIAMeasures": false,
        "hasQualityMeasures": true,
        "hasACIMeasures": false,
        "hasPIMeasures": false,
        "hasCostMeasures": false,
        "hasACRMeasure": false,
        "hasCAHPSMeasure": false,
        "hasScorableIAMeasures": false,
        "hasScorableACIMeasures": false,
        "hasScorablePIMeasures": false,
        "hasScorableCostMeasures": false,
        "hasScorableQualityMeasures": true,
        "numberOfCategoriesHavingExternalMeasures": 1,
        "hasSkippedWIMSet": false,
        "hasMergedRegistryMSet": false,
        "givenIAStudyCredit": false,
        "hasIAWeightStatus": "NORMAL",
        "givenAPMParticipationCredit": false,
        "givenIACreditPCMH": false,
        "hasMinimumACIPerformancePeriod": false,
        "hasMinimumPIPerformancePeriod": false,
        "hasIncompleteAPMWISubmission": false,
        "unroundedScoreValue": 18,
        "runtimeInMillis": 1.833
      },
      "warnings": [
        "Disclaimer: Scoring is subject to change, based on periodic policy updates, eligibility reviews, and technical integration developments."
      ],
      "errors": []
    }
  }

}

Thank you,

Sumanth Bandaru.

[Kyle Apfel]

The denominator is 60, so 24/60 is 0.4 or 40 when converted to points. The category score is then weighted at 45% of the score, so the formula looks like: ((24/60)*100)*.45 = 18