2014 Clinical Quality Measures: Changes for the Medicaid EHR Incentive Program. Tracy McDonald Medicaid EHR Incentive Program Coordinator
|
|
- Fay Clark
- 5 years ago
- Views:
Transcription
1 2014 Clinical Quality Measures: Changes for the Medicaid EHR Incentive Program Tracy McDonald Medicaid EHR Incentive Program Coordinator
2 Agenda Why are Clinical Quality Measures important? Clinical Quality Measures Today Clinical Quality Measures in 2014 Eligible Hospitals Eligible Professionals w/cms Recommendations Lists of all CQMs for Eligible Hospitals and Eligible Professionals
3 Why Are CQMs Important? CQMs Support Achievement of Health Care Goals Better Health Better Health Care Lower Cost Promote evidence-based utilization of clinical processes Measure progress on preventing and treating priority conditions Improve outcomes by identifying deficiencies in safety and accessibility Reduce provider burden (e.g., administrative time and resources) by streamlining quality measurement Improve functional assessment of chronic conditions to more efficiently treat and manage disease Facilitate care coordination across settings Reduce preventable hospital readmissions Decrease medication errors Promote appropriate usage of diagnostic testing and screening for patients 3
4 2013 Clinical Quality Measures Eligible Hospitals (EH) For Stage 1 through the end of FFY 2013, all EHs must report on all 15 CQMs Numerators and denominators can be 0, but still must be reported Eligible Professionals (EP) For Stage 1 through the end of CY 2013, all EPs must report on 6 CQMs 3 CQMs from the Core and/or Alternate Core Set 3 CQMs from the Additional Set Numerators and denominators can be 0, but still must be reported 4
5 CQMs Dropped in EPs NQF # Measure Title 0001 Asthma Assessment 0012 Prenatal Care: Screening for Human Immunodeficiency Virus (HIV) 0013 Hypertension: Blood Pressure Management 0014 Prenatal Care: Anti-D Immune Globulin 0027 Smoking and Tobacco Use Cessation, Medical Assistance: a. Advising Smokers and Tobacco Users to Quit, b. Discussing Smoking and Tobacco Use cessation Medications, c. Discussing Smoking and Tobacco Use Cessation Strategies 0047 Asthma Pharmacologic Therapy 0061 Diabetes: Blood Pressure Management 0067 Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD 0073 Ischemic Vascular Disease (IVD): Blood Pressure Management 0074 Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL-Cholesterol 0084 Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation 0575 Diabetes: Hemoglobin A1c Control (<8.0%) 5
6 Special Note about Attesting to 2013 CQMs If you are attesting in Program Year 2013 using a 2014 Certified Health Record Technology (CEHRT), your CQM choices will have changed EPs EHs Only 32 of the 44 CQMs from Stage 1 are included in Stage 2, so your 2014 (CEHRT) will only have 32 CQMs to choose from NQF 0013 (Hypertension: Blood Pressure Management) is a Core CQM that is not available with a CEHRT; choose an alternate core CQM All currently required 15 CQMs from Stage 1 are included in Stage 2 6
7 2014 Clinical Quality Measures
8 What s new for 2014? All Meaningful Use attestations will submit their CQMs in accordance with the 2014 changes Yes, even Stage 1 Stage 2 CQMs must cover at least 3 of the 6 National Quality Strategy domains 8
9 What s new for 2014? Patient Safety Patient & Family Engagement Care Coordination Make care safer by reducing harm in the delivery of care Ensure that each person and family are engaged as partners in their care Promote effective communication and coordination of care Population & Public Health Efficient Use of Health Care Resources Clinical Processes / Effectiveness Work with communities to promote wide use of best practices to enable healthy living Make quality care more affordable for individuals, families, employers and governments by developing and spreading new health care delivery models Improve quality, safety and efficiency; reduce health disparities 9
10 2014 CQMs for Eligible Hospitals EHs need to submit 16 CQMs from a total list of 29 See the appendix at the end of this presentation for a complete list Patient and Family Engagement 5 ea. Patient Safety 6 ea. Care Coordination 2 ea. Efficient Use of Health Care Resources 2 ea. Clinical Processes / Effectiveness 14 ea. 10
11 2014 CQMs for Eligible Professionals EPs need to submit 9 CQMs from a total list of 64 See the appendix at the end of this presentation for a complete list Patient and Family Engagement 4 ea. Patient Safety 6 ea. Care Coordination 1 ea. Population & Public Health 9 ea. Efficient Use of Health Care Resources 4 ea. Clinical Processes / Effectiveness 40 ea. 11
12 Before Choosing CQMs Before choosing which CQMs you are going to report on, TALK TO YOUR VENDOR Is your product certified for the following: To capture and export For electronic submission To import and calculate What measures are your product certified to submit? You can also check on the ONC Certified Health IT Product List at Does you practice have any quality improvement (QI) efforts underway related to any of the CQMs? If you are participating in other QI efforts, don t reinvent the wheel; keep it easy 12
13 CMS Recommended CQMs for EPs CMS published a recommended core set of CQMs for adult and pediatric practices These were chosen by CMS based on several factors: Conditions that contribute to the morbidity and mortality of Medicare and Medicaid beneficiaries Conditions that represent national public health priorities Conditions that are common health disparities Conditions that disproportionately drive health care costs and could improve with better quality measurement Measurements that would enable CMS, States and EPs to measure quality of care in new dimensions Measures that include patient and/or caregiver engagement 13
14 2014 Adult Recommended CQMs CQM Number CQM Title Domain NQF 0018 NQF 0022 NQF 0028 NQF 0052 NQF 0418 NQF 0419 NQF 0421 Controlling High Blood Pressure Use of High-Risk Medications in the Elderly Tobacco Use: Screening and Cessation Intervention Use of Imaging Studies for Low Back Pain Screening for Clinical Depression and Follow-up Plan Documentation of Current Medications in the Medical Record Body Mass Index (BMI) Screening and Follow-up Clinical Process / Effectiveness Patient Safety Population/Public Health Efficient Use of Healthcare Resources Population/Public Health Patient Safety Population/Public Health NQF TBD Receipt of Specialist Report Care Coordination NQF TBD Functional Status Assessment for Complex Chronic Conditions Patient and Family Engagement 14
15 2014 Pediatric Recommended CQMs CQM Number CQM Title Domain NQF 0002 NQF 0024 Appropriate Testing for Children with Pharyngitis Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Efficient Use of Healthcare Resources Population/Public Health NQF 0033 Chlamydia Screening for Women Population/Public Health NQF 0036 Use of Appropriate Medications for Asthma Clinical Process/Effectiveness NQF 0038 Childhood Immunization Status Population/Public Health NQF 0069 NQF 0108 NQF 0418 NQF TBD Appropriate Treatment for Children with Upper Respiratory Infection ADHD: Follow-up Care for Children Prescribed ADHD Medication Screening for Clinical Depression and Follow-up Plan Children who have Dental Decay or Cavities Efficient Use of Healthcare Resources Clinical Process/Effectiveness Population/Public Health Clinical Process/Effectiveness 15
16 Submitting CQMs through the CO R&A Medicaid EPs and Medicaid-only EHs will submit their CQMs through the CO R&A The update for the CO R&A is scheduled for late 2014 Currently, the CO R&A will accept CQM uploads, but all of the new CQMs will be added Medicaid EPs and Medicaid-only EHs will not need to submit their CQMs to CMS Attesting in the CO R&A will fulfill the requirement that all CQMs are reported on electronically 16
17 Resources Colorado Registration & Attestation (CO R&A) System: New! Meaningful Use Resources for EPs & EHs Including all PY 2013 Workbooks & Recorded Events Guide for Reading Eligible Professional (EP) and Eligible Hospital (EH) emeasures Guidance/Legislation/EHRIncentivePrograms/Downloads/Gui de_reading_ep_hospital_ecqms.pdf 17
18 Appendix 2014 CQMs for Eligible Hospitals CMS emeasure ID NQF # Measure/CQM Title National Quality Strategy Domain ED-1 Emergency Department Throughput Median time from ED arrival to ED departure for admitted ED patients Patient & Family Engagement ED-2 Emergency Department Throughput admitted patients Admit decision time to ED departure time for admitted patients Patient & Family Engagement Stroke-2 Ischemic stroke Discharged on anti-thrombotic therapy Stroke-3 Ischemic stroke Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke-4 Ischemic stroke Thrombolytic Therapy Stroke-5 Ischemic stroke Antithrombotic therapy by end of hospital day two (2) Stroke-6 Ischemic stroke Discharged on Statin Medication Stroke-8 Ischemic or hemorrhagic stroke Stroke education Patient & Family Engagement Stroke-10 Ischemic or hemorrhagic stroke Assessed for Rehabilitation Care Coordination Venous Thromboembolism (VTE)-1 VTE prophylaxis Patient Safety VTE-2 Intensive Care Unit (ICU) VTE prophylaxis Patient Safety VTE-3 VTE Patients with Anticoagulation Overlap Therapy VTE-4 VTE Patients Receiving Unfractionated Heparin (UFH) with Dosages/Platelet Count Monitoring by Protocol (or Nomogram) VTE-5 VTE discharge instructions Patient & Family Engagement VTE-6 Incidence of potentially preventable VTE Patient Safety AMI-2 Aspirin Prescribed at Discharge for AMI PC-01 Elective Delivery Prior to 39 Completed Weeks Gestation 18
19 Appendix 2014 CQMs for Eligible Hospitals (Cont.) CMS emeasure ID NQF # Measure/CQM Title National Quality Strategy Domain AMI-7a Fibrinolytic Therapy Received Within 30 minutes of hospital arrival AMI-8a Primary PCI Received Within 90 Minutes of Hospital Arrival AMI-10 Statin Prescribed at Discharge PN-6 Initial Antibiotic Selection for Community-Acquired Pneumonia (CAP) in Immunocompetent Patients Efficient Use of Healthcare Resources SCIP-INF-1 Prophylactic Antibiotic Received within 1Hour Prior to Surgical Incision Patient Safety SCIP-INF-2 Prophylactic Antibiotic Selection for Surgical Efficient Use of Healthcare Patients Resources SCIP-INF-9 Urinary catheter removed on Postoperative Day (POD1) or Postoperative Day 2 (POD2) with day of surgery being day zero Patient Safety ED-3 Median time from ED arrival to ED departure for discharged ED patients Care Coordination Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver Patient & Family Engagement Exclusive Breast Milk Feeding Health Term Newborn Patient Safety EHDI-1a Hearing screening before hospital discharge To see a full description of each measure, including the numerator and denominator statement, visit Guidance/Legislation/EHRIncentivePrograms/Downloads/2014_CQM_EH_FinalRule.pdf 19
20 Appendix 2014 CQMs for Eligible Professionals CMS emeasure ID NQF # Measure/CQM Title National Quality Strategy Domain Appropriate Testing for Children with Pharyngitis Efficient use of Healthcare Resources Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Controlling High Blood Pressure Use of High-Risk Medication in the Elderly Patient Safety Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Population / Public Health Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Population / Public Health Breast Cancer Screening Cervical Cancer Screening Chlamydia Screening for Women Population / Public Health Colorectal Cancer Screening Use of Appropriate Medications for Asthma Childhood Immunization Status Population / Public Health Preventive Care and Screening: Influenza Immunization Population / Public Health Pneumonia Vaccination Status for Older Adults Use of Imaging Studies for Low Back Pain Efficient Use of Healthcare Resources Diabetes: Eye Exam Diabetes: Foot Exam Diabetes: Hemoglobin A1c Poor Control 20
21 Appendix 2014 CQMs for Eligible Professionals (Cont.) CMS emeasure ID NQF # Measure/CQM Title National Quality Strategy Domain Diabetes: Hemoglobin A1c Poor Control Hemoglobin A1c Test for Pediatric Patients Diabetes: Urine Protein Screening Diabetes: Low Density Lipoprotein (LDL) Management Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Appropriate Treatment for Children with Upper Respiratory Infection (URI) Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) Efficient Use of Healthcare Resources Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy Diabetic Retinopathy: Communication with the Physician Managing Ongoing diabetes Care Falls: Screening for Future Fall Risk Patient Safety Major Depressive Disorder (MDD): Suicide Risk Assessment Anti-depressant Medication Management 21
22 Appendix 2014 CQMs for Eligible Professionals (Cont.) CMS emeasure ID NQF # Measure/CQM Title National Quality Strategy Domain ADHD: Follow-up Care for Children Prescribed Attention-Deficit / Hyperactivity Disorder (ADHD) Medication Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance abuse Oncology: Medical and Radiation Pain Intensity Quantified Patient & Family Engagement Colon Cancer: Chemotherapy for AJCC Stage III Colon Cancer Patients Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor / Progesterone Receptor (ER/PR) Positive Breast Cancer Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Efficient Use of Healthcare Risk Prostate Cancer Patients Resources HIV/AIDS: Medical Visit HIV/AIDS: Pneumocystis jiroveci pneumonia (PCP) Prophylaxis 77 TBD (proposed HIV/AIDS: RNA control for Patients with HIV 0407) Preventive Care and Screening for Clinical Depression and Followup Plan Population / Public Health Documentation of Current Medications in the Medical Record Patient Safety Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up Population / Public Health Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures Patient Safety Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Pregnant women that had HBsAg testing Depression Remission at Twelve Months Depression Utilization of the PHQ-9 Tool 75 TBD Children who have dental decay or cavities 22
23 Appendix 2014 CQMs for Eligible Professionals (Cont.) CMS emeasure ID NQF # Measure/CQM Title National Quality Strategy Domain Child and Adolescent Major Depressive Disorder: Suicide Risk Assessment Patient Safety Maternal depression screening Population / Public Health 74 TBD Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists 61 TBD Preventive Care and Screening: Cholesterol Fasting Low Density Lipoprotein (LDL) Test Performed 64 TBD Preventive Care and Screening: Risk-Stratified Cholesterol Fasting Low Density Lipoprotein (LDL-C) 149 TBD Dementia: Cognitive Assessment 65 TBD Hypertension: Improvement in blood pressure 50 TBD Closing the referral loop: receipt of specialist report Care Coordination 66 TBD Functional status assessment for knee replacement Patient & Family Engagement 56 TBD Functional status assessment for hip replacement Patient & Family Engagement 90 TBD Functional status assessment for complex chronic conditions Patient & Family Engagement To see a full description of each measure, including the numerator and denominator statement, visit Guidance/Legislation/EHRIncentivePrograms/Downloads/EP_MeasuresTable_Posting_CQMs.pdf 23
24 Questions? Tracy McDonald Medicaid EHR Incentive Program Coordinator Phone:
Modified Stage 2 Meaningful Use: Clinical Quality Measures (CQMs) Massachusetts Medicaid EHR Incentive Payment Program
Modified Stage 2 Meaningful Use: Clinical Quality Measures (CQMs) Massachusetts Medicaid EHR Incentive Payment Program July 21, 2016 Today s presenter: Al Wroblewski, PCMH CCE, Client Services Relationship
More informationCertified Health IT Transparency and Disclosure Information 2014 Edition
Certified Health IT Transparency and Disclosure Information 2014 Edition 2015 Edition Certified Health IT Transparency and Disclosure Information I. Disclaimer This Complete EHR is 2014 Edition compliant
More informationproposed set to a required subset of 3 to 5 measures based on the availability of electronic
CMS-0033-P 143 proposed set to a required subset of 3 to 5 measures based on the availability of electronic measure specifications and comments received. We propose to require for 2011 and 2012 that EP's
More informationGE Healthcare. Delivering the capabilities you need for Stage 2 in the Ambulatory Setting
GE Healthcare Delivering the capabilities you need for Stage 2 in the Ambulatory Setting March 12, 2013 Topics Certification Criteria Attestation Requirements Functional Measures Clinical Quality Measures
More informationMeaningful Use Clinical Quality Measures for Eligible Professionals
Meaningful Use Clinical Quality Measures for Eligible Professionals Measure Type NQF ID CMS ID Description Title: Adult Weight Screening and Follow-Up 1 NQF 0421 PQRI 128 calculated BMI in the past six
More informationMeaningful Use Overview
Eligibility Providers may be eligible for incentives from either Medicare or Medicaid, but not both. In addition, providers may not be hospital based. Medicare: A Medicare Eligible Professional (EP) is
More informationNH State Medicaid HIT Plan
INFORMATION ON INTERNAL PROVIDER AUDITING PROCEDURES AND PROCESSES HAVE BEEN REMOVED FROM THIS DOCUMENT. NH State Medicaid HIT Plan June 30 2014 Describes how the New Hampshire Department of Health and
More informationClinical Quality Measures
Core Measures Preventive Care and Screening Measure Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention. Percentage of patients aged 18 years and older who have been seen for at least 2
More informationCLINICAL QUALITY MEASURES Stage 1 Meaningful Use
CLINICAL QUALITY MEASURES Stage 1 Meaningful Use * Eligible professionals (EPs) must report on 3 required core clinical quality measures (CQMs). If the denominator of 1 or more of the required core measures
More informationClinical Quality Measures for Submission by Medicare or Medicaid EP/s for the 2011 and 2012 Payment Year
1 NQF 0059 1 NQF 0064 2 NQF 0061 3 Title: Diabetes: Hemoglobin A1c Poor Control Description: Percentage of patients 18-75 years of age with diabetes (type 1 or type 2) who had hemoglobin A1c > 9.0%. Title:
More informationNQF Measure Number & PQRI Implementation Number
Title NQF Steward s Adult Weight Screening and Follow-Up Hypertension: Blood Pressure ment Preventive Care and Screening Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention with a calculated
More informationUCLA Health System Apr - Jun 2013 (Q2)
Denom Observed VBP Standard VBP Benchmark Denom Observed VBP Standard VBP Benchmark N Percent x/n N Percent x/n Value Based Purchasing-Clinical Process of Care Measures (%) SCIP-Inf-9 Urinary catheter
More informationMeaningful Use Simple Guide
Meaningful Use Simple Guide 2011-2012 CORE Measures 1. CPOE for Medication Orders 2. Drug Interaction Checks * 3. Maintain Problem & Diagnosis List 4. eprescribing (erx) escripts 5. Active Medication List
More information2012 Core Measures. Acute Myocardial Infarction (AMI)
2012 Core Measures Acute Myocardial Infarction (AMI) Aspirin at Arrival Aspirin Prescribed at Discharge Angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) for left ventricular
More information2018 MIPS Reporting Family Medicine
2018 MIPS Reporting Family Medicine Quality Reporting Requirements: Report on 6 quality measures or a specialty measure set Include at least ONE outcome or high-priority measure Report on patients of All-Payers
More informationFor Electronic Measure Specification Information go to:
Diabetes Recognition NQF 0421 PQRI 128 Title: Adult Weight Screening and Follow-Up Description: Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the
More informationThis Core Measure Report shows performance to date. CAVEAT: Data collection is still in progress for the current and immediate past quarter!
This Core Measure Report shows performance to date. CAVEAT: Data collection is still in progress for the current and immediate past quarter! AMI-1 -- Aspirin at Arrival 9 8 7 6 5 4 3 2 1 AMI-2 -- Aspirin
More informationSUNY Downstate Medical Center/University Hospital Oct - Dec 2013 (Q4)
Value Based Purchasing-Clinical Process of Care Measures Denom Observed VBP VBP Benchmark Standard Denom Observed VBP VBP Benchmark Standard N Percent x/n N Percent x/n SCIP-Inf-9 Urinary catheter removed
More informationAmerican College of Physicians Genesis Registry
Powered by Premier American College of Physicians Genesis Registry This registry has been approved by CMS as a Qualified Clinical Data Registry (QCDR) for Eligible Clinicians and group practices for the
More informationCMS Hospital IQR Program Measure Comparison Tables FY 2018 (CY 2016) Measures Required to Meet Hospital IQR APU Requirements NHSN Submission
CMS IQR Program Measure Comparison Tables (CY 2016) NHSN Submission CLABSI Central Line-Associated Bloodstream Infection (CLABSI) Required NHSN CAUTI Catheter-Associated Urinary Tract Infection (CAUTI)
More informationSCORES FOR 4 TH QUARTER, RD QUARTER, 2014
SCORES FOR 4 TH QUARTER, 2013 3 RD QUARTER, 2014 PATIENT SATISFACTION SCORES (HCAHPS): 4 STARS OUT OF 5 (ONLY 4 AREA ACUTE CARE HOSPITALS RECEIVED A 4-STAR RATING. NONE ACHIEVED 5-STARS). STRUCTURAL MEASURES:
More informationThe Centers for Medicare & Medicaid Services (CMS) Acute Care Hospital Fiscal Year (FY) 2018 Quality Improvement Program Measures
ID M easure Name NQF # H os pital M easurement Period H os pital H os pital Value-Bas ed Purchas ing M easurement Period H os pital H ealth Record (EH R) Incentive M easurement Period H os pital H os pital-
More informationADDITIONAL INFORMATION REGARDING EP CLINICAL QUALITY MEASURES FOR 2014 EHR INCENTIVE PROGRAMS
ADDITIONAL INFORMATION REGARDING EP CLINICAL QUALITY MEASURES FOR 2014 EHR INCENTIVE PROGRAMS The table below entitled Clinical s for 2014 CMS EHR Incentive Programs for Eligible Professionals contains
More informationMIPS: Quality Direct EHR Manual for Aprima Users
MIPS: Quality Direct EHR Manual for Aprima Users CONTENTS QUALITY INTRODUCTION... 5 CMS 2: SCREENING FOR CLINICAL DEPRESSION AND FOLLOWUP PLAN....6 CMS 22: SCREENING FOR HIGH BLOOD PRESSURE AND FOLLOWUP
More informationMeaningful Use for Eligible Providers
Meaningful Use for Eligible Providers Summary of Core and Menu objectives and Clinical Quality s Healthcare Technical Assistance Program, March 11, 2011 V.1.0Copyright 2011, Purdue Research Foundation
More informationMeasure Applications Partnership. Hospital Workgroup In-Person Meeting Follow- Up Call
Measure Applications Partnership Hospital Workgroup In-Person Meeting Follow- Up Call December 21, 2016 Feedback on Current Measure Sets for IQR, HACs, Readmissions, and VBP 2 Previously Identified Crosscutting
More informationAmerican College of Physicians Genesis Registry
Powered by Premier American College of Physicians Genesis Registry This registry has been approved by CMS as a Qualified Clinical Data Registry (QCDR) for Eligible Clinicians and group practices for the
More informationOCHSNER PHYSICIAN PARTNERS. PQRS Measures by Specialty (FINAL)
OCHSNER PHYSICIAN PARTNERS PQRS Measures by Specialty (FINAL) Allergy and Immunology 2. Asthma: Pharmacologic Therapy for Persistent Asthma - Ambulatory Care Setting (PQRS 53) 3. Patients aged 18 years
More informationconvey the clinical quality measure's title, number, owner/developer and contact
CMS-0033-P 153 convey the clinical quality measure's title, number, owner/developer and contact information, and a link to existing electronic specifications where applicable. TABLE 20: Proposed Clinical
More informationMedicare & Medicaid EHR Incentive Programs
Medicare & Medicaid EHR Incentive Programs Meaningful Use Stage 2: Clinical Quality Measures for Eligible Professionals in 2014 and Beyond National Provider Call 10-24-12 Disclaimer This presentation was
More informationOverview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists
Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists Measure Name Measure Domain Measure Focus Comment/Explanation CMS Value-based Purchasing Program (CMS VBP) AMI 30-day
More informationTable 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings
CMS-1345-P 174 Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings AIM: Better Care for Individuals 1. Patient/Care Giver Experience
More informationMU - Selection & Configuration of Measures
MU - Selection & Configuration of Measures Presenter: Christy Erickson October 14, 2011 Objectives Review the 15 Core Measures and highlight some findings from the field Discuss the MU Menu and Clinical
More informationMeaningful Use Criteria for Pediatric Providers
SET OF CRITERIA - 15 REQUIRED These 15 core criteria are called the core set and are required elements for demonstrating meaningful use. This document was prepared for pediatric providers so language pertaining
More informationQuality Payment Program: Cardiology Specialty Measure Set
Measure Title * Reportable via PINNACLE α Reportable via Diabetes Collaborative CQMC v1.0 Measure High Priority Measure Cross Cutting Measure Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor
More informationPerformance Measure. Inpatient Clinical Process of Care Measures
Acute Myocardial Infarction (AMI) 's Maryland Hospital Performance Evaluation System: Inpatient s Quality Based Reimbursement () Measures Highlighted in Green (02/27/2014) Inpatient Clinical Process of
More informationCore = Core required measures for all CAH nationally r = Required by State of Minnesota X = Additional for MBQIP
Key: 2016 Hospital Measure Summary Minnesota Statewide Quality eporting and Measurement System (SQMS) and FY2018 for Center for Medicare and Medicaid Services () January 2016 = equired by Core = Core required
More informationNEW JERSEY 2012 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES
NEW JERSEY 2012 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health Health Care Quality Assessment June 2013 NEW JERSEY
More information2016 Internal Medicine Preferred Specialty Measure Set
1 0059 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%): Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period 5 0081 Registry, EHR, 9 0105
More information2016 General Practice/Family Practice Preferred Specialty Measure Set
1 0059 5 0081 41 N/A 50 N/A 65 0069, EHR 66 0002, EHR Effective Clinical Care Effective Clinical Care Effective Clinical Care Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%): Percentage of patients
More information2015 PQRS Registry. Source Measure Title Measure Description CITIUS1
1 CQ-IQ covers 65 CMS defined measures that Eligible Providers (EPs) have to report on to assess quality of care provided to the patients. Version Supported: PQRS Registry 2015 65 measures Reporting Period:
More informationDisclosure. From the London Times... What Is Meaningful Use? 11/7/2011. Overview. The Road to Meaningful Use and Beyond
Disclosure The Road to and Beyond A Simple Overview of a Complex Topic I have no relevant financial relationships to disclose. HIT Subcommittee Dr. Charles King II, Chair Dr. Robert Warren Itara Barnes,
More informationNEW JERSEY 2011 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES
NEW JERSEY 2011 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health and Senior Services Health Care Quality Assessment
More informationN E R U C Using Certified Electronic Health Record (EHR) Technology to: Improve quality, safety, efficiency, and care coordination
Due to a last minute ruling on 10/16/2015 O eb K O IS R U C Y L T N E R I 10.14.2014 D I L A V N Meaningful Use IS - Interactive Training Guide TH Using Certified Electronic Health Record (EHR) Technology
More informationCMS Measures - Fiscal Year 2019
ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) CMS s - Fiscal Year 2019 ID Name NQF # The Centers for Medicare & Medicaid Services (CMS) Improvement
More information50198 Federal Register / Vol. 75, No. 157 / Monday, August 16, 2010 / Rules and Regulations
50198 Federal Register / Vol. 75, No. 157 / Monday, August 16, 2010 / Rules and Regulations mstockstill on DSKH9S0YB1PROD with RULES2 VerDate Mar2010 17:02 Aug 13, 2010 Jkt 220001 PO 00000 Frm 00158
More informationFY X Time (48 hrs for cardiac surgery) SCIP-Inf-4 Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Blood
Valuebased 2013 Hospital Measure Summary Data Collection for Inpatient Quality Reporting FY2015 and Outpatient Reporting CY2014 January 2013 Key: = Required by both CMS and State of Minnesota = Required
More informationQuality Performance Measures. (Starter Set)
Quality Performance Measures (Starter Set) 1 Contents ADMINISTRATIVE MEASURES.4 HEART AND VASCULAR 5 Cardiology.5 Cardiovascular Surgery 5 Vascular..5 HOSPITAL CLINICAL SERVICES.6 Pathology 6 Radiation
More informationImproving Quality of Care for Medicare Patients: Accountable Care Organizations
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE
More informationQuality Payment Program: Cardiology Specialty Measure Set
Quality Payment Program: Cardiology Specialty Set Title Number CMS Reporting Method(s) Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for
More information2016 PQRS Recommended Measures for: General/Family Practice
Measures Groups Choose 1 Measures Group Report on a minimum of 20 eligible patients (at least 11 must be Medicare Part B FFS patients) #130: Documentation of Current Medications in the Medical Record #204:
More informationMeaningful Use. Using Certified Electronic Health Record (EHR) Technology to: Improve quality, safety, efficiency, and improve care coordination
Meaningful Use Using Certified Electronic Health Record (EHR) Technology to: Improve quality, safety, efficiency, and improve care coordination Meaningful Use Chapter Select Intro & Glossary Meaningful
More information2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes
2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes 11/10/2011 CPT only copyright 2011 American Medical Association.
More information2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes
2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes 0 CPT only copyright 2011 American Medical Association. All rights
More informationHEALTHCARE REFORM. September 2012
HEALTHCARE REFORM Accountable Care Organizations: ACOs 101 September 2012 The enclosed slides are intended to provide you with a general overview of accountable care organizations (ACOs), created within
More informationCMS Hospital Inpatient Quality Reporting (IQR) Program Measures for the FY 2020 Payment Update
CMS Inpatient Quality Reporting (IQR) Program Measures for the Payment Update Measures Required to Meet IQR Program APU Requirements Healthcare-Associated Infection on CAUTI National Healthcare Safety
More informationCMS Hospital Inpatient Quality Reporting (IQR) Program Measures for the FY 2019 Payment Update
CMS Inpatient Quality Reporting (IQR) Program Measures for the Update Measures Required to Meet IQR Program APU Requirements NHSN Submission CAUTI National Healthcare Safety Network (NHSN) Catheter-Associated
More informationMedicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years
Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years Introduction This document describes methods for calculating the quality performance benchmarks for Accountable
More informationThe table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO
The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO ACO-1 ACO-2 Getting Timely Care, Appointments, and Information How Well Your Providers
More informationQuality Measures MIPS CV Specific
Quality Measures MIPS CV Specific MEASURE NAME Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy CAHPS for MIPS Clinician/Group Survey Cardiac Rehabilitation Patient Referral from
More information2010 PQRI M EASURE- A PPLICABILITY V ALIDATION P ROCESS FOR C LAIMS- B ASED R EPORTING OF I NDIVIDUAL M EASURES
The 2010 Physician Quality Reporting Initiative (PQRI) will include validation processes. Under the claims-based reporting method of individual measure(s), the determination of satisfactory reporting will
More information2011 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes
2011 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes CMS is pleased to announce the release of the 2011 Physician Quality
More informationThe Future of Cardiac Care: Managing Our Patients Together
The Future of Cardiac Care: Managing Our Patients Together Charles R. Caldwell, MD, FACC Disclosures: iheartdoc,inc. Telemedicine 1 MACRA Medicare Access and CHIP Reauthorization Act of 2015 Repealed the
More informationemeasure Titles and Descriptions
emeasure Titles and Descriptions 0109 0110 0111 1385 HRSA/ OHSU 0576 Bipolar Disorder and Major Depression: Assessment for Manic or Hypomanic Behaviors Bipolar Disorder and Major Depression: Appraisal
More informationAppendix G Explanation/Clarification Summary
Appendix G Explanation/Clarification Summary Summary of Changes for Recommendations Alignment of measures with VBP by fiscal year Measures and service dates were adjusted to be consistent with the FY2016
More informationComprehensive ESRD Care (CEC) Model Proposed Quality Measures for Public Comment. Table of Contents
Comprehensive ESRD Care (CEC) Model Proposed Quality s for Public Comment Table of Contents Page # Introduction 3 Summaries by Domain Technical Expert Panel Recommended CEC Quality s 4 s that were recommended
More informationMEASURING CARE QUALITY
MEASURING CARE QUALITY Region December 2013 For Clinical Effectiveness of Care Measures of Performance From: Healthcare Effectiveness Data and Information Set (HEDIS ) HEDIS is a set of standardized performance
More information2010 Physician Quality Reporting Initiative Measures Groups Specifications Manual
2010 Physician Quality Reporting Initiative Measures Groups Specifications Manual This manual contains specific guidance for reporting 2010 Physician Quality Reporting Initiative (PQRI) Measures Groups.
More informationGUARDIAN CMS QUALIFIED MIPS REGISTRY INFORMATION BRIEF
GUARDIAN CMS QUALIFIED MIPS REGISTRY INFORMATION BRIEF 2019 CHANGES IN THE CMS MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015 (MACRA) QUALITY PAYMENT PROGRAM On November 1, 2018 CMS released the
More information2016 Physician Quality Reporting System (PQRS) GPRO Web Interface Measures List 12/18/2015
2016 Physician Quality Reporting System (PQRS) Web Interface 12/18/2015 NQF, ) Care Coordination/Patient Safety (CARE) s (2 s Individually Sampled) CARE-2 Falls: Screening for Future Fall Risk Only #318
More informationProgram Metrics. New Unique ID. Old Unique ID. Metric Set Metric Name Description. Old Metric Name
Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for, Atrial Fibrillation, Hypertension and.
More informationStratis Health
2017 Hospital Measure Summary Minnesota Statewide Quality eporting & Measurement System (SQMS) and FY2019 for Center for Medicare & Medicaid Services (CMS) Contents Key... 1 Chart Abstracted Measures...
More informationCompass PTN Core Measures
Compass PTN Core Measures emeasure ID: CMS122v5 NQF: 0059 QualityID: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) Patients 18-75 years of age with diabetes with a visit during the measurement
More information2014 ACO GPRO Audit What this means for your practice. Sheree M. Arnold ACO Clinical Transformation Specialist
2014 ACO GPRO Audit What this means for your practice Sheree M. Arnold ACO Clinical Transformation Specialist Agenda Catholic Medical Partners ACO overview Attribution and sampling of patients ACO quality
More information2017 Eligible Measure Applicability (EMA) for Registry Data Submission of Individual Quality Measures
2017 Eligible Measure Applicability (EMA) for Registry Data Submission of Individual Quality Measures 07/17/2017 Page 1 of 10 QPP Clinically Related Measure Analysis Used in EMA Clinical Relation including
More informationTable of Contents. Claims Based Measures Calculated by CMS (Outpatient) Imaging Efficiency Page 10
Current Proposed Quality Measures Table of Contents Inpatient Measures Collected Submitted by Hospital Acute Myocardial Infarction/Emergency Department Page2 Immunization/Heart Failure/Pneumonia/Stroke
More informationAMI Talking Points. Provide appropriate treatment to Acute MI patients with these core measures:
AMI Provide appropriate treatment to Acute MI patients with these core measures: Aspirin received within 24 hours of arrival or contraindication documented Primary PCI Received Within 90 Minutes of Hospital
More informationConsensus Core Set: ACO and PCMH / Primary Care Measures Version 1.0
Consensus Core Set: ACO and PCMH / Primary Care s 0018 Controlling High Blood Pressure patients 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately
More information2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual
2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual 12/19/2012 CPT only copyright 2012 American Medical Association. All rights reserved. CPT is a registered trademark
More informationMeasure Owner Designation. AMA-PCPI is the measure owner. NCQA is the measure owner. QIP/CMS is the measure owner. AMA-NCQA is the measure owner
2011 EHR Measure Specifications The specifications listed in this document have been updated to reflect clinical practice guidelines and applicable health informatics standards that are the most current
More informationEnd-Stage Renal Disease Quality Incentive Program (ESRD QIP) Status Type NQF Measure Title
End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Status Type NQF Measure Title NQF Status ID Implemented Outcome 1454 Proportion of patients with hypercalcemia 0256 Vascular Access Type Catheter
More informationPCC EHR Meaningful Use Measures. Maria Horn July 18, :15 pm. Including CQM Reports
PCC EHR Meaningful Use Measures Maria Horn July 18, 2014 2:15 pm Including CQM Reports Meaningful Use and PCC EHR This presentation reviews the measures that are housed in PCC EHR which is 2011 CEHRT (Certified
More information2016 Hospital Measures
2016 Hospital Measures Vicki Tang Olson, Stratis Health Statewide Quality Reporting and Measurement System (SQRMS) Annual Forum June 22, 2015 Objectives Share the process used for 2016 hospital measures
More informationQuality Committee Core Measures Report AMI. Acute Myocardial Infarction
AMI 2011 Acute Myocardial Infarction ASPIRIN AT ARRIVAL: A higher number is better. This measure shows the percentage of heart attack patients who receive aspirin within 24 hrs of arrival at hospital.
More informationProvider Perspective of Quality Measurement
Provider Perspective of Quality Measurement The American Medical Group Association supports its members in enhancing population health and care for patients through integrated systems of care Improve
More information2013 Physician Quality Reporting System (PQRS) Quality-Data Code (QDC) Categories
2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Apply to Government Use. Fee schedules,
More informationMeaningful Use & Million Hearts. Improving Cardiovascular Disease & Stroke Through Quality Measurements
Meaningful Use & Million Hearts Improving Cardiovascular Disease & Stroke Through Quality Measurements Phone lines are now muted Find this or any previous webinar, go to http://www.ehrhelp.missouri.edu
More informationth Street, NW Suite 1000 Washington, DC phone fax
TO: Interested Organizations FROM: Patrick Dahill, Assistant Vice President, Accreditation & Measures Policy DATE: May 15 2017 (Updated on October 18, 2017) RE: Measures for Accreditation Scoring in 2018
More informationincluding prevention, healthy lifestyle behaviors, populations at risk & disparities (age, race/ ethnicity, gender, geographic & socioeconomic)
Endorsement Maintenance 2010 Identification of Gap Areas for which Evidence-based Surgery-related Measures are Needed Cardiac, General, Other Surgical Subspecialties The table below is a tool that identifies
More informationMeasurement Name Beta-Blocker Therapy Prior Myocardial Infarction (MI)
Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for Artery, Atrial Fibrillation, Hypertension
More informationMeasure Owner Designation. AMA-PCPI/NCQA (contract) is the measure owner. AMA-PCPI is the measure owner. AMA-PCPI/ASCO/NCCN is the measure owner
2012 EHR Measure Specifications The specifications listed in this document have been updated to reflect clinical practice guidelines and applicable health informatics standards that are the most current
More informationNew PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0.
New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0. Measure Steward Measure Name Measure Description Rationale for Adding
More informationClinical Integration Quality Measures
Clinical Integration Quality Measures Valley Integrated Care Network (VIPN) is physician-driven, with physicians determining which quality measures will be used to improve overall quality of care. Purpose:
More informationNon-QPP Measures 3 AQUA12. 6 AQUA15 Stones: Urinalysis documented 30 days before
Non-QPP Measures 1 Measure ID Measure Title Definition Type Domain AQUA3 (inverse) Cryptorchidism: Inappropriate use of scrotal/groin ultrasound on boys Percentage of patients (boys) =< 18 years of age
More informationPrescribe appropriate immunizations for. Prescribe childhood immunization as per. Prescribe influenza vaccinations in high-risk
Supplemental Digital Appendix 1 46 Health Care Problems and the Corresponding 59 Practice Indicators Expected of All Physicians Entering or in Practice Infectious and parasitic diseases Avoidable complications/death
More informationConsensus Core Set: Cardiovascular Measures Version 1.0
Consensus Core Set: Cardiovascular s NQF 0330 Hospital 30-day, all-cause, riskstandardized readmission rate (RSRR) following heart failure hospitalization 0229 Hospital 30-day, all-cause, riskstandardized
More informationPhysician Consortium for Performance Improvement (PCPI) Performance Measure Status Report
Acute Otitis Externa / Otitis Media with Effusion (8 measures) (AAO-HNS Foundation) AOE : Topical therapy AOE : Pain assessment AOE : Systemic antimicrobial therapy avoidance of inappropriate use OME :
More informationOur Commitment to Quality and Patient Safety Core Measures
Calvert Memorial Hospital is committed to our community, with a focus on patient-centered care. High quality and safe patient care is not our goal, it is our priority. That means delivering the best possible
More informationSOC s Guide to the 2013 CMS New Core Measures for Stroke
SOC s Guide to the 2013 CMS New Core Measures for Stroke Since 2004, the Centers for Medicare & Medicaid Services (CMS) has collected quality data from acute care hospitals on a voluntary basis under the
More informationAdvantEdge Healthcare Solutions Physician Quality Reporting System (PQRS) Resource Guide
\ 2013 Physician Quality Reporting System (PQRS) Resource Guide January 24, 2013 1 2013 Physician Quality Reporting System (PQRS) January 3, 2013 We have created this PQRS Resource Guide so that the most
More information