Hospital IQR Program ecqm Reporting. November 7, 2013
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1 Hospital IQR Program ecqm Reporting November 7, 2013
2 Discussion Topics Goals, Focus and Background Hospital IQR Program Requirements Where to begin Chart-Abstracted Deadlines ecqm Deadlines What to do now Who to contact Hospital IQR Website 2
3 Overview, Goals and Focus Overview Goal CMS believes the collection and reporting of data through health information technology (HIT) will simplify and streamline reporting for many CMS quality reporting programs Align and harmonize measures across hospital quality reporting programs to minimize the reporting burden imposed on hospitals Initial Focus Align the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare Electronic Health Record (EHR) Incentive Program for eligible hospitals 3
4 Hospital Quality Reporting Alignment (Slide 1 of 2) Medicare EHR Incentive Program Also known as Meaningful Use Provides Medicare and Medicaid incentive payments to qualifying physicians, healthcare professionals, and hospitals when they adopt and meaningfully use Certified Electronic Health Record Technology (CEHRT). CMS published Meaningful Use CEHRT regulations in final rules Stage 1 in July 2010 Stage 2 in September 2012 Hospital IQR Program CMS finalized rules to begin to align the hospital IQR and Medicare EHR Incentive programs in the Fiscal Year 2014 Inpatient Prospective Payment System (IPPS) Final Rule in August
5 Hospital Quality Reporting Alignment (Slide 2 of 2) What are ecqms? Electronically specified versions of current chart-abstracted clinical quality measures Developed specifically so Certified Electronic Health Record Technology (CEHRT) can calculate, export and transmit the measure specifications/data May also be called: emeasures EHR-Abstracted Electronically specified CQM EHR derived or EHR based 5
6 Hospital IQR Program Requirements (Slide 1 of 4) ecqms only need to be submitted for one quarter of CY 2014 Q1, Q2, or Q3 (Q4 cannot be accepted due to program deadlines) ecqms submitted must be from the same discharge reporting quarter If more than one quarter is submitted, only the first quarter submitted will be considered All other Hospital IQR chart abstracted measures and any electronically specified measure set not reported for the first successful electronically reported quarter, prior to the reporting deadline must still be reported via chart abstraction for the full CY
7 Hospital IQR Program Requirements (Slide 2 of 4) Measure sets for voluntary electronic reporting in CY
8 Hospital IQR Program Requirements (Slide 3 of 4) IQR chart-abstracted quality measure submissions will remain the same for CY2014 or FY2016 payment determination Facilities will have: Four months following quarter end to submit aggregate population and sample size counts 14 days following the aggregate population and sample size count deadline to submit the required patient level records 8
9 Hospital IQR Program Requirements (Slide 4 of 4) Chart-Abstracted Deadlines CY 2014 Quarters CY 2014 Submission Deadlines for IQR Chart-Abstracted Measures January March, 2014 August 15, 2014 April June, 2014 November 15, 2014 July September, 2014 February 15, 2015 October December, 2014 May 15,
10 emeasure Deadlines Second Year or Beyond of Meaningful Use CY 2014 Quarters Submission Deadlines for ecqms January March, 2014 Jan 2, 2014 Nov 30, 2014 April June, 2014 Jan 2, 2014 Nov 30, 2014 July September, 2014 Jan 2, 2014 Nov 30, 2014 October December, 2014 N/A First Year Demonstrating Meaningful Use CY 2014 Quarters Submission Deadlines for ecqms January March, 2014 Jan 2, 2014 July 1, 2014 April June, 2014 Jan 2, 2014 July 1, 2014 July September, 2014 October December, 2014 N/A N/A 10
11 Where to Begin To Report ecqms: Verify use of Certified Electronic Health Record Technology (CEHRT) that meets 2014 standards. Research the process (e.g., what needs to be document? Where does it need to be documented within the system)? 11
12 For More Information, Contact emeasure Reporting , Inpatient Q&A tool website, QualityNet website emeasure Reporting updates soon, Hospital Inpatient Quality Reporting Support website, 12
13 Questions? This material was prepared by Telligen, Hospital Inpatient Quality Reporting Program Support Contractor, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. 10SoW-IA-HIQRP-11/
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