Transcription
Meaningful UsePQRSVBPM
9 Measures that include 3 Domains 64 total measures (link to follow)6 possible domains (link to follow)Recommended pediatric and adult core measures(link to follow)Do not have to be linked to Clinical DecisionSupport rules“Alignment” with PQRS and VBPM Programs
MU CQMRequired for attestationfor MUPQRSVPBMPay for reporting Affordable Care Act(ACA) Pay for performance2014 Incentive forreporting2016 Incentive for 2014quality2016 penalty for notreporting in 20142016 penalty for notreporting in 2014 ifgroup (TIN) 102016 penalty for lowquality score in 2014 ifgroup (TIN) 100
Issues: Highly specific numerator and denominatordefinitionsHighly specific EHR measurement methodsChanging clinical goals/parameters
MU CQMPQRSVBPMZero denominator Only if all othermeasures havezerosNoNoZero numeratorYesNoYes
MU CQMPQRSVBPMPenalty 9 Measures,3 Domains Core/Menu 1 Measure 1 MeasurePenaltyFail to meet MU;1-5% MedicareAllowableCharges (MAC)2% MAC (2016)2% MAC (2016)Incentive/AdjustmentMU: 9 Measures,3 Domains Core/Menu 1 measureBased on PQRSquality and costIncentive Depends onreporting Stage0.5 % MAC0-2% MACgroups 10;-1 to 2% groups 100
MU CQMPQRSVBPMQualitydependentNo (0%-100%)No (1%-100%)YesCost ScoringNoNoYesQualityControlling High Blood Pressure: 99% Good, 10% BadA1C 9.0: 1% Good, 99% Bad
MU measures certified for 2014 Demo of finding out what is certified(http://oncchpl.force.com/ehrcert?q chpl)PQRS measures certified for 2014Reporting options available for 2014
NQF: National Qualify Foundation, PQRS: Physician Quality Reporting System
1.2.List of Measures EHR providesIdentify 9 Measures, 3 Domains 3.4.Measure and Improve QualityIdentify 9 measures for MUIdentify 9 measures for PQRSDetermine reporting method for MUDetermine reporting method for PQRS
DomainSafetyClinical ProcessesPopulationManagementCare 7130236110119112113111Documentation of MedicationsControlling HypertensionInfluenza vaccinationDiabetes: ACR screeningBreast Cancer ScreeningCervical Cancer ScreeningColon Cancer ScreeningPneumovacc age 65138226Tobacco cessation6950128BMI and follow-up adultsClosing the Referral loop
List of measures EHR providesIdentify any measures of clinical importance1.2.Measure and improve quality Additional measures with any data for MU3.If total 9 w 3 Domains run reports for all availablemeasures Additional measures for PQRS/VBPM4. 5.6.? Zero optionIf EHR produces dataDetermine reporting method for MUDetermine reporting method for PQRS
64 total measures: /EHRIncentivePrograms/Downloads/2014 EP MeasuresTable June2013.pdf) Recommended pediatric core ce/Legislation/EHRIncentivePrograms/Downloads/2014 CQM PrediatricRecommended CoreSetTable.pdf) Recommended adult core ce/Legislation/EHRIncentivePrograms/Downloads/2014 CQM AdultRecommend CoreSetTable.pdf) CQM Basic: html
Domain CMS MU PQRS Measure Safety 68 130 Documentation of Medications Clinical Processes 165 236 Controlling Hy
