Clinical Quality Measures (CQMs) CoP CQM/ Electronic CQM Resources - PowerPoint PPT Presentation

Clinical Quality Measures (CQMs) CoP CQM/ Electronic CQM Resources for Eligible Professionals (EPs) & State Medicaid Agency (SMA) Staff This is an advance copy of the CQM presentation May 1, 2014 for your review only. This presentation is subject to 2:00 PM Eastern Time change and should not be reproduced. The final version of the presentation will be posted to the Medicaid Electronic Health Record (EHR) Team (MeT) Medicaid HITECH TA Web site at a later date. Centers for Medicare and Medicaid Services (CMS)

Today’s CMS & MeT Resources David Koppel: David.Koppel@cms.hhs.gov CMS, Health Information Technology for Economic and Clinical Health (HITECH) Coordinator Phone: (410) 786-3255 Lee Repasch: Lee.Repasch@cms.hhs.gov CMS Phone: (303) 844-7036 Izanne Leonard-Haak: Ileonardhaak@healthmanagement.com MeT, Team Member Health Management Associates 2

Discussion Topics 1. CQM Resources for Providers 2. CQM Resources for SMA EHR Incentive Staff 3. Resources for SMA Technical Staff 4. Upcoming Events 3

CQM Resources for Providers eHealth University EP Guide to Stage 2 (CQMs) CQM Resources 4

http://www.cms.gov/eHealth/eHealthUniversity.html 5

EP Guide to Stage 2 6

http://www.cms.gov/eHealth/downloads/eHealthU_EPsGuideStage2EHR.pdf

CQM Resources

CQM Resources for SMA EHR Staff eCQM Library Guide to Reading CQMs CQM Exclusions & Exceptions Quality Reporting Document Architecture (QRDA) l & lll 9

eCQM Library

eCQM Library http://www.cms.gov/Regulations- and- Guidance/Legislation/EHRIncentive Programs/eCQM_Library.html

eCQM Library Guide to Reading eCQMs

http://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/Downloads/eMeasures_GuidetoReading.pdf 13

Understanding an eCQM Human Readable Rendition 14

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eCQM Exclusions & Exceptions Not like the exclusions related to Core and Menu Measures. The Core and Menu Measure exclusions allow a provider to avoid reporting on a measure. Exclusions related to a CQM allow a provider to pull information out of the CQM numerator or denominator because it is inappropriate. So for example, if there is a patient in the CQM numerator and denominator for whom the CQM would normally apply, but the action would be contraindicated for some reason, the provider would make an exception to the normal care process for that patient. Rather than appear to be practicing inappropriately or not accounting for all patients for whom the CQM applies, the provider would report that person as an exclusion for purposes of the CQM.

CQM Exclusions 17

CQM Exceptions 18

Specifications http://cms.gov/Regulations-and- 1. Guidance/Legislation/EHRIncentivePrograms/Downloads/2014_eCQM_EP_June2013.zip 2. 3.

Exclusion Exception

QRDA http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Guide_QRDA_2014eCQM.pdf

End-to-End Reporting Process (Uses standardized data models for clinical & quality reporting) http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Guide_QRDA_2014eCQM.pdf

CQM Resources for SMA Technical Staff QRDA Guides eCQM Specification Feedback System CQM Issue Tracker 24

Also in Guide for Reading EP/EH CQMs http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/eMeasures_GuidetoReading.pdf 25

eCQM Library 2014 QRDA

QRDA 1 27

QRDA lll 28

eCQM Specification Feedback System http://oncprojecttracking.org/secure/Dashboard.jspa

http://oncprojecttracking.org/secure/Dashboard.jspa

Open Discussion and Sharing 32

Upcoming CQM CoPs July 3, 2014, 2:00 PM Eastern State eCQM Initiatives September 4, 2014, 2:00 PM popHealth 33

Jason McNamara Jason.McNamara@cms.hhs.gov CMS, Technical Director for Health IT Phone: 410-786-3315 David Koppel David.Koppel@cms.hhs.gov CMS, HITECH Coordinator Phone : 410 786-3255 Lee Repasch Lee.Repasch@cms.hhs.gov CMS Phone: (303) 844-7036 Izanne Leonard-Haak Ileonardhaak@healthmanagement.com MeT Team 34