Michigan Strategy Group #2 Critical Access Data Management and Analysis Hospital Quality Network August 21, 2020 AS A PREMIER SYSTEM OF QUALITY, THE MICHIGAN CRITICAL ACCESS HOSPITAL QUALITY NETWORK (MICAH QN) WILL BE A MODEL IN DEVELOPING PROCESSES THAT DEMONSTRATE THE HIGH QUALITY SERVICE PROVIDED BY CAHS. MICAH QN WILL IDENTIFY OPPORTUNITIES FOR CHANGE THAT LEAD TO CONTINUED IMPROVEMENT IN THE HEALTH STATUS OF THE POPULATION WE SERVE.
Required Measures Spreadsheet was updated to include: Strategy Group #2 #2 ◦ The addition of a composite score for EDTC Required (NOT required to report for BCBS P4P, but this s on the MBQIP report on the Stratis tool) Measures Spreadsheet
October 31, 2020 Emergency Department Transfer Communication (EDTC) Measures Patients seen Q3 2020 (July, August, September) Note – there is no reporting exception for Q3 2020 submission Reporting Make sure to use the revised EDTC Manual for 2020 encounters Reminders Submission process directed by state Flex Program November 1, 2020 Upcoming deadlines CMS Population and Sampling (optional) ‡ Patients seen Q2 2020 (April, May, June) † to submit to MCRH Inpatient * and outpatient Entered via the Secure Portal on QualityNet or HARP account November 1, 2020 CMS Outpatient Measures Patients seen Q2 2020 (April, May, June) † CMS Hospital Outpatient Reporting Specifications Manual version 13.0a Submitted to the QualityNet warehouse via CART or by vendor CART version 1.18.1
MHA Key Metrics Dashboard Looking at: • Sepsis Mortality (claims) • Readmissions (claims) • Falls and ADEs (manual)
Future BCBS P4P Peer Group 5 BCBS P4P Direction (Julie Andes) Update • Patient Safety ACA requirement: Patient Safety Survey • Maintenance of HIE information and data conformance (no additional HIE measures anticipated in the near future) • Other quality metric outcomes without focus on thresholds
▪ STAR Ratings – ▪ CMS Proposed changes in EDUCATION methodology (Becker’s handout) ▪ Education coming….
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