a crosswalk of measures and standards for eligible physicians and other providers janet whitmoyer,...
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A Crosswalk of Measures and Standards for Eligible Physicians and Other Providers
Janet Whitmoyer, RNHealth Technology Consultant
Ever Get That Sinking Feeling?
Congress and federal and state regulators increased their focus on quality health care via several data reporting systems: Medicare Physician Quality Reporting System (PQRS)Patient-Centered Medical Home Program (PCMH)
Developed by the National Committee on Quality Assurance (NCQA)
Electronic Health Record Meaningful Use (MU)
Congress and federal and state regulators increased their focus on quality health care via several data reporting systems: Medicare Physician Quality Reporting System (PQRS)Patient-Centered Medical Home Program (PCMH)
Developed by the National Committee on Quality Assurance (NCQA)
Electronic Health Record Meaningful Use (MU)
Congress and federal and state regulators increased their focus on quality health care via several data reporting systems: Medicare Physician Quality Reporting System (PQRS)Patient-Centered Medical Home Program (PCMH)
Developed by the National Committee on Quality Assurance (NCQA)
Electronic Health Record Meaningful Use (MU)
Congress and federal and state regulators increased their focus on quality health care via several data reporting systems: Medicare Physician Quality Reporting System (PQRS)Patient-Centered Medical Home Program (PCMH)
Developed by the National Committee on Quality Assurance (NCQA)
Electronic Health Record Meaningful Use (MU)
Congress and federal and state regulators increased their focus on quality health care via several data reporting systems: Medicare Physician Quality Reporting System (PQRS)Patient-Centered Medical Home Program (PCMH)
Developed by the National Committee on Quality Assurance (NCQA)
Electronic Health Record Meaningful Use (MU)
The Perfect StormCongress and federal and state regulators increased their focus on quality health care via several data reporting systems: Medicare Physician Quality Reporting System (PQRS)Patient-Centered Medical Home Program (PCMH)
Developed by the National Committee on Quality Assurance (NCQA)
Electronic Health Record Meaningful Use (MU)
Rip Tide WarningPrimary purposes of data reporting:
Help inform providersHelp improve individual patient careHelp identify health care trends and
disparities w/in practice populations
Reasons for a nationwide S.O.S.Complexities of meeting requirementsFinancial and reimbursement implications Frustrating and resource-intensive mechanics
Help Is On The Way
Partnering together to HELP YOU meet data reporting
requirements and use your data in a meaningful way to organize
care and meet the needs of your patients!
Bridge Over Troubled WatersProviders seeking an electronic health
record (EHR) incentive payment from either Medicare or Medicaid through adoption of a certified EHR system are required to report on MU health information functionality measures in order to achieve stage 1 objectives
Core Measure 10 requires providers to additionally capture and report clinical quality measures using their EHRs
Bridge Over Troubled WatersWe’ve created a tool that
matches these MU and clinical quality measures with related PQRS measures and the 2011 Patient-Centered Medical Home standards
This crosswalk will assist you in identifying common measures/standards addressed by each of these programs
Charting Your CourseWhen determining which measures to
report, providers must consider several factors.
What measures are most meaningful to your practice/specialty?
Mountain-Pacific assists with data reporting, extraction, workflow analysis and facilitation of information exchange
Focus areas are preventive care and screening measures (esp. those aimed at improving cardiac health)
What measures are supported by your EHR system?
Note: Not all EHR vendors support all 44 clinical quality measures.
Are there measures that are meaningful to your practice that meet both MU and PQRS objectives?
Smooth Sailing AheadElectronic health records
+Accurate data gathering, reporting and
analysis
=Better provider-patient partnerships
Better health managementBetter quality of care
We hope this crosswalk is helpful in determining how to effectively and efficiently
achieve these objectives!
Join Mountain-Pacific’s Learning and Action Network!
Smooth Sailing Ahead
You’ll have the opportunity to work collaboratively with others who are struggling with similar concerns and/or barriers and resolve problems related to providing care!
Your Online HeadingsTo Access the Crosswalk:
Go to www.mpqhf.orgHover on Health Care Providers so the
drop-down menu appearsClick on Quality Data Reporting
To Join Mountain-Pacific’s Learning & Action Network:Go to www.mpqhf.orgHover on Health Care Providers so the
drop-down menu appearsClick on Physician Offices
What are your questions?Lifeguard Information:Janet Whitmoyer, RNHealth Technology ConsultantMountain-Pacific Quality [email protected]
This material was developed by Mountain-Pacific Quality Health, the Medicare quality improvement organization for Montana, Wyoming, Hawaii and Alaska, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. Contents presented do not necessarily reflect CMS policy. 10SOW-MPQHF-MT-IH-12-08