EHR certification requirements, and the capabilities an EHR should build to be eligible for QPP. Interoperability, data access and security are some of the core of QPP.
MACRA will help us move more quickly towards our goal of value-based care. MIPS combines parts of the Physician Quality Reporting System (PQRS), the Value Modifier (VM or Value-based Payment Modifier), and the Medicare Electronic Health Record (EHR) incentive program into one single program. Have a look at the objectives & measures, quality scoring methodology, clinical practice improvements and other pertinent details.
Enhancing Competitive Advantage through Improved HEDIS Reporting and NCQA Rat...CitiusTech
The objective of this document is to provide a high level understanding of the Healthcare Effectiveness Data and Information Set (HEDIS), which is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. This document helps in understanding different components of the HEDIS in terms of the measure sets (what it is meant for health plans, changes to the previous year), different methods of collecting data for HEDIS and key requirements for reporting HEDIS
NCQA’s Accreditation process provides payers with a comprehensive framework to improve quality of care and services. It allows members and employers to compare health plan performance across various plans and against industry benchmarks. NCQA accreditation has 3 parts – HEDIS, Patient experience CAHPS measures and NCQA standards
Quality and Outcome Framework (QOF) is a voluntary annual incentive programme for GPs in England, detailing practice achievement results. The primary objective of QOF is to drive the quality of primary care and reduce variations in the quality of care amongst GPs
Transforming Post-Acute Care with IMPACTCitiusTech
On October 6, 2014, a bipartisan bill on Improving Medicare Post-Acute Care Transformation (IMPACT) was signed. The IMPACT Act seeks to standardize assessments for vital care issues across the gamut of post-acute care (PAC) providers and builds a framework to ensure that the delivered care is mindful of the patient needs; thereby eliminating the current silo-focused approach to quality measurement and resource utilization.
Transforming Clinical Practice InitiativeCitiusTech
The Transforming Clinical Practice Initiative (TCPI) is designed to help small practices and clinicians achieve large-scale health transformation. The initiative is designed to support more than 140,000 clinician practices over four years duration in sharing, adapting and further developing their comprehensive quality improvement strategies. The TCPI is one part of a unique strategy advanced by the Affordable Care Act to strengthen the quality of patient care and manage health care expenditures, ultimately saving the taxpayer from substantial costs. This document describes the initiative in detail with the type of participants, eligibility and reporting requirements of the participants. Understanding the implementation of this initiative not only helps clinicians, but opens up a huge market for Healthcare IT companies offering the products and services like EHR implementation, Integration, EHR/ Data Migration, Implementation of HIE etc.
21st Century Act and its Impact on Healthcare ITCitiusTech
This document gives an overview, core objectives of the act and enumerates purpose of each part / division of the 21st Century Act. It lists down the sections of the act which have a direct impact on Healthcare IT and gives a brief overview of each section.This document also explains the impact of 21st Century Cures Act on regulatory bodies: FDA / NIH / HSS.
Medicare Advantage is one of the few areas your clinic can generate risk scores. Learn the basics of the program, strategies to increase your reimbursement processes to monitor compliance with 5 star and tools available on the market to help your physicians.
MACRA will help us move more quickly towards our goal of value-based care. MIPS combines parts of the Physician Quality Reporting System (PQRS), the Value Modifier (VM or Value-based Payment Modifier), and the Medicare Electronic Health Record (EHR) incentive program into one single program. Have a look at the objectives & measures, quality scoring methodology, clinical practice improvements and other pertinent details.
Enhancing Competitive Advantage through Improved HEDIS Reporting and NCQA Rat...CitiusTech
The objective of this document is to provide a high level understanding of the Healthcare Effectiveness Data and Information Set (HEDIS), which is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. This document helps in understanding different components of the HEDIS in terms of the measure sets (what it is meant for health plans, changes to the previous year), different methods of collecting data for HEDIS and key requirements for reporting HEDIS
NCQA’s Accreditation process provides payers with a comprehensive framework to improve quality of care and services. It allows members and employers to compare health plan performance across various plans and against industry benchmarks. NCQA accreditation has 3 parts – HEDIS, Patient experience CAHPS measures and NCQA standards
Quality and Outcome Framework (QOF) is a voluntary annual incentive programme for GPs in England, detailing practice achievement results. The primary objective of QOF is to drive the quality of primary care and reduce variations in the quality of care amongst GPs
Transforming Post-Acute Care with IMPACTCitiusTech
On October 6, 2014, a bipartisan bill on Improving Medicare Post-Acute Care Transformation (IMPACT) was signed. The IMPACT Act seeks to standardize assessments for vital care issues across the gamut of post-acute care (PAC) providers and builds a framework to ensure that the delivered care is mindful of the patient needs; thereby eliminating the current silo-focused approach to quality measurement and resource utilization.
Transforming Clinical Practice InitiativeCitiusTech
The Transforming Clinical Practice Initiative (TCPI) is designed to help small practices and clinicians achieve large-scale health transformation. The initiative is designed to support more than 140,000 clinician practices over four years duration in sharing, adapting and further developing their comprehensive quality improvement strategies. The TCPI is one part of a unique strategy advanced by the Affordable Care Act to strengthen the quality of patient care and manage health care expenditures, ultimately saving the taxpayer from substantial costs. This document describes the initiative in detail with the type of participants, eligibility and reporting requirements of the participants. Understanding the implementation of this initiative not only helps clinicians, but opens up a huge market for Healthcare IT companies offering the products and services like EHR implementation, Integration, EHR/ Data Migration, Implementation of HIE etc.
21st Century Act and its Impact on Healthcare ITCitiusTech
This document gives an overview, core objectives of the act and enumerates purpose of each part / division of the 21st Century Act. It lists down the sections of the act which have a direct impact on Healthcare IT and gives a brief overview of each section.This document also explains the impact of 21st Century Cures Act on regulatory bodies: FDA / NIH / HSS.
Medicare Advantage is one of the few areas your clinic can generate risk scores. Learn the basics of the program, strategies to increase your reimbursement processes to monitor compliance with 5 star and tools available on the market to help your physicians.
This document provides an overview of Medicare Advantage, including:
- Medicare Advantage originated with the 1997 Balanced Budget Act and allows beneficiaries to receive Medicare benefits through private health plans rather than traditional Medicare.
- Plans bid annually for reimbursement amounts and are paid a blended rate based on their bid and a county benchmark. Higher rated plans receive quality bonuses.
- Risk adjustment factors account for patient health risks and impact reimbursement. Proper coding of conditions is important.
- Star ratings, HEDIS, CAHPS, and HOS are used to measure plan quality and influence enrollment and marketing privileges.
- EHRs can help capture necessary data and support protocols to improve quality and star ratings.
Riding the Rapids of Payment Reform: Downstream Effects of Quality Reporting ...Bill Presley
In this presentation, we highlighted how quality measurement programs impact reimbursement affecting your revenue. The revenue at risk in your organization. We focused on quality programs like Value-Based Purchasing (VBP), Merit-Based Incentive Program (MIPS) and Alternative Payment Models (APM) and their impact on Part A and Part B reimbursements.
It’s no surprise that reimbursement tied to quality performance is quickly becoming a reality for hospitals and physicians. CMS’ aggressive goals aimed at increasing the percentage of Medicare payments associated with quality versus quantity can be achieved through such programs as Value-based Purchasing and MACRA. This session will cover scoring methodologies, reporting requirements, reimbursement impact, infrastructure (and other resource needs), EMR tools and tactics, and workflow modifications.
The Alphabet Soup of Clinical Quality Measures ReportingBill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
The Medicare Aaccess and CHIP Reauthorization Act of 2015 establishes two Quality Payment Programs to transition the U.S. Healthcare System from a Fee-For-Service reimbursement methodology to a Fee-For-Value model. MACRA fundamentally adjusts the Medicare Fee Schedule, forcing healthcare providers to utilize HIT, population health management, and care coordination to receive financial rewards.
Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.
An actionable summary of the MIPS Merit-Incentive Based Payment System, MACRA (or the Quality Payment Program), and how to approach value-based healthcare.
1) MIPS aims to simplify physician benchmarking and scoring by consolidating existing quality reporting programs into a single program called MIPS. It will include measures of quality, clinical practice improvement activities, advancing care information, and resource use.
2) Approximately 95% of providers will participate in MIPS. Scores will be publicly reported, with winners receiving bonuses and penalties funding the bonuses.
3) MIPS scoring involves assigning point values to performance in each category, with the largest weights on quality (50%) and advancing care information (25%). Higher performance will result in positive payment adjustments while low performance may result in penalties.
This white paper discusses how FHIR (Fast Healthcare Interoperability Resources) can help address interoperability challenges in the life sciences industry. It notes that life sciences organizations need a unified platform for sharing data to generate insights from clinical trials and collaborations. FHIR allows different systems to exchange data in real-time, facilitating integration of data from electronic medical records, clinical trials, devices, and other sources. The paper provides examples of how FHIR could enable more patient-centric trials, data-driven research, and regulatory compliance. Both benefits and challenges of FHIR adoption are described.
Real-world patients have an average of 6 serious co-morbid conditions & take 10 medications
*Complicated patients are invariably excluded from clinical research studies, making it impossible to know what treatments work best
Meaningful Use Stage Two: The Future of Care CoordinationGreenway Health
The future of Meaningful Use has many over-arching effects on the health care industry beyond Stage Two measures. Care coordination teams, technology partnerships, data capture, practice redesign, and provider assessment are a few others to be considered when moving forward.
The convergence of health plans and healthcare providers has led to the growing importance for provider-led health plans (Payviders). This eBook highlights the data and technology capabilities necessary for Payvider organizations to optimize performance and drive operational efficiencies.
The document discusses key aspects of Meaningful Use Stage 1, including:
1) Eligible providers can qualify for EHR incentive payments through Medicare or Medicaid by meeting Meaningful Use objectives such as recording patient demographics and smoking status for a specified number of patients.
2) There are three stages of Meaningful Use with increasing requirements to improve outcomes, such as engaging patients and improving care coordination.
3) Providers have until February 28th of the following year to attest they met Meaningful Use requirements for an incentive payment for the prior year. Failure to meet requirements could result in penalties under Medicare.
Go deeper with athenahealth specialists to discover all that you need to know and some things you may not know about Meaningful Use Stage 2 and the newest government updates.
MedHimalayas provides knowledge process outsourcing (KPO) solutions such as data management, medical writing, drug safety monitoring, and pharmacovigilance. Their services support pharmaceutical, biotech, and medical device companies of all sizes. MedHimalayas has skilled professionals, validated databases, and flexible solutions to meet client needs and regulations.
CMS’ New Interoperability and Patient Access Proposed Rule - Top 5 Payer ImpactsCitiusTech
The recently proposed rule by the CMS introduces new policies to expand access to healthcare information and improve the seamless exchange of data in healthcare. This increased data sharing is a critical component of healthcare transformational efforts, and this eBook highlights the rules’ possible impact on payer systems and steps they need to take to manage this change effectively.
Closed Loop Medication Management - A preferred way to go go forward for Prov...CitiusTech
Closed Loop Medication Management (CLMM) system is a fully electronic medication management process that integrates automated and intelligent systems to completely close the inpatient medication management and administration loop, and seamlessly document all the relevant information.
The Future of Healthcare in Consumerism WorldCitiusTech
The main aim of this document is to provide an overview of healthcare consumerism, its growth drivers and challenges / barriers providers and payers face while adopting it. The document provides insights on how providers and payers can tackle the rising wave of consumerism in healthcare industry. The document also provides some real-life examples on market trends which emphasize the need to brace consumerism in healthcare
This document provides information about quality management models and tools. It discusses data quality management and measurement, and the importance of data governance in healthcare. It also outlines several common quality management tools used in healthcare including check sheets, control charts, Pareto charts, scatter plots, and Ishikawa diagrams.
Considering Outsourcing Your Billing? Check Out Kareo Medical Billing!Kareo
Many medical practices consider outsourcing their billing at some point. There are a lot of good reasons to look at this option, including staff changes, lack of qualified billers in your area, a complex specialty, and reimbursement changes like ICD-10. When opting to outsource choosing the right partner is critical.
Este currículo resume os detalhes pessoais e profissionais de Gloria Mariana Moposita Toapanta. Ela nasceu em 12 de agosto de 2012, é casada e tem nacionalidade equatoriana. Ela se formou em Ciências da Educação com ênfase em Língua e Literatura Castelhana na Universidade Técnica de Ambato em 2009. Desde então, tem trabalhado como professora em várias escolas.
This document provides an overview of Medicare Advantage, including:
- Medicare Advantage originated with the 1997 Balanced Budget Act and allows beneficiaries to receive Medicare benefits through private health plans rather than traditional Medicare.
- Plans bid annually for reimbursement amounts and are paid a blended rate based on their bid and a county benchmark. Higher rated plans receive quality bonuses.
- Risk adjustment factors account for patient health risks and impact reimbursement. Proper coding of conditions is important.
- Star ratings, HEDIS, CAHPS, and HOS are used to measure plan quality and influence enrollment and marketing privileges.
- EHRs can help capture necessary data and support protocols to improve quality and star ratings.
Riding the Rapids of Payment Reform: Downstream Effects of Quality Reporting ...Bill Presley
In this presentation, we highlighted how quality measurement programs impact reimbursement affecting your revenue. The revenue at risk in your organization. We focused on quality programs like Value-Based Purchasing (VBP), Merit-Based Incentive Program (MIPS) and Alternative Payment Models (APM) and their impact on Part A and Part B reimbursements.
It’s no surprise that reimbursement tied to quality performance is quickly becoming a reality for hospitals and physicians. CMS’ aggressive goals aimed at increasing the percentage of Medicare payments associated with quality versus quantity can be achieved through such programs as Value-based Purchasing and MACRA. This session will cover scoring methodologies, reporting requirements, reimbursement impact, infrastructure (and other resource needs), EMR tools and tactics, and workflow modifications.
The Alphabet Soup of Clinical Quality Measures ReportingBill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
The Medicare Aaccess and CHIP Reauthorization Act of 2015 establishes two Quality Payment Programs to transition the U.S. Healthcare System from a Fee-For-Service reimbursement methodology to a Fee-For-Value model. MACRA fundamentally adjusts the Medicare Fee Schedule, forcing healthcare providers to utilize HIT, population health management, and care coordination to receive financial rewards.
Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.
An actionable summary of the MIPS Merit-Incentive Based Payment System, MACRA (or the Quality Payment Program), and how to approach value-based healthcare.
1) MIPS aims to simplify physician benchmarking and scoring by consolidating existing quality reporting programs into a single program called MIPS. It will include measures of quality, clinical practice improvement activities, advancing care information, and resource use.
2) Approximately 95% of providers will participate in MIPS. Scores will be publicly reported, with winners receiving bonuses and penalties funding the bonuses.
3) MIPS scoring involves assigning point values to performance in each category, with the largest weights on quality (50%) and advancing care information (25%). Higher performance will result in positive payment adjustments while low performance may result in penalties.
This white paper discusses how FHIR (Fast Healthcare Interoperability Resources) can help address interoperability challenges in the life sciences industry. It notes that life sciences organizations need a unified platform for sharing data to generate insights from clinical trials and collaborations. FHIR allows different systems to exchange data in real-time, facilitating integration of data from electronic medical records, clinical trials, devices, and other sources. The paper provides examples of how FHIR could enable more patient-centric trials, data-driven research, and regulatory compliance. Both benefits and challenges of FHIR adoption are described.
Real-world patients have an average of 6 serious co-morbid conditions & take 10 medications
*Complicated patients are invariably excluded from clinical research studies, making it impossible to know what treatments work best
Meaningful Use Stage Two: The Future of Care CoordinationGreenway Health
The future of Meaningful Use has many over-arching effects on the health care industry beyond Stage Two measures. Care coordination teams, technology partnerships, data capture, practice redesign, and provider assessment are a few others to be considered when moving forward.
The convergence of health plans and healthcare providers has led to the growing importance for provider-led health plans (Payviders). This eBook highlights the data and technology capabilities necessary for Payvider organizations to optimize performance and drive operational efficiencies.
The document discusses key aspects of Meaningful Use Stage 1, including:
1) Eligible providers can qualify for EHR incentive payments through Medicare or Medicaid by meeting Meaningful Use objectives such as recording patient demographics and smoking status for a specified number of patients.
2) There are three stages of Meaningful Use with increasing requirements to improve outcomes, such as engaging patients and improving care coordination.
3) Providers have until February 28th of the following year to attest they met Meaningful Use requirements for an incentive payment for the prior year. Failure to meet requirements could result in penalties under Medicare.
Go deeper with athenahealth specialists to discover all that you need to know and some things you may not know about Meaningful Use Stage 2 and the newest government updates.
MedHimalayas provides knowledge process outsourcing (KPO) solutions such as data management, medical writing, drug safety monitoring, and pharmacovigilance. Their services support pharmaceutical, biotech, and medical device companies of all sizes. MedHimalayas has skilled professionals, validated databases, and flexible solutions to meet client needs and regulations.
CMS’ New Interoperability and Patient Access Proposed Rule - Top 5 Payer ImpactsCitiusTech
The recently proposed rule by the CMS introduces new policies to expand access to healthcare information and improve the seamless exchange of data in healthcare. This increased data sharing is a critical component of healthcare transformational efforts, and this eBook highlights the rules’ possible impact on payer systems and steps they need to take to manage this change effectively.
Closed Loop Medication Management - A preferred way to go go forward for Prov...CitiusTech
Closed Loop Medication Management (CLMM) system is a fully electronic medication management process that integrates automated and intelligent systems to completely close the inpatient medication management and administration loop, and seamlessly document all the relevant information.
The Future of Healthcare in Consumerism WorldCitiusTech
The main aim of this document is to provide an overview of healthcare consumerism, its growth drivers and challenges / barriers providers and payers face while adopting it. The document provides insights on how providers and payers can tackle the rising wave of consumerism in healthcare industry. The document also provides some real-life examples on market trends which emphasize the need to brace consumerism in healthcare
This document provides information about quality management models and tools. It discusses data quality management and measurement, and the importance of data governance in healthcare. It also outlines several common quality management tools used in healthcare including check sheets, control charts, Pareto charts, scatter plots, and Ishikawa diagrams.
Considering Outsourcing Your Billing? Check Out Kareo Medical Billing!Kareo
Many medical practices consider outsourcing their billing at some point. There are a lot of good reasons to look at this option, including staff changes, lack of qualified billers in your area, a complex specialty, and reimbursement changes like ICD-10. When opting to outsource choosing the right partner is critical.
Este currículo resume os detalhes pessoais e profissionais de Gloria Mariana Moposita Toapanta. Ela nasceu em 12 de agosto de 2012, é casada e tem nacionalidade equatoriana. Ela se formou em Ciências da Educação com ênfase em Língua e Literatura Castelhana na Universidade Técnica de Ambato em 2009. Desde então, tem trabalhado como professora em várias escolas.
This document summarizes a presentation on practice model perspectives from 2016. It discusses the transition from fee-for-service to value-based care under MACRA, as well as changing patient expectations and increasing physician burnout. A survey of over 700 providers found that 25% had adopted private pay/membership models, with reasons including spending more time with patients and improving work-life balance. Both traditional and private models saw challenges with patient retention. The presentation promotes Kareo's practice management platform to help with marketing, clinical workflows, billing, and more.
The document discusses NextGen Healthcare, a provider of electronic medical records and practice management systems. It provides an overview of NextGen's solutions including their Enterprise Architecture, Community Health Solution (CHS), NextMD patient portal, and Regional Affiliate Marketing Program (RAMP). RAMP allows hospitals to affiliate with independent practices and provide EMR/CHS solutions to enable a community-wide health information exchange.
The Only Complete Technology Platform for Your Independent PracticeKareo
Who is Kareo?
Kareo makes it easier and more rewarding for you to run an independent medical practice. We offer the only cloud-based, clinical and business management technology platform dedicated to serving the unique needs of independent practices. Our software helps you find and engage with patients, run a smarter business, provide better care, and get paid faster. More than 35,000 healthcare providers rely on Kareo with nearly 150,000 users logging in to our software every day.
How is Kareo Different?
Unlike other companies that built their offering for large medical groups or hospitals, Kareo is purpose-built for the work flows and unique needs of the independent practice.
The result is an affordably-priced platform without the bells and whistles that you don’t need.
Kareo is Friendly, Flexible, and Transparent
We run our company based on business practices that are friendly, flexible, and transparent because we know you are relying on us to help you succeed.
As a Kareo customer, you’ll feel appreciated and supported due to the many benefits including:
• Free onboarding including access to your own Success Coach
• No long-term contracts and flexibility to adjust your subscription without penalty
• A clear and simple pricing model that offers affordable ways to grow your practice
• Easy access to support via phone, chat, and email at no additional cost
Clase 05 adicioens y sustraciones números naturaleskizzyariassilva
Para sumar y restar números grandes, se deben alinear las cifras de acuerdo a su valor posicional, con unidades junto a unidades, decenas junto a decenas, etc. Se proveen ejemplos de sumas y restas con números de varios dígitos y sus resultados. Finalmente, se indica que los estudiantes deben practicar sumas y restas en las páginas 15 y 16 de su texto escolar.
Gartner TOP 10 Strategic Technology Trends 2017Den Reymer
Gartner TOP 10 Strategic Technology Trends_2017
http://denreymer.com
Artificial Intelligence and Advanced Machine Learning
Intelligent Apps
Intelligent Things
Virtual Reality and Augmented Reality
Digital Twins
Blockchains and Distributed Ledgers
Conversational Systems
Digital Technology Platforms
Mesh App and Service Architecture
Adaptive Security Architecture
The latest changes from CMS regarding Meaningful Use Stage 3 , CCDA and reporting measures. We discuss the effort required, estimates in terms of cost and timelines.
Leveraging emerging standards for patient engagement pchamHealth2015
Patients are playing an increasingly important role in creating relevant healthcare data about themselves using mobile devices and applications. It is important this data can move with them securely throughout a healthcare ecosystem. The increased use of medical devices and mobile applications opens the dialogue around open source and non-proprietary standards with complementing policies.
The Medical Quality Improvement Consortium from
GE Healthcare is a rapidly growing community of over 500
Centricity* Practice Solution (CPS) and Centricity EMR (CEMR)
customers who contribute de-identified patient clinical data to
a centralized data warehouse to enable quality benchmarking,
Meaningful Use reporting, public health reporting, and research
opportunities. Data from over 25,000 providers and approximately 25 million unique patient records are represented in
the data warehouse today.
Clinical data management systems (CDMS) are important for managing large volumes of data from multinational clinical trials efficiently and accurately. India is becoming a major hub for CDMS due to its large skilled workforce, lower costs, and concentration of clinical trial resources. CDMS provide electronic tools for remote data capture, monitoring compliance and workflows, processing data, and generating reports. Standards are crucial for harmonizing data across regions and facilitating regulatory review. India offers many advantages for hosting CDMS and their associated databases and pharmacovigilance activities.
HXR 2016: The Health IoT: Remote Care and Mobile Solutions -Andrew Hooge, Val...HxRefactored
Through new telehealth technologies and increased data analysis physicians are gaining insights into patients like never before, allowing them to facilitate early interventions, improve adherence, and reduce readmission rates -- not to mention at a price more affordable than ever. The companies you’ll hear from in this session are using a healthy and innovative mix of data, educational tools, sensors, and more to improve patient outcomes.
Point-of-Care Clinical Data Support & Care management Integrationdavidhanekom
1) Claims data provides limited and inaccurate information about patient quality and health outcomes, as it primarily reflects billing practices rather than clinical data.
2) BCBSND launched the MediQHome project to obtain comprehensive clinical data directly from providers to better measure quality, risk adjust outcomes, and support care management and the patient-centered medical home model.
3) Over 1,200 primary care providers are participating in MediQHome, providing data on over 82 quality metrics across various chronic conditions, which is risk adjusted and used for benchmarking and practice transformation.
This document outlines General Hospital's plan to migrate their Cardiac Rehabilitation Center's electronic health records to a cloud-based system provided by HCISS. The plan aims to improve patient care through increased connectivity, continuity of care, and real-time access to records. It details the necessary technologies, resources, clinical applications, benefits, risks, risk mitigation strategies, and implementation process for the migration and rollout.
2015 Edition Proposed RuleModifications to the ONC Health IT Certification ...Brian Ahier
Presentation to April 7, 2015 Health IT Policy Committee:
2015 Edition Proposed RuleModifications to the ONC Health IT Certification Program and 2015 Edition Health IT Certification Criteria
IFD&TC 2018: A Novel Approach for Conveniently and Securely Collecting Person...Lew Berman
This document summarizes a feasibility study to securely aggregate personal health data from various sources outside of clinical settings. The study aims to demonstrate how individuals can provide access to their health kiosk and wearable device data through an internet-based platform. It conceptualizes using the higi health data aggregation platform to retrieve data from kiosks, devices, and apps and store it in a study management database. The output shows the data was returned securely in JSON format and included measurements, activity histories, and device updates. Some limitations are the lack of detailed sample data and need for alternative approaches for bio-specimen collection.
Here is our corporate profile, you will find information about all our solutions for vaccines clinical trials and also patient's programs. We have a variety of mobile and web apps that have been developed to enhance and improve your results in any clinical trial or patient care system.
The secret formula to getting health tech to marketDr Hugh Harvey
The UK Israel Tech Hub has partnered with some of the UK’s leading healthcare consultancies to bring you this carefully curated series to help demystify the UK and its wonderful National Health Service, focusing on getting back to business and not on COVID-19.
Microsoft HDInsight as a Big Data and Interoperability Platform to Drive Poin...DataWorks Summit
Learn how a small team of 3-4 technology and subject matter experts developed an Azure HDInsight solution. The solution captures genomics data for solid tumors, summary data from a third party and various internal sources, and does genomic Clinical Trial matching. This was done strictly using the Azure cloud and interactions with cloud-based Office 365 SharePoint web applications utilizing only batch scripting, Hive, and Sqoop. HD Insights is the data munging layer and SharePoint is the user access layer.
The process was stood up in a 6-8 week period, while doing our day jobs. The business benefit is to enable providers, at the point of care, to suggest clinical trials for oncology patients based on genomic matches (Molecular Tumor Board). This has increased participation rates in clinical trials with the goal to improve the survival rates and quality of life for patients. The success of this project has spread to capturing local home grown registries in data silos to share with other like-minded providers within Levine Cancer Institute.
® Population Health and Clinical Quality Measure Reporting System 9-11-14SMC Partners, LLC
Overview of the popHealth® open source population health and CQM Reporting system. Discussion about CCDs and QRDAs. Background and history of popHealth® open source software. Includes data flows and screen shots. Presented to Quinnipiac Medical School students.
This document provides information about quality management system models, including definitions of key terms, tools and strategies for quality management. It discusses data quality management and measurement, and the importance of data governance in healthcare. Quality management tools described include check sheets, control charts, Pareto charts, scatter plots, and Ishikawa diagrams. The document emphasizes the role of accurate, high-quality data and the need for rigorous data quality practices in healthcare.
The document discusses the AHIMA data quality management model. It provides definitions for data quality management and data quality measurement. The model aims to ensure integrity of healthcare data during collection, use, storage and analysis. It addresses challenges from initiatives like EHR adoption, ICD-10 implementation, and quality reporting. The model evaluates data quality across collection, application, warehousing and analysis. HIM professionals can use the model and its assessment tools to improve data governance and take on expanded roles in healthcare data management.
The document discusses a mobile application-based solution for improving clinical trial data collection. It aims to significantly improve data quality while decreasing costs by collecting patient-reported outcomes and physiological data through mobile devices. This allows for more flexible trial protocols, real-world evidence collection, and improved compliance monitoring compared to traditional trials. The solution offers customized mobile apps, questionnaires, and data collection for each trial protocol while ensuring regulatory compliance and data security.
Diaspark healthcare offers software product development, compliance implementation and mobility services to healthcare software vendors (EMR/EHR/HIE/HIS/ Home Healthcare), life science companies and non-profits. Right from developing key EHR software modules spanning CPOE, Patient Portals, eRX(ePrescription), eMAR, Clinical DSS, labs to building healthcare mobile apps over iOS, Android, Blackberry that even interact with health devices, we work as an extended enterprise to software product vendors and life science companies.
PYA Highlights Next Steps of Meaningful UsePYA, P.C.
At the 2013 AICPA Healthcare Industry Conference, PYA Principal David McMillan and Senior Manager Chris Wilson recently explored the “new normal” of meaningful use as compliance and strategic standards in new care/reimbursement-model development.
This document discusses system selection for electronic health records. It compares commercial off-the-shelf (COTS) software to in-house developed systems, outlining advantages and disadvantages of each. COTS software has lower development costs but limits customization, while in-house systems are tailored to needs but have higher costs. The document also describes ONC certification requirements and Meaningful Use criteria to receive federal stimulus incentives for implementing health IT systems.
Similar to Nalashaa - EHR Certification measures for the Quality Payment Program (20)
A detailed evaluation of the current condition at hospitals helps care providers identify gaps in crucial healthcare functions. They include, patient outreach, triaging, medication management and emergency management.
Using Dynamics 365, care providers can reduce these gaps and this enables them to streamline these healthcare functions better.
Amit is passionate about improving healthcare through creative applications of technology. He has over a decade of experience in the US healthcare system and understands the challenges faced by various stakeholders. He seeks to leverage technology in a way that addresses these challenges and benefits businesses.
This document discusses case management in healthcare. It defines case management and describes the case management process and goals. It discusses challenges in case management like workflow issues. It also discusses how technology is changing case management by enabling better communication between patients and providers through EHRs, apps, and remote monitoring. New models for case management focus on keeping patients connected to care after leaving healthcare settings to improve outcomes.
Dr. Hemanth is a healthcare IT consultant with experience designing, integrating, and implementing various healthcare solutions including EHR systems, patient portals, quality reporting, population health analytics, and care coordination. As a clinician, he is passionate about creating IT solutions that help providers focus on patient care amid changing regulations. He has successfully delivered solutions across multiple product lines for healthcare organizations.
The CMS has upped the focus on certified EHR technology in a bid to ramp up the interoperability of Healthcare IT systems. This makes the tracking of changes in EHR regulatory requirements, paramount for providers and hospitals. In this whitepaper, we cover, the 2019 EHR changes in detail.
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Sanjay Patil is a healthcare IT consultant with extensive experience successfully delivering large-scale custom development projects, application integration, content management, portal solutions, and implementing healthcare business solutions. He has been actively involved in meaningful use initiatives and is passionate about creating IT solutions for providers regarding different regulatory programs. Patil has worked on delivering solutions across product lines such as EMR, EHR, care coordination, and patient engagement.
The 2019 Final Rule proposed by the CMS includes adding physical and occupational therapists as eligible clinicians for MIPS performance year. All that Therapists' need to know about 2019 Final Rule and have a successful approach to it!
Utilization Management is an integral part of the US healthcare ecosystem used by health insurers or Pharmacy Benefit Managers (PBMs) to evaluate the appropriateness, medical necessity, and efficiency of healthcare services rendered to patients.
Opioid over consumption is not only affecting the health of the beneficiaries but also creating
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A Qualified Health Plan (QHP) is an insurance plan certified by the Health Insurance Marketplace that provides essential health benefits and follows cost sharing limits. QHPs are categorized into platinum, gold, silver, and bronze tiers based on the percentage of expected health care costs covered. The document discusses the benefits and costs associated with each metal tier and concludes that Nalashaa can assist payers in smoothly implementing QHP certification requirements and processes.
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Even though EHRs have replaced paper health records aiming to make data management more convenient, managing health records is still an apprehension for patients. With the introduction of BlueButton 2.0, patients will have access to 4 years of their health record. This gives the patients more confidence in their health care and make data more comprehensive and easily accessible. By facilitating access to patient health history, it has the potential to drive down Medicare spending and improve health outcomes.
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Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
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A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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Nalashaa - EHR Certification measures for the Quality Payment Program
1. Quality Payment Program – EHR certification measures
iOS
ANDROID
WINDOWS
CRM
MICROSOFT
SOCIAL
CRM
DESIGN
EXPERIENCE
CLOUDJAVA
RWD
www.nalashaa.com
2. www.nalashaa.com
QPP – Through providers’ lens
2
Disparate programs such as EHR incentive program, PQRS and VBM tied together to yield ONE score
Advanced APMs MIPS
ACI Quality IA Cost
EHR incentive
program
PQRS Value-ModifierNEW
2018 Report using a 2015 edition CEHRT
4. www.nalashaa.com
Problem list and Family health history
Demographics
Patient Information
4
• Support newer baseline version of SNOMED CT (Sept 2015 or higher)
• Conform to standards for Sexual Orientation and Gender Identity, CDC-OMB mapping for race and ethnicity
• Optionally record data for Social, Psychological and Behavioral Data through questionnaire
• Record UDIs for implantable devices; obtain and associate GUDID attributes
Implantable devices
Patient Health Information Capture
Import documents shared by patient through reference or links
Label, record and access the documents; support external site
5. www.nalashaa.com
Common Clinical Data Set
Interoperability
5
Support updated C-CDA Release 2.1 across document templates
Implement bilateral asynchronous cutover, display clinical relevance information
Optionally add a New Care Plan represents synthesis of multiple plans of care/treatment
Support Edge protocol for DIRECT
Apply and recognize security labels, support DS4P IG
Export data using configurable storage location, time period, user privilege access to export summaries
Receipt of C-CDA for both versions; support both passive and active communication
Validation of accurate reconciliation
Clinical Information Reconciliation & Incorporation
6. www.nalashaa.com
Application Access
Data Access
6
Receive request, return ID/token for subsequent retrieval of patient related information through APIs (ONC recommends FHIR)
Technical impact includes implementing OAuth 2.0 through trusted connection
Document the accessibility of API
Respond to individual data elements under CCDS, within specific date range
Third party should be able to receive patient data, common clinical data set using discrete data and get document
Audit interactions between systems
Real-time access of data to patient through APIs; Support new C-CDA version
View, Download and transmit to 3rd party
Adopt updated Info button standard (Release 2) and associated updated IGs (SOA-based IG and URL-based IG)
Request using preferred language(optional)
Patient-specific education
7. www.nalashaa.com
Privacy & Security
7
Audit reports, Auditable events and tamper resistance
• Audit changes in user privileges
• SHA-2 or higher;
Integrity
• Counterparts Application Access to common clinical data set measure
Trusted Connection
8. www.nalashaa.com
Public Health Agencies
8
Immunization Registry (Bi-directional)
• Receive history and forecast; updated IG (v1.5)
• NDC code support for administered vaccines; CVX for historical
Syndromic Surveillance (Optional)
• No updates for Ambulatory; Updated IG for Inpatient
Cancer Registry (Optional)
• TNM Clinical Stage observation separated into a nested
series of smaller templates
Antimicrobial Use & Resistance reporting (Optional)
• Generate CDA based on HAI Antimicrobial Use and
Resistance, summary report for denominator and numerator
Healthcare Surveys (Optional)
• Include data elements in survey document; aligns with CCDA
Electronic case reporting
• Implement trigger codes, match patient list, send a constrained ToC
9. www.nalashaa.com
eRx
Care Coordination via Patient Engagement
Patient Electronic Access
HIE
Reporting – Automated Measures
9
170.315(b) (1) - Transitions of Care
(2) - Clinical information réconciliation and incorporation
170.315(b)(3) - Electronic Prescribing
(a)(10) - Drug- Formulary and Preferred Drug List Checks
170.315
(g)(7) - Application access – patient selection
(g)(8) - Application access – data category request
(g)(9) - Application access – all data request
(a)(13) - Patient-Specific Education Resources
170.315(e)
(1) - View, Download, and Transmit to 3rd party
(2) - Secure Messaging
(3) - Patient Health Information Capture
10. www.nalashaa.com
Record, Export and Report
Clinical Quality Measures
10
Support updated IG for QRDA Cat I (Release 3) which aligns with C-CDA 2.1 and QRDA Cat III
Import CQM data formatted to QRDA standard for one or multiple patients
Only support implementation of QRDA Cat I (Release 3)
Filter CQM results at patient and aggregate levels; create data file and display results
Import & Calculate *
Filter *
Choose at least 1 HIGH PRIORITY measure or 1 OUTCOME based measure
11. www.nalashaa.com
Improvement Activities under ACI
11
Expanded Practice Access Provide 24/7 access to eligible clinicians or groups who have real-time access to patient's medical record
Has EHR impactHigh weightage Medium weightage
Care Coordination
• Implementation of use of specialist reports back to referring clinician or group to close referral loop
• Implementation of documentation improvements for practice/process improvements
• Implementation of use of specialist reports back to referring clinician or group to close referral loop
• Practice improvements for bilateral exchange of patient information
Population Management
• Anticoagulant management improvements
• Glycemic management services
• Chronic care and preventative care management for empaneled patients
• Implementation of episodic care management practice improvements
• Implementation of medication management practice improvements
• Implementation of methodologies for improvements in longitudinal care management for high risk patients
12. www.nalashaa.com
Improvement Activities under ACI
12
Beneficiary Engagement
• Use of CEHRT to capture patient reported outcomes
• Engagement of patients through implementation of improvements in patient portal
• Engagement of patients, family and caregivers in developing a plan of care
Has EHR impactHigh weightage Medium weightage
Behavioral and Mental Health
• Implementation of integrated PCBH model
• Electronic Health Record Enhancements for BH data capture
Patient safety and practice assessment • Use of decision support and standardized treatment protocols
Achieving Health Equity • Leveraging a QCDR to standardize processes for screening
13. www.nalashaa.com
27%
15%
4%
36%
18%
Split of effort across various areas in MU3
CCDA FHIR PHA Rest MU Quality
Highlights
13
CQMs
API access
• Structural changes and New
templates (expect this in future too)
• Need to support backward
compatibility
• Future-proof yourself, through an
extensible and flexible design
• Over 271 distinct criteria under
‘Quality’
• Offer choice for providers to report
on those with the best scores
• Eliminate programming changes
annually
• Open your EHR data to authorized
third-parties
• Respond to requests for partial or
complete data
• FHIR recommended
• Minimize design changes in future
CCDA
28 man-
months
14. www.nalashaa.com
The next 11 months
14
ACI development Certification
Quality measures
Provider training
(6-7 months) (1 month)
(3 months)*
(1 month)
* Assuming an EHR caters to multiple specialties and needs to cover multiple criteria
** Assuming these changes turn out to be simple enough.
Note: The timelines mentioned above are indicative and may vary across solution providers
Aug
2017
Upgrade
(1 month)
IA
(2 months)**
Oct
2017
15. www.nalashaa.com
For more information, contact amit.m@Nalashaa.com
Nalashaa Solutions llc.
555, US Highway One South, Ste 170, Iselin, NJ 08830
+1-732-602-2560 Ext: 200
15
Thank You
Editor's Notes
MACRA, a landmark bipartisan legislation, advances a forward-looking, coordinated framework for health care providers to successfully take part in the CMS Quality Payment Program – QPP.
QPP bedrock includes high quality patient centered care, continuous improvement and useful feedback.
While QPP delivers high-quality care, it also rewards value and outcomes to physician by two avenues:
Advanced APMs
Merit Based Incentive Program
For Adv APMs, a subset of APMs, Qualifying physicians can apply to a specific clinical condition, a care episode, or a population which earns QPs a 25% of Medicare Part B payments just by seeing 20% of Medicare patients through Adv APM. Few models that fall under APMs are CPC+, Next Generation ACO, OCM, ESDR care, Shared Savings programs. While the risk is high, the earnings are really more compared to MIPS.
The second path to report data under QPP is using MIPS.
Many small practices will be excluded from the new requirements due to low-volume threshold. So the eligibility for the MIPS program has been set to those clinicians with less than or equal to $30,000 in allowed charges or less than or equal to 100 Medicare patients, representing approximately 32.5 percent of all clinicians billing Medicare Part B services.
Additionally, MIPS eligibility is identified by a unique TIN and NPI combination used to assess the performance as a 1) Physician, 2) Physician assistant, 3)Nurse practitioner, 4) Clinical nurse specialist Or 5) CRNA (certified registered nurse anesthetist) and the group that includes any of these. So the participants of QPP are now referred as Eligible Clinician.
MIPS ties together 4 disparate programs under an umbrella and gives weightage for each category
ACI – Replaces the Medicare EHR Incentive Program, also known as Meaningful Use which weighs 25% for 2017
Quality – Replaces PQRS and rules in weights with 60%
IA – A new Category and weighs 15%
Cost – Replaces Value-based modifier, count starting in 2018
This rule finalizes MIPS performance standards and a minimum MIPS performance period of any 90 continuous days during CY 2017 (January 1 through December 31) for all measures and activities applicable to the integrated performance categories.
Allows flexible participation options for MIPS eligible clinicians as the program begins and evolves over time. For performance periods occurring in 2017, MIPS eligible clinicians will be able to pick a pace of participation that best suits their practices, including submitting data for a period of less than 90 days, to avoid a negative MIPS payment adjustment. Further, we are finalizing our proposal to use performance in 2017 as the performance period for the 2019 payment adjustment. Therefore, the first performance period will start in 2017 and consist of a minimum period of any 90 continuous days during the calendar year in order for clinicians to be eligible for payment adjustment above neutral. Performance in that period of 2017 will be used to determine the 2019 payment adjustment.
Depending on the track of the QPP your clinicians choose for the transition year, the data clinicians submit by March 31, 2018, 2019 Medicare payments will be adjusted up, down, or not at all. The information provided here is only relevant for the 2019 payment year. CMS will provide additional information on payment adjustments for 2020 and beyond beginning next year.
Let’s roll on to see what options would clinicians have for reporting
<<Poll>>
Just a note that what you will see now on your screen is a poll, please help us
CDS to be updated
CDS to be updated
CDS to be updated
CDS to be updated
CDS to be updated
While there are a lot of changes that QPP forces upon EHR vendors, below are some that most of your efforts will be focused on.
CCDA
CCDA is a one stop source to see the patient’s most recent clinical information. These export summaries will be upgraded to C-CDA R2.using HL7 IG for CDA® R2: Consolidated CDA Templates for Clinical Notes, Draft Standard for Trial Use, and Release 2.1 for all the templates.
2015 Edition CCDS includes data for common data set as defined in 2014 Edition, encounter diagnoses, cognitive and functional status. For ambulatory settings– the reason for referral and referral details; for inpatient it includes the discharge instructions.
New additions includes implantable device list, goals and health concerns; while few optional sections include patient’s BMI percentile. The CCDS references new and updated vocabulary standard code sets.
Besides this, EHR should have the ability to set the time period within which data would be used to create the export summary using the relative date and time say for first of every month, or on a specific date or time or say when user signs a note or visit or an order.
EHR should have the capability to send and receive the ToC or referral summaries via Edge protocol using the XDM processing. CEHRT needs to validate the C-CDA conformance by parsing different document types and detecting the errors corresponding to different sections in the document.
Clinical Quality Measures
There is no requirements for CQM reporting within ACI. However, the providers need to submit quality data for measures specified under the Quality performance category. The reporting of CQMs will be done using data captured in CEHRT to avoid unnecessary overlap and duplicative reporting.
EHR vendors need to refine the existing list of CQMs they certified for in 2014 Edition to move the focus away from 3 NQF domains as required in the EHR Incentive Program. Vendors will need to wisely choose the measures that fit in the requirements of the clinicians. A minimum of 6 measures including one outcome measure needs to be implemented. If none of the outcome measures are relevant to the specialties EHR vendors cater to, they will need to implement another high priority measure that fits the specialty or practice requirement. The measures are also categorized into specialty measure sets to ensure right measures are selected for reporting.
This demands that the EHR vendors implement new measure sets from the scratch. From experience we have seen that with most implementations the architecture design is not flexible and extensible. This poses a major concern since the measures get updated annually.
EHRs need to export QRDA Cat I using QRDA-DSTU R3 and QRDA Cat III using DSTU R1 (September 2014 Errata)
Other changes include the capability to import QRDA files into the EHR and ability to filter at the patient and aggregate levels based on patient demographics, problems and provider related information.
Application Programming Interface (API)
EHRs must now be able to demonstrate use of APIs by providing authentication using an ID or token that can be used by the third party. This will be used when the EHR receives a request for patient data, or for each of the individual data categories in the Common Clinical Data Set (CCDS) and application responds to the request for patient data associated with a specific date or within specified date range. The response for CCDS will be in a summary record format as adopted by CCDA version 2.1.ONC recommends use of HL7 FHIR standards to adopt the API implementation which is widely used.
EHRs will have to provide documented APIs (explaining the syntax and semantics) for use by third parties.