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Macra Mandates

Support for MACRA multi-jurisdictional quality reporting

  (Qualified Clinical Data Registry - Health Information Service Provider)

 


 QCDR-HISP
simplifies
Multi-jurisdictional
Quality Reporting

  

Re: MACRA mandate: EPs must fulfill multiple QI report requirements

One MACRA mandate dictates the requirement for the support various aspects of for Public Health reporting.

QCDR-HISP enables your QCDR fulfill QI report requirements of multiple jurisdictions; our QRDA quality reporting system is designed to facilitate compliance with Federal PQRS and State Medicaid report mandates. 

Advantages of QCDR-HISP:

  • Multi-jurisdictional - Meets multiple quality report specifications of State agencies . 
  • Tracks dynamic regulatory environment
    • Problem: Multiple regulatory agencies frequently update quality report specifications asynchronously.  Tracking this regulatory quagmire used to requires extensive programming efforts.
    • Solution: Our quality report system is designed to track the regulation changes for each jurisdiction and report period
    Synchronizes audit process with regulatory context
    To streamline audits, QCDR-HISP maintains context-dependent audit trails that reproduce the report rule set of the year and venue that is under administrative review.
  • Reduces duplication of efforts
    QCDR-HISP reduces EP interruptions by extracting required information from existing quality reports, then translating to required state format for the designated report period.

To fulfill state reporting needs of your EPs, you can choose between these options:

1) Append QCDR-HISP to your existing process 
          You can use our QCDR-HISP as a statewide conversion engine to convert your current electronic EP into the format required for a state. Specific details on the State Medicaid report converter are located HERE

2) Integrate QCDR-HISP into your current QCDR platform
          QCDR-HISP technology can be embedded into your registry to reduce response time and facilitates custom configuration.  Specific details HERE

3) Lowest cost alternative: Multi-Tenant QCDR-HISP host platform

To reduce development costs by sharing functions with other registries, we are  Alpha testing our multi-tenant QCDR-HISP, which provides report services for EHR's and registries. 

This multi-tenant QCDR-HISP can provide your registry with an efficient  QCDR-HISP at a lower operating and administrative cost than competing technologies.

We are seeking applicants to our Beta program to test our multi-tenant QCDR-HISP.  

Applicant requirements - QCDR-HISP Beta program
To apply to our Beta program your facility must support both QRDA1 format and DIRECT communication protocols.  

To begin this process,
  Please send an email to clientsupport@cuhsm.org
    with a subject line: QCDR-HISP MU3 Beta Program. 

Contact us

 

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Click on the hyperlinks below to see how our QCDR-HISP validates input data for multi-jurisdictional QRDA reporting.

Hyperlink QCDR-HISP Functions from Open Source
Cypress QRDA Validation - Multi-level specification
  (Measure, Value Set, CMS, QRDA, CDA)
Smart C-CDA EHR Input data format validation - CCDA
NIST HL7 Data format validation (CDA/C32/Labs)
PopHealth Patient Panel Selection
Bonnie QRDA Measure definition tool & test bench

This list demonstrates our existing QCDR-HISP functions that enable your QCDR to have an agile QI report system that incorporates multiple ascending levels of data validation.

 

 
What is Open Source? What is Open Source? - -

  • 'Open Source' refers to a program in which the source code is available to the general public for use and/or modification from its original design free of charge, i.e., open.

  • Open Source code is typically created as a collaborative effort in which programmers improve upon the code and share the changes within the community.

  • Open source sprouted in the technological community as a response to proprietary software owned by corporations

  • Many customers are alienated by the long problem list of proprietary software:  Unable to fulfill report requirements, report process interrupts workflow, work interruptions caused by untimely upgrades, multiple add-on charges . . .


How does a QCDR-HISP help my QCDR achieve its goals? How does a QCDR-HISP help my QCDR achieve its goals? - -
  • A Health Information Service Provider (HISP) saves time and resources by eliminating redundancy of effort of Healthcare organizations who wish to share report functions.
    • This is achieved by implementing a collaborative effort to build a HISP that performs functions commonly done by registries (such as data acquisition and report generation).
    • QCDRs that utilize a common HISP can share development and operations that expedites development while saving time and money.
Can QI Open Source help construct a pre-fabricated QCDR-HISP? Can QI Open Source help construct a pre-fabricated QCDR-HISP? - -

  • This includes common functions used by the healthcare community such as population health analytics, Data Extraction, Access and Availability.

  • Secure HISP communications can be imported by using the ONC code for DIRECT.  This is a content neutral protocol that is described in detail on the ONC website

  • The backbone for a QCDR-HISP can be constructed from the ONC Open Source project CONNECT.

  • In 2017, ONC is authorized to certify the HISP specific secure communication protocols

Executive Summary: What are the advantages of QI Open Source Software? Executive Summary: What are the advantages of QI Open Source Software?(collapse table)

  • Control

    You decide functions,
    versions & distribution of your solution

    Regulatory Compliance

    Development aligned with MU3 & Section 508 (ADA)  specifications
    Reduced cost with free headcount

    Share development & support costs by paying  only for functions you need directly

    Distributed support network

    Federal, State and
    educational organizations  actively support Open Source

    Planned upgrade path

    Fulfills future CMS & State QI report mandates

    Reliability

    Software tested by ONC & VA

    Flexibility

    Can adapt existing
    solutions for functions needed

    Speed

    Quickly integrate vetted code

How does Open Source help my QCDR achieve its goals? How does Open Source help my QCDR achieve its goals? - -
  • Open Source saves time and resources by eliminating redundancy of effort.
  • This goal is achieved by implementing a collaborative effort to develop QI related software
  • Many Healthcare organizations have used this process to expedite development while saving time and money.

How does Open Source lower costs? How does Open Source lower costs?  
  • 'Open Source' enables you to select working solutions off the shelf.
  • Recycling Open Source Code reduces software development and support costs.
  • Using 'Open Source' is less costly than 're-inventing the wheel' of QI code.

How does Open Source speed up development? How does Open Source speed up development?  
  • 'Open Source' empowers you to change working solutions to meet your needs.
  • Since you have the source code, it can be changed to fit your needs.
  • Making incremental changes to working solutions is much faster than creating code from the 'ground up'.

Who uses Open Source for their development efforts? Who uses Open Source for their development efforts?
  • Large companies: Google - Android, IBM, Intel, Toshiba...
  • Federal agencies: VA administration, ONC - Office of National Coordinator, Several State Medicaid Agencies...
  • Educational Institutions: Northwestern University, University of Minnesota
  • State Government Agencies: State Medicaid Agencies - Texas, Alabama, Wyoming. State HIE

How does QI Open Source ease the burden of regulatory compliance? How does QI Open Source ease the burden of regulatory compliance? - -
  • Many QI Open Source projects already embrace the constantly changing regulatory environment of CMS, ONC, ADA and state health agencies
  • Example of proven advantage of 'QI Open Source'
  • - Scenario: CMS changes PQRS measure regulations
  • - -MU2 response: Registries require man-months of programming effort to comply with new regs
  • - -MU3 repspone: A registry downloads the new eCQM definitions from Nation Library of Medicine website, load new measures, and is ready to go.
  • - - The same registry can assist the provider to meet state Medicaid report requirements (such as Texas QRDA3 report requirements)

How do I evaluate Open Source? How do I evaluate Open Source? -
  • The following are effective methods evaluate QI Open Source:
  • --Matching your needs assessment with existing functions in QI Open Source solutions
  • --Open Source Certification processes (ONC/CMS/VA . . .)
  • --Open Source support - multiple organizations
  • --Coordination of development timelines & goals
  • Due to the fact that you have functional 'Open Source' code, evaluating an Open Source project is easier than evaluating an IT vendor who is estimating dates and costs.

Where do I learn how to integrate Open Source solutions for my QCDR? Where do I learn how to integrate Open Source solutions for my QCDR? ~
  • For your convenience, we have a schedule of QI Open Source Workshops that cover:
  • --Administration of the integration processes for QI Open Source
  • --Programming staff training for Open Source technology development
  • --Ongoing maintenance and support of QI Open Source projects
  • For a list of our workshops, look here

 

 

 

 

 

 

 
 

  Welcome to the description page of

QI Report HISP   -  QCDR-HISP
 

This page provides information to QCDRs who are investigating the most efficient way to implement a QI report system that can generate QRDA submissions intended for PQRS and State Medicaid agencies.

We are in the beta stage of providing QRDA services for EHR's and QCDR's.  We are accepting applications to our Beta program to test this service.   All that is required is that your support the DIRECT protocol and be able to generate a QRDA1 or ONC certified (i.e. passed Drummand Group testing) CCDA data stream.

 

Please send an email to clientsupport@cuhsm.org with a subject line: QCDR-HISP MU3 Beta Program. 

Thank you.

 

 

 

 
 

 

  For more information, contact us at clientservices@qcdr-hisp.org

QCDR-HISP = Qualified Clinical Data Registry - Health Information Service Provider

QRDA Submission Template, QRDA Submission Toolkit, QRDA Audit Tool, QRDA Validator, QRDA Aggregator and NwHIN Sleuth are trademarks of CMS Gateways, LLC
All other products mentioned are registered trademarks or trademarks of their respective companies.

Questions or problems regarding technical problems for this web site should be directed to clientservices@qcdr-hisp.org
Copyright © 2016 CMS Gateways, LLC. All rights reserved.
Last modified: Friday July 15, 2016.