2016 International MUSE Conference

Wooster Hospital’s Karen McLaughlin, is in charge of managing the compliance with CMS’ IQR program and ensuring the successful submission of four electronic clinical quality measures in 2016. No small task, as there are many steps to this process which are new to all parties involved, including vendors. With the help of Medisolv’s ENCOR quality management software and their team of subject matter experts, Wooster Hospital successfully prepared their organization to monitor, manage and report four eCQMs for the upcoming reporting period, beginning July 1^st, 2016.

 

In this session, participants will learn how Karen’s hospital successfully implemented and prepared for eCQM reporting in 2016:

 

• How Wooster selected their eCQMs
• Challenges they encountered
• Technologies, processes and teamwork
• Data validation and comparison: Electronic vs. Abstracted
• Lessons learned

Changes in CMS reporting requirements include mandatory electronic clinical quality measure submission. Many hospitals are behind the curve in both understanding and implementing electronic reporting for 2016.

 

Reporting periods are fast approaching, and time is short to implements technologies, workflows and training to ensure successful compliance and avoid penalties.

 

This session will provide participants with an overview and solution to meet the Calendar Year (CY) 2016 Electronic Clinical Quality Measure (eCQM) requirements for the Hospital Inpatient Quality Reporting (IQR) Program and its alignment with the Medicare Electronic Health Record (EHR) Incentive Program clinical quality measure requirement.

 

Learning Objectives:

• Calendar Year (CY) 2016 eCQM reporting requirements
• Identify the alignment of eCQMs across the IQR and Medicare EHR Incentive Programs
• Recognize the required standards for eCQM submission
• Selecting you eCQMs for 2016 submission
• eCQM data submission – will you be doing this yourself or with a vendor partner
• Questions & answers

The Affordable Care Act established the Hospital Readmissions Reduction Program which requires CMS to reduce payments to hospitals with excess readmissions. Over 2,200 hospitals were penalized in the first year of the program which has prompted hospitals to make a concentrated effort to improve their readmission rates.  In its effort to link payments to performance CMS continues to impose financial penalties on hospitals for excessive readmissions in its Hospital Readmission Reduction Program (HRRP).

 

Using Medisolv’s unique Predictive Readmission Score, hospitals can easily identify patients at the highest risk for potential readmission even before discharge resulting in more focused Case Management and Discharge Planning.

 

Learning Objectives:

• The Hospital Readmissions Reductions Program (HRRP)
• What do readmission penalties cost your hospital?
• Product demonstration: RAPID business analytics uses your MEDITECH DR to drive Predictive Analytics that analyze, score and alert you to patients at risk for early readmission
• Questions & answers