CMS mandated electronic submission of 4 electronic clinical quality measures (eCQMs) for hospitals to fulfill part of their Inpatient Quality Reporting (IQR) program requirements. The team at Wooster Community Hospital understood the significance of this change and used Medisolv’s ENCOR quality reporting and management solution to implement a process to validate, monitor and ultimately improve their eCQM results.
Since the inception of the Affordable Care Act in 2011, studies have highlighted the alarming cost and rate of unplanned and early hospital readmissions, and its overall impact on health care in the United States. To avoid facing such penalties, and to enhance the level of care provided overall, hospitals have begun to look into different methods for identifying patients with a higher risk for unplanned readmissions prior to discharge.
This business case highlights one hospital’s journey using Medisolv’s predictive analytics software to identify patients who are at high-risk for readmission.
The shift from a fee-for-service to pay-for-performance model has caused hospitals to redefine what it means to be a quality-focused organization. Normally siloed departments of IT, quality, finance and administration have had to embrace a new culture of collaboration to achieve the government mandated quality standards that are now directly tied to revenue.
This business case features Finger Lakes Health System who set out to refine their organization’s focus through education, collaboration and technology, and to create a new culture of quality.
Many Critical Access Hospitals (CAHs) using the free CMS abstraction and Reporting Tool (CART) are turning to more advanced abstraction technology in order to improve reporting and keep up with the changing regulatory environment. They are finding the cost of this transition is quickly recaptured in time and resource savings and improved quality and patient care.
This business case features three hospitals that went through this transition and successfully improved their workflows, efficiency and Abstractor satisfaction.
Ed Ricks was responsible for assessing the health and usefulness of Beaufort Memorial Hospital’s data. When he discovered that their EHR data was under-utilized, he set about to change this. Ed used Medisolv Business Intelligence and Analytics software program, RAPID, to successfully extract and use the hospital’s data. Read about Beaufort Memorial Hospital’s journey with Medisolv.
[Reprinted with permission from Microsoft for Work blog, May, 2015] Technology has come a long way since the 1970s. It’s a fairly obvious statement, but one that’s under appreciated, especially when human lives are on the line. Technology has revolutionized the way Deborah Rodgers approaches her job—and has transformed the level of care that hospital patients in Duncan, Oklahoma, receive.
For a facility our size, the burden of gathering all this data was overwhelming. Now, we have quick access to obtain the data for each of our providers, and management… and that is quality performance improvement. With Medisolv, we can quickly align quality measures for Meaningful Use, Patient Centered Medical Home and PQRS.
We are better able to manage our quality measures and reporting processes, and better utilize our data.
It's a pretty tall order to have excellent quality and exceptional patient experience at a low cost, and it's getting harder and harder to do that. We're fortunate to have Medisolv, which provides a single platform within our health system focused on pay-for-performance measures, with data for us to look at that's refreshed every day.
We used Medisolv's ENCOR quality reporting solution to successfully report core measures electronically without any abstraction ... Our substantial investments in an EHR and clinical workflow optimization were crucial in the production of high quality data that made submission possible.
“This process did not start just this year for us. We have worked with Medisolv for over four years to ensure that our electronic quality measures were an accurate reflection of the quality of care in our hospital. The ease with which this submission transpired speaks to the years of mutual dedication to improving quality at Rockdale Medical Center.”
ENCOR gives us great visibility into measure performance and decreases the time we spend entering data. We have more time to be out educating our staff and making sure the patients are getting what they need. By decreasing our abstraction time, it has allowed us more time to be proactive in helping to make the measures successful.
We submitted our first eCQMs accurately, three months early, and under budget … It gives me comfort that as we move forward and the landscape changes, Medisolv will be right there with us.