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.
"ENCOR gave us the visibility we needed to identify quality performance issues. This allowed us to quickly intervene and make the necessary changes to improve our MIPS score. We worked closely with our Medisolv consultant who provided ongoing guidance which helped us to achieve a final MIPS score of 97.6, qualifying us for the Exceptional Performance Bonus.
With Medisolv, there is always someone there to offer assistance and support. They help us make sure our data is accurate. They make sure we are compliant with government regulations. They tell us step by step how to build our system and advise us on what users should be putting into our EHR. They have been a tremendous help in improving our processes.
It's a pretty tall order to have excellent quality and exceptional patient experience at a low cost. We're fortunate to have Medisolv, which provides a single platform 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.
With a user-friendly software that allows us to quickly and easily abstract data, we now have more time to focus on providing the best quality of care for patients and be proactive about ensuring that our measures are 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.
We successfully filed eCQMs for the first time because Medisolv came in and met the expectation that they had set. We were up against the gun for our deadline, but they provided us with the support and resources to pull it off.