Kristen Beatson

Kristen Beatson is the Director of Electronic Measures of Medisolv, Inc.

Recent Posts

How to Improve Your Hospital's Contraindication Documentation

This week we are talking about contraindication documentation for eCQMs (or “the dreaded negation,” as we like to call it here at Medisolv). While it’s not exactly a favorite topic by anyone’s stretch of the imagination, having a good process in place for capturing contraindications is one of the key things a hospital can do in order to improve their eCQM results. That’s because most eCQM logic references contraindication which, if documented correctly in the EHR, will prevent the patient from failing the measure and ultimately improve performance.

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eCQM Submissions: Rejections and Mismatches 101

Did your hospital have eCQM submission rejections or mismatches in 2017? Don’t fret. There’s a solution.

But wait. What does it even mean if you have rejections or mismatches? Let’s break it down. A patient’s QRDA file (Quality Reporting Document Architecture) gets rejected when the agency—CMS or The Joint Commission—finds an error, either a technical issue like an incorrect file format or a clinical data issue, and the error prevents them from accepting the file into their system. 

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The Results are In: Key Takeaways from 2017 eCQM Reporting

Today marks the last day to submit your eCQM files to the CMS Inpatient Quality Reporting (IQR) program. How did you do? Did you breeze through year two of the eCQM requirement or was it a struggle for your hospital? 

And while The Joint Commission is giving hospitals a bit more time for eCQM submission, the summer deadline is quickly approaching. Have you crossed this submission off of your 2018 to-do list yet? 

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2017 eCQM Data Early Results

Have you crossed “submit eCQMs to Quality Net” off your 2017 to-do list yet? We are officially into the fourth quarter of 2017 so it’s time to start thinking about your IQR program submission in earnest. Due to the recent changes to the CMS IQR program, you now only have to submit four eCQMs with one quarter’s worth of data.

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Preparing for Regulatory Requirement Changes Using An Annual Cycle

Over the last few months there have been a few changes to Quality reporting regulatory programs. The 2018 IPPS Final Rule overrode the requirements from the 2017 IPPS Final Rule. It makes you wonder, "Is anything ever final in quality reporting?"

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eCQM Data Validation: Practices From Our Most Successful Hospitals

What do the words “eCQM data validation” mean to you? Let’s suppose that you’ve gone through the process of implementing eCQMs. Now what? And yes, we should start with a big “congratulations” if you have made it that far. Implementing eCQMs is a big project by itself. But now, what’s your plan? Do you have a team that’s ready to jump in and analyze your eCQM results and address any gaps in performance? Or was your plan to just submit your eCQMs to the required regulatory programs and be done with it?

Well, you know where we are going with this. In today’s world of ever-changing regulations tied to Medicare reimbursements, it’s better that you begin the process of validating your eCQM data now. That way, when CMS sets eCQM thresholds and then publishes those results on Hospital Compare, your hospital will be ready with accurate eCQM data.

This week, we reveal the tools that our most successful hospitals use to validate their eCQM data.

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What Makes Up an eCQM

Electronic Clinical Quality Measures, or eCQMs, have been gaining in popularity for several years now. We hear thought leaders say that we are moving into the 21st century by modernizing our technologies and using electronic documentation to capture and report on the quality of care at our hospitals.

Often though, thought leaders are just that, taking charge and leading our thoughts. They live somewhere up in the cloud with Google, I think. For those of us planted firmly on the ground, we want to know the details. How do eCQMs work and what do I need to understand in order to get my hospital up and running or become more proficient? 

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Medisolv Hospitals Lead the Way in eCQM Reporting

Tell me if these statements sound familiar. Hospitals are unprepared to meet the new CMS eCQM reporting requirements. Hospitals will not meet the deadline for reporting eCQMs to the Inpatient Quality Reporting (IQR) program. Hospitals don’t feel confident in their eCQM data results. 

Every couple of months a new survey of Eligible Hospitals paints a pretty bleak picture of hospitals’ capabilities and resources to improve and report on their eCQM data.

Well wake up sunshine because we’ve got some good news. In our recent survey of Medisolv hospitals, we found that 85% of hospitals felt good about their eCQM data results.

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How to Submit Your eCQMs to CMS in Less Than One Hour

eCQM submission to the CMS Inpatient Quality Reporting (IQR) program is winding down. The final deadline for submission is March 13. As the Director of Electronic Measures at Medisolv, this last year was a bit of a whirlwind for me and our whole team. When I sat down to debrief with my team, I noticed something; from the client’s perspective, it took a very short amount of their time to complete the submission process, less than one hour in fact.

In this week’s blog I thought I would take our readers under the hood of the Medisolv eCQM submission car. We reveal all the steps we take to complete one submission for each client. I also broke down the approximate time it takes each client to complete the submission steps.

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5 Hospital IQR Program Requirements in 2017

* NOTE Since this blog was written, CMS has updated the requirements for the Inpatient Quality Reporting (IQR) program. To see how the requirements have changed for 2017, please review the changes on this blog: The 6 Things You Need to Know About the 2018 IPPS Final Rule

If you walk into any mall at this time of the year, you’ll see something very curious. Red and green decorations have crept in among the rows of plaid shirts and brown boots. Fake snowflakes are now dotting windowpanes. Did I just hear Jingle Bells over the speakers? Yes, it appears that the end of 2016 is rapidly approaching.

It may be hard to believe, but for hospitals who have already submitted their Electronic Clinical Quality Measures (eCQMs) to CMS for 2016, it’s time to shift your focus to 2017 electronic quality reporting. This week we review the 2017 hospital IQR program requirements to help your hospital prepare. 

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Medisolv Academy Courses

eCQMs 101 eCourse

Get started with electronic clinical quality measures (eCQMs) with this 101 course covering the basics of understanding eCQMs.



Understanding MIPS eCourse

In this course you’ll learn the basics of the Quality Payment Program (QPP) and the specifics of what’s required for successful completion of MIPS.



Cost Accounting eCourse

This basic course will explain to you how to get cost accounting system set up quickly in your hospital.


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