Hospital IQR Program Reporting Requirements for 2017

By Erin Heilman. Posted Jun 02, 2017 in Quality Reporting, Academy, IQR Program

Happy June! Are you ready to bust out the sunscreen, grab your sunglasses and mosey down to the nearest beach? Or do you find yourself up to your ears in work? With the middle of the year upon us are you running from meeting to meeting leaving with a task list that grows longer with each day? I am going to guess you may fall into the latter of these two descriptions. 

To help you out, in our blog for this week we've compiled the requirements for the CMS Inpatient Quality Reporting (IQR) program to hopefully make your life just a little bit easier. We've included an easy to read summary of the requirements for the program as well as all of the 2017 deadlines.

To successfully report to the CMS IQR program, Eligible Hospitals must submit the following measures.

2017 IQR Program Reporting Requirements

REPORT 6 Chart-Abstracted Measures

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[AND]

SELECT 8 Electronic Clinical Quality Measures (eCQMs)

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There are two things to note about this requirement. The first note is that CMS released a proposed rule in April of this year that slightly modifies the eCQM requirements for 2017. Instead of selecting 8 eCQMs for submission, you must submit only six eCQMs. This isn't finalized yet so we suggest continuing to operate as though all 8 eCQMs will be required. 

The second thing to note is that by submitting these eCQMs you fulfill your CQM requirements for the EHR Incentive Program, otherwise known as the Meaningful Use program.

[AND]

REPORT 6 NHSN Measures

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[AND]

REPORT 1 Patient Experience of Care Survey Measure

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[AND]

REPORT 2 Structural Measures

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[AND]

REPORT 20 Claims-Based Outcome Measures

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[AND]

REPORT 11 Claims-Based Payment Measures

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2017 IQR Program Reporting Deadlines

Clinical, HAI, PC-01: Quarterly Submission
Population & Sampling for Clinical: Quarterly Submission
HCAHPS: Quarterly Submission

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eCQMs: Submit quarterly information by the February 28, 2018 deadline.

Keep in mind again that this was also proposed to be modified in the recent rule.They are proposing to cut it from requiring you to submit all four quarters of data down to just any two quarters of data. The submission deadline remains the same. Again, we suggest that you act as though you will need to submit all four quarters. Bonus, if you submit two quarters early on, then you'll be done for the year if the proposed rule becomes finalized.

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Structural: Reporting between April 1 – May 15, 2018
DACA: Reporting between April 1 – May 15, 2018
Influenza Vaccination Coverage Among HCP: May 15, 2018

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Your data must be submitted no later than 11:59 p.m. PT on the submission deadline with the exception of HCAHPS, which must be submitted by 11:59 p.m. CT; validation medical records must be received by CDAC no later than 4:30 p.m. ET. Validation for fiscal year 2019 includes Q3 2016, Q4 2016, Q1 2017, and Q2 2017.

Hospitals with Modified Requirements

There are many different circumstances that would qualify a hospital to have either modified requirements or to be excluded from the IQR program altogether. We’ve included a link here to the 2017 IPPS Final Rule starting with the section on excluded hospitals.

However, the best way to understand your requirements is to speak with a Medisolv representative who can walk you through your hospital’s specific needs. 

Medisolv Email: questions@medisolv.com
Medisolv Phone: (844) 633-4765 


WEBINAR: 

Overcoming Challenges with eCQMs

Tuesday, July 27
1 p.m. ET | 12 p.m. CT | 10 a.m. PT

How easy was it for your hospital to submit the required four eCQMs to the CMS Inpatient Quality Reporting program this year? Well if you are like most hospitals, it might not have been a walk in the park. More like a juggling act performed while hiking up Mount Everest … in a raging snow storm. 

In this can’t miss webinar, Medisolv will share a yearly eCQM strategy that takes you from initial implementation all the way through submission to CMS. We will point out common pitfalls that many hospitals struggled with and how to overcome those problems in advance.

In this webinar you will learn:

Objectives:

  • Understanding and keeping up with the regulatory requirements and specifications;
  • Required eCQM data element mapping updates for the correct specification version;
  • Assessing and choosing the measures for submission to the IQR program;
  • Implementing changes to Clinical Workflows;
  • And creating hospital-wide adoption of Quality initiatives.

Register Now

 

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Erin Heilman

Erin Heilman

Erin Heilman is the Marketing Manager for Medisolv, Inc.

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