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    Industry Trends

    3 Ways to Prepare for the CMS Web Interface Retirement

    3 Steps to Get Your ACO Ready for the CMS Web Interface Retirement 
    Industry Trends

    15 Must-Read Books for Healthcare Quality Leaders

    Just in time for your summer beach reading season, we’ve compiled a list of the best books for healthcare leadership with one caveat: these books aren’t actually about healthcare. 
    Regulatory Updates: Hospital

    2022 Quality Reporting Bundle

    Each year, Medisolv releases our annual Quality Reporting Bundle which contains the requirements, measure lists and deadlines for submission to the CMS IQR and TJC ORYX® quality initiative programs.... 
    2022 Quality Reporting Bundle | Medisolv
    News

    The State of Maryland Collaborates with CRISP and Medisolv to Become the First State in the Country to Accept Electronic Clinical Quality Measure Data from Hospitals

    Columbia, MD, June 7, 2022 — The State of Maryland has partnered with CRISP, Maryland’s state-designated health information exchange (HIE), and Medisolv, a leader in quality management software, to... 
    The State of Maryland Collaborates with CRISP and Medisolv to Become the First State in the Country to Accept Electronic Clinical Quality Measure Data from Hospitals
    Regulatory Updates: Hospital

    The Basics of Care Compare and Leapfrog Safety Grades: Measures, Timeframes and Preview Periods

    I set off on a journey to create an article that helps quality leaders understand the CMS Care Compare website and its connection to other public reputation websites like Leapfrog. It turns out... 
    The Basics of Care Compare and Leapfrog Safety Grades
    Regulatory Updates: Hospital

    Should Your Hospital Track Retired Measures?

    Just because an electronic clinical quality measure (eCQM) exists today doesn’t mean it will tomorrow. In the 9 years since CMS first piloted eCQMs, nearly a dozen measures have been retired. What’s... 
    Should Your Hospital Track Retired Measures?
    Regulatory Updates: Hospital

    Become a “Birthing-Friendly” Facility: The First CMS Maternal Quality Designation

    CMS has proposed the first-ever hospital quality designation that specifically focuses on maternal health. If finalized, any hospital positively attesting to the new Maternal Morbidity structural... 
    CMS Maternal Health Measure
    Regulatory Updates: Ambulatory

    A Guide to Promoting Interoperability for Hospitals & Clinicians

    CMS’s Promoting Interoperability requirements vary depending on if you’re a hospital or ambulatory practice. Find out which requirements matter to you—and which ones you can happily ignore. 
    A Guide to Promoting Interoperability for Hospitals & Clinicians
    Industry Trends

    If It Wasn’t Measured, Was It Managed? Quality Performance in the Age of COVID

    During the first few months of the COVID-19 pandemic, CMS suspended in part quality measure reporting responsibilities. We wanted to know how the pandemic affected healthcare quality performance... 
    Quality performance in the age of COVID
    Industry Trends

    What is Social Determinants of Health (SDOH) Data?

    The Covid pandemic not only uncovered significant data gaps in our public health system but also identified a need to better understand the intersection of how social determinants of health impacts... 
    News

    Medisolv Announces Top eCQM Performers

    Columbia, MD, April 22, 2022 — Medisolv, Inc., a leader in quality management software, today announced their Top Inpatient eCQM (electronic clinical quality measures) Performers of quarter 4 (Q4) of... 
    Medisolv Announces Top eCQM Performers of Q4 2021
    Regulatory Updates: Hospital

    [Slideshow] 2023 IPPS Proposed Rule: IQR & PI Changes

    CMS released the 2023 IPPS proposed rule. In it there was a huge emphasis on health equity and maternal care. You can see this reflected in the changes to your Inpatient Quality Reporting (IQR)... 
    2023 IPPS Proposed Rule Slideshow
    Industry Trends

    Value-Based Care vs. Fee for Service: Are We There Yet?

    The healthcare industry’s journey from fee-for-service reimbursement to value-based reimbursement has been long and slow. How far have we come? And how far do we still need to go?  
    Regulatory Updates: Ambulatory

    [E-BOOK] MIPS MVPs: A Guide to Reporting

    The MIPS (Merit-based Incentive Payment System) reporting program was started as a way to streamline the reporting requirements for clinicians and provide the public visibility into clinician... 
    MIPS MVPs Guidebook
    Regulatory Updates: Hospital

    dQMs: Preparing for the Unknown

    The acronym dQM has been floating around the healthcare sphere more regularly since CMS put their intention to go completely digital by 2025 in the last IPPS final rule. I’ve found that these... 
    Regulatory Updates: Hospital

    STEMI: The First eCQM for the OQR Program

    For over a decade CMS has been incorporating Electronic Clinical Quality Measures (eCQMs) into the Inpatient Quality Reporting (IQR) program. For the first time, CMS has released an eCQM for the... 
    Regulatory Updates: Ambulatory

    [E-BOOK] Your 2022 MIPS Requirements

    Whether you are responsible for one group of physicians or many groups (like an ACO), the key to MIPS reporting success year will be understanding your reporting requirements. 
    Industry Trends

    How Technology Can Help Quality Departments Cope with the Great Resignation

    Among the long-term effects of the pandemic is the “great resignation,” which is putting a strain on hospital quality departments’ ability to measure and monitor patient safety and quality. In this... 
    Regulatory Updates: Hospital

    Understanding SAFER Guides and a Review of your 2022 PI Requirements

    The Promoting Interoperability (PI) Program originally was known as the Meaningful Use program and got started back in 2009. The program was initiated to get hospitals up and running with their... 
    Understanding SAFER Guides
    Regulatory Updates: Hospital

    7 Questions to Ask a Healthcare Quality Improvement Vendor Before You Sign on the Dotted Line

    Finding the right quality improvement vendor can feel like a blur of product demos and proposals. Here are 7 questions you should ask every vendor to make sure they’re more than just a great sales... 
    7 Ways to Vet a Healthcare Quality Improvement Vendor
    News

    Four New eCQMs Added to Medisolv’s ENCOR Software

    Columbia, MD, February 23, 2022 — Medisolv, Inc., a leader in quality management software, released four new eCQMs in their ENCOR for Electronic Hospital Measure software a year ahead of regulatory... 
    Four New eCQMs Added to Medisolv’s ENCOR Software
    Regulatory Updates: Hospital

    How to Implement the Hybrid Mortality Measure

    A new hybrid measure is on the horizon. Yes, another new measure that will be required for successful completion of your IQR program requirements. Here’s everything you need to know. 
    Implementing the Hybrid Mortality Measure
    Regulatory Updates: Hospital

    2022 Quality Reporting Deadlines Calendar

    Back by popular demand! We present to you our annual Quality Reporting Deadlines Calendar. It's the master calendar of quality reporting deadlines that you've been dreaming of. 
    2022 Quality Reporting Dates and Deadlines Calendar
    Regulatory Updates: Hospital

    Keeping eCQM Resolutions Throughout the New Year

    It wasn’t that long ago that we were talking about Y2K and stockpiling peanut butter and rice. Today when we look back at that time period, we laugh at our overreaction, but tell me truthfully - how... 
    Regulatory Updates: Hospital

    How to Successfully Implement ePC-06

    The Joint Commission introduced a new perinatal eCQM last year—ePC-06 (Unexpected Complications in Term Newborns)—for accredited hospitals that deliver more than 300 babies a year. Kristen Beatson,... 
    ePC-06 Measure Implementation
    News

    Medisolv Approved as CMS QCDR for 2022

    Columbia, MD, January 27, 2022 — Medisolv, Inc., a leader in quality management software, is pleased to announce that the Medisolv Clinical Registry has been approved as a QCDR (Qualified Clinical... 
    Medisolv QCDR 2022
    News

    Medisolv Appoints Bryan Hoke as Chief Growth Officer

    Columbia, MD, January 20, 2022 — Medisolv, Inc., a leader in quality management software, announced today the appointment of Bryan Hoke to the company’s executive leadership team as chief growth... 
    Bryan Hoke Medisolv Chief Growth Officer
    Regulatory Updates: Ambulatory

    The 10 Biggest Takeaways for MIPS Success in 2022

    It’s officially go time for your MIPS 2022 Performance Year. What’s your team’s game plan? Here are the top 10 things to keep in mind as you whiteboard your strategy for MIPS success in 2022 and... 
    MIPS Success in 2022
    Industry Trends

    How Does Digital Equity in Healthcare Affect Quality Data?

    The digital divide can affect patients’ access to and acceptance of telehealth. Tannis Hargrove of the University of Montana Rural Institute for Inclusive Communities explains what quality managers... 
    Regulatory Updates: Hospital

    eCQM Benchmark Report & Top Performing Hospital List

    eCQM Benchmark Report & Top Performing Hospital List For the first time, Medisolv is releasing to the public the top eCQM performers of Q1-Q3 of 2021 along with an exclusive inpatient eCQM benchmark... 
    eCWM Benchmark Reports
    News

    Medisolv Announces Top Inpatient eCQM Performers of 2021

    Columbia, MD, January 5, 2022 — Medisolv, Inc., a leader in quality management software, today announced their Top Inpatient eCQM (electronic clinical quality measures) Performers of quarter 1 (Q1)... 
    Medisolv Announces Top Inpatient eCQM Performers of 2021
    Industry Trends

    A Note From Our CEO: The Quest for Healthcare Quality Continues in 2022

    The COVID-19 pandemic is reshaping care delivery which is also impacting quality measures performance. How will that play out in the year ahead? What other trends will affect the work of quality... 
    Customer Stories

    Merry Medisolving featuring Citizens Medical Center

    Despite its smaller size, Citizens Medical Center is classified by the Centers for Disease Control and Prevention as an urban medical center. It’s a classification the hospital doesn’t take lightly.... 
    Merry Medisolving featuring Citizens Medical Center
    Regulatory Updates: Ambulatory

    Merry Medisolving featuring St. Anthony Regional Hospital

    A veteran nurse and quality leader, Sandi Cook has witnessed a lot of ups and downs in the decade-long journey from meaningful use to MIPS. We chatted with her over Zoom to discuss the latest bump in... 
    Merry Medisolving Featuring St. Anthony Regional Hospital
    Regulatory Updates: Hospital

    Merry Medisolving featuring Grady Health

    Change is good. But, if we’re being honest, it can also be scary, stressful, and downright miserable. In the last two years, the quality improvement team at Grady Health in Atlanta has survived... 
    Merry Medisolving featuring Grady Health
    Regulatory Updates: Hospital

    Merry Medisolving featuring Salem Regional Medical Center

    When you’ve been measuring and monitoring eCQMs for as long as Salem Regional Medical Center (SRMC) has, you learn a thing or two. We asked members of SRMC’s CQI team to share with us the most... 
    Merry Medisolving Salem Regional Medical Center
    Regulatory Updates: Hospital

    CMS vs TJC: 2022 Measure List Comparison

    How are you feeling today? A little comma induced from yesterday's excessive eating? Perhaps you are reading this while still in your pajamas? Ah, yes. That is such a good feeling. 
    CMS vs TJC 2022 Measure List Comparison
    Value-Based Care

    7 Ways You Can Protect Your Quality Data from Cyber Attacks

    Cybercriminals want what you have: patient health information. But there are ways you can protect your quality data from ransomware and other cyber attacks, according to Medisolv’s Phil Holmes. 
    7 Ways You Can Protect Your Quality Data from Cyber Attacks
    Regulatory Updates: Ambulatory

    [Slideshow]: MIPS 2022 Changes from the Final Rule

    The traditional MIPS program is proposed to close its doors by 2027. But don’t get too excited. It doesn’t mean that your Eligible Clinicians can stop reporting. Honestly, it’s actually going to... 
    2022 MIPS Final Rule
    Value-Based Care

    Which States Had the Most Hospitals Penalized for Readmissions in 2022

    Every year, CMS levies penalties nationwide on hospitals with poor readmission performance. Although they did remove some data from consideration because of the pandemic 82% of hospitals will still... 
    Which States Had the Most Hospitals Penalized for Readmissions in 2022
    Value-Based Care

    [E-BOOK] Position Quality as an Enterprise-Wide Strategic Asset

    It seems like everyone is talking about quality these days. As a quality leader first and foremost you’re focused on improving the care of your patients, but somehow, you find yourself dedicating... 
    Position Quality as an Enterprise-Wide Strategic Asset
    Regulatory Updates: Hospital

    What’s a Good Opioid eCQM Score?

    Before we reveal the what, let’s talk about the why. Why did CMS create an opioid eCQM that the federal agency is requiring hospitals to submit starting on Jan. 1, 2022? You, as a hospital or health... 
    What is a Good Opioid eCQM Score?
    Regulatory Updates: Hospital

    2022 Joint Commission ORYX Requirements

    The Joint Commission quietly released their 2022 ORYX® requirements this week. Or rather, I should say they were a bit buried beneath the announcement that The Joint Commission’s DDS platform is shut... 
    2022 TJC ORYX Requirements
    Regulatory Updates: Hospital

    What is Health Information Bi-Directional Exchange?

    Over the years, how a patient’s healthcare information has been handled has changed drastically. For most of the 20th century, patients’ health records were housed in paper form, which was subject to... 
    What is Health Information Bi-Directional Exchange?
    News

    Medisolv’s ENCOR Software Earns ONC Health IT CURES Certification

    Columbia, MD, October 6, 2021 — Medisolv, Inc., a leader in quality management software, has achieved Office of the National Coordinator for Health Information Technology (ONC-Health IT) 2015 CURES... 
    Medisolv’s ENCOR Software Earns ONC Health IT CURES Certification
    Regulatory Updates: Hospital

    [E-BOOK] 2022 Hospital IQR Requirements

    Each year the CMS Inpatient Quality Reporting (IQR) program makes changes; sometimes slight and sometimes more drastic. In 2022, there are a few changes coming your way. For instance, did you know... 
    2022 IQR Program Requirements eBook
    Regulatory Updates: Hospital

    2022 Hospital IQR Requirements

    If it's September, it's time for you and your quality department to start preparing for the next year’s Hospital Inpatient Quality Reporting (IQR) program requirements. Here, we’ll give you a quick... 
    2022 Hospital IQR Program Requirements
    Value-Based Care

    Healthcare-Associated Infections and COVID-19: An Update

    The COVID-19 pandemic had a direct impact on how quality leaders like you do your jobs. From workplaces to workflows to workloads, everything changed in 2020. 
    HAI Infections and COVID-19
    Industry Trends

    Patient Safety in the Time of COVID: 13 Ways to Improve Patient Matching at Your Hospital Now

    Patient matching is vital to patient safety and is, in some cases, a matter of life or death. An exposé by Politico,"Inside America's Covid-reporting breakdown," illustrates why quality leaders like... 
    13 Ways to Improve Patient Matching at Your Hospital
    Regulatory Updates: Hospital

    A Comprehensive List of 2021 Chart-Abstracted Measure Requirements

    The number of chart-abstracted measures you are required to abstract and submit varies by which programs you qualify for and which certifications your organization wants. 
    2021 Chart Abstracted Measure Requirements
    Regulatory Updates: Ambulatory

    MIPS Value Pathways (MVPs): Which Path is Right for You?

    CMS is opening seven new pathways for eligible clinicians to participate in the MIPS performance-based reimbursement system. Here’s a breakdown of the new options, plus tips on how you can prepare. 
    MIPS Value Pathways
    Regulatory Updates: Hospital

    2022 IQR and PI Program Changes: A Summary from the IPPS Final Rule

    CMS released their 2022 IPPS Final Rule and there was a lot in it. The biggest takeaway from this ruling is that CMS is moving toward all digital measurement at rapid speed. They are ramping up eCQM... 
    Regulatory Updates: Ambulatory

    2022 MIPS Proposed Rule: Key Highlights

    The traditional MIPS program will close its doors by 2027. But don’t get too excited. It doesn’t mean that your Eligible Clinicians can stop reporting. Honestly, it’s actually going to require you to... 
    2022 MIPS Proposed Rule
    Industry Trends

    Where Venture Capital, Quality and Patient Data Collide

    New digital health technologies are attracting billions in venture capital funding. This money represents potential new sources of patient health data for your quality department to manage. How are... 
    Venture Capitalist Patient Data
    Value-Based Care

    What Hospital Quality Leaders Say About CMS Star Ratings: Exclusive Medisolv Survey

    Hospital quality improvement leaders have been chewing on CMS' latest hospital star ratings since they came out in April. An exclusive survey by Medisolv gave leaders an opportunity to speak out on... 
    What Hospital Quality Leaders Say About CMS Star Ratings: Exclusive Medisolv Survey
    Regulatory Updates: Hospital

    What are dQMs?

    A new healthcare abbreviation is entering the quality improvement nomenclature: dQMs. What are they and how soon will they be here? Dr. Zahid Butt, Medisolv's CEO, explains. 
    What are dQMs?
    Regulatory Updates: Hospital

    Into the Abyss: Troubleshooting VTE-1 Venous Thromboembolism Prophylaxis (CMS108)

    Almost every hospital participating in the CMS Inpatient Quality Reporting program tracks VTE-1 (Venous Thromboembolism Prophylaxis) for electronic clinical quality measure (eCQM) reporting. And... 
    Troubleshooting VTE-1
    Regulatory Updates: Hospital

    50 Healthcare Quality Resources for 2021

    Happy 4th of July everyone! We hope you have a great day full of hot dogs and hamburgers, apple pie and ice cream and fireworks, friends and family. In honor of Independence Day, we’ve gathered a... 
    50 Healthcare Quality Resources for 2021
    Regulatory Updates: Hospital

    5 Ways to Optimize eCQM Workflows

    Building inpatient eCQMs to submit to Medicare can be a cumbersome process, but if you follow these five tips, you can make your workflows more efficient and improve the accuracy and timeliness of... 
    Regulatory Updates: Hospital

    2021 Quality Reporting Bundle

    Each year, Medisolv releases our annual Quality Reporting Bundle which contains the requirements, measure lists and deadlines for submission to the CMS IQR and TJC ORYX® quality initiative programs.... 
    Regulatory Updates: Hospital

    How to read an eCQM specification

    Hospital eCQM specifications are meant for computers not humans. And yet, it’s up to you as a human (I mean, I assume you’re a human reading this) to interpret this computer document and translate... 
    How to Read an eCQM Specification
    Value-Based Care

    Hospital Ratings and Rankings: You Are What Your Data Says You Are

    There’s an old adage in sports that says you are what your record says you are. No matter what you think, your team is no better or no worse than its win/loss record. And as you’ve no doubt noticed... 
    Hospital Ratings and Rankings: You Are What Your Data Says You Are
    Industry Trends

    The Making of a Quality Measure: A Peek Behind the Curtain

    There’s a lot that goes into developing a new quality measure before your quality department is required to collect and report it. Take a peek behind the curtain in this Q&A with two experts on... 
    The Making of a Quality Measure
    Regulatory Updates: Hospital

    The Joint Commission’s Perinatal Measures: Choosing Between Abstracted or Electronic

    With little fanfare, The Joint Commission for the first time is allowing accredited hospitals to submit their perinatal care measures digitally as electronic clinical quality measures (eCQMs) rather... 
    The Joint Commission’s Perinatal Measures Are Going Electronic. Should Your Hospital Plug In?
    Value-Based Care

    Healthcare Associated Infections: COVID-19’s Impact

    Here’s an interesting thought. Healthcare statistics from 2020 will likely carry an asterisk to help explain why that data may be significantly different from years past and historic trends. 
    Healthcare Associated Infections: COVID-19’s Impact
    Regulatory Updates: Hospital

    [Slideshow] 2022 IPPS Proposed Rule: eCQM & Hybrid Measure Changes

    CMS released their 2022 IPPS proposed rule and included changes to the hybrid measure and eCQM requirements. 
    2022 IPPS Proposed Rule
    Regulatory Updates: Hospital

    The Differences Between The 5 Major Stroke Measure Sets

    This post is a guide to understanding the differences between the five major stroke measure sets. It’s a nightmare trying to keep straight this wide range of acronym-filled information. So, I’ve... 
    The Differences Between The 5 Major Stroke Measures Sets
    Industry Trends

    8 Things Quality Directors Need to Know About Future Outcomes-Based Quality Measures

    How medical care is provided and paid for in the future will be all about outcomes and very little about structures and processes. It won’t be about whether you prescribed a beta blocker to a heart... 
    8 Things Quality Directors Need to Know About Future Outcomes-Based Quality Measures
    Regulatory Updates: Hospital

    14 Ways Quality Leaders Can Streamline Clinical Documentation for Clinicians

    Picture this: You’ve entered a cake baking contest and are responsible for baking, decorating and serving a beautiful and delicious cake, but you must rely on others to provide the correct amounts of... 
    Streamline Clinical Documentation for Clinicians
    Regulatory Updates: Ambulatory

    CMS Web Interface: Options for Transitioning to a New Reporting Method by 2022

    CMS is sunsetting the CMS Web Interface measures by 2022, this blog walks you through your options for reporting in 2022. 
    CMS Web Interface: Options for Transitioning to a New Reporting Method by 2022
    Regulatory Updates: Hospital

    Using the New Opioid eCQM to Improve Prescribing Practices and Patient Care

    Next year, CMS requires hospitals to submit the new Opioid eCQM to the IQR program. The data you submit will be publicly reported. This new eCQM does more than tell the public about your hospital’s... 
    How Quality Directors Can Use the New Opioid eCQM to Improve Prescribing Practices and Patient Care
    Industry Trends

    A Survey of Quality Leaders: Reflections from One Year of COVID

    We know this year has been hard for everyone, especially our healthcare workers. We asked 150 quality leaders for their reflections on the last year, their responses are deeply moving. 
    Reflections from One Year of COVID
    Regulatory Updates: Ambulatory

    Quality Superstar: Margaret O’Kane of NCQA on Using Quality Measures to Bring Accountability to Telehealth

    No telemedicine visit is the same. Wide variations in electronic patient visits and the platforms on which they’re conducted are the result of a nationwide pivot almost overnight to virtual care... 
    Quality Superstar: Margaret O’Kane of NCQA on Using Quality Measures to Bring Accountability to Telehealth
    Industry Trends

    COVID Mortality Analysis of 547 Medisolv Hospitals Over Nine Months

    As COVID-19 cases continue to tax hospitals, we felt it was worth diving into the data to see if there were any insights for quality departments. We pulled positive COVID-19 cases from 547 of our... 
    Industry Trends

    Using Your eCQM Data for COVID-19 Process Improvement

    Read our COVID Mortality Analysis of 547 Medisolv Hospitals Over Nine Months. We are on an ever-evolving COVID-19 treatment path. A year ago, your hospital was worried about diagnosing COVID-19... 
    Using Your eCQM Data for COVID-19 Process Improvement
    Regulatory Updates: Ambulatory

    [E-BOOK] Your 2021 MIPS Requirements

    CMS is attempting to streamline the options for reporting to the Quality Payment Program in 2022. As a result, provider organizations will need to find a new way of capturing and reporting to MIPS... 
    MIPS 2021 eBook
    Industry Trends

    5 Pro Tips for Quality Departments Facing an EHR Conversion

    When healthcare organizations switch EHR systems, or dramatically upgrade their existing ones, they don’t usually do it to make life easier for quality managers. They do it for strategic clinical,... 
    5 Pro Tips for Quality Departments Facing an EHR Conversion
    Regulatory Updates: Hospital

    2021 Quality Reporting Deadline Calendar

    Wouldn't it be nice to have a master calendar somewhere that shows all of your quality reporting deadlines? Ask and you shall receive. 
    2021 quality reporting deadlines calendar
    Regulatory Updates: Hospital

    eCQM Reno: Creating the Program of Your Dreams

    Do you watch home improvement shows? I’ll be honest, I freaking love those things. What is it about Fixer Upper or This Old House that keeps us glued to the TV? It’s probably the sense of... 
    eCQM Renovations
    Regulatory Updates: Ambulatory

    MIPS 2021 Requirements

    What’s the biggest change to MIPS in 2021? To the individual clinician, it’s that they have greater control of their score and incentive money than before. 
    2021 MIPS Requirements
    Regulatory Updates: Hospital

    Quality Measures and the Success of Hospital-at-Home Programs

    It’s no secret that hospital-at-home programs are a rising trend in the healthcare industry. Their lasting success, however, will depend on quality data and the hospital quality departments... 
    Quality Measures and the Success of Hospital-at-Home Programs
    Value-Based Care

    How CMS Will Calculate Your 2021 Star Rating

    CMS made significant changes to the way the Hospital Star Ratings are calculated. They finalized the calculation in the CY 2021 Medicare Hospital Outpatient Prospective Payment System and Ambulatory... 
    2021 CMS Star Ratings Calculation
    Regulatory Updates: Hospital

    New eCQM Goals for the New Year

    eCQM monitoring and improvement requires dedication and lots of advanced planning. You should do a full review of the annual eCQM updates each year. To help you with this task for the new year ahead,... 
    eCQM New Year To-Do List
    Regulatory Updates: Ambulatory

    [Slideshow]: MIPS 2021 Changes from the Final Rule

    CMS released the 2021 Physician Fee Schedule (PFS) final rule which contained the revised MIPS requirements. Next year CMS is upping the minimum score requirements and plans to post your 2018 MIPS... 
    Changes to MIPS 2021 final rule
    Regulatory Updates: Ambulatory

    Merry Medisolving with Lane Regional Medical Center

    When the COVID-19 outbreak exploded in March and hit its spring peak the following month, businesses across the country closed or moved their services online to continue serving their customers.... 
    Merry Medisolving with with Lane Regional Medical Center
    Regulatory Updates: Ambulatory

    Lane Regional Medical Center Transitions to Telemedicine in Response to COVID-19 Pandemic

    When the COVID-19 outbreak exploded in March and hit its spring peak the following month, businesses across the country closed or moved their services online to continue serving their customers.... 
    Lane Regional Medical Center Transitions to Telemedicine in Response to COVID-19 Pandemic
    Regulatory Updates: Hospital

    Merry Medisolving with Montefiore St. Luke’s Cornwall

    This year has not been an easy one. Most of the healthcare headlines include overwhelmed hospitals with limited beds, limited data, increasing patient volumes, furloughs and crushing work... 
    Merry Medisolving with Montefiore St. Luke’s Cornwall
    Regulatory Updates: Hospital

    Montefiore St. Luke’s Cornwall Discusses Importance of Quality Leaders

    This year has not been an easy one. Most of the healthcare headlines include overwhelmed hospitals with limited beds, limited data, increasing patient volumes, furloughs and crushing work... 
    Montefiore St. Luke’s Cornwall Discusses Importance of Quality Leaders
    Regulatory Updates: Hospital

    Merry Medisolving with the Steward Health Care System

    The healthcare system in the U.S. and around the world is becoming increasingly digitized and automated. Yet, when the coronavirus pandemic began showing up in everyone’s emergency departments, it... 
    Merry Medisolving with the Steward Health Care System
    Regulatory Updates: Hospital

    Steward Health Care System Discusses COVID-19 Impact on Quality Department’s Role

    The healthcare system in the U.S. and around the world is becoming increasingly digitized and automated. Yet, when the coronavirus pandemic began showing up in everyone’s emergency departments, it... 
    Steward Health Care System Discusses COVID-19 Impact on Quality Department’s Role
    Regulatory Updates: Hospital

    Preparing for an Electronic Feast

    Happy Thanksgiving! It's time for turkey and potatoes, stuffing and green beans, and especially pie! This year's celebration may look a bit different than normal but the gratefulness we feel on this... 
    Preparing for an electronic feast
    Regulatory Updates: Hospital

    How to Implement the Safe use of Opioids eCQM (CMS 506)

    CMS released a new eCQM in 2020, CMS 506: Safe use of Opioids - Concurrent Prescribing. This measure is available to submit as part of your 2021 Inpatient Quality Reporting (IQR) requirements. By... 
    Implement Opioid eCQM CMS 506
    Regulatory Updates: Hospital

    The eCQM Annual Cycle: Two Processes for your Organization

    The start of the year is a time of transition...or is it? Shouldn’t we be able to just roll over into the next year and immediately start tracking what’s happening? Yes, of course. And maybe you're... 
    medisolv-ecqm-annual-cycle
    Value-Based Care

    Which States Had the Most Hospitals Penalized for Readmissions

    Every year, CMS levies penalties nationwide on hospitals with poor readmission performance. Even in light of everything going on with COVID-19 this year, 83% of hospitals will still be hit with a... 
    HRRP Penalties in 2020
    Regulatory Updates: Hospital

    [E-Book] Hybrid Readmission Measure Implementation Guide

    2021 is a year of significant change for electronic measure reporting. One of the biggest unknowns for hospitals is the new Hybrid Hospital-Wide 30-Day Readmission measure. CMS has decided that the... 
    Hybrid Measure Implementation Guide
    Regulatory Updates: Hospital

    2021 Joint Commission ORYX Requirements

    There are some big changes for The Joint Commission’s ORYX® program in 2021. To be honest, the biggest challenge we foresee is keeping the requirements straight between the ORYX® program and the CMS... 
    The Joint Commission 2021 ORYX® Requirements
    Value-Based Care

    How to Stop a “Twindemic” from Overcrowding Your Emergency Department

    Is it the flu, COVID-19 or a combination of both that’s contributing to the looming threat of busier than usual hospitals? Here’s how to use data to prevent an overcrowded emergency department. 
    How to Stop a “Twindemic” from Overcrowding Your Emergency Department
    Regulatory Updates: Hospital

    How to Implement the Hybrid Readmission Measure

    Did you know that a liger is a real animal? No kidding. It’s a male lion and a female tiger; thus, a liger. When I find myself trying to explain the hybrid readmission measure, I often begin by... 
    How to Implement the Hybrid Measure
    Regulatory Updates: Hospital

    [E-BOOK] 2021 Hospital IQR Program Requirements

    Every year the requirements for the CMS Inpatient Quality Reporting (IQR) program change; sometimes slightly and sometimes more drastically. In 2021, there are quite a few changes coming your way.... 
    2021 Hospital IQR Program Requirements eBook
    Regulatory Updates: Hospital

    2021 Hospital IQR Program Requirements

    CMS made some significant changes to the eCQM requirements for the IQR program, which can be found in their 2021 IPPS final rule. You'll want to pay special attention to that category in this post.  
    2021 IQR Program Reporting Requirements
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    Resources

    The tools you need for quality reporting success at your fingertips.

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    2022-QR-Bundle-Wide
    2022 Quality Reporting Bundle
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    When Its Public Calendar
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    Care Compare & Leapfrog Cross Walk
    eCQM Benchmark eBook
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    The State of Maryland Collaborates with CRISP and Medisolv to Become the First State in the Country to Accept Electronic Clinical Quality Measure Data from Hospitals

    Columbia, MD, June 7, 2022 — The State of Maryland has partnered with CRISP, Maryland’s state-designated health information exchange (HIE), and Medisolv, a leader in quality management software, to... 
    The State of Maryland Collaborates with CRISP and Medisolv to Become the First State in the Country to Accept Electronic Clinical Quality Measure Data from Hospitals
    Regulatory Updates: Hospital

    The Basics of Care Compare and Leapfrog Safety Grades: Measures, Timeframes and Preview Periods

    I set off on a journey to create an article that helps quality leaders understand the CMS Care Compare website and its connection to other public reputation websites like Leapfrog. It turns out... 
    The Basics of Care Compare and Leapfrog Safety Grades
    Regulatory Updates: Hospital

    Should Your Hospital Track Retired Measures?

    Just because an electronic clinical quality measure (eCQM) exists today doesn’t mean it will tomorrow. In the 9 years since CMS first piloted eCQMs, nearly a dozen measures have been retired. What’s... 
    Should Your Hospital Track Retired Measures?
    Regulatory Updates: Hospital

    Become a “Birthing-Friendly” Facility: The First CMS Maternal Quality Designation

    CMS has proposed the first-ever hospital quality designation that specifically focuses on maternal health. If finalized, any hospital positively attesting to the new Maternal Morbidity structural... 
    CMS Maternal Health Measure
    Regulatory Updates: Ambulatory

    A Guide to Promoting Interoperability for Hospitals & Clinicians

    CMS’s Promoting Interoperability requirements vary depending on if you’re a hospital or ambulatory practice. Find out which requirements matter to you—and which ones you can happily ignore. 
    A Guide to Promoting Interoperability for Hospitals & Clinicians
    Industry Trends

    If It Wasn’t Measured, Was It Managed? Quality Performance in the Age of COVID

    During the first few months of the COVID-19 pandemic, CMS suspended in part quality measure reporting responsibilities. We wanted to know how the pandemic affected healthcare quality performance... 
    Quality performance in the age of COVID
    Industry Trends

    What is Social Determinants of Health (SDOH) Data?

    The Covid pandemic not only uncovered significant data gaps in our public health system but also identified a need to better understand the intersection of how social determinants of health impacts... 
    News

    Medisolv Announces Top eCQM Performers

    Columbia, MD, April 22, 2022 — Medisolv, Inc., a leader in quality management software, today announced their Top Inpatient eCQM (electronic clinical quality measures) Performers of quarter 4 (Q4) of... 
    Medisolv Announces Top eCQM Performers of Q4 2021
    Regulatory Updates: Hospital

    [Slideshow] 2023 IPPS Proposed Rule: IQR & PI Changes

    CMS released the 2023 IPPS proposed rule. In it there was a huge emphasis on health equity and maternal care. You can see this reflected in the changes to your Inpatient Quality Reporting (IQR)... 
    2023 IPPS Proposed Rule Slideshow
    Industry Trends

    Value-Based Care vs. Fee for Service: Are We There Yet?

    The healthcare industry’s journey from fee-for-service reimbursement to value-based reimbursement has been long and slow. How far have we come? And how far do we still need to go?  
    Regulatory Updates: Ambulatory

    [E-BOOK] MIPS MVPs: A Guide to Reporting

    The MIPS (Merit-based Incentive Payment System) reporting program was started as a way to streamline the reporting requirements for clinicians and provide the public visibility into clinician... 
    MIPS MVPs Guidebook
    Regulatory Updates: Hospital

    dQMs: Preparing for the Unknown

    The acronym dQM has been floating around the healthcare sphere more regularly since CMS put their intention to go completely digital by 2025 in the last IPPS final rule. I’ve found that these... 
    Regulatory Updates: Hospital

    STEMI: The First eCQM for the OQR Program

    For over a decade CMS has been incorporating Electronic Clinical Quality Measures (eCQMs) into the Inpatient Quality Reporting (IQR) program. For the first time, CMS has released an eCQM for the... 
    Regulatory Updates: Ambulatory

    [E-BOOK] Your 2022 MIPS Requirements

    Whether you are responsible for one group of physicians or many groups (like an ACO), the key to MIPS reporting success year will be understanding your reporting requirements. 
    Industry Trends

    How Technology Can Help Quality Departments Cope with the Great Resignation

    Among the long-term effects of the pandemic is the “great resignation,” which is putting a strain on hospital quality departments’ ability to measure and monitor patient safety and quality. In this... 
    Regulatory Updates: Hospital

    Understanding SAFER Guides and a Review of your 2022 PI Requirements

    The Promoting Interoperability (PI) Program originally was known as the Meaningful Use program and got started back in 2009. The program was initiated to get hospitals up and running with their... 
    Understanding SAFER Guides
    Regulatory Updates: Hospital

    7 Questions to Ask a Healthcare Quality Improvement Vendor Before You Sign on the Dotted Line

    Finding the right quality improvement vendor can feel like a blur of product demos and proposals. Here are 7 questions you should ask every vendor to make sure they’re more than just a great sales... 
    7 Ways to Vet a Healthcare Quality Improvement Vendor
    News

    Four New eCQMs Added to Medisolv’s ENCOR Software

    Columbia, MD, February 23, 2022 — Medisolv, Inc., a leader in quality management software, released four new eCQMs in their ENCOR for Electronic Hospital Measure software a year ahead of regulatory... 
    Four New eCQMs Added to Medisolv’s ENCOR Software
    Regulatory Updates: Hospital

    How to Implement the Hybrid Mortality Measure

    A new hybrid measure is on the horizon. Yes, another new measure that will be required for successful completion of your IQR program requirements. Here’s everything you need to know. 
    Implementing the Hybrid Mortality Measure
    Regulatory Updates: Hospital

    2022 Quality Reporting Deadlines Calendar

    Back by popular demand! We present to you our annual Quality Reporting Deadlines Calendar. It's the master calendar of quality reporting deadlines that you've been dreaming of. 
    2022 Quality Reporting Dates and Deadlines Calendar
    Regulatory Updates: Hospital

    Keeping eCQM Resolutions Throughout the New Year

    It wasn’t that long ago that we were talking about Y2K and stockpiling peanut butter and rice. Today when we look back at that time period, we laugh at our overreaction, but tell me truthfully - how... 
    Regulatory Updates: Hospital

    How to Successfully Implement ePC-06

    The Joint Commission introduced a new perinatal eCQM last year—ePC-06 (Unexpected Complications in Term Newborns)—for accredited hospitals that deliver more than 300 babies a year. Kristen Beatson,... 
    ePC-06 Measure Implementation
    News

    Medisolv Approved as CMS QCDR for 2022

    Columbia, MD, January 27, 2022 — Medisolv, Inc., a leader in quality management software, is pleased to announce that the Medisolv Clinical Registry has been approved as a QCDR (Qualified Clinical... 
    Medisolv QCDR 2022
    News

    Medisolv Appoints Bryan Hoke as Chief Growth Officer

    Columbia, MD, January 20, 2022 — Medisolv, Inc., a leader in quality management software, announced today the appointment of Bryan Hoke to the company’s executive leadership team as chief growth... 
    Bryan Hoke Medisolv Chief Growth Officer
    Regulatory Updates: Ambulatory

    The 10 Biggest Takeaways for MIPS Success in 2022

    It’s officially go time for your MIPS 2022 Performance Year. What’s your team’s game plan? Here are the top 10 things to keep in mind as you whiteboard your strategy for MIPS success in 2022 and... 
    MIPS Success in 2022
    Industry Trends

    How Does Digital Equity in Healthcare Affect Quality Data?

    The digital divide can affect patients’ access to and acceptance of telehealth. Tannis Hargrove of the University of Montana Rural Institute for Inclusive Communities explains what quality managers... 
    Regulatory Updates: Hospital

    eCQM Benchmark Report & Top Performing Hospital List

    eCQM Benchmark Report & Top Performing Hospital List For the first time, Medisolv is releasing to the public the top eCQM performers of Q1-Q3 of 2021 along with an exclusive inpatient eCQM benchmark... 
    eCWM Benchmark Reports
    News

    Medisolv Announces Top Inpatient eCQM Performers of 2021

    Columbia, MD, January 5, 2022 — Medisolv, Inc., a leader in quality management software, today announced their Top Inpatient eCQM (electronic clinical quality measures) Performers of quarter 1 (Q1)... 
    Medisolv Announces Top Inpatient eCQM Performers of 2021
    Industry Trends

    A Note From Our CEO: The Quest for Healthcare Quality Continues in 2022

    The COVID-19 pandemic is reshaping care delivery which is also impacting quality measures performance. How will that play out in the year ahead? What other trends will affect the work of quality... 
    Customer Stories

    Merry Medisolving featuring Citizens Medical Center

    Despite its smaller size, Citizens Medical Center is classified by the Centers for Disease Control and Prevention as an urban medical center. It’s a classification the hospital doesn’t take lightly.... 
    Merry Medisolving featuring Citizens Medical Center
    Regulatory Updates: Ambulatory

    Merry Medisolving featuring St. Anthony Regional Hospital

    A veteran nurse and quality leader, Sandi Cook has witnessed a lot of ups and downs in the decade-long journey from meaningful use to MIPS. We chatted with her over Zoom to discuss the latest bump in... 
    Merry Medisolving Featuring St. Anthony Regional Hospital
    Regulatory Updates: Hospital

    Merry Medisolving featuring Grady Health

    Change is good. But, if we’re being honest, it can also be scary, stressful, and downright miserable. In the last two years, the quality improvement team at Grady Health in Atlanta has survived... 
    Merry Medisolving featuring Grady Health
    Regulatory Updates: Hospital

    Merry Medisolving featuring Salem Regional Medical Center

    When you’ve been measuring and monitoring eCQMs for as long as Salem Regional Medical Center (SRMC) has, you learn a thing or two. We asked members of SRMC’s CQI team to share with us the most... 
    Merry Medisolving Salem Regional Medical Center
    Regulatory Updates: Hospital

    CMS vs TJC: 2022 Measure List Comparison

    How are you feeling today? A little comma induced from yesterday's excessive eating? Perhaps you are reading this while still in your pajamas? Ah, yes. That is such a good feeling. 
    CMS vs TJC 2022 Measure List Comparison
    Value-Based Care

    7 Ways You Can Protect Your Quality Data from Cyber Attacks

    Cybercriminals want what you have: patient health information. But there are ways you can protect your quality data from ransomware and other cyber attacks, according to Medisolv’s Phil Holmes. 
    7 Ways You Can Protect Your Quality Data from Cyber Attacks
    Regulatory Updates: Ambulatory

    [Slideshow]: MIPS 2022 Changes from the Final Rule

    The traditional MIPS program is proposed to close its doors by 2027. But don’t get too excited. It doesn’t mean that your Eligible Clinicians can stop reporting. Honestly, it’s actually going to... 
    2022 MIPS Final Rule
    Value-Based Care

    Which States Had the Most Hospitals Penalized for Readmissions in 2022

    Every year, CMS levies penalties nationwide on hospitals with poor readmission performance. Although they did remove some data from consideration because of the pandemic 82% of hospitals will still... 
    Which States Had the Most Hospitals Penalized for Readmissions in 2022
    Value-Based Care

    [E-BOOK] Position Quality as an Enterprise-Wide Strategic Asset

    It seems like everyone is talking about quality these days. As a quality leader first and foremost you’re focused on improving the care of your patients, but somehow, you find yourself dedicating... 
    Position Quality as an Enterprise-Wide Strategic Asset
    Regulatory Updates: Hospital

    What’s a Good Opioid eCQM Score?

    Before we reveal the what, let’s talk about the why. Why did CMS create an opioid eCQM that the federal agency is requiring hospitals to submit starting on Jan. 1, 2022? You, as a hospital or health... 
    What is a Good Opioid eCQM Score?
    Regulatory Updates: Hospital

    2022 Joint Commission ORYX Requirements

    The Joint Commission quietly released their 2022 ORYX® requirements this week. Or rather, I should say they were a bit buried beneath the announcement that The Joint Commission’s DDS platform is shut... 
    2022 TJC ORYX Requirements
    Regulatory Updates: Hospital

    What is Health Information Bi-Directional Exchange?

    Over the years, how a patient’s healthcare information has been handled has changed drastically. For most of the 20th century, patients’ health records were housed in paper form, which was subject to... 
    What is Health Information Bi-Directional Exchange?
    News

    Medisolv’s ENCOR Software Earns ONC Health IT CURES Certification

    Columbia, MD, October 6, 2021 — Medisolv, Inc., a leader in quality management software, has achieved Office of the National Coordinator for Health Information Technology (ONC-Health IT) 2015 CURES... 
    Medisolv’s ENCOR Software Earns ONC Health IT CURES Certification
    Regulatory Updates: Hospital

    [E-BOOK] 2022 Hospital IQR Requirements

    Each year the CMS Inpatient Quality Reporting (IQR) program makes changes; sometimes slight and sometimes more drastic. In 2022, there are a few changes coming your way. For instance, did you know... 
    2022 IQR Program Requirements eBook
    Regulatory Updates: Hospital

    2022 Hospital IQR Requirements

    If it's September, it's time for you and your quality department to start preparing for the next year’s Hospital Inpatient Quality Reporting (IQR) program requirements. Here, we’ll give you a quick... 
    2022 Hospital IQR Program Requirements
    Value-Based Care

    Healthcare-Associated Infections and COVID-19: An Update

    The COVID-19 pandemic had a direct impact on how quality leaders like you do your jobs. From workplaces to workflows to workloads, everything changed in 2020. 
    HAI Infections and COVID-19
    Industry Trends

    Patient Safety in the Time of COVID: 13 Ways to Improve Patient Matching at Your Hospital Now

    Patient matching is vital to patient safety and is, in some cases, a matter of life or death. An exposé by Politico,"Inside America's Covid-reporting breakdown," illustrates why quality leaders like... 
    13 Ways to Improve Patient Matching at Your Hospital
    Regulatory Updates: Hospital

    A Comprehensive List of 2021 Chart-Abstracted Measure Requirements

    The number of chart-abstracted measures you are required to abstract and submit varies by which programs you qualify for and which certifications your organization wants. 
    2021 Chart Abstracted Measure Requirements
    Regulatory Updates: Ambulatory

    MIPS Value Pathways (MVPs): Which Path is Right for You?

    CMS is opening seven new pathways for eligible clinicians to participate in the MIPS performance-based reimbursement system. Here’s a breakdown of the new options, plus tips on how you can prepare. 
    MIPS Value Pathways
    Regulatory Updates: Hospital

    2022 IQR and PI Program Changes: A Summary from the IPPS Final Rule

    CMS released their 2022 IPPS Final Rule and there was a lot in it. The biggest takeaway from this ruling is that CMS is moving toward all digital measurement at rapid speed. They are ramping up eCQM... 
    Regulatory Updates: Ambulatory

    2022 MIPS Proposed Rule: Key Highlights

    The traditional MIPS program will close its doors by 2027. But don’t get too excited. It doesn’t mean that your Eligible Clinicians can stop reporting. Honestly, it’s actually going to require you to... 
    2022 MIPS Proposed Rule
    Industry Trends

    Where Venture Capital, Quality and Patient Data Collide

    New digital health technologies are attracting billions in venture capital funding. This money represents potential new sources of patient health data for your quality department to manage. How are... 
    Venture Capitalist Patient Data
    Value-Based Care

    What Hospital Quality Leaders Say About CMS Star Ratings: Exclusive Medisolv Survey

    Hospital quality improvement leaders have been chewing on CMS' latest hospital star ratings since they came out in April. An exclusive survey by Medisolv gave leaders an opportunity to speak out on... 
    What Hospital Quality Leaders Say About CMS Star Ratings: Exclusive Medisolv Survey
    Regulatory Updates: Hospital

    What are dQMs?

    A new healthcare abbreviation is entering the quality improvement nomenclature: dQMs. What are they and how soon will they be here? Dr. Zahid Butt, Medisolv's CEO, explains. 
    What are dQMs?
    Regulatory Updates: Hospital

    Into the Abyss: Troubleshooting VTE-1 Venous Thromboembolism Prophylaxis (CMS108)

    Almost every hospital participating in the CMS Inpatient Quality Reporting program tracks VTE-1 (Venous Thromboembolism Prophylaxis) for electronic clinical quality measure (eCQM) reporting. And... 
    Troubleshooting VTE-1
    Regulatory Updates: Hospital

    50 Healthcare Quality Resources for 2021

    Happy 4th of July everyone! We hope you have a great day full of hot dogs and hamburgers, apple pie and ice cream and fireworks, friends and family. In honor of Independence Day, we’ve gathered a... 
    50 Healthcare Quality Resources for 2021
    Regulatory Updates: Hospital

    5 Ways to Optimize eCQM Workflows

    Building inpatient eCQMs to submit to Medicare can be a cumbersome process, but if you follow these five tips, you can make your workflows more efficient and improve the accuracy and timeliness of... 
    Regulatory Updates: Hospital

    2021 Quality Reporting Bundle

    Each year, Medisolv releases our annual Quality Reporting Bundle which contains the requirements, measure lists and deadlines for submission to the CMS IQR and TJC ORYX® quality initiative programs.... 
    Regulatory Updates: Hospital

    How to read an eCQM specification

    Hospital eCQM specifications are meant for computers not humans. And yet, it’s up to you as a human (I mean, I assume you’re a human reading this) to interpret this computer document and translate... 
    How to Read an eCQM Specification
    Value-Based Care

    Hospital Ratings and Rankings: You Are What Your Data Says You Are

    There’s an old adage in sports that says you are what your record says you are. No matter what you think, your team is no better or no worse than its win/loss record. And as you’ve no doubt noticed... 
    Hospital Ratings and Rankings: You Are What Your Data Says You Are
    Industry Trends

    The Making of a Quality Measure: A Peek Behind the Curtain

    There’s a lot that goes into developing a new quality measure before your quality department is required to collect and report it. Take a peek behind the curtain in this Q&A with two experts on... 
    The Making of a Quality Measure
    Regulatory Updates: Hospital

    The Joint Commission’s Perinatal Measures: Choosing Between Abstracted or Electronic

    With little fanfare, The Joint Commission for the first time is allowing accredited hospitals to submit their perinatal care measures digitally as electronic clinical quality measures (eCQMs) rather... 
    The Joint Commission’s Perinatal Measures Are Going Electronic. Should Your Hospital Plug In?
    Value-Based Care

    Healthcare Associated Infections: COVID-19’s Impact

    Here’s an interesting thought. Healthcare statistics from 2020 will likely carry an asterisk to help explain why that data may be significantly different from years past and historic trends. 
    Healthcare Associated Infections: COVID-19’s Impact
    Regulatory Updates: Hospital

    [Slideshow] 2022 IPPS Proposed Rule: eCQM & Hybrid Measure Changes

    CMS released their 2022 IPPS proposed rule and included changes to the hybrid measure and eCQM requirements. 
    2022 IPPS Proposed Rule
    Regulatory Updates: Hospital

    The Differences Between The 5 Major Stroke Measure Sets

    This post is a guide to understanding the differences between the five major stroke measure sets. It’s a nightmare trying to keep straight this wide range of acronym-filled information. So, I’ve... 
    The Differences Between The 5 Major Stroke Measures Sets
    Industry Trends

    8 Things Quality Directors Need to Know About Future Outcomes-Based Quality Measures

    How medical care is provided and paid for in the future will be all about outcomes and very little about structures and processes. It won’t be about whether you prescribed a beta blocker to a heart... 
    8 Things Quality Directors Need to Know About Future Outcomes-Based Quality Measures
    Regulatory Updates: Hospital

    14 Ways Quality Leaders Can Streamline Clinical Documentation for Clinicians

    Picture this: You’ve entered a cake baking contest and are responsible for baking, decorating and serving a beautiful and delicious cake, but you must rely on others to provide the correct amounts of... 
    Streamline Clinical Documentation for Clinicians
    Regulatory Updates: Ambulatory

    CMS Web Interface: Options for Transitioning to a New Reporting Method by 2022

    CMS is sunsetting the CMS Web Interface measures by 2022, this blog walks you through your options for reporting in 2022. 
    CMS Web Interface: Options for Transitioning to a New Reporting Method by 2022
    Regulatory Updates: Hospital

    Using the New Opioid eCQM to Improve Prescribing Practices and Patient Care

    Next year, CMS requires hospitals to submit the new Opioid eCQM to the IQR program. The data you submit will be publicly reported. This new eCQM does more than tell the public about your hospital’s... 
    How Quality Directors Can Use the New Opioid eCQM to Improve Prescribing Practices and Patient Care
    Industry Trends

    A Survey of Quality Leaders: Reflections from One Year of COVID

    We know this year has been hard for everyone, especially our healthcare workers. We asked 150 quality leaders for their reflections on the last year, their responses are deeply moving. 
    Reflections from One Year of COVID
    Regulatory Updates: Ambulatory

    Quality Superstar: Margaret O’Kane of NCQA on Using Quality Measures to Bring Accountability to Telehealth

    No telemedicine visit is the same. Wide variations in electronic patient visits and the platforms on which they’re conducted are the result of a nationwide pivot almost overnight to virtual care... 
    Quality Superstar: Margaret O’Kane of NCQA on Using Quality Measures to Bring Accountability to Telehealth
    Industry Trends

    COVID Mortality Analysis of 547 Medisolv Hospitals Over Nine Months

    As COVID-19 cases continue to tax hospitals, we felt it was worth diving into the data to see if there were any insights for quality departments. We pulled positive COVID-19 cases from 547 of our... 
    Industry Trends

    Using Your eCQM Data for COVID-19 Process Improvement

    Read our COVID Mortality Analysis of 547 Medisolv Hospitals Over Nine Months. We are on an ever-evolving COVID-19 treatment path. A year ago, your hospital was worried about diagnosing COVID-19... 
    Using Your eCQM Data for COVID-19 Process Improvement
    Regulatory Updates: Ambulatory

    [E-BOOK] Your 2021 MIPS Requirements

    CMS is attempting to streamline the options for reporting to the Quality Payment Program in 2022. As a result, provider organizations will need to find a new way of capturing and reporting to MIPS... 
    MIPS 2021 eBook
    Industry Trends

    5 Pro Tips for Quality Departments Facing an EHR Conversion

    When healthcare organizations switch EHR systems, or dramatically upgrade their existing ones, they don’t usually do it to make life easier for quality managers. They do it for strategic clinical,... 
    5 Pro Tips for Quality Departments Facing an EHR Conversion
    Regulatory Updates: Hospital

    2021 Quality Reporting Deadline Calendar

    Wouldn't it be nice to have a master calendar somewhere that shows all of your quality reporting deadlines? Ask and you shall receive. 
    2021 quality reporting deadlines calendar
    Regulatory Updates: Hospital

    eCQM Reno: Creating the Program of Your Dreams

    Do you watch home improvement shows? I’ll be honest, I freaking love those things. What is it about Fixer Upper or This Old House that keeps us glued to the TV? It’s probably the sense of... 
    eCQM Renovations
    Regulatory Updates: Ambulatory

    MIPS 2021 Requirements

    What’s the biggest change to MIPS in 2021? To the individual clinician, it’s that they have greater control of their score and incentive money than before. 
    2021 MIPS Requirements
    Regulatory Updates: Hospital

    Quality Measures and the Success of Hospital-at-Home Programs

    It’s no secret that hospital-at-home programs are a rising trend in the healthcare industry. Their lasting success, however, will depend on quality data and the hospital quality departments... 
    Quality Measures and the Success of Hospital-at-Home Programs
    Value-Based Care

    How CMS Will Calculate Your 2021 Star Rating

    CMS made significant changes to the way the Hospital Star Ratings are calculated. They finalized the calculation in the CY 2021 Medicare Hospital Outpatient Prospective Payment System and Ambulatory... 
    2021 CMS Star Ratings Calculation
    Regulatory Updates: Hospital

    New eCQM Goals for the New Year

    eCQM monitoring and improvement requires dedication and lots of advanced planning. You should do a full review of the annual eCQM updates each year. To help you with this task for the new year ahead,... 
    eCQM New Year To-Do List
    Regulatory Updates: Ambulatory

    [Slideshow]: MIPS 2021 Changes from the Final Rule

    CMS released the 2021 Physician Fee Schedule (PFS) final rule which contained the revised MIPS requirements. Next year CMS is upping the minimum score requirements and plans to post your 2018 MIPS... 
    Changes to MIPS 2021 final rule
    Regulatory Updates: Ambulatory

    Merry Medisolving with Lane Regional Medical Center

    When the COVID-19 outbreak exploded in March and hit its spring peak the following month, businesses across the country closed or moved their services online to continue serving their customers.... 
    Merry Medisolving with with Lane Regional Medical Center
    Regulatory Updates: Ambulatory

    Lane Regional Medical Center Transitions to Telemedicine in Response to COVID-19 Pandemic

    When the COVID-19 outbreak exploded in March and hit its spring peak the following month, businesses across the country closed or moved their services online to continue serving their customers.... 
    Lane Regional Medical Center Transitions to Telemedicine in Response to COVID-19 Pandemic
    Regulatory Updates: Hospital

    Merry Medisolving with Montefiore St. Luke’s Cornwall

    This year has not been an easy one. Most of the healthcare headlines include overwhelmed hospitals with limited beds, limited data, increasing patient volumes, furloughs and crushing work... 
    Merry Medisolving with Montefiore St. Luke’s Cornwall
    Regulatory Updates: Hospital

    Montefiore St. Luke’s Cornwall Discusses Importance of Quality Leaders

    This year has not been an easy one. Most of the healthcare headlines include overwhelmed hospitals with limited beds, limited data, increasing patient volumes, furloughs and crushing work... 
    Montefiore St. Luke’s Cornwall Discusses Importance of Quality Leaders
    Regulatory Updates: Hospital

    Merry Medisolving with the Steward Health Care System

    The healthcare system in the U.S. and around the world is becoming increasingly digitized and automated. Yet, when the coronavirus pandemic began showing up in everyone’s emergency departments, it... 
    Merry Medisolving with the Steward Health Care System
    Regulatory Updates: Hospital

    Steward Health Care System Discusses COVID-19 Impact on Quality Department’s Role

    The healthcare system in the U.S. and around the world is becoming increasingly digitized and automated. Yet, when the coronavirus pandemic began showing up in everyone’s emergency departments, it... 
    Steward Health Care System Discusses COVID-19 Impact on Quality Department’s Role
    Regulatory Updates: Hospital

    Preparing for an Electronic Feast

    Happy Thanksgiving! It's time for turkey and potatoes, stuffing and green beans, and especially pie! This year's celebration may look a bit different than normal but the gratefulness we feel on this... 
    Preparing for an electronic feast
    Regulatory Updates: Hospital

    How to Implement the Safe use of Opioids eCQM (CMS 506)

    CMS released a new eCQM in 2020, CMS 506: Safe use of Opioids - Concurrent Prescribing. This measure is available to submit as part of your 2021 Inpatient Quality Reporting (IQR) requirements. By... 
    Implement Opioid eCQM CMS 506
    Regulatory Updates: Hospital

    The eCQM Annual Cycle: Two Processes for your Organization

    The start of the year is a time of transition...or is it? Shouldn’t we be able to just roll over into the next year and immediately start tracking what’s happening? Yes, of course. And maybe you're... 
    medisolv-ecqm-annual-cycle
    Value-Based Care

    Which States Had the Most Hospitals Penalized for Readmissions

    Every year, CMS levies penalties nationwide on hospitals with poor readmission performance. Even in light of everything going on with COVID-19 this year, 83% of hospitals will still be hit with a... 
    HRRP Penalties in 2020
    Regulatory Updates: Hospital

    [E-Book] Hybrid Readmission Measure Implementation Guide

    2021 is a year of significant change for electronic measure reporting. One of the biggest unknowns for hospitals is the new Hybrid Hospital-Wide 30-Day Readmission measure. CMS has decided that the... 
    Hybrid Measure Implementation Guide
    Regulatory Updates: Hospital

    2021 Joint Commission ORYX Requirements

    There are some big changes for The Joint Commission’s ORYX® program in 2021. To be honest, the biggest challenge we foresee is keeping the requirements straight between the ORYX® program and the CMS... 
    The Joint Commission 2021 ORYX® Requirements
    Value-Based Care

    How to Stop a “Twindemic” from Overcrowding Your Emergency Department

    Is it the flu, COVID-19 or a combination of both that’s contributing to the looming threat of busier than usual hospitals? Here’s how to use data to prevent an overcrowded emergency department. 
    How to Stop a “Twindemic” from Overcrowding Your Emergency Department
    Regulatory Updates: Hospital

    How to Implement the Hybrid Readmission Measure

    Did you know that a liger is a real animal? No kidding. It’s a male lion and a female tiger; thus, a liger. When I find myself trying to explain the hybrid readmission measure, I often begin by... 
    How to Implement the Hybrid Measure
    Regulatory Updates: Hospital

    [E-BOOK] 2021 Hospital IQR Program Requirements

    Every year the requirements for the CMS Inpatient Quality Reporting (IQR) program change; sometimes slightly and sometimes more drastically. In 2021, there are quite a few changes coming your way.... 
    2021 Hospital IQR Program Requirements eBook
    Regulatory Updates: Hospital

    2021 Hospital IQR Program Requirements

    CMS made some significant changes to the eCQM requirements for the IQR program, which can be found in their 2021 IPPS final rule. You'll want to pay special attention to that category in this post.  
    2021 IQR Program Reporting Requirements
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