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    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
    Regulatory Updates: Hospital

    2021 IPPS Final Rule: The Big Takeaways

    CMS has finalized the 2021 IPPS Final Rule and with that has increased the eCQM requirements for hospitals. Read some of the major takeaways from the final rule. 
    2021 IPPS Final Rule
    Value-Based Care

    Improving Your Odds of Winning the Value-Based Care Trifecta

    One of the hardest bets to win in horseracing is the “Straight Trifecta.” To win, you must correctly pick three horses in one race to finish first (win), second (place) and third (show), in their... 
    An infographic about how to succeed in Medicare's three value-base reimbursement programs
    Industry Trends

    Cooking Up Great Clinical Quality Measures

    What makes for a great clinical quality measure? My conversational answer is that it’s a lot like a great recipe. Just like a recipe you love, a great clinical quality measure relies on tasty... 
    Cooking Up Great Clinical Quality Measures
    Value-Based Care

    The Five Stages of Health Care Data Quality Maturity [INFOGRAPHIC]

    Reaching a high level of trust in your organization’s performance measurement data is dependent on people, processes and technology all working together to ensure the highest levels of data quality... 
    Five Stages of Health Care Data Quality Maturity
    Regulatory Updates: Ambulatory

    2021 MIPS Proposed Rule: Key Highlights

    CMS dropped the 2021 PFS proposed rule which contained changes to the MIPS program. Check out our slideshow featuring the highlights of what you should know. 
    2021 MIPS Proposed Rule
    Industry Trends

    Looking for Meaningful Use in COVID Reporting

    The progress of Meaningful Use In 2009, President Barack Obama, signed the American Recovery and Reinvestment Act (ARRA) into law. Included in the ARRA were provisions to support Health Information... 
    Looking for Meaningful Use in COVID Reporting
    Industry Trends

    Patient Safety: Don’t Let a Case of Mistaken Identity Lead to Tragedy

    Ever-changing patient and provider behaviors make it harder for quality managers to match medical records to the right patient. Avoid a case of mistaken identity with the right technology. 
    Patient Matching Issues
    Regulatory Updates: Hospital

    What Can Your ED Teach You About Sepsis Care?

    Sepsis is the most common cause of death in hospitals in the United States. It also happens to be the costliest condition to treat. Most of the sepsis patients at your hospital are diagnosed with... 
    Sepsis in Hospitals vs. Emergency Departments
    Regulatory Updates: Ambulatory

    Changes to 2020 MIPS Reporting Requirements

    CMS changed the requirements for 2020 MIPS reporting due to the COVID-19 pandemic. Actually, it might be more accurate to say they are providing you with more flexibility in what you submit to the... 
    Changes to 2020 MIPS Reporting Requirements
    Regulatory Updates: Hospital

    2020 Changes to The Joint Commission ORYX® Program

    There are some big changes coming to The Joint Commission’s ORYX® program in 2020. Essentially there are three major changes you should be aware of for 2020 reporting. In addition to the changes,... 
    News

    Medisolv Launches Innovative AI-Powered Value Maximizer Software Powered by Microsoft Azure

    Columbia, MD, July 9, 2020 — The ability to forecast a hospital’s performance and link it to payments three years into the future is invaluable for healthcare organizations. Today, Medisolv announced... 
    Medisolv Value Maximizer Powered by Microsoft Azure
    Regulatory Updates: Ambulatory

    50 COVID Quality Reporting Resources for 2020

    It’s pretty dark out there. And honestly a 4th of July party may feel a little out of place this year. But when it gets dark, I remember one of my favorite quotes from the famous Mr. Rogers. “When I... 
    50 COVID Quality Reporting Resources
    Regulatory Updates: Hospital

    2020 Reporting Requirements for the CMS IQR Program

    There are essentially seven requirements you must fulfill to successfully complete the IQR program in 2020. Due to the COVID-19 pandemic, there are a few changes to the program. We've created a... 
    2020 IQR Program Reporting Requirements
    Regulatory Updates: Hospital

    2020 Hospital IQR Deadline Calendar

    Can you believe we are (mercifully) halfway through this year? It seems like it has stretched into several years. We all feel a bit older and a bit wiser. 
    Regulatory Updates: Hospital

    [Decision Tree Guide] Should We Submit Optional Quality Data to CMS?

    One of the biggest questions on the minds of Quality leaders is, “should my hospital still submit data for Q1 and Q2 of 2020?” CMS made much of their normal reporting requirements for quality... 
    COVID-19 Decision Tree for Optional Data Submission
    News

    Medisolv Implements First COVID-19 eCQM

    Columbia, MD, June 10, 2020 — COVID-19 is a highly infectious and deadly pandemic. Anecdotal evidence points to a high overall mortality rate in hospitalized patients and a very high mortality rate... 
    First COVID-19 eCQM Released
    Regulatory Updates: Hospital

    Patient Safety Lessons Learned from the Aviation Industry’s Missteps

    If you attended a healthcare conference 20 years ago and heard a presentation on patient safety, you may have heard the speaker compare the number of people who died annually due to medical mistakes... 
    Patient Safety Lessons from the Aviation Industry
    Regulatory Updates: Hospital

    We Need a Better Way to Measure the Quality of Telehealth Services

    Telehealth has become a virtual lifeline, connecting patients to their primary care physicians and other providers during the COVID-19 outbreak. Patients are using telehealth to check symptoms,... 
    We Need a Better Way to Measure the Quality of Telehealth Services
    Regulatory Updates: Hospital

    Should We Still Abstract Core Measures?

    With all the changes related to the COVID-19 pandemic, hospitals are still trying to stabilize operations. It seems like each week CMS is putting out new press releases about changes to regulations. 
    Should We Still Abstract Core Measures?
    Regulatory Updates: Hospital

    Proposed Changes to the 2021 Hospital IQR Program

    We told you it was coming! And it’s here. Well it’s proposed at least. What are we talking about? CMS is proposing that next year’s eCQM performance be posted on Hospital Compare.  
    2021 IPPS Proposed Rule
    Regulatory Updates: Hospital

    2020 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.... 
    2020 Quality Reporting Bundle
    News

    Fueling the Frontline

    During this unprecedented time, Medisolv’s leadership has shifted their focus to find ways to help our frontline heroes. 
    Swedish Hospital COVID-19 Staff
    Regulatory Updates: Hospital

    How to Use Abstracted Core Measures to Improve Stroke Care

    According to the Centers for Disease Control and Prevention (CDC), more than 795,000 people in the United States have a stroke each year. More than 75% of these are first or “new” strokes. The... 
    How to Use Abstracted Core Measures to Improve Stroke Care
    Industry Trends

    Strategies to Enhance Provider Communication During the COVID-19 Experience

    In 2009 AHRQ released empathetic communication training for healthcare providers. This training has been modified to meet the needs of the current COVID crisis. 
    Strategies to Enhance Provider Communication During the COVID-19 Experience
    Regulatory Updates: Hospital

    A Review of the New eCQM: Safe Use of Opioids - Concurrent Prescribing [WEBINAR]

    In the 2019 IPPS Final Rule, CMS released their plans to launch and eventually require a brand new eCQM - CMS 506: Safe Use of Opioids - Concurrent Prescribing. CMS has had their eyes on measuring... 
    A Review of the New eCQM: Safe Use of Opioids - Concurrent Prescribing
    Industry Trends

    How American Tragedies Shaped Healthcare

    Over the course of our nation’s history we’ve faced enormous national challenges. As Americans, we take pride in our ability to overcome these tragedies and remain resilient. The current COVID-19... 
    Regulatory Updates: Hospital

    Finding Quality in Our New Normal

    During this time of uncertainty, we can use the quality improvement process to help us professionally and personally. Kristen Beatson, our director of electronic measures, reflects on this idea and... 
    Finding Quality in Our New Normal
    Regulatory Updates: Hospital

    Changes to Quality Reporting in Response to COVID-19

    CMS and The Joint Commission have made changes to hospital’s quality reporting requirements for 2019 and 2020 in response to the COVID-19 pandemic. We’ve summarized the changes below and created a... 
    Changes to Quality Reporting in Response to COVID-19
    Regulatory Updates: Hospital

    What Should a Quality Leader Do for COVID?

    Quality leaders are trained problem solvers especially at a system level and especially in times of crisis – like the one we are currently facing. What can you do as a Quality leader to support the... 
    Quality Leaders Face Challenges with COVID
    Value-Based Care

    How to Use CMS' Value-Based Programs' Data

    Don’t wait for Kaiser Health News to tell you CMS dinged your hospital for having too many readmissions. Start thinking like a mathematician, so you can start doing something about it today. 
    CMS Value-Based Care
    News

    Medisolv's COVID-19 Preparedness

    While the COVID-19 Coronavirus remains a topic of global concern, I want to assure our clients that we are monitoring updates from the CDC, World Health Organization, state and local government... 
    News

    Medisolv Launches Innovative AI-Powered Value Maximizer Software for CMS Hospital Programs

    Columbia, MD, March 11, 2020 — The ability to forecast a hospital’s performance and link it to payments three years into the future is invaluable for healthcare organizations. Today, Medisolv... 
    Medisolv Launches Innovative AI-Powered Value Maximizer Software for CMS Hospital Programs
    Regulatory Updates: Hospital

    eCQM Spring Cleaning To-Do List

    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, we’ve put together a... 
    eCQM Spring Cleaning To-Do List
    News

    Medisolv Approved as a 2020 MIPS Qualified Registry for the Quality Payment Program

    Columbia, MD, March 4, 2020 — Medisolv, Inc., a recognized leader in quality management solutions, has been approved as a Centers for Medicare & Medicaid Services (CMS) Qualified Registry for the... 
    Medisolv Approved as a 2020 MIPS Qualified Registry for the Quality Payment Program
    Regulatory Updates: Hospital

    CMS’ Hybrid Measure: What Your IT Team Needs to Know

    New hybrid performance measures in 2020 may test the ability of your quality and IT departments to seamlessly work together. Do you know what it takes to be prepared? Gain valuable insight from our... 
    CMS’ Hybrid Measure: What Your IT Team Needs to Know
    Regulatory Updates: Hospital

    How to Implement ePC-02

    For 2020, The Joint Commission has diverged from CMS and introduced a new eCQM – PC-02 (Cesarean Birth). This new eCQM is an option for 2020 reporting. We’ve had a lot of clients ask questions about... 
    News

    Drew Clark Joins Medisolv as Chief Operating Officer

    Medisolv, a recognized leader in quality management solutions, today announced that Drew Clark has joined Medisolv as their Chief Operating Officer. 
    Drew Clark Joins Medisolv as Chief Operating Officer
    Value-Based Care

    Feed Your AI Algorithm with Clinical Quality Measures

    Many experts believe the next big trend in quality care is the use of clinical decision support (CDS) tools that are powered by artificial intelligence technologies. Hospitals, doctors, healthcare... 
    AI Algorithm with Clinical Quality Measures
    Regulatory Updates: Hospital

    Reading the Signs: A Glimpse into the Future of eMeasures

    The future of electronic measure reporting has been uncertain to say the least. In the most recent IPPS Final Rule however, there are some interesting signs that eMeasures will be the future of... 
    Reading the Signs: A Glimpse into the Future of eMeasures
    Regulatory Updates: Hospital

    Five Tactics to Improve Your Star Rating

    Medicare’s Hospital Star Ratings system rates more than 4,000 hospitals on their quality performance on a scale of one to five, with five being the best score. These Star Ratings are found on the... 
    Medicare Hospital Ratings
    Regulatory Updates: Hospital

    Using Behavioral Psychology to Improve Quality Measure Compliance

    Getting physicians and others to comply with your healthcare organization’s clinical quality measure reporting requirements can be tricky. However, experts say you can convert those negative habits... 
    Improve Quality Measure Compliance
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    Resources

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

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    IQR-2022-Update-01
    2022 Hospital IQR Program Requirements
    Deadlines-Calendar-2021-Update-01
    2021 Quality Reporting Deadlines Calendar
    MIPS-2021-Update-01
    An Overview of the 2021 MIPS Requirements
    Hybrid-2021-Update-01
    Hybrid Readmission Measure Implementation Guide
    Opioid-Implementation-Guide-Download-Update-01
    Opioid Measure Implementation Guide
    CMS-Guide-Download-Update-01
    CMS Web Interface Transition Guide

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    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
    Regulatory Updates: Hospital

    2021 IPPS Final Rule: The Big Takeaways

    CMS has finalized the 2021 IPPS Final Rule and with that has increased the eCQM requirements for hospitals. Read some of the major takeaways from the final rule. 
    2021 IPPS Final Rule
    Value-Based Care

    Improving Your Odds of Winning the Value-Based Care Trifecta

    One of the hardest bets to win in horseracing is the “Straight Trifecta.” To win, you must correctly pick three horses in one race to finish first (win), second (place) and third (show), in their... 
    An infographic about how to succeed in Medicare's three value-base reimbursement programs
    Industry Trends

    Cooking Up Great Clinical Quality Measures

    What makes for a great clinical quality measure? My conversational answer is that it’s a lot like a great recipe. Just like a recipe you love, a great clinical quality measure relies on tasty... 
    Cooking Up Great Clinical Quality Measures
    Value-Based Care

    The Five Stages of Health Care Data Quality Maturity [INFOGRAPHIC]

    Reaching a high level of trust in your organization’s performance measurement data is dependent on people, processes and technology all working together to ensure the highest levels of data quality... 
    Five Stages of Health Care Data Quality Maturity
    Regulatory Updates: Ambulatory

    2021 MIPS Proposed Rule: Key Highlights

    CMS dropped the 2021 PFS proposed rule which contained changes to the MIPS program. Check out our slideshow featuring the highlights of what you should know. 
    2021 MIPS Proposed Rule
    Industry Trends

    Looking for Meaningful Use in COVID Reporting

    The progress of Meaningful Use In 2009, President Barack Obama, signed the American Recovery and Reinvestment Act (ARRA) into law. Included in the ARRA were provisions to support Health Information... 
    Looking for Meaningful Use in COVID Reporting
    Industry Trends

    Patient Safety: Don’t Let a Case of Mistaken Identity Lead to Tragedy

    Ever-changing patient and provider behaviors make it harder for quality managers to match medical records to the right patient. Avoid a case of mistaken identity with the right technology. 
    Patient Matching Issues
    Regulatory Updates: Hospital

    What Can Your ED Teach You About Sepsis Care?

    Sepsis is the most common cause of death in hospitals in the United States. It also happens to be the costliest condition to treat. Most of the sepsis patients at your hospital are diagnosed with... 
    Sepsis in Hospitals vs. Emergency Departments
    Regulatory Updates: Ambulatory

    Changes to 2020 MIPS Reporting Requirements

    CMS changed the requirements for 2020 MIPS reporting due to the COVID-19 pandemic. Actually, it might be more accurate to say they are providing you with more flexibility in what you submit to the... 
    Changes to 2020 MIPS Reporting Requirements
    Regulatory Updates: Hospital

    2020 Changes to The Joint Commission ORYX® Program

    There are some big changes coming to The Joint Commission’s ORYX® program in 2020. Essentially there are three major changes you should be aware of for 2020 reporting. In addition to the changes,... 
    News

    Medisolv Launches Innovative AI-Powered Value Maximizer Software Powered by Microsoft Azure

    Columbia, MD, July 9, 2020 — The ability to forecast a hospital’s performance and link it to payments three years into the future is invaluable for healthcare organizations. Today, Medisolv announced... 
    Medisolv Value Maximizer Powered by Microsoft Azure
    Regulatory Updates: Ambulatory

    50 COVID Quality Reporting Resources for 2020

    It’s pretty dark out there. And honestly a 4th of July party may feel a little out of place this year. But when it gets dark, I remember one of my favorite quotes from the famous Mr. Rogers. “When I... 
    50 COVID Quality Reporting Resources
    Regulatory Updates: Hospital

    2020 Reporting Requirements for the CMS IQR Program

    There are essentially seven requirements you must fulfill to successfully complete the IQR program in 2020. Due to the COVID-19 pandemic, there are a few changes to the program. We've created a... 
    2020 IQR Program Reporting Requirements
    Regulatory Updates: Hospital

    2020 Hospital IQR Deadline Calendar

    Can you believe we are (mercifully) halfway through this year? It seems like it has stretched into several years. We all feel a bit older and a bit wiser. 
    Regulatory Updates: Hospital

    [Decision Tree Guide] Should We Submit Optional Quality Data to CMS?

    One of the biggest questions on the minds of Quality leaders is, “should my hospital still submit data for Q1 and Q2 of 2020?” CMS made much of their normal reporting requirements for quality... 
    COVID-19 Decision Tree for Optional Data Submission
    News

    Medisolv Implements First COVID-19 eCQM

    Columbia, MD, June 10, 2020 — COVID-19 is a highly infectious and deadly pandemic. Anecdotal evidence points to a high overall mortality rate in hospitalized patients and a very high mortality rate... 
    First COVID-19 eCQM Released
    Regulatory Updates: Hospital

    Patient Safety Lessons Learned from the Aviation Industry’s Missteps

    If you attended a healthcare conference 20 years ago and heard a presentation on patient safety, you may have heard the speaker compare the number of people who died annually due to medical mistakes... 
    Patient Safety Lessons from the Aviation Industry
    Regulatory Updates: Hospital

    We Need a Better Way to Measure the Quality of Telehealth Services

    Telehealth has become a virtual lifeline, connecting patients to their primary care physicians and other providers during the COVID-19 outbreak. Patients are using telehealth to check symptoms,... 
    We Need a Better Way to Measure the Quality of Telehealth Services
    Regulatory Updates: Hospital

    Should We Still Abstract Core Measures?

    With all the changes related to the COVID-19 pandemic, hospitals are still trying to stabilize operations. It seems like each week CMS is putting out new press releases about changes to regulations. 
    Should We Still Abstract Core Measures?
    Regulatory Updates: Hospital

    Proposed Changes to the 2021 Hospital IQR Program

    We told you it was coming! And it’s here. Well it’s proposed at least. What are we talking about? CMS is proposing that next year’s eCQM performance be posted on Hospital Compare.  
    2021 IPPS Proposed Rule
    Regulatory Updates: Hospital

    2020 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.... 
    2020 Quality Reporting Bundle
    News

    Fueling the Frontline

    During this unprecedented time, Medisolv’s leadership has shifted their focus to find ways to help our frontline heroes. 
    Swedish Hospital COVID-19 Staff
    Regulatory Updates: Hospital

    How to Use Abstracted Core Measures to Improve Stroke Care

    According to the Centers for Disease Control and Prevention (CDC), more than 795,000 people in the United States have a stroke each year. More than 75% of these are first or “new” strokes. The... 
    How to Use Abstracted Core Measures to Improve Stroke Care
    Industry Trends

    Strategies to Enhance Provider Communication During the COVID-19 Experience

    In 2009 AHRQ released empathetic communication training for healthcare providers. This training has been modified to meet the needs of the current COVID crisis. 
    Strategies to Enhance Provider Communication During the COVID-19 Experience
    Regulatory Updates: Hospital

    A Review of the New eCQM: Safe Use of Opioids - Concurrent Prescribing [WEBINAR]

    In the 2019 IPPS Final Rule, CMS released their plans to launch and eventually require a brand new eCQM - CMS 506: Safe Use of Opioids - Concurrent Prescribing. CMS has had their eyes on measuring... 
    A Review of the New eCQM: Safe Use of Opioids - Concurrent Prescribing
    Industry Trends

    How American Tragedies Shaped Healthcare

    Over the course of our nation’s history we’ve faced enormous national challenges. As Americans, we take pride in our ability to overcome these tragedies and remain resilient. The current COVID-19... 
    Regulatory Updates: Hospital

    Finding Quality in Our New Normal

    During this time of uncertainty, we can use the quality improvement process to help us professionally and personally. Kristen Beatson, our director of electronic measures, reflects on this idea and... 
    Finding Quality in Our New Normal
    Regulatory Updates: Hospital

    Changes to Quality Reporting in Response to COVID-19

    CMS and The Joint Commission have made changes to hospital’s quality reporting requirements for 2019 and 2020 in response to the COVID-19 pandemic. We’ve summarized the changes below and created a... 
    Changes to Quality Reporting in Response to COVID-19
    Regulatory Updates: Hospital

    What Should a Quality Leader Do for COVID?

    Quality leaders are trained problem solvers especially at a system level and especially in times of crisis – like the one we are currently facing. What can you do as a Quality leader to support the... 
    Quality Leaders Face Challenges with COVID
    Value-Based Care

    How to Use CMS' Value-Based Programs' Data

    Don’t wait for Kaiser Health News to tell you CMS dinged your hospital for having too many readmissions. Start thinking like a mathematician, so you can start doing something about it today. 
    CMS Value-Based Care
    News

    Medisolv's COVID-19 Preparedness

    While the COVID-19 Coronavirus remains a topic of global concern, I want to assure our clients that we are monitoring updates from the CDC, World Health Organization, state and local government... 
    News

    Medisolv Launches Innovative AI-Powered Value Maximizer Software for CMS Hospital Programs

    Columbia, MD, March 11, 2020 — The ability to forecast a hospital’s performance and link it to payments three years into the future is invaluable for healthcare organizations. Today, Medisolv... 
    Medisolv Launches Innovative AI-Powered Value Maximizer Software for CMS Hospital Programs
    Regulatory Updates: Hospital

    eCQM Spring Cleaning To-Do List

    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, we’ve put together a... 
    eCQM Spring Cleaning To-Do List
    News

    Medisolv Approved as a 2020 MIPS Qualified Registry for the Quality Payment Program

    Columbia, MD, March 4, 2020 — Medisolv, Inc., a recognized leader in quality management solutions, has been approved as a Centers for Medicare & Medicaid Services (CMS) Qualified Registry for the... 
    Medisolv Approved as a 2020 MIPS Qualified Registry for the Quality Payment Program
    Regulatory Updates: Hospital

    CMS’ Hybrid Measure: What Your IT Team Needs to Know

    New hybrid performance measures in 2020 may test the ability of your quality and IT departments to seamlessly work together. Do you know what it takes to be prepared? Gain valuable insight from our... 
    CMS’ Hybrid Measure: What Your IT Team Needs to Know
    Regulatory Updates: Hospital

    How to Implement ePC-02

    For 2020, The Joint Commission has diverged from CMS and introduced a new eCQM – PC-02 (Cesarean Birth). This new eCQM is an option for 2020 reporting. We’ve had a lot of clients ask questions about... 
    News

    Drew Clark Joins Medisolv as Chief Operating Officer

    Medisolv, a recognized leader in quality management solutions, today announced that Drew Clark has joined Medisolv as their Chief Operating Officer. 
    Drew Clark Joins Medisolv as Chief Operating Officer
    Value-Based Care

    Feed Your AI Algorithm with Clinical Quality Measures

    Many experts believe the next big trend in quality care is the use of clinical decision support (CDS) tools that are powered by artificial intelligence technologies. Hospitals, doctors, healthcare... 
    AI Algorithm with Clinical Quality Measures
    Regulatory Updates: Hospital

    Reading the Signs: A Glimpse into the Future of eMeasures

    The future of electronic measure reporting has been uncertain to say the least. In the most recent IPPS Final Rule however, there are some interesting signs that eMeasures will be the future of... 
    Reading the Signs: A Glimpse into the Future of eMeasures
    Regulatory Updates: Hospital

    Five Tactics to Improve Your Star Rating

    Medicare’s Hospital Star Ratings system rates more than 4,000 hospitals on their quality performance on a scale of one to five, with five being the best score. These Star Ratings are found on the... 
    Medicare Hospital Ratings
    Regulatory Updates: Hospital

    Using Behavioral Psychology to Improve Quality Measure Compliance

    Getting physicians and others to comply with your healthcare organization’s clinical quality measure reporting requirements can be tricky. However, experts say you can convert those negative habits... 
    Improve Quality Measure Compliance
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