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    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
    Regulatory Updates: Hospital

    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 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: 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

    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

    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
    Regulatory Updates: Ambulatory

    Take a Quality Improvement Road Trip in 2020 [INFOGRAPHIC]

    The road to quality improvement and value-based care is paved with clinical quality measures. But there are many potholes, hazards and detours along the way that can slow you down. What can your... 
    quality improvement
    Regulatory Updates: Ambulatory

    [E-BOOK] An Overview of MIPS 2020

    This week CMS released the full nationwide results of the second year of MIPS. Participation is at 98% and of the participants 98% met or exceeded the minimum score of 15 points. What they neglected... 
    MIPS-eBook-Featured-Image
    Industry Trends

    A Note From Our CEO: The State of Healthcare Quality in 2020

    As we say goodbye to the teen years of this century and move beyond the decade of Meaningful Use, it is a good time to look back on how quality measurement and reporting has evolved, and more... 
    DrZahidButt
    Customer Stories

    Merry Medisolving: Featuring Uvalde Hospital

    A Critical Access Hospital has many things to worry about. Ensuring that your organization is financially sound and an ever-present resource for your community is always a top priority. Valerie... 
    Merry-Medisolving-uvalde
    Value-Based Care

    5 Tips to Keep Your New Year’s Resolution on Quality Measures

    It’s a fact of life that making New Year’s resolutions is easy, but sticking to them is harder. How many times have you vowed to dust off the treadmill and actually use it, only for it to continue... 
    2020-Goals
    Customer Stories

    Merry Medisolving: Featuring BJC Health Care

    What do you do when you’re told that your healthcare system is being switched from one chart-abstracted vendor to another? In short, you do a lot. This is the situation BJC health care found... 
    Merry-Medisolving-BJC
    Regulatory Updates: Hospital

    Merry Medisolving: Featuring Memorial Health Care Systems

    There were only 160 hospitals nationwide that participated in the CMS voluntary hybrid readmission measure pilot and Memorial Health Care Systems was one of them. Taunya Schlueter is a clinical... 
    Merry-Medisolving-Memorial
    Industry Trends

    Healthcare Quality Reporting Personality Quiz

    Ahh Thanksgiving. What a great holiday. A day to be full of gratefulness, love and too much stuffing. This week we are taking a break from our usual education to bring you something fun. A... 
    QR-FeaturedImage-01-1
    Regulatory Updates: Hospital

    CMS’ New Hybrid Readmission Measure: A ScreenPlay in One Act

    This scripted conversation between a quality analyst and a director of quality management might not be real, but one thing’s for sure: You’ll need to get to know CMS’ new hybrid readmission measure... 
    Hybrid-Readmission-Measure
    Regulatory Updates: Ambulatory

    MIPS 2020 Requirements

    Guess what? You might actually be able to make some real money in the MIPS program next year. That's because CMS is upping the minimum and exceptional scores so more of the worst performer’s money... 
    2020-MIPS-Requirements
    Regulatory Updates: Ambulatory

    [Slideshow]: MIPS 2020 Changes from the Final Rule

    CMS released the 2020 Physician Fee Schedule (PFS) final rule which contained the revised MIPS requirements. Next year CMS is upping the minimum score requirements and plan to post your 2018 MIPS... 
    QPP_Final-Rule-1
    Value-Based Care

    Dear Medisolv: How Can I Reignite Our Passion for Patient Safety?

    It’s the 20th anniversary of the IOM’s landmark report, “To Err is Human,” which sparked the modern patient safety movement. Since then, some health systems’ relationships with patient safety have... 
    ignite-patient-safety-flame
    Value-Based Care

    Which States Had the Most Hospitals Penalized for Readmissions

    Every year, CMS levies penalties nationwide on hospitals with poor readmission performance. In Fiscal Year (FY) 2020, 83% of hospitals will be hit with a penalty. Since the program began in FY 2012,... 
    HRRP-FeaturedImage
    Regulatory Updates: Hospital

    2020 Hospital IQR Program Requirements

    Is your hospital ready for hospital quality reporting in 2020? I know it seems a little early, but when it comes to successfully fulfilling regulatory reporting requirements, it’s never too soon to... 
    2020-IQR-Requirements
    Regulatory Updates: Ambulatory

    Medisolv’s MIPS Reporting Results

    Results from the second year of MIPS 2018 marked the second complete year of the MIPS program. Last year, we put together an infographic showing our clients’ performance in the first year of MIPS.... 
    MIPS-results-featuredimage
    Industry Trends

    Healthcare Quality Conferences to Attend

    I recently received an email from a client asking me which Quality conferences I felt were worth attending. Medisolv of course makes our rounds at Quality conferences every year, but I hadn’t thought... 
    Healthcare-Quality-Conferences
    Regulatory Updates: Hospital

    2020 Joint Commission ORYX® Requirements

    There are some big changes coming to The Joint Commission’s ORYX® program in 2020. Changes include submission method, data file type and measure lists. 
    2020-oryx-requirements
    Regulatory Updates: Hospital

    [E-BOOK] 2020 Hospital IQR Program Requirements

    Every year the requirements for the CMS Inpatient Quality Reporting (IQR) program change; sometimes slightly and sometimes more drastically. In 2020, there are quite a few changes coming your way.... 
    2020-IQR-eBook_FeaturedImage
    Regulatory Updates: Hospital

    The Joint Commission reveals new eCQM in 2020: ePC-02

    The Joint Commission sent notification this week of their 2020 ORYX® requirements. That communication dropped an unexpected eCQM bomb on us – they are adding a brand-new eCQM to the mix. Our email... 
    New-eCQM
    Regulatory Updates: Hospital

    2019 eCQM Reporting Checklist [Free Download]

    Fall is quickly approaching, which means the deadline for 2019 eCQM reporting will be here before you know it! Is your hospital ready to report eCQMs to the Hospital Inpatient Quality Reporting (IQR)... 
    checklist-2019
    Regulatory Updates: Hospital

    [E-BOOK] Hybrid Measure Quick Start Guide

    CMS has mandated that the new Hybrid Hospital-Wide All-Cause Readmission measure go from voluntary to mandatory over the next several years. In fact, last year, CMS held a pilot program during which... 
    Hybrid-Guide-2
    Regulatory Updates: Ambulatory

    Medisolv Quality Expert Panel Answers Your FAQs

    Do you have questions about Quality reporting? Well you're not alone. In a recent webinar, Medisolv brought together a panel of Quality experts to answer questions from the audience. Participants... 
    Quality-FAQs
    Regulatory Updates: Hospital

    2020 IPPS Final Rule: 10 Things to Know

    CMS dropped the 2020 Inpatient Prospective Payment System (IPPS) final rule, which focuses on measure adjustments to reduce quality reporting burden, supporting quality care in rural areas and... 
    2020-Final-Rule-1
    News

    Microsoft Appoints Medisolv CTO as Microsoft Regional Director

    Columbia, MD, August 9, 2019 — Medisolv, a leader in healthcare quality management, announced today the appointment of Scott Allen, chief technology officer for Medisolv, as a Microsoft Regional... 
    Industry Trends

    FHIR for the Busy Quality Manager

    FHIR is a new data format standard promising to expand the flow of healthcare data, improve healthcare outcomes, lower healthcare costs, and introduce a new era of world peace. 
    FHIR
    Regulatory Updates: Ambulatory

    2020 MIPS Proposed Rule: Key Highlights

    What’s in store for MIPS 2020? Earlier this week, CMS dropped the 2020 Physician Fee Schedule (PFS) proposed rule. The rule provides a pretty good snapshot of the future for MIPS over the next... 
    2020-MIPS-Proposed-Rule-01
    Regulatory Updates: Hospital

    Speeding up the Abstraction Process: An Interview with Thibodaux Regional Medical Center

    Ever have someone call you "Sha bae bae?" Or maybe they've said to you,  “Would you like another cup of coffee, Mae Sha?” No? Well, me either. That is, until I headed way down south into Louisiana to... 
    thibodaux_featured_image
    Value-Based Care

    The Problem Facing Emergency Departments: Improving ED Throughput

    The Emergency Department has become the Grand Central Station of the American Healthcare System. ­­­­­­­Multitudes of people are coming and going in an extremely hectic environment every single day.... 
    Crowded-Waiting-Room
    Regulatory Updates: Ambulatory

    50 Quality Reporting Resources for 2019

      Happy 4th of July everyone! We hope you had 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-resources-01
    Regulatory Updates: Ambulatory

    An Overview of the 2019 Quality Payment Program: MIPS vs Advanced APMs

    There are two different tracks to the Quality Payment Program: MIPS and Advanced APMs. By now, we are all pretty familiar with the terms. But did you know that if you participate in an APM (such as... 
    MIPS-VS-Advanced-APMs
    Regulatory Updates: Ambulatory

    Am I Eligible for MIPS 2019?

    MIPS 2019 is in full swing! In case you missed it, there are several changes to the rules around MIPS eligibility this year. If you weren’t eligible last year you may be this year. CMS included a... 
    MIPS-Eligibility-2019-01
    Regulatory Updates: Hospital

    Super IQR World: Deadlines for the 2019 IQR Program

    Major deadlines for reporting to the CMS Inpatient Quality Reporting (IQR) program are rapidly approaching, but it's not game over just yet! Power-up your education by transporting into the Super IQR... 
    Super-IQR-World-Image-01
    Regulatory Updates: Hospital

    The Hybrid Readmission Measure: Understanding How It Works

    Have you heard about the new hybrid measure from CMS? In the 2020 IPPS final rule, the hybrid measure goes from voluntary to mandatory by 2023. And what’s more is that your measure performance will... 
    Hybrid-Measure-Featured-Image-1
    Regulatory Updates: Hospital

    2019 eCQM Requirements for the CMS IQR Program

    The requirements released in the 2019 IPPS Final Rule have since been updated in response to COVID-19. To learn more about these changes, read our blog on quality reporting changes due to COVID-19.... 
    CMS-Requirements-Video-2019
    Regulatory Updates: Hospital

    Survey Results: eCQMs vs Core Measure Performance

    Over the course of the last decade, there has been a significant shift in the way hospitals track and assess their quality measures. Ten years ago, most hospitals were significantly burdened with... 
    Data-Quality-Survey-2
    Regulatory Updates: Hospital

    2019 eCQM Requirements for The Joint Commission ORYX® Initiative for Quality Improvement

    Achieving a successful eCQM submission is no easy feat. It is a year-round undertaking that requires time, organizational collaboration and plenty of patience. But don’t get too bogged down, because... 
    Requirements-2019-TJC
    Regulatory Updates: Ambulatory

    2019 MIPS Mind Game [Quiz]

    Play the 2019 MIPS Mind Game! How much do you know about the MIPS 2019 requirements? Do you think you could achieve a passing grade on a 15-point quiz? Put your MIPS knowledge to the test by... 
    MIPS-Mind-Game-2019
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    See our quality management software in action.

    Request a Demo
    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
    Regulatory Updates: Hospital

    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 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: 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

    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

    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
    Regulatory Updates: Ambulatory

    Take a Quality Improvement Road Trip in 2020 [INFOGRAPHIC]

    The road to quality improvement and value-based care is paved with clinical quality measures. But there are many potholes, hazards and detours along the way that can slow you down. What can your... 
    quality improvement
    Regulatory Updates: Ambulatory

    [E-BOOK] An Overview of MIPS 2020

    This week CMS released the full nationwide results of the second year of MIPS. Participation is at 98% and of the participants 98% met or exceeded the minimum score of 15 points. What they neglected... 
    MIPS-eBook-Featured-Image
    Industry Trends

    A Note From Our CEO: The State of Healthcare Quality in 2020

    As we say goodbye to the teen years of this century and move beyond the decade of Meaningful Use, it is a good time to look back on how quality measurement and reporting has evolved, and more... 
    DrZahidButt
    Customer Stories

    Merry Medisolving: Featuring Uvalde Hospital

    A Critical Access Hospital has many things to worry about. Ensuring that your organization is financially sound and an ever-present resource for your community is always a top priority. Valerie... 
    Merry-Medisolving-uvalde
    Value-Based Care

    5 Tips to Keep Your New Year’s Resolution on Quality Measures

    It’s a fact of life that making New Year’s resolutions is easy, but sticking to them is harder. How many times have you vowed to dust off the treadmill and actually use it, only for it to continue... 
    2020-Goals
    Customer Stories

    Merry Medisolving: Featuring BJC Health Care

    What do you do when you’re told that your healthcare system is being switched from one chart-abstracted vendor to another? In short, you do a lot. This is the situation BJC health care found... 
    Merry-Medisolving-BJC
    Regulatory Updates: Hospital

    Merry Medisolving: Featuring Memorial Health Care Systems

    There were only 160 hospitals nationwide that participated in the CMS voluntary hybrid readmission measure pilot and Memorial Health Care Systems was one of them. Taunya Schlueter is a clinical... 
    Merry-Medisolving-Memorial
    Industry Trends

    Healthcare Quality Reporting Personality Quiz

    Ahh Thanksgiving. What a great holiday. A day to be full of gratefulness, love and too much stuffing. This week we are taking a break from our usual education to bring you something fun. A... 
    QR-FeaturedImage-01-1
    Regulatory Updates: Hospital

    CMS’ New Hybrid Readmission Measure: A ScreenPlay in One Act

    This scripted conversation between a quality analyst and a director of quality management might not be real, but one thing’s for sure: You’ll need to get to know CMS’ new hybrid readmission measure... 
    Hybrid-Readmission-Measure
    Regulatory Updates: Ambulatory

    MIPS 2020 Requirements

    Guess what? You might actually be able to make some real money in the MIPS program next year. That's because CMS is upping the minimum and exceptional scores so more of the worst performer’s money... 
    2020-MIPS-Requirements
    Regulatory Updates: Ambulatory

    [Slideshow]: MIPS 2020 Changes from the Final Rule

    CMS released the 2020 Physician Fee Schedule (PFS) final rule which contained the revised MIPS requirements. Next year CMS is upping the minimum score requirements and plan to post your 2018 MIPS... 
    QPP_Final-Rule-1
    Value-Based Care

    Dear Medisolv: How Can I Reignite Our Passion for Patient Safety?

    It’s the 20th anniversary of the IOM’s landmark report, “To Err is Human,” which sparked the modern patient safety movement. Since then, some health systems’ relationships with patient safety have... 
    ignite-patient-safety-flame
    Value-Based Care

    Which States Had the Most Hospitals Penalized for Readmissions

    Every year, CMS levies penalties nationwide on hospitals with poor readmission performance. In Fiscal Year (FY) 2020, 83% of hospitals will be hit with a penalty. Since the program began in FY 2012,... 
    HRRP-FeaturedImage
    Regulatory Updates: Hospital

    2020 Hospital IQR Program Requirements

    Is your hospital ready for hospital quality reporting in 2020? I know it seems a little early, but when it comes to successfully fulfilling regulatory reporting requirements, it’s never too soon to... 
    2020-IQR-Requirements
    Regulatory Updates: Ambulatory

    Medisolv’s MIPS Reporting Results

    Results from the second year of MIPS 2018 marked the second complete year of the MIPS program. Last year, we put together an infographic showing our clients’ performance in the first year of MIPS.... 
    MIPS-results-featuredimage
    Industry Trends

    Healthcare Quality Conferences to Attend

    I recently received an email from a client asking me which Quality conferences I felt were worth attending. Medisolv of course makes our rounds at Quality conferences every year, but I hadn’t thought... 
    Healthcare-Quality-Conferences
    Regulatory Updates: Hospital

    2020 Joint Commission ORYX® Requirements

    There are some big changes coming to The Joint Commission’s ORYX® program in 2020. Changes include submission method, data file type and measure lists. 
    2020-oryx-requirements
    Regulatory Updates: Hospital

    [E-BOOK] 2020 Hospital IQR Program Requirements

    Every year the requirements for the CMS Inpatient Quality Reporting (IQR) program change; sometimes slightly and sometimes more drastically. In 2020, there are quite a few changes coming your way.... 
    2020-IQR-eBook_FeaturedImage
    Regulatory Updates: Hospital

    The Joint Commission reveals new eCQM in 2020: ePC-02

    The Joint Commission sent notification this week of their 2020 ORYX® requirements. That communication dropped an unexpected eCQM bomb on us – they are adding a brand-new eCQM to the mix. Our email... 
    New-eCQM
    Regulatory Updates: Hospital

    2019 eCQM Reporting Checklist [Free Download]

    Fall is quickly approaching, which means the deadline for 2019 eCQM reporting will be here before you know it! Is your hospital ready to report eCQMs to the Hospital Inpatient Quality Reporting (IQR)... 
    checklist-2019
    Regulatory Updates: Hospital

    [E-BOOK] Hybrid Measure Quick Start Guide

    CMS has mandated that the new Hybrid Hospital-Wide All-Cause Readmission measure go from voluntary to mandatory over the next several years. In fact, last year, CMS held a pilot program during which... 
    Hybrid-Guide-2
    Regulatory Updates: Ambulatory

    Medisolv Quality Expert Panel Answers Your FAQs

    Do you have questions about Quality reporting? Well you're not alone. In a recent webinar, Medisolv brought together a panel of Quality experts to answer questions from the audience. Participants... 
    Quality-FAQs
    Regulatory Updates: Hospital

    2020 IPPS Final Rule: 10 Things to Know

    CMS dropped the 2020 Inpatient Prospective Payment System (IPPS) final rule, which focuses on measure adjustments to reduce quality reporting burden, supporting quality care in rural areas and... 
    2020-Final-Rule-1
    News

    Microsoft Appoints Medisolv CTO as Microsoft Regional Director

    Columbia, MD, August 9, 2019 — Medisolv, a leader in healthcare quality management, announced today the appointment of Scott Allen, chief technology officer for Medisolv, as a Microsoft Regional... 
    Industry Trends

    FHIR for the Busy Quality Manager

    FHIR is a new data format standard promising to expand the flow of healthcare data, improve healthcare outcomes, lower healthcare costs, and introduce a new era of world peace. 
    FHIR
    Regulatory Updates: Ambulatory

    2020 MIPS Proposed Rule: Key Highlights

    What’s in store for MIPS 2020? Earlier this week, CMS dropped the 2020 Physician Fee Schedule (PFS) proposed rule. The rule provides a pretty good snapshot of the future for MIPS over the next... 
    2020-MIPS-Proposed-Rule-01
    Regulatory Updates: Hospital

    Speeding up the Abstraction Process: An Interview with Thibodaux Regional Medical Center

    Ever have someone call you "Sha bae bae?" Or maybe they've said to you,  “Would you like another cup of coffee, Mae Sha?” No? Well, me either. That is, until I headed way down south into Louisiana to... 
    thibodaux_featured_image
    Value-Based Care

    The Problem Facing Emergency Departments: Improving ED Throughput

    The Emergency Department has become the Grand Central Station of the American Healthcare System. ­­­­­­­Multitudes of people are coming and going in an extremely hectic environment every single day.... 
    Crowded-Waiting-Room
    Regulatory Updates: Ambulatory

    50 Quality Reporting Resources for 2019

      Happy 4th of July everyone! We hope you had 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-resources-01
    Regulatory Updates: Ambulatory

    An Overview of the 2019 Quality Payment Program: MIPS vs Advanced APMs

    There are two different tracks to the Quality Payment Program: MIPS and Advanced APMs. By now, we are all pretty familiar with the terms. But did you know that if you participate in an APM (such as... 
    MIPS-VS-Advanced-APMs
    Regulatory Updates: Ambulatory

    Am I Eligible for MIPS 2019?

    MIPS 2019 is in full swing! In case you missed it, there are several changes to the rules around MIPS eligibility this year. If you weren’t eligible last year you may be this year. CMS included a... 
    MIPS-Eligibility-2019-01
    Regulatory Updates: Hospital

    Super IQR World: Deadlines for the 2019 IQR Program

    Major deadlines for reporting to the CMS Inpatient Quality Reporting (IQR) program are rapidly approaching, but it's not game over just yet! Power-up your education by transporting into the Super IQR... 
    Super-IQR-World-Image-01
    Regulatory Updates: Hospital

    The Hybrid Readmission Measure: Understanding How It Works

    Have you heard about the new hybrid measure from CMS? In the 2020 IPPS final rule, the hybrid measure goes from voluntary to mandatory by 2023. And what’s more is that your measure performance will... 
    Hybrid-Measure-Featured-Image-1
    Regulatory Updates: Hospital

    2019 eCQM Requirements for the CMS IQR Program

    The requirements released in the 2019 IPPS Final Rule have since been updated in response to COVID-19. To learn more about these changes, read our blog on quality reporting changes due to COVID-19.... 
    CMS-Requirements-Video-2019
    Regulatory Updates: Hospital

    Survey Results: eCQMs vs Core Measure Performance

    Over the course of the last decade, there has been a significant shift in the way hospitals track and assess their quality measures. Ten years ago, most hospitals were significantly burdened with... 
    Data-Quality-Survey-2
    Regulatory Updates: Hospital

    2019 eCQM Requirements for The Joint Commission ORYX® Initiative for Quality Improvement

    Achieving a successful eCQM submission is no easy feat. It is a year-round undertaking that requires time, organizational collaboration and plenty of patience. But don’t get too bogged down, because... 
    Requirements-2019-TJC
    Regulatory Updates: Ambulatory

    2019 MIPS Mind Game [Quiz]

    Play the 2019 MIPS Mind Game! How much do you know about the MIPS 2019 requirements? Do you think you could achieve a passing grade on a 15-point quiz? Put your MIPS knowledge to the test by... 
    MIPS-Mind-Game-2019
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