Just when it feels like you’re nearing the end of your regulatory reporting duties for 2018...the time comes to start thinking ahead to a brand-new year of quality reporting. I know, the struggle is real. But by getting your research and planning done in advance, you’ll feel more confident about achieving quality reporting success in 2019.
In a previous post, we discussed the changes that have been finalized for the 2019 CMS Inpatient Quality Program (IQR) program. Today, we’re switching gears and reviewing what’s in store for another major regulatory program—The Joint Commission ORYX® initiative for quality improvement program.
So, what’s staying the same and what’s changing next year? Let’s review the 2019 requirements.
Chart-Abstracted Measure Requirements
The Joint Commission made some chart-abstracted measure adjustments for 2019. Unlike 2018, hospitals are required to report on two chart-abstracted measures next year. These measures will need to be submitted on a quarterly basis for the entire 2019 calendar year.
The following three chart-abstracted measures were removed: ED-1, VTE-6 and IMM-2.
Chart-abstracted Submission Method
For chart-abstracted measure submissions, hospitals must use an approved vendor. You can review The Joint Commission’s approved vendor list here (find us on page three!).
The eCQM reporting requirements will remain the same. In 2019, hospitals must continue to submit four of the available 13 eCQMs.
Select and Report Four eCQMs
In addition, hospitals must choose to report on one self-selected quarter from 2019. The deadline to submit your measures is March 15, 2020.
eCQM Submission Method
eCQM submission requirements, however, have changed a bit. Starting in 2019, hospitals are being transitioned to The Joint Commission Direct Data Submission (DDS) Platform for eCQM submissions.
Breathe easy, this does not mean that you can’t use a vendor. Vendors can still submit your measures like in previous years, so don't stress about having to complete submissions on you own.
The Joint Commission will provide more information about the use of the DDS platform in 2019 soon.
Special Facility Requirements
Hospitals with at least 300 live births
Hospitals with at least 300 births per year are required to submit five perinatal care measures in addition to the two chart-abstracted measures—ED-2 and PC-01—above.
Additional perinatal care measures
*PC-06, Unexpected Complications in Term Newborns, is a new measure that was added for 2019.
Critical Access and Small Hospitals
Critical access and small hospitals with an average daily consensus of 10 or fewer inpatients are required to report on three measures from any of the chart-abstracted or eCQM options below. This is down from the requirement of six measures in 2018.
|PC-01, PC-02, PC-03, PC-04, PC-05, PC-06||CAC-3|
|HBIPS-1, HBIPS-2, HBIPS-3, HBIPS-5||eSTK-2, eSTK-3, eSTK-5, eSTK-6|
|TOB-2, TOB-3||VTW-1, VTE-2|
Freestanding Psychiatric Hospitals
In 2019, freestanding psychiatric hospitals must continue to report on the four Hospital-based Inpatient Psychiatric Services (HBIPS) chart-abstracted measures below. Just as with your chart-abstracted measures, these measures will need to be submitted on a quarterly basis for the entire 2019 calendar year.
HBIPS Chart-abstracted measures
Facilities with Suspended requirements
As in the past, the following facilities are exempt from The Joint Commission ORYX® requirements in 2019:
- Freestanding Children’s Hospitals
- Long Term Acute Care Hospitals
- Inpatient Rehabilitation Facilities
Remember, Medisolv helps hospitals monitor and submit both chart-abstracted measures and eCQMs, year after year.
Why do it alone? Send us a note to learn more about our software, resources and clinical expert support. We’d love to chat and see how we can help with all of your quality reporting needs.
Wednesday, January 16, 2019
1 p.m. ET | 12 p.m. CT | 10 a.m. PT
THE QUEST FOR CAMELOT: BEST PRACTICES FOR IMPROVING THE INTEGRITY OF QUALITY IMPROVEMENT DATA
Improving your data is more important than ever because of value-based payments and public reporting. And maintaining data integrity can be an overwhelming and complicated task.
So, what can you do to improve your quality data and ensure that it’s accurate?
During this session, we’ll discuss how to identify potential gaps and risk points that can occur in an organization’s data stewardship program. We’ll also review best practice strategies to increase the “trust factor” of all your clinical quality measures.
Vicky Mahn-DiNicola, RN, MS, CPHQ
VP Clinical Analytics and Research