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 requires eCQMs to be submitted as a part of successfully completing your Inpatient Quality Reporting (IQR) program requirements. In this post, we review the 2019 eCQM requirements for the IQR program. Watch the video below for a quick overview.
ALSO SEE: 2019 eCQM requirements for The Joint Commission ORYX® initiative for quality improvement program.
Just as in 2018, hospitals must continue to submit four of the available 15 eCQMs to the program.
Remember, eCQM submissions to the CMS IQR program are separate from eCQM submissions to other major regulatory program such as the The Joint Commission ORYX® initiative for quality improvement program.
When submitting data, hospitals must use the most recent version of the eCQM specifications which, as of this post, is May of 2018. Your data also must be submitted using the QRDA (Quality Reporting Document Architecture) Category 1 file format.
Unlike in 2018, your EHR must be certified to the 2015 edition of Certified EHR Technology (CEHRT) for reporting. You will no longer be able to use the 2014 Edition of CEHRT.
In response to COVID-19, CMS has made the following changes:
Just as in 2018, you can choose to report data from any one quarter of 2019. The submission window opens this summer, so we suggest that you submit your measures as soon as possible instead of rushing to get it done at the last minute. However, you do have until February 29, 2020 to get your data submitted to CMS and since February 29 falls on a Saturday next year, you technically have until March 2, 2020 to submit your data.
Note: Your data must be submitted no later than 11:59 p.m. PT by the submission deadline date.
In order to achieve a successful eCQM submission, there are a few guidelines that you need to follow.
Medisolv offers a quality reporting solution that helps hospitals and clinicians monitor and submit their eCQMs to various regulatory programs such as The Joint Commission and CMS. We also have dedicated clinical experts who can help with implementation, validation and submission of eCQMs.
Looking for eCQM assistance? Send us a note. We’d love to have a chat and see if we are a good fit for you.