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Regulatory Updates: Hospital
Regulatory Updates: Ambulatory
Value-Based Care
Industry Trends
News
Customer Stories
Regulatory Updates: Inpatient Reporting
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.
Read More
Trending
Regulatory Updates: Inpatient Reporting
A Quick Guide to the THA/TKA PRO-PM Measure
Regulatory Updates: Inpatient Reporting
An Intro to CMS’s SDOH Measures
Our Picks
Value-Based Care
Feed Your AI Algorithm with Clinical Quality Measures
Regulatory Updates: Ambulatory Reporting
MIPS 2020 Requirements
The Latest
Regulatory Updates: Inpatient Reporting
Advancing Health Equity: Lifepoint Health's Strategic Implementation of SDOH Measures
Over the past few years, there has been an emphasis placed on health equity – identifying where and how it doesn’t exist, how to identify it, and tracking the numbers attached to the people.
Regulatory Updates: Inpatient Reporting
ExRad eCQM: Why Translation Software is Needed
The world of radiology is constantly evolving, and with it come new measures and standards to ensure patient safety and high-quality diagnostic imaging.
Regulatory Updates: Outpatient Reporting
How does the OQR Penalty Work?
In the next few years, Quality leaders must report a slew of new required measures to the CMS Inpatient and Outpatient Quality Reporting (IQR & OQR) programs.
Regulatory Updates: Ambulatory Reporting
MIPS Value Pathways (MVPs): Should I Start Now?
If you’ve been following the rollout of the MIPS Value Pathways (MVP) reporting framework closely, you’ve probably noticed that CMS has been playing coy with one critical piece of information: the...
Regulatory Updates: Inpatient Reporting
How to Implement the Global Malnutrition Composite Score eCQM
The Global Malnutrition Composite Score (GMCS) eCQM is the first nutrition-related quality measure to be introduced into CMS’s Inpatient Quality Reporting (IQR) program. It is available now as one of...
Regulatory Updates: Inpatient Reporting
How To Implement the Acute Kidney Injury eCQM
The Hospital Harm – Acute Kidney Injury (HH-AKI) eCQM is one of five hospital harm measures that CMS has added in quick succession to the Inpatient Quality Reporting (IQR) program in its efforts to...
Regulatory Updates: Outpatient Reporting
2024 Hospital OQR Program Requirements
This year marks a significant evolution in the Outpatient Quality Reporting (OQR) program with the introduction of a new mandatory eCQM and more coming down the line.
Regulatory Updates: Inpatient Reporting
How to Implement PC-07 eCQM (Severe Obstetric Complications)
I’m sure it will surprise no one to learn that there was a 200% increase in the overall rate of severe maternal morbidity (SMM) between 1993 and 2014.
Regulatory Updates: Inpatient Reporting
How to Implement the Pressure Injury eCQM
CMS has added a new voluntary eCQM to its 2025 Inpatient Quality Reporting (IQR) program: Hospital Harm - Pressure Injury (HH-PI).
Industry Trends
What is TEAM? An Overview of the CMS TEAM Model
The Transforming Episode Accountability Model (TEAM) is a new mandatory payment model proposed by CMS in the 2025 IPPS Proposed Rule. Its goal is to improve the care given to Medicare beneficiaries...
Regulatory Updates: Inpatient Reporting
[Slideshow] Proposed Major Changes from the 2025 IPPS Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2025 Inpatient Prospective Payment System (IPPS). The agency placed a strong emphasis on patient safety as its...
Industry Trends
The State of Inpatient Quality Reporting: 2024
If the skyrocketing number of regulatory requirements on your plate has you feeling a little sleep-deprived lately, you’re not alone. 52 percent of quality leaders rank “increasing regulatory...
Industry Trends
Connecting with Community-Based Organizations (CBOs): Learning from Failure and Success
Learn from success and failure in connecting with Community-Based Organizations (CBOs) to address Health-Related Social Needs (HRSNs) in hospitals. Explore challenges, solutions, and tools for...
Regulatory Updates: Ambulatory Reporting
2024 APP Reporting Requirements for ACOs
The Quality Payment Program (QPP) has allowed large organizations to use the CMS Web Interface reporting method to complete MIPS requirements since the program launched in 2017. This gave these...
Regulatory Updates: Ambulatory Reporting
2024 QPP Requirements
The Quality Payment Program has undergone some major changes over the last several years and CMS has signaled that they intend to further modify the program in the years to come.
Industry Trends
AI in Healthcare: A Lot of Talk, Not Much Action…Yet
It’s all anyone in healthcare wants to talk about — AI. At least, you’d think so from an AI-evaluation of all the presentation titles at the recent HIMSS 2024 conference.
Regulatory Updates: Inpatient Reporting
FAQ: PRO-PM THA/TKA OMG!
Each time CMS releases a new required measure for mandatory submission, there are a slew of questions that follow. But a new measure type takes it to another level. We’ve been fielding questions left...
Regulatory Updates: Inpatient Reporting
10 Ways to Improve Your Sepsis Compliance
Now that CMS is moving the Severe Sepsis and Septic Shock: Management Bundle measure (SEP-1) into the Hospital Value Based Purchasing (HVBP) Program, your hospital finally has the opportunity to earn...
Regulatory Updates: Inpatient Reporting
How to Prioritize Your Quality Reporting Requirements in 2024
Feeling overwhelmed with the new requirements, measures, and reporting periods? I can’t imagine you're feeling as though you’ve got more time in your day now as compared to two years ago. But this...
News
Medisolv Announces 2024 Available Measures
Columbia, MD, (February 28, 2024) — Medisolv, Inc., a leader in quality management software, is pleased to announce the complete list of measures available within ENCOR, its suite of quality...
Regulatory Updates: Ambulatory Reporting
The 2024 MVP Reporting Bundle
The MIPS (Merit-based Incentive Payment System) reporting program was started as a way to streamline the reporting requirements for clinicians and provide the public visibility into clinician...
Regulatory Updates: Inpatient Reporting
What’s Next for Hospital-Level PRO-PMs?
In 2025, CMS will require hospitals to submit the Inpatient Quality Reporting (IQR) program’s first-ever Patient-Reported Outcomes Performance Measure (PRO-PM): the Hospital-Level Total Hip...
Regulatory Updates: Inpatient Reporting
2024 Promoting Interoperability Requirements
The Promoting Interoperability (PI) Program originally was known as the Meaningful Use program and began in 2009. The program was initiated to get hospitals up and running with their Electronic...
Regulatory Updates: Ambulatory Reporting
[E-BOOK] 2024 QPP Overview
Whether you are responsible for one group of clinicians or many groups (like an ACO), the key to Quality Payment Program (QPP) reporting success will be understanding your reporting requirements.
Regulatory Updates: Inpatient Reporting
How does the IQR Penalty Work?
In the next few years, Quality leaders must report a slew of new required measures to the CMS Inpatient and Outpatient Quality Reporting (IQR & OQR) programs.
Regulatory Updates: Inpatient Reporting
How to Implement the Inpatient ExRad eCQM
CMS has added a new eCQM to the Inpatient Quality Reporting (IQR) program for 2025. The measure is known as ExRad: Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed...
Industry Trends
Trends in Healthcare Quality and Safety to Watch in 2024
By many metrics, healthcare quality and patient safety are returning to pre-pandemic baselines. While it’s too soon to declare it a comeback victory (for example, maternal care still has a long way...
Regulatory Updates: Inpatient Reporting
2024 Quality Reporting Deadlines Calendar
Back by popular demand! We present to you our annual Quality Reporting Deadlines Calendar. It's the master calendar of quality reporting deadlines that you've been dreaming of.
Customer Stories
Merry Medisolving: How to Boost Your Sepsis Bundle Compliance
We can all agree that CMS’s Severe Sepsis and Septic Shock: Management Bundle (SEP-1) measure is a tough nut to crack.
News
Medisolv Approved as a CMS Qualified Clinical Data Registry for 2024
Columbia, MD, December 21, 2023 — Medisolv, Inc., a national leader in healthcare quality data management software, is pleased to announce that the Medisolv Clinical Registry has received approval...
Regulatory Updates: Ambulatory Reporting
Merry Medisolving: How to Make Healthcare Quality Improvement a Cultural Habit
Building a passion for healthcare quality improvement into your organization’s culture is no easy task. But it is vital to your success, not only with regulatory bodies like CMS and The Joint...
Regulatory Updates: Inpatient Reporting
Merry Medisolving: How to Make Big Strides in Your Sepsis Performance
If the news that CMS is moving its Severe Sepsis and Septic Shock: Management Bundle (SEP-1) measure into the Hospital Value Based Purchasing (HVBP) Program for FY 2026 has you feeling a little...
Regulatory Updates: Inpatient Reporting
Merry Medisolving: How to Take Control of Your SDOH Data
For the last year, Augusta Health has made a concerted effort to formalize its social drivers of health (SDOH) screening process and take control of its SDOH data.
Regulatory Updates: Inpatient Reporting
2022 National eCQM Results: A Review of the October 2023 Care Compare Refresh
CMS recently released the latest Care Compare refresh and for the second time they included hospital eCQM performance. The eCQM results are only in the downloadable data set, not published on the...
Regulatory Updates: Ambulatory Reporting
Changes to the Quality Payment Program under the 2024 PFS Final Rule
CMS released the 2024 Physician Fee Schedule (PFS) Final Rule and made several significant changes to the Quality Payment Program (QPP), affecting each reporting framework (Traditional MIPS, MVP,...
Regulatory Updates: Inpatient Reporting
2024 CMS vs. TJC Measure List Comparison
Generally, The Joint Commission (TJC) tries to align their measure lists with the CMS programs, but over the course of the last few years things have diverged.
Regulatory Updates: Inpatient Reporting
2024 Joint Commission ORYX Requirements
Following in the footsteps of the 2024 IQR requirements, The Joint Commission (TJC) has just released its 2024 ORYX®quality reporting initiative requirements. TJC did make some notable changes to the...
Regulatory Updates: Ambulatory Reporting
[Download] MVP Selection Worksheet: A Guide to Choosing Which MVP to Report
MVP is short for MIPS Value Pathways. It is a reporting framework under the CMS QPP (Quality Payment Program). Most organizations are currently reporting under the traditional MIPS reporting...
News
Medisolv Launches New Module to Address Hospitals' PRO-PM Requirements
Columbia, MD, October 3, 2023 — Medisolv announced the launch of a new PRO-PM Module within their ENCOR for Abstracted Hospital Measures solution. This module will help hospitals meet new regulatory...
Industry Trends
5 Podcasts For Healthcare Leaders
Do you listen to podcasts? Nowadays you can find a podcast for every special niche you can think of including, you guessed it, healthcare IT.
Regulatory Updates: Inpatient Reporting
[E-BOOK] 2024 Hospital IQR Program Requirements
Each year the CMS Inpatient Quality Reporting (IQR) program makes changes; sometimes slight and sometimes more drastic. In 2024 CMS is ramping up eCQM requirements, increasing performance visibility,...
Regulatory Updates: Ambulatory Reporting
Healthcare Quality Acronym Reference Guide
Quality leaders are responsible for managing and submitting to the IQR, OQR, IPFQR programs and maybe even the QPP and choosing either the MIPS, MVP, or APP framework.
Regulatory Updates: Inpatient Reporting
2024 Hospital IQR Requirements
It’s time for quality teams like yours to start studying up on the 2024 Hospital Inpatient Quality Reporting (IQR) program requirements.
Regulatory Updates: Inpatient Reporting
A Quick Guide to the THA/TKA PRO-PM Measure
The new Hospital-Level Total Hip Arthroplasty/Total Knee Arthroplasty Patient-Reported Outcome-Based Performance Measure (THA/TKA PRO-PM) is more than just a mouthful. (Try saying it three times...
Regulatory Updates: Inpatient Reporting
How to Implement the Hospital Harm Opioid-Related Adverse Events eCQM
Opioids have taken national center stage for several years now. Shows like Netflix’s Painkiller or Hulu’s Dopesick have put opioids front and center for many Americans who might not have known about...
Regulatory Updates: Inpatient Reporting
2024 IPPS Final Rule: What Your Hospital Needs to Know
They say everything happens in threes—and that is certainly true for the 2024 IPPS Final Rule that CMS has just released. Across the board, this year’s noteworthy changes are happening in clusters of...
Regulatory Updates: Inpatient Reporting
2023 Star Ratings Calculation
CMS released the 2023 star rating for nearly all U.S. hospitals. The hospital star rating system began nearly a decade ago and is updated at least once annually.
Regulatory Updates: Ambulatory Reporting
2024 PFS Proposed Rule: QPP, APP, MVP Oh My
CMS has released the highly anticipated 2024 PFS Proposed Rule. CMS still plans to sunset CMS Web Interface Reporting by 2025, but they are proposing a new collection type during this transition...
Regulatory Updates: Ambulatory Reporting
What is a Medicare CQM?
In 2024 PFS Proposed Rule CMS threw a curveball and added a brand-new collection type to the mix. Their hope is that this will help alleviate ACO’s concern about transitioning to an all payer/all...
Regulatory Updates: Inpatient Reporting
4 Lessons Learned from Hybrid Measure Submissions
The Hybrid measures are now in their 5th year – yes 5th. The first pilot submission of hybrid data was completed in 2018. Medisolv submitted 69 of the 150 submissions nationwide.
Regulatory Updates: Inpatient Reporting
Top Tips: Succeeding with Sepsis (SEP-1)
Speaking with abstractors about sepsis will bring about a multitude of reactions. Eye-rolling, words of disgust, and even complete dismissal of the topic.
Regulatory Updates: Ambulatory Reporting
What is Data Completeness in MIPS?
CMS is sunsetting the CMS Web Interface reporting option for MSSP ACOs effective January 1, 2025. For an ACO staring at dozens of practices across multiple EMRs it can lead them to ask, "do I really...
Regulatory Updates: Ambulatory Reporting
The 7 Habits of Highly Effective Healthcare Quality Leaders
What are the hallmarks of a highly effective healthcare quality leader? At Medisolv, one of the things we’re most proud of is that our clients continue to outperform the national average on nearly...
Regulatory Updates: Ambulatory Reporting
MSSP ACO QPP 2023 Requirements
The Quality Payment Program (QPP) has allowed large organizations to use the CMS Web Interface reporting method to complete MIPS requirements since the program launched in 2017. This gave these...
Regulatory Updates: Inpatient Reporting
What is the CMS Health Equity Adjustment Bonus?
When CMS proposed adding a Health Equity Adjustment (HEA) bonus to its Hospital Value Based Purchasing (HVBP) Program, it was a nice palette cleanser to some other recommendations that it released as...
Regulatory Updates: Inpatient Reporting
2023 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: Inpatient Reporting
How to Prepare for CMS’s New Sepsis Requirements
Everyone’s favorite core measure, the Severe Sepsis and Septic Shock: Management Bundle (SEP-1), has been added to CMS’s Hospital Value Based Purchasing (HVBP) Program in FY 2026.
Regulatory Updates: Inpatient Reporting
How to Prevent Nurse Burnout – Quality Improvement Tips
You probably don’t need to see the data to know that preventing nurse burnout is a four-alarm priority for our nation’s healthcare system.
News
Medisolv Receives Strategic Investment from BVP Forge
Columbia, MD (May 22, 2023) – Medisolv Inc., a leader in healthcare quality data measurement and reporting solutions, announced today that BVP Forge, has completed a strategic investment in the...
Regulatory Updates: Inpatient Reporting
Quality Advice: Tips for Your Hospital SDOH Screening Process
If you’ve been putting off the start of your hospital social determinants of health (SDOH) screening process, we understand. Building any new process, especially one as delicate and important as your...
Regulatory Updates: Inpatient Reporting
How to Measure Health Equity: A Guide for Hospitals
How to measure health equity: it’s the billion-piece puzzle that every healthcare leader is trying to solve right now. But the solution to measuring health equity is anything but obvious.
Regulatory Updates: Inpatient Reporting
[Slideshow] Proposed Major Changes from the 2024 IPPS Proposed Rule
CMS released the 2024 IPPS proposed rule. In it they continued to emphasize health equity and provided clear indication that they are moving full throttle with eCQMs. You can see this reflected in...
Regulatory Updates: Inpatient Reporting
eCQM Benchmark Report & Top Performing Hospitals
eCQM Benchmark Report & Top Performing Hospital List Medisolv is releasing to the public the top eCQM performers of 2022 along with an exclusive inpatient eCQM benchmark report revealing benchmarks...
Regulatory Updates: Inpatient Reporting
Common Pitfalls of PC eCQMs
Maternal health is a top priority for CMS. So much so, that they are requiring the submission of both abstracted and now electronic Perinatal Care (PC) measures for all hospitals eligible to report...
Regulatory Updates: Inpatient Reporting
How to Build Your SDOH Screening Process
If you’re ready to build your hospital’s SDOH screening process—but you’re not sure where to start—you’ve come to the right place.
Regulatory Updates: Ambulatory Reporting
MIPS MVPs: The 2023 Guide to Reporting
The MIPS (Merit-based Incentive Payment System) reporting program was started as a way to streamline the reporting requirements for clinicians and provide the public visibility into clinician...
Industry Trends
CMS Reveals Their Universal Foundation for Quality Measures
Quality measures came together over the last several decades in a haphazard way. There wasn’t exactly an overarching strategic measure development process across all programs. Instead, measures were...
Regulatory Updates: Inpatient Reporting
CMS vs TJC Health Equity Requirements
How to Juggle Your Hospital’s Health Equity Requirements Save time and headaches on your CMS health equity + SDOH measures, as well as The Joint Commission health equity standard, with these 6 tips.
Regulatory Updates: Inpatient Reporting
2023 Promoting Interoperability Requirements
The Promoting Interoperability (PI) Program originally was known as the Meaningful Use program and began in 2009. The program was initiated to get hospitals up and running with their Electronic...
Regulatory Updates: Inpatient Reporting
A Guide to The Joint Commission’s New Health Equity Requirements
TJC’s new health equity standard LD.04.03.08 is surprisingly flexible. Here’s everything you need to get started without breaking a sweat.
Regulatory Updates: Inpatient Reporting
Hospital eCQM Results Are In: A Review of the January 2023 Care Compare Refresh
CMS recently released the latest Care Compare refresh and for the very first time hospital eCQM performance is publicized! But don't get too excited (or maybe do depending on your position), eCQM...
Regulatory Updates: Ambulatory Reporting
2023 QPP Requirements
The Quality Payment Program has undergone some major changes over the last several years and CMS has signaled that they intend to further modify the program in the years to come. It's hard to keep...
News
Medisolv CEO Dr. Zahid Butt Wins HIMSS 2023 Changemaker in Health Policy Influencer Category Award
Columbia, MD, January 27, 2023 — Medisolv is pleased to announce that the Healthcare Information and Management Systems Society (HIMSS) has named CEO Dr. Zahid Butt a 2023 HIMSS Changemaker in Health...
Regulatory Updates: Inpatient Reporting
2023 Quality Reporting Deadlines Calendar
Back by popular demand! We present to you our annual Quality Reporting Deadlines Calendar. It's the master calendar of quality reporting deadlines that you've been dreaming of.
Regulatory Updates: Ambulatory Reporting
[E-BOOK] QPP 2023 Overview
Whether you are responsible for one group of clinicians or many groups (like an ACO), the key to Quality Payment Program (QPP) reporting success year will be understanding your reporting requirements.
Industry Trends
A Note from Our CEO: Preparing for the Evolution of Quality Improvement in 2023 & Beyond
After a tumultuous three years, what does 2023 hold for the future of healthcare quality measurement and improvement?
Industry Trends
Medisolv's Top 10 Blog Posts of 2022
Medisolv created nearly 100 different articles and resources this year. Of course, I'm absolutely sure you read every single one (😊). But just in case, I put together the 10 most popular posts...
Regulatory Updates: Inpatient Reporting
Merry Medisolving: Electronically Measuring Maternal Care Performance
Maternal health is a big topic in the industry right now. So big that CMS finalized a requirement for all eligible hospitals to publicly report their eCQM rates for PC-02 (Cesarean Birth) and PC-07...
Regulatory Updates: Inpatient Reporting
Merry Medisolving: How to Participate in Quality Measure Development
How to Participate in Quality Measure Development (And Why It’s Really Worth It!) CMS’s new Severe Obstetric Complications eCQM (ePC-07) is one of two perinatal measures set to launch in 2023 before...
Regulatory Updates: Inpatient Reporting
Equitable Care Measures Review [On-Demand Webinar]
CMS has mandated new measures for the Inpatient Quality Reporting (IQR) program that focus on providing equitable care for all patients that you serve.
News
Medisolv CEO Dr. Zahid Butt is named a HIMSS Changemaker in Health award finalist in the Category of Policy Influencer
Regulatory Updates: Inpatient Reporting
The State of Inpatient Quality Reporting: 2022 Survey Results & Recommendations
What’s the number one thing that keeps today’s hospital quality leaders up at night? It’s time. Or, more specifically, it’s not having enough time to effectively manage the mounting requirements...
News
Medisolv Launches Equitable Care Module to Address Hospital’s Health Equity Requirements
Columbia, MD, November 10, 2022 — Medisolv announced the launch of a new Equitable Care Module within their ENCOR for Electronic Measures solution. This module will help hospitals meet new regulatory...
Regulatory Updates: Inpatient Reporting
2023 CMS vs. TJC Measure List Comparison
Generally, The Joint Commission (TJC) tries to align their measure lists with the CMS programs, but over the course of the last few years things have diverged.
Regulatory Updates: Inpatient Reporting
[E-BOOK] 2023 Hospital IQR Program Requirements
Each year the CMS Inpatient Quality Reporting (IQR) program makes changes; sometimes slight and sometimes more drastic. In 2023 CMS is ramping up eCQM requirements, increasing performance visibility,...
News
Trinexus Partners with Medisolv to Improve Quality Management Across Puerto Rico and Caribbean Markets
San Juan, PR, October 19, 2022 — Trinexus, a healthcare information technology consulting firm based in Puerto Rico, also servicing the Caribbean and Latin America market, today announced its...
Regulatory Updates: Inpatient Reporting
A Guide to CMS’s New Perinatal Measures
Whoa, baby! CMS has announced that it’s officially rolling out two new electronic clinical quality measures (eCQMs) focused on perinatal care in 2023: ePC-02 (Cesarean Birth) and ePC-07 (Severe...
Regulatory Updates: Inpatient Reporting
An Intro to CMS’s SDOH Measures
In the 2023 IPPS Final Rule, CMS mandated that hospitals reporting to the Inpatient Quality Reporting (IQR) program submit two brand new measures: SDOH-1 and SDOH-2. These measures are voluntary in...
Regulatory Updates: Inpatient Reporting
2023 Joint Commission ORYX Requirements
The Joint Commission had a bit of a rough year. After announcing, rather abruptly, that their DDS platform was shut down, they went about rebuilding it and severely delayed submission deadlines to...
Regulatory Updates: Inpatient Reporting
2023 Hospital IQR Requirements
It’s time to start preparing for the next year’s Hospital Inpatient Quality Reporting (IQR) program requirements. Here, we’ll give you a quick review of the IQR program, summarize key 2023...
Regulatory Updates: Inpatient Reporting
Prepping for Hybrid Measure Submissions
Did you know hybrid measures aren't new? In 2018, Medisolv participated in CMS’s hybrid readmission measure pilot program and as a part of that pilot, we submitted hybrid data electronically for...
News
Three New eCQMs Added to Medisolv’s ENCOR Software
Columbia, MD, September 15, 2022 — Medisolv, Inc., a leader in quality management software, released three new eCQMs in their ENCOR for Electronic Hospital Measure software a year ahead of regulatory...
Regulatory Updates: Ambulatory Reporting
eCQM vs CQM vs Web Interface: Understanding the Difference
In the Quality Payment Program, there are several different types of quality measures available for the Quality category. You may have heard various terms thrown around: eCQM, CQMs, QCDR measures and...
Regulatory Updates: Inpatient Reporting
A Guide to CMS's New Health Equity Measure
There has been a lot of talk around health equity. Now we are finally getting real action from CMS in the form of a new structural measure: the Hospital Commitment to Health Equity measure (HCHE).
Regulatory Updates: Inpatient Reporting
Safe Use of Opioids eCQM – The Secrets to Success
In 2015, McAlester Regional Health Center began waging a carefully plotted war against opioids—even before the White House declared it a public health crisis in 2017 and long before CMS released the...
Regulatory Updates: Inpatient Reporting
The Four Highways of CMS’s dQM Strategic Roadmap
In 1956, President Eisenhower signed legislation funding the construction of the U.S. Interstate Highway System. Stick with me here, I promise this has to do with healthcare.
Regulatory Updates: Inpatient Reporting
How to Implement the Hypoglycemic and Hyperglycemic eCQMs
CMS introduced several new eCQMs over the last year including a pair of measures that track your care of inpatients experiencing a hyperglycemic or hypoglycemic event.
Regulatory Updates: Inpatient Reporting
2023 IQR Program Changes: A Summary from the IPPS Final Rule
CMS released their 2023 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 Reporting
2023 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.
Regulatory Updates: Ambulatory Reporting
What is FHIR? The (Non-Scary!) Beginner’s Guide
What is FHIR? (And 5 Other Things You Wanted to Know About FHIR But Were Afraid to Ask) It’s time to address the elephant in the quality improvement room: most of us don’t really understand what FHIR...
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Resources
The tools you need for quality reporting success at your fingertips.
An Overview of the 2020 MIPS Requirements
2020 Hospital IQR Program Requirements
Hybrid Measure Quick Start Guide
2019 eCQM Reporting Checklist
IQR Program Measure Removal Guide
Readmission Prevention Checklist
View More
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Merry Medisolving: How to Boost Your Sepsis Bundle ...
Merry Medisolving: How to Make Big Strides in Your ...
2023 Star Ratings Calculation
How Does CMS Calculate the Hospital Star Rating?
View More
Use your data to drive meaningful improvement.
See our quality management software in action.
Regulatory Updates: Ambulatory Reporting
MIPS Value Pathways (MVPs): Should I Start Now?
If you’ve been following the rollout of the MIPS Value Pathways (MVP) reporting framework closely, you’ve probably noticed that CMS has been playing coy with one critical piece of information: the...
Regulatory Updates: Inpatient Reporting
How to Implement the Global Malnutrition Composite Score eCQM
The Global Malnutrition Composite Score (GMCS) eCQM is the first nutrition-related quality measure to be introduced into CMS’s Inpatient Quality Reporting (IQR) program. It is available now as one of...
Regulatory Updates: Inpatient Reporting
How To Implement the Acute Kidney Injury eCQM
The Hospital Harm – Acute Kidney Injury (HH-AKI) eCQM is one of five hospital harm measures that CMS has added in quick succession to the Inpatient Quality Reporting (IQR) program in its efforts to...
Regulatory Updates: Outpatient Reporting
2024 Hospital OQR Program Requirements
This year marks a significant evolution in the Outpatient Quality Reporting (OQR) program with the introduction of a new mandatory eCQM and more coming down the line.
Regulatory Updates: Inpatient Reporting
How to Implement PC-07 eCQM (Severe Obstetric Complications)
I’m sure it will surprise no one to learn that there was a 200% increase in the overall rate of severe maternal morbidity (SMM) between 1993 and 2014.
Regulatory Updates: Inpatient Reporting
How to Implement the Pressure Injury eCQM
CMS has added a new voluntary eCQM to its 2025 Inpatient Quality Reporting (IQR) program: Hospital Harm - Pressure Injury (HH-PI).
Industry Trends
What is TEAM? An Overview of the CMS TEAM Model
The Transforming Episode Accountability Model (TEAM) is a new mandatory payment model proposed by CMS in the 2025 IPPS Proposed Rule. Its goal is to improve the care given to Medicare beneficiaries...
Regulatory Updates: Inpatient Reporting
[Slideshow] Proposed Major Changes from the 2025 IPPS Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2025 Inpatient Prospective Payment System (IPPS). The agency placed a strong emphasis on patient safety as its...
Industry Trends
The State of Inpatient Quality Reporting: 2024
If the skyrocketing number of regulatory requirements on your plate has you feeling a little sleep-deprived lately, you’re not alone. 52 percent of quality leaders rank “increasing regulatory...
Industry Trends
Connecting with Community-Based Organizations (CBOs): Learning from Failure and Success
Learn from success and failure in connecting with Community-Based Organizations (CBOs) to address Health-Related Social Needs (HRSNs) in hospitals. Explore challenges, solutions, and tools for...
Regulatory Updates: Ambulatory Reporting
2024 APP Reporting Requirements for ACOs
The Quality Payment Program (QPP) has allowed large organizations to use the CMS Web Interface reporting method to complete MIPS requirements since the program launched in 2017. This gave these...
Regulatory Updates: Ambulatory Reporting
2024 QPP Requirements
The Quality Payment Program has undergone some major changes over the last several years and CMS has signaled that they intend to further modify the program in the years to come.
Industry Trends
AI in Healthcare: A Lot of Talk, Not Much Action…Yet
It’s all anyone in healthcare wants to talk about — AI. At least, you’d think so from an AI-evaluation of all the presentation titles at the recent HIMSS 2024 conference.
Regulatory Updates: Inpatient Reporting
FAQ: PRO-PM THA/TKA OMG!
Each time CMS releases a new required measure for mandatory submission, there are a slew of questions that follow. But a new measure type takes it to another level. We’ve been fielding questions left...
Regulatory Updates: Inpatient Reporting
10 Ways to Improve Your Sepsis Compliance
Now that CMS is moving the Severe Sepsis and Septic Shock: Management Bundle measure (SEP-1) into the Hospital Value Based Purchasing (HVBP) Program, your hospital finally has the opportunity to earn...
Regulatory Updates: Inpatient Reporting
How to Prioritize Your Quality Reporting Requirements in 2024
Feeling overwhelmed with the new requirements, measures, and reporting periods? I can’t imagine you're feeling as though you’ve got more time in your day now as compared to two years ago. But this...
News
Medisolv Announces 2024 Available Measures
Columbia, MD, (February 28, 2024) — Medisolv, Inc., a leader in quality management software, is pleased to announce the complete list of measures available within ENCOR, its suite of quality...
Regulatory Updates: Ambulatory Reporting
The 2024 MVP Reporting Bundle
The MIPS (Merit-based Incentive Payment System) reporting program was started as a way to streamline the reporting requirements for clinicians and provide the public visibility into clinician...
Regulatory Updates: Inpatient Reporting
What’s Next for Hospital-Level PRO-PMs?
In 2025, CMS will require hospitals to submit the Inpatient Quality Reporting (IQR) program’s first-ever Patient-Reported Outcomes Performance Measure (PRO-PM): the Hospital-Level Total Hip...
Regulatory Updates: Inpatient Reporting
2024 Promoting Interoperability Requirements
The Promoting Interoperability (PI) Program originally was known as the Meaningful Use program and began in 2009. The program was initiated to get hospitals up and running with their Electronic...
Regulatory Updates: Ambulatory Reporting
[E-BOOK] 2024 QPP Overview
Whether you are responsible for one group of clinicians or many groups (like an ACO), the key to Quality Payment Program (QPP) reporting success will be understanding your reporting requirements.
Regulatory Updates: Inpatient Reporting
How does the IQR Penalty Work?
In the next few years, Quality leaders must report a slew of new required measures to the CMS Inpatient and Outpatient Quality Reporting (IQR & OQR) programs.
Regulatory Updates: Inpatient Reporting
How to Implement the Inpatient ExRad eCQM
CMS has added a new eCQM to the Inpatient Quality Reporting (IQR) program for 2025. The measure is known as ExRad: Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed...
Industry Trends
Trends in Healthcare Quality and Safety to Watch in 2024
By many metrics, healthcare quality and patient safety are returning to pre-pandemic baselines. While it’s too soon to declare it a comeback victory (for example, maternal care still has a long way...
Regulatory Updates: Inpatient Reporting
2024 Quality Reporting Deadlines Calendar
Back by popular demand! We present to you our annual Quality Reporting Deadlines Calendar. It's the master calendar of quality reporting deadlines that you've been dreaming of.
Customer Stories
Merry Medisolving: How to Boost Your Sepsis Bundle Compliance
We can all agree that CMS’s Severe Sepsis and Septic Shock: Management Bundle (SEP-1) measure is a tough nut to crack.
News
Medisolv Approved as a CMS Qualified Clinical Data Registry for 2024
Columbia, MD, December 21, 2023 — Medisolv, Inc., a national leader in healthcare quality data management software, is pleased to announce that the Medisolv Clinical Registry has received approval...
Regulatory Updates: Ambulatory Reporting
Merry Medisolving: How to Make Healthcare Quality Improvement a Cultural Habit
Building a passion for healthcare quality improvement into your organization’s culture is no easy task. But it is vital to your success, not only with regulatory bodies like CMS and The Joint...
Regulatory Updates: Inpatient Reporting
Merry Medisolving: How to Make Big Strides in Your Sepsis Performance
If the news that CMS is moving its Severe Sepsis and Septic Shock: Management Bundle (SEP-1) measure into the Hospital Value Based Purchasing (HVBP) Program for FY 2026 has you feeling a little...
Regulatory Updates: Inpatient Reporting
Merry Medisolving: How to Take Control of Your SDOH Data
For the last year, Augusta Health has made a concerted effort to formalize its social drivers of health (SDOH) screening process and take control of its SDOH data.
Regulatory Updates: Inpatient Reporting
2022 National eCQM Results: A Review of the October 2023 Care Compare Refresh
CMS recently released the latest Care Compare refresh and for the second time they included hospital eCQM performance. The eCQM results are only in the downloadable data set, not published on the...
Regulatory Updates: Ambulatory Reporting
Changes to the Quality Payment Program under the 2024 PFS Final Rule
CMS released the 2024 Physician Fee Schedule (PFS) Final Rule and made several significant changes to the Quality Payment Program (QPP), affecting each reporting framework (Traditional MIPS, MVP,...
Regulatory Updates: Inpatient Reporting
2024 CMS vs. TJC Measure List Comparison
Generally, The Joint Commission (TJC) tries to align their measure lists with the CMS programs, but over the course of the last few years things have diverged.
Regulatory Updates: Inpatient Reporting
2024 Joint Commission ORYX Requirements
Following in the footsteps of the 2024 IQR requirements, The Joint Commission (TJC) has just released its 2024 ORYX®quality reporting initiative requirements. TJC did make some notable changes to the...
Regulatory Updates: Ambulatory Reporting
[Download] MVP Selection Worksheet: A Guide to Choosing Which MVP to Report
MVP is short for MIPS Value Pathways. It is a reporting framework under the CMS QPP (Quality Payment Program). Most organizations are currently reporting under the traditional MIPS reporting...
News
Medisolv Launches New Module to Address Hospitals' PRO-PM Requirements
Columbia, MD, October 3, 2023 — Medisolv announced the launch of a new PRO-PM Module within their ENCOR for Abstracted Hospital Measures solution. This module will help hospitals meet new regulatory...
Industry Trends
5 Podcasts For Healthcare Leaders
Do you listen to podcasts? Nowadays you can find a podcast for every special niche you can think of including, you guessed it, healthcare IT.
Regulatory Updates: Inpatient Reporting
[E-BOOK] 2024 Hospital IQR Program Requirements
Each year the CMS Inpatient Quality Reporting (IQR) program makes changes; sometimes slight and sometimes more drastic. In 2024 CMS is ramping up eCQM requirements, increasing performance visibility,...
Regulatory Updates: Ambulatory Reporting
Healthcare Quality Acronym Reference Guide
Quality leaders are responsible for managing and submitting to the IQR, OQR, IPFQR programs and maybe even the QPP and choosing either the MIPS, MVP, or APP framework.
Regulatory Updates: Inpatient Reporting
2024 Hospital IQR Requirements
It’s time for quality teams like yours to start studying up on the 2024 Hospital Inpatient Quality Reporting (IQR) program requirements.
Regulatory Updates: Inpatient Reporting
A Quick Guide to the THA/TKA PRO-PM Measure
The new Hospital-Level Total Hip Arthroplasty/Total Knee Arthroplasty Patient-Reported Outcome-Based Performance Measure (THA/TKA PRO-PM) is more than just a mouthful. (Try saying it three times...
Regulatory Updates: Inpatient Reporting
How to Implement the Hospital Harm Opioid-Related Adverse Events eCQM
Opioids have taken national center stage for several years now. Shows like Netflix’s Painkiller or Hulu’s Dopesick have put opioids front and center for many Americans who might not have known about...
Regulatory Updates: Inpatient Reporting
2024 IPPS Final Rule: What Your Hospital Needs to Know
They say everything happens in threes—and that is certainly true for the 2024 IPPS Final Rule that CMS has just released. Across the board, this year’s noteworthy changes are happening in clusters of...
Regulatory Updates: Inpatient Reporting
2023 Star Ratings Calculation
CMS released the 2023 star rating for nearly all U.S. hospitals. The hospital star rating system began nearly a decade ago and is updated at least once annually.
Regulatory Updates: Ambulatory Reporting
2024 PFS Proposed Rule: QPP, APP, MVP Oh My
CMS has released the highly anticipated 2024 PFS Proposed Rule. CMS still plans to sunset CMS Web Interface Reporting by 2025, but they are proposing a new collection type during this transition...
Regulatory Updates: Ambulatory Reporting
What is a Medicare CQM?
In 2024 PFS Proposed Rule CMS threw a curveball and added a brand-new collection type to the mix. Their hope is that this will help alleviate ACO’s concern about transitioning to an all payer/all...
Regulatory Updates: Inpatient Reporting
4 Lessons Learned from Hybrid Measure Submissions
The Hybrid measures are now in their 5th year – yes 5th. The first pilot submission of hybrid data was completed in 2018. Medisolv submitted 69 of the 150 submissions nationwide.
Regulatory Updates: Inpatient Reporting
Top Tips: Succeeding with Sepsis (SEP-1)
Speaking with abstractors about sepsis will bring about a multitude of reactions. Eye-rolling, words of disgust, and even complete dismissal of the topic.
Regulatory Updates: Ambulatory Reporting
What is Data Completeness in MIPS?
CMS is sunsetting the CMS Web Interface reporting option for MSSP ACOs effective January 1, 2025. For an ACO staring at dozens of practices across multiple EMRs it can lead them to ask, "do I really...
Regulatory Updates: Ambulatory Reporting
The 7 Habits of Highly Effective Healthcare Quality Leaders
What are the hallmarks of a highly effective healthcare quality leader? At Medisolv, one of the things we’re most proud of is that our clients continue to outperform the national average on nearly...
Regulatory Updates: Ambulatory Reporting
MSSP ACO QPP 2023 Requirements
The Quality Payment Program (QPP) has allowed large organizations to use the CMS Web Interface reporting method to complete MIPS requirements since the program launched in 2017. This gave these...
Regulatory Updates: Inpatient Reporting
What is the CMS Health Equity Adjustment Bonus?
When CMS proposed adding a Health Equity Adjustment (HEA) bonus to its Hospital Value Based Purchasing (HVBP) Program, it was a nice palette cleanser to some other recommendations that it released as...
Regulatory Updates: Inpatient Reporting
2023 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: Inpatient Reporting
How to Prepare for CMS’s New Sepsis Requirements
Everyone’s favorite core measure, the Severe Sepsis and Septic Shock: Management Bundle (SEP-1), has been added to CMS’s Hospital Value Based Purchasing (HVBP) Program in FY 2026.
Regulatory Updates: Inpatient Reporting
How to Prevent Nurse Burnout – Quality Improvement Tips
You probably don’t need to see the data to know that preventing nurse burnout is a four-alarm priority for our nation’s healthcare system.
News
Medisolv Receives Strategic Investment from BVP Forge
Columbia, MD (May 22, 2023) – Medisolv Inc., a leader in healthcare quality data measurement and reporting solutions, announced today that BVP Forge, has completed a strategic investment in the...
Regulatory Updates: Inpatient Reporting
Quality Advice: Tips for Your Hospital SDOH Screening Process
If you’ve been putting off the start of your hospital social determinants of health (SDOH) screening process, we understand. Building any new process, especially one as delicate and important as your...
Regulatory Updates: Inpatient Reporting
How to Measure Health Equity: A Guide for Hospitals
How to measure health equity: it’s the billion-piece puzzle that every healthcare leader is trying to solve right now. But the solution to measuring health equity is anything but obvious.
Regulatory Updates: Inpatient Reporting
[Slideshow] Proposed Major Changes from the 2024 IPPS Proposed Rule
CMS released the 2024 IPPS proposed rule. In it they continued to emphasize health equity and provided clear indication that they are moving full throttle with eCQMs. You can see this reflected in...
Regulatory Updates: Inpatient Reporting
eCQM Benchmark Report & Top Performing Hospitals
eCQM Benchmark Report & Top Performing Hospital List Medisolv is releasing to the public the top eCQM performers of 2022 along with an exclusive inpatient eCQM benchmark report revealing benchmarks...
Regulatory Updates: Inpatient Reporting
Common Pitfalls of PC eCQMs
Maternal health is a top priority for CMS. So much so, that they are requiring the submission of both abstracted and now electronic Perinatal Care (PC) measures for all hospitals eligible to report...
Regulatory Updates: Inpatient Reporting
How to Build Your SDOH Screening Process
If you’re ready to build your hospital’s SDOH screening process—but you’re not sure where to start—you’ve come to the right place.
Regulatory Updates: Ambulatory Reporting
MIPS MVPs: The 2023 Guide to Reporting
The MIPS (Merit-based Incentive Payment System) reporting program was started as a way to streamline the reporting requirements for clinicians and provide the public visibility into clinician...
Industry Trends
CMS Reveals Their Universal Foundation for Quality Measures
Quality measures came together over the last several decades in a haphazard way. There wasn’t exactly an overarching strategic measure development process across all programs. Instead, measures were...
Regulatory Updates: Inpatient Reporting
CMS vs TJC Health Equity Requirements
How to Juggle Your Hospital’s Health Equity Requirements Save time and headaches on your CMS health equity + SDOH measures, as well as The Joint Commission health equity standard, with these 6 tips.
Regulatory Updates: Inpatient Reporting
2023 Promoting Interoperability Requirements
The Promoting Interoperability (PI) Program originally was known as the Meaningful Use program and began in 2009. The program was initiated to get hospitals up and running with their Electronic...
Regulatory Updates: Inpatient Reporting
A Guide to The Joint Commission’s New Health Equity Requirements
TJC’s new health equity standard LD.04.03.08 is surprisingly flexible. Here’s everything you need to get started without breaking a sweat.
Regulatory Updates: Inpatient Reporting
Hospital eCQM Results Are In: A Review of the January 2023 Care Compare Refresh
CMS recently released the latest Care Compare refresh and for the very first time hospital eCQM performance is publicized! But don't get too excited (or maybe do depending on your position), eCQM...
Regulatory Updates: Ambulatory Reporting
2023 QPP Requirements
The Quality Payment Program has undergone some major changes over the last several years and CMS has signaled that they intend to further modify the program in the years to come. It's hard to keep...
News
Medisolv CEO Dr. Zahid Butt Wins HIMSS 2023 Changemaker in Health Policy Influencer Category Award
Columbia, MD, January 27, 2023 — Medisolv is pleased to announce that the Healthcare Information and Management Systems Society (HIMSS) has named CEO Dr. Zahid Butt a 2023 HIMSS Changemaker in Health...
Regulatory Updates: Inpatient Reporting
2023 Quality Reporting Deadlines Calendar
Back by popular demand! We present to you our annual Quality Reporting Deadlines Calendar. It's the master calendar of quality reporting deadlines that you've been dreaming of.
Regulatory Updates: Ambulatory Reporting
[E-BOOK] QPP 2023 Overview
Whether you are responsible for one group of clinicians or many groups (like an ACO), the key to Quality Payment Program (QPP) reporting success year will be understanding your reporting requirements.
Industry Trends
A Note from Our CEO: Preparing for the Evolution of Quality Improvement in 2023 & Beyond
After a tumultuous three years, what does 2023 hold for the future of healthcare quality measurement and improvement?
Industry Trends
Medisolv's Top 10 Blog Posts of 2022
Medisolv created nearly 100 different articles and resources this year. Of course, I'm absolutely sure you read every single one (😊). But just in case, I put together the 10 most popular posts...
Regulatory Updates: Inpatient Reporting
Merry Medisolving: Electronically Measuring Maternal Care Performance
Maternal health is a big topic in the industry right now. So big that CMS finalized a requirement for all eligible hospitals to publicly report their eCQM rates for PC-02 (Cesarean Birth) and PC-07...
Regulatory Updates: Inpatient Reporting
Merry Medisolving: How to Participate in Quality Measure Development
How to Participate in Quality Measure Development (And Why It’s Really Worth It!) CMS’s new Severe Obstetric Complications eCQM (ePC-07) is one of two perinatal measures set to launch in 2023 before...
Regulatory Updates: Inpatient Reporting
Equitable Care Measures Review [On-Demand Webinar]
CMS has mandated new measures for the Inpatient Quality Reporting (IQR) program that focus on providing equitable care for all patients that you serve.
News
Medisolv CEO Dr. Zahid Butt is named a HIMSS Changemaker in Health award finalist in the Category of Policy Influencer
Regulatory Updates: Inpatient Reporting
The State of Inpatient Quality Reporting: 2022 Survey Results & Recommendations
What’s the number one thing that keeps today’s hospital quality leaders up at night? It’s time. Or, more specifically, it’s not having enough time to effectively manage the mounting requirements...
News
Medisolv Launches Equitable Care Module to Address Hospital’s Health Equity Requirements
Columbia, MD, November 10, 2022 — Medisolv announced the launch of a new Equitable Care Module within their ENCOR for Electronic Measures solution. This module will help hospitals meet new regulatory...
Regulatory Updates: Inpatient Reporting
2023 CMS vs. TJC Measure List Comparison
Generally, The Joint Commission (TJC) tries to align their measure lists with the CMS programs, but over the course of the last few years things have diverged.
Regulatory Updates: Inpatient Reporting
[E-BOOK] 2023 Hospital IQR Program Requirements
Each year the CMS Inpatient Quality Reporting (IQR) program makes changes; sometimes slight and sometimes more drastic. In 2023 CMS is ramping up eCQM requirements, increasing performance visibility,...
News
Trinexus Partners with Medisolv to Improve Quality Management Across Puerto Rico and Caribbean Markets
San Juan, PR, October 19, 2022 — Trinexus, a healthcare information technology consulting firm based in Puerto Rico, also servicing the Caribbean and Latin America market, today announced its...
Regulatory Updates: Inpatient Reporting
A Guide to CMS’s New Perinatal Measures
Whoa, baby! CMS has announced that it’s officially rolling out two new electronic clinical quality measures (eCQMs) focused on perinatal care in 2023: ePC-02 (Cesarean Birth) and ePC-07 (Severe...
Regulatory Updates: Inpatient Reporting
An Intro to CMS’s SDOH Measures
In the 2023 IPPS Final Rule, CMS mandated that hospitals reporting to the Inpatient Quality Reporting (IQR) program submit two brand new measures: SDOH-1 and SDOH-2. These measures are voluntary in...
Regulatory Updates: Inpatient Reporting
2023 Joint Commission ORYX Requirements
The Joint Commission had a bit of a rough year. After announcing, rather abruptly, that their DDS platform was shut down, they went about rebuilding it and severely delayed submission deadlines to...
Regulatory Updates: Inpatient Reporting
2023 Hospital IQR Requirements
It’s time to start preparing for the next year’s Hospital Inpatient Quality Reporting (IQR) program requirements. Here, we’ll give you a quick review of the IQR program, summarize key 2023...
Regulatory Updates: Inpatient Reporting
Prepping for Hybrid Measure Submissions
Did you know hybrid measures aren't new? In 2018, Medisolv participated in CMS’s hybrid readmission measure pilot program and as a part of that pilot, we submitted hybrid data electronically for...
News
Three New eCQMs Added to Medisolv’s ENCOR Software
Columbia, MD, September 15, 2022 — Medisolv, Inc., a leader in quality management software, released three new eCQMs in their ENCOR for Electronic Hospital Measure software a year ahead of regulatory...
Regulatory Updates: Ambulatory Reporting
eCQM vs CQM vs Web Interface: Understanding the Difference
In the Quality Payment Program, there are several different types of quality measures available for the Quality category. You may have heard various terms thrown around: eCQM, CQMs, QCDR measures and...
Regulatory Updates: Inpatient Reporting
A Guide to CMS's New Health Equity Measure
There has been a lot of talk around health equity. Now we are finally getting real action from CMS in the form of a new structural measure: the Hospital Commitment to Health Equity measure (HCHE).
Regulatory Updates: Inpatient Reporting
Safe Use of Opioids eCQM – The Secrets to Success
In 2015, McAlester Regional Health Center began waging a carefully plotted war against opioids—even before the White House declared it a public health crisis in 2017 and long before CMS released the...
Regulatory Updates: Inpatient Reporting
The Four Highways of CMS’s dQM Strategic Roadmap
In 1956, President Eisenhower signed legislation funding the construction of the U.S. Interstate Highway System. Stick with me here, I promise this has to do with healthcare.
Regulatory Updates: Inpatient Reporting
How to Implement the Hypoglycemic and Hyperglycemic eCQMs
CMS introduced several new eCQMs over the last year including a pair of measures that track your care of inpatients experiencing a hyperglycemic or hypoglycemic event.
Regulatory Updates: Inpatient Reporting
2023 IQR Program Changes: A Summary from the IPPS Final Rule
CMS released their 2023 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 Reporting
2023 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.
Regulatory Updates: Ambulatory Reporting
What is FHIR? The (Non-Scary!) Beginner’s Guide
What is FHIR? (And 5 Other Things You Wanted to Know About FHIR But Were Afraid to Ask) It’s time to address the elephant in the quality improvement room: most of us don’t really understand what FHIR...
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