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 dozens of Core measures that they were required to abstract. When eCQMs (Electronic Clinical Quality Measures) came on to the scene no one really knew what to make of them or how much effort should be given to these measures. Now in 2019, eCQMs have become much more common.
Medisolv wanted to find out if there were any interesting differences in the way hospitals think about their Core measures versus their eCQMs. We heard from a lot of people in the quality department, many directors of quality and the abstractors too. Below are the results from our website survey. How does your hospital compare?
Ease of Completion/Access
We asked our participants about their ease of use with these two different types of measures. In general, our participants believed that both their Core measures and eCQMs had a relatively high ease of use.
Since these two measures are not calculated the same, we asked the question in two different ways. For a hospital’s Core measure performance, we wanted to know how difficult participants found it to complete their chart abstraction. And on the eCQM side, we wanted to know how difficult it was to access and view their eCQM performance.
For more information on the difference between abstraction and eCQMs see this past post.
Confidence in Quality Data
If you had asked participants a few years ago to rank their level of confidence of their core measures versus their eCQMs, I suspect more people felt confident in their Core measure performance. But according to our study, more people are becoming confident in their eCQM performance data. It is still lower than the confidence level you find for Core measure performance, but eCQMs are gaining on it.
Confidence in the data is one thing, but the best organizations find a way to use this data for good. Our survey wanted to know if hospitals were using the data they received from their Core and eCQM performance to drive improvements in their hospitals.
Putting the Data to Use
The results below show that while respondents have a good way of accessing, completing and reviewing their data they don’t all have the same way of improving their processes. Some organizations have a vendor that they rely on to help drive improvements while others mainly use software reports without help and yet others don't have a process in place at all. The responses are mixed.
In our experience, our best-performing clients tend to have good cross-departmental collaboration. Those hospitals that have good communication between their Quality and IT departments tend to have better performance results. From the information below it appears that most hospitals have some cross-communication but, in general, would not call it regular communication.
Something interesting to note here is that hospitals that regularly communicate with their IT department to review their eCQM results were more likely to say they were confident in their eCQM data. Seems pretty obvious right? The more you communicate with your IT team the more likely you are to get better eCQM results.
Finally, we wanted to know how often hospitals were or were not educating their staff and department heads on their measure performance. It appears that hospitals do educate their staff about both measures regularly, but more so on the Core measures side as opposed to education on eCQMs.
The Medisolv Difference
One last thing we want to mention here is the difference in responses between Medisolv clients and non-Medisolv clients. We think the numbers speak for themselves.
When you have a quality management partner like Medisolv that can guide you through your quality journey, from start to finish, you can feel good about the accuracy of your data.
If you’re looking for someone to help you with implementation, validation and submission of eCQMs, send us a note. We’d love to chat and see if we’re a good fit for your hospital.
ASK A QUALITY EXPERT
Wednesday, August 7, 2019
1 p.m. ET | 12 p.m. CT | 10 a.m. PT
Do you have questions about Quality reporting? Perhaps you are still unsure about the requirements for the Hospital Inpatient Quality Reporting program. Maybe you’d really like to ask a basic question about eCQMs that you can’t find online and don’t want to ask for fear of looking foolish.
In this webinar, we are going to answer all of your Quality reporting questions. Any questions. Big, small, specific, broad, procedural, technical, elementary or advanced. Medisolv will have a panel of presenters who will go through each of your questions in this webinar. And don’t worry – your comment can be anonymous.
When you register for this webinar, you will be redirected to a page where you can submit a question. Submit it now or set up a reminder for later.
TOPICS FOR DISCUSSION
- eCQMs (hospital and clinician)
- Other programs (HAC, HRRP, HVBP)
- QPP (MIPS) – current and proposed requirements, selecting the right submission path (eCQMs vs Registry)
- IQR – current and proposed requirements
- Regulatory Programs
- Core Measures
- Best practices
- Tips for Sepsis
- EHR Workflow Optimization
- Team Management
- Staff Compliance
- Executive Involvement