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The Clinical Data Repository (CDR) continues to gain
critical mass as more provider organizations submit their Continuity of Care
Document (CCD) files after each outpatient encounter or inpatient admission. Several providers, large and small, have
submission success rates in the 90% range. OHP also continues working with 50+ EHR vendors to assist
remaining providers to complete their onboarding activities.
Transforming healthcare will require new and unconventional approaches
to HIE/HIT. Combining the CDR, HIE and Single Sign-On (SSO) provides the capability
to share disparate data across multiple platforms and settings for various
Trading Partners. Just as a reminder of the data that is currently in the CDR:
• Eligibility
data for 2M Medicaid managed care lives (over 400,000 of which have at least
one C-CDA submitted to their record)
• Almost
2 years of clinically relevant claims (Medical, Dental, Pharmacy)
Additional
future capability for the CDR includes inclusion of flat files, electronic
paper (PDFs) and smart forms related to Social Determinants of Health (SDH), behavioral
health screening tools or other assessments.
Depending on the nature of data, it could be accessed as a document for
viewing or as discrete data to be consumed in an application or used for
analysis. In a future stage of the CDR, substance use
disorder (SUD) information will also be made available with patient consent.
This can assist various clinical staff as they address the challenge of the
opioid epidemic.
These capabilities will provide valuable support for coordination/integration
of care, performance improvement and various types of reporting. Multiple types
of organizations can make use of CDR data – physical health and behavioral
health providers, jail based providers and state correctional facilities,
health related staff at community/social service agencies, local health
departments, tribal providers, managed care organizations, Accountable
Communities of Health (ACH) and other state health related agencies (e.g. DOH
and DSHS).
The date to open
the CDR portal for viewing via a secure web browser is still under discussion. Of
note, the ability to view CDR data will be open to providers that are
submitting to the CDR, as well as to those who are not yet submitting. Even
providers without an EHR can view CDR data via the portal. However, each
organization will need to have a signed Trust Agreement with OHP and have their
Single-Sign-On (SSO) administrator grant access to their staff based on their
role.
Eventually,
the CDR will provide access at the point of care using EHR query
capability (the data can be viewed in the user’s native EHR system), so users
will not need to log onto a separate portal.
There is an immediate need for integrated
health information for the purpose of treatment and care coordination. Continuing
work on the CDR moves us closer to achieving an integrated, longitudinal
health care record for our
clients. We appreciate your engagement with this process.
EHR attestation notification
Due to system updates, the eMIPP attestation
application for EPs (Eligible Providers) will shut down until August 2018 (for
all years). HCA has received approval from CMS to extend the deadline for
providers attesting to Meaningful Use program year 2017 to October. HCA will
notify our providers when the system is back up and ready for 2017
attestations. Dual Eligible hospitals that attest Meaningful Use to
Medicare need to attest by 4/30/2018 for the 2017 payment year.
Please sign up to
receive communications from HCA regarding the EHR Incentive
Payment program.
We apologize for the inconvenience.
From CMS: eCQM annual update pre-publication document
CMS has published the Electronic Clinical Quality Measures (eCQM) Annual Update Pre-Publication Document, which describes changes in the standards and code set versions used in the updated measures for potential use in CMS quality reporting programs for 2019 reporting/performance. This document reflects changes that will go into effect for the 2019 reporting/performance period. The Pre-Publication Document is designed to help health information technology developers, Eligible Professionals, Eligible Clinicians, and Eligible Hospitals prepare for the 2019 reporting/performance period through transparent pre-release of expected standards and code system versions.
The eCQM annual update for 2019 reporting/performance is expected to be available Spring 2018. Please follow the electronic Clinical Quality Improvement (eCQI) Resource Center, CMS, and the Office of the National Coordinator for Health Information Technology (ONC) listservs to receive updates and announcements on the eCQM Annual Update publication and related supporting materials. Please submit questions or comments regarding the standards being used or the upcoming eCQM annual update to the eCQM Issue Tracker.
Hospitals
Year 1 = 88 ($63,781,127)
Year 2 = 81 ($36,102,305)
Year 3 = 77 ($29,081,024)
Year 4 = 64 ($18,095,783)
Eligible Providers
Year 1 = 6,938 ($146,795,030)
Year 2 = 3,160 ($26,712,684)
Year 3 = 2,231 ($18,915,339)
Year 4 = 1,470 ($12,449,672)
Year 5 = 723 ($6,125,669)
Year 6 = 184 ($1,561,167)
Grand total = $359,619,800
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