- A couple provisions in a new Hospital Inpatient Quality Reporting (IQR) Program rule proposal outline modifications to electronic clinical quality measure (eCQM) reporting requirements and validation processes.
In a public document in the Federal Register, CMS proposed reductions to hospital eCQM reporting policies. In the 2017 calendar year reporting period (and 2019 fiscal year payment determination), hospitals would be required to choose six available eCQMs listed in the Hospital IQR Program measure set and offer two chosen calendar year quarters of data.
CMS additionally proposed hospitals would need to submit six available eCQMs and provide data for the first three calendar quarters for the 2018 calendar year reporting period and 2020 fiscal year payment determination.
These proposed rule modifications are intended to bring down the number of required eCQMs and fiscal year quarters hospitals need to report previously set by the fiscal year 2017 IPPS/LTCH PPS final rule.
CMS is also proposing modifications to the eCQM validation process pending approval of the reporting requirement modifications. Pending finalization, CMS proposes hospitals be required to submit a decreased number of cases for eCQM data validation for the fiscal year 2020 and fiscal year 2021 payment determinations.
After closing the public comment period for the 2017 IPPS/LTCH PPS final rule, CMS combed through the submitted feedback regarding the difficulties hospitals and EHR vendors have faced when implementing eCQM reporting.
A few persistent concerns among hospitals and EHR vendors were as follows:
In response, CMS reduced the number of available eCQMs hospitals are required to report from eight to six, and the number of required reported fiscal year data from a full year to two quarters.
Through these modifications, CMS intends to ease administrative burdens on providers, which will allow providers to focus more on adjusting to eCQMs through system upgrades and staff training.
Additionally, hospitals that successfully report data in 2016 will have an easier time reporting in 2017.
“Successful reporting in CY 2016 should streamline CY 2017 reporting because hospitals can re-use the same measures submitted to satisfy the CY 2016 reporting requirements,” stated the federal organization.