Version 4.1.13

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OneView Hospital Quality Release Notes

What's New in OneView Hospital Quality 4.1.13


Release Date: Friday, December 2, 2016

New Features and Enhancements:

Electronic submission:  Acmeware has enhanced the OneView QRDA service that automates the generation of summary and detail level reporting on patient populations with QRDA reports. We have checked the validity of the QRDA Category I and Category III reports using Cypress and the PSVA tool. The data contained in a QRDA report represent eCQM data in a standard format that can be automatically consumed and submitted to CMS and The Joint Commission ORYX. QRDA Category III reports contain aggregate eCQM data from individual patient data in QRDA Category I reports. OneView supports QRDA reports for Meaningful Use, IQR and ORYX using the June 2015 NLM Value Set Authority Center specifications.

Submission Wizard: The ability to create submission for 2016 has been disabled until the next release. Due to some significant changes to the way OneView locks submissions, we have disabled the lock functionality and this feature will be reinstated in the next release.

New report:  We've added new CQM Summary report to help consolidate CQM measures into one report.

Customer Support Portal:  Acmeware has launched a new, web-based customer support portal. You can create new OneView report requests and other service issues using the system, as well as see the status and all relevant communication about your support tickets.  While use of the portal is optional, as we remain available via telephone and email, we’ve found that the new system has helped us improve our communication with clients, as well as more easily organize their report requests, issues, and questions.  

For more information about the new system and new user registration use the following link. https://support.acmeware.com/User/Register  

Scheduling Live OneView Submissions: Acmeware has launched a OneView submission scheduling for our customers to sign up for a time slot for hospital quality program submissions for Meaningful Use (MU), Inpatient Quality Reporting (IQR) and/or Joint Commission ORYX, and/or a time slot for physician quality program submissions for Meaningful Use (MU) and/or Physician Quality Reporting System (PQRS).  

To schedule your submission, use the following link. http://www.acmeware.com/signup.aspx

Prior to your live production submission, we will be testing your QRDA files and sharing the results with you. During your live production submission time slot, we will prepare and submit your QRDA files. Once we receive confirmation emails from CMS, we will contact you to review the numbers and complete your manual attestation on CMS’ Registration and Attestation Website, if needed.

New Features and Enhancements:

Enhancement:

Clinical Quality Measures:

Objective Measures:

Manage Dictionaries:

Reports:

Fixes:

Application:

Clinical Quality Measures:

Measure Impact Change: Updated ED-1 measure population logic to strictly compare ED Depart to Inpatient Admit dates (not considering observation patient’s hours). If the admit is not within 1 hour of the depart date, then the patient will not be included within the measure population.

See ED Measures Details Below

Measure Impact Change: Updated ED-2 criteria uses the same logic as ED-1 with additional logic applied. The patient will need to have an ED Depart date prior to the Admit date time, will need to be admitted within 1 hour of the depart date time, and the decision to admit date time will need to be before the ED depart date.

See ED Measures Details Below

ED Measures Details Below

Problem:

You may notice a significant difference in your ED-1/ED-2 measure population numbers. Because of JIRA tickets and CMS QRDA validations we have to modify the way we calculate the ED numbers. Up until now we’ve been able to code in the favor of our clients to ‘force’ patients to meet the measure based on processes (as well as considering observation hours prior to admission). CMS recognizes the issue but is currently stating that these issues will be not be reflected in the specifications until 2018 submissions. Additionally, because QRDA submissions are patient detail data, rather than the summary numbers we’ve submitted in years past, CMS applies strict logic and rolls up the measure numbers according to their logic to process a QRDA file. We have modified our code to reflect the same logic that CMS uses.  

Impact:

So what does that mean for you?  

ED-1:  

You will have fewer patients meeting ED-1 because we will strictly compare ED Depart to Inpatient Admit dates (not considering observation patient’s hours). If the admit is not within 1 hour of the depart date, then the patient will not be included within the measure population.

ED-2:

ED-2 criteria uses the same logic as ED-1 with regard to ED Depart to Inpatient Admit dates with additional logic applied. The patient will need to have an ED Depart date prior to the Admit date time, will need to be admitted within 1 hour of the depart date time, *and* the decision to admit date time will need to be before the ED depart date.

Solution:

We can customize the dates beyond the standard if necessary for your processes however, we’ll need to review the impact of those changes to make sure that correcting one problem does not cause another as ED arrival/departure values are used in other measures and we process data at patient level, not measure-by-measure.

Example:

In this patient example the patient will not meet the specs for either ED-1 or ED-2. After the QRDA update (4.1.13).

Scenario 1: The patient is not admitted within 1 hour of hour of being departed from ED.   

Depart: 3/12/16 16:35  

Admit: 3/14/16 12:57

Scenario 2: The patient does have a decision to admit prior to depart, however the logic evaluation is processed in this order:

Depart: 3/12/16 16:35    

Admit: 3/14/16 12:57

Decision To Admit: 3/12/16 13:48

Is the ED Depart Date Prior to the AdmitDate?  

Is the patient admitted within 1 hour of the ED Depart Date?

If so, patient meets the criteria for the measure population

Is the DTA prior to the ED Depart?

Only evaluated if met #2.