cms measures management

CMS Measures Management: Understanding and Tracking CMS Quality Measures

What are CMS Quality Measures?

According to the Centers for Medicare and Medicaid Services, Electronic Clinical Quality Measures (eCQMs) are tools that help measure and track the quality of health care services that eligible providers (EPs), eligible hospitals, and critical access hospitals (CAHs) provide as generated by a provider’s electronic health record (EHR). These measures help ensure providers are providing quality, efficient, value-based healthcare that meet certain national quality reporting benchmarks. Some of these measures include:

  • Patient and family engagement
  • Patient safety
  • Care Coordination
  • Population and Public Health
  • Efficient Use of Healthcare Resources
  • Clinical Processes/Effectiveness
    cms quality measures

    These measures are in place to further CMS’s quality improvement efforts and represent a transition away from fee-for-service towards value-based healthcare delivery. The requirements vary for each quality program a provider participates in, and to be successful in those programs providers must report eCQMs using data from their EHRs. Accurately tracking and reporting data on quality measures is key to ensuring providers avoid penalties and maximize reimbursements for merit-based contracts.

    CMS Measures Management

    Managing CMS Measures requires sorting through what can feel like an insurmountable amount of data, especially when it comes to aggregating records across disparate EHR systems. The only way to avoid penalties and maximize incentive payments is by showing that quality measures are met, but this task can seem Herculean.

    Measures Manager™ makes data aggregation and measures gap reporting easy and streamlined, freeing up providers to focus on the health of their patients and patient populations. Measures Manager™ takes the data from disparate EHR systems and displays clean, easy-to-read charts, graphs, and numbers that show exactly how you’re performing on each CMS measure.

    Even more appealing to the quality-driven provider is the use of the CMS qualified data registry for managing all pertinent quality measures. Since EHRs are only certified to submit 53 measures via EHR for MIPS, commercial quality measures also of the MIPS ilk are often not built. NJII’s Measures Manager™ offers the ability to track and manage all numerators and denominators related to any type of measure. This way, Neurologists, ENTs, Dermatologists, and specialists of all kinds can manage measures most relevant to their field of care. When these varying specialty providers are amassed in an IPA or CIN, it’s critical to find a measures and contracts solution that is flexible enough to meet the needs of all providers.

    With a clear understanding of your data, you can see which patients need the most attention, which providers have closed their measures gaps, and which providers are in danger of not closing their measures gaps. MeasuresManager™ features powerful tools that allow you to drill down and filter your data. You can group patients together through the Planning tool, ensuring that every patient receives the care they need.

    Take control of your data and maximize your value-based contracts with Measures Manager™.

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