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    CUHSM.ORG
        Consortium for Universal Health System Metrics
        A CMS registered Qualified Clinical Data Registry (QCDR)

  MACRA

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Current Topics
 
Patient Adherence
2017 QPP Measures
MACRA
QPP Beta Program

Mental Health QPP
Behavioral Health (BH)
BH QCDR Measures
Psychiatrist
Psychologist
LCSW
Multi-Specialist

 

Our QCDR Process

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How can MACRA compliance be achieved efficiently?

 

Executive Summary: What are the advantages of CUHSM MACRA Program? Executive Summary: What are the advantages of MACRA Program?(collapse table)
  • Control

    You decide functions,
    versions & distribution of your solution

    Regulatory Compliance

    Development aligned with MACRA & Section 508 (ADA)  specifications

    Reduced cost with free headcount

    Share development & support costs by paying only for functions you need directly

    Distributed support network

    Federal, State and
    educational organizations  actively support Open Source

    Planned upgrade path

    Fulfills future CMS & State HIT report mandates

    Reliability

    Software tested by ONC & VA

    Flexibility

    Can adapt existing
    solutions for functions needed

    Speed

    Quickly integrate vetted code

 

What is Open Source? What is Open Source? - -

  • 'Open Source' refers to a program in which the source code is available to the general public for use and/or modification from its original design free of charge, i.e., open.

  • Open Source code is typically created as a collaborative effort in which programmers improve upon the code and share the changes within the community.

  • Open source sprouted in the technological community as a response to proprietary software owned by corporations

  • Many customers are alienated by the long problem list of proprietary software:  Unable to fulfill report requirements, report process interrupts workflow, work interruptions caused by untimely upgrades, multiple add-on charges . . .

What is HIT Open Source? What is HIT Open Source? - -

  • 'HIT Open Source' refers to an Open Source program that applies to Healthcare Information Technology.

  • 'HIT Open Source' solve common HIT problems faced by healthcare IT professionals every day;

  • This includes common functions used by the healthcare community such as population health analytics, Data Extraction, Access and Availability.

How does Open Source help my QCDR achieve its goals? How does Open Source help my QCDR achieve its goals? - -
  • Open Source saves time and resources by eliminating redundancy of effort.

  • This goal is achieved by implementing a collaborative effort to develop HIT related software

  • Many Healthcare organizations have used this process to expedite development while saving time and money.

  • For your convenience, we offer a workshop which reviews the process other organizations have used to expedite development processes for HIT Open Source programs.
     For a list of our workshops, look here

 

How does Open Source lower costs? How does Open Source lower costs?  
  • 'Open Source' enables you to select working solutions off the shelf.

  • Recycling Open Source Code reduces software development and support costs.

  • Using 'Open Source' is less costly than 're-inventing the wheel' of HIT code.

  • To expedite your development schedule, we offer workshops HIT301/311/321 which cover the detailed development processes for HIT Open Source programs that been developed for HIT strategic processes.

  •       For a description of Workshops HIT301/311/321, look here

 

How does Open Source speed up development? How does Open Source speed up development?  
  • 'Open Source' empowers you to change working solutions to meet your needs.

  • Since you have the source code, it can be changed to fit your needs.

  • Making incremental changes to working solutions is much faster than creating code from the 'ground up'.

  • For your convenience for Windows programmers, we offer workshop HIT201to those that need to expedite their Linux development processes for HIT Open Source programs.

  •       For a description of Workshop HIT201, look here

Who uses Open Source for their development efforts? Who uses Open Source for their development efforts?
  • Large companies: Google - Android, IBM, Intel, Toshiba...

  • Federal agencies: VA administration, ONC - Office of National Coordinator, Several State Medicaid Agencies...

  • Educational Institutions: Northwestern University, University of Minnesota

  • State Government Agencies: State Medicaid Agencies - Texas, Alabama, Wyoming. State HIE

  • For your convenience, we offer workshop HIT101 which documents of the support network of the organizations that support each of the HIT Open Source programs.

  •       For a description of Workshop HIT101, look here

How does HIT Open Source ease the burden of regulatory compliance? How does HIT Open Source ease the burden of regulatory compliance? - -
  • Many HIT Open Source projects already embrace the constantly changing regulatory environment of CMS, ONC, ADA and state health agencies

  • Example of proven advantage of 'HIT Open Source'

    • Scenario: CMS changes PQRS measure regulations

    • MU2 response: Registries require man-months of programming effort to comply with new regs

    • MU3 repspone: A registry downloads the new eCQM definitions from Nation Library of Medicine website, load new measures, and is ready to go.

    • The same registry can assist the provider to meet state Medicaid report requirements (such as Texas QRDA3 report requirements)

  • For your convenience, we offer workshop HIT101 which lists the HIT Open Source programs that
    facilitate automation procedures regulatory updates.

  •       For a description of Workshop HIT101, look here

How do I evaluate Open Source? How do I evaluate Open Source? -
  • The following are effective methods evaluate HIT Open Source:

    • Matching your needs assessment with existing functions in HIT Open Source solutions

    • Open Source Certification processes (ONC/CMS/VA . . .)

    • Open Source support - multiple organizations

    • Coordination of development timelines & goals

  • Due to the fact that you have functional 'Open Source' code, evaluating an Open Source project is easier than evaluating an IT vendor who is estimating dates and costs.

  • For your convenience, we offer workshop HIT101 which evaluates the options in HIT Open Source.

  •      For a description of Workshop HIT101, look here

Where do I learn how to integrate Open Source solutions for my QCDR? Where do I learn how to integrate Open Source solutions for my QCDR? ~
  • For your convenience, we have a schedule of HIT Open Source Workshops that cover:

    • Administration of the integration processes for HIT Open Source

    • Programming staff training for Open Source technology development

    • Ongoing maintenance and support of HIT Open Source projects

  •       For a list of our workshops, look here

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAUREEN, IGNOR EVERYTHING AFTER THIS.  TO BE REMOVED

Workshops: HIT Open Source Software

To meet the MU3 tight deadlines on budget, administration of the integration processes for HIT Open Source is instrumental to a successful QCDR MU3 program that is compliant with PQRS.

In addition, development of Open Source Software is accelerated when your staff receives hands-on training.  Our training programs provide practical applied practices while sharing the experiences of other users and programmers.

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QCDR Requirements

Administration:

In order to get the most benefit from HIT Open Source, QCDR administrators need to be able to manage the following processes:

QCDR needs assessment, Open Source evaluation process, EP site workflow integration, Scheduling, Version control, Progress reports, Testing, Update/upgrade cycles.

For more information, look here...

 

 

MU3 and PQRS compliance requirements

CMS makes frequency changes to the Meaningful Use and PQRS programs.   QRDRs must have a technical infrastructure that can track the constant changing specifications such as:

QRDA measure support, Custom Measure support, risk adjustment processes, Communication protocols, HIPAA Security update, ONC testing & certification standards

For more information, look here...

 

 

QRDA System Component Functions:

Each QRDA PQRS reporting system must have a bedrock of reliable staged process that include the following processes:

Data acquisition, Data Translation, Data Integrity, QRDA Report generation, Submission review, Submission transmission

For more information, look here...

 

 

Development

In order to succeed, it is necessary to understand the needs of the Development team to fully utilize HIT open source, including the following topics:

Platform requirements, Toolkit - Operating system, utilities, Open Source Qi, version control, log management, maintenance, Staffing, Education

For more information, look here...

 

 

Implementation

In order to succeed, it is necessary to understand the implementation needs of the Development team to fully utilize HIT open source, including the following topics:

Development platform, Production Platform, Toolkit, Language support

For more information, look here...

 

Staffing

In order to succeed, it is necessary to understand the staffing needs of the Development team to fully utilize HIT open source, including the following topics:

Resource requirements, internal/external, scheduling

 

MU3 HIT Reference Implementation

Specifically, our process uses our CMS Submission HIT toolkit to implement your QCDR submission program while meeting CMS tight deadlines with our tiered process...

  1. We use HIT Open Source code to implement a staged, scalable process to generate a validated CMS PQRS submission

  2. We document the HIT Open Source Code used in this process

  3. We produce and conduct the workshops that help you to efficiently integrate open source into your HIT processes

We apply our thorough knowledge of EHR's and secure data communications to stage an orderly, efficient compilation of fully vetted CMS submissions

 

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Hyperlinks to Open Source topics

Open Source
Advantages
CMS & ONC Compliance
MU3 & PQRS
QCDR
Requirements
Code
Assessment
Parameters
Implementation Staffing
MU3 Reference
Implementation
   
   

Workshops

 


 

 

 

 

 

 
 
Our Experience:

 

We have teamed up with clinicians and HIT specialists to provide secure, fully vetted CMS submission compilation services including PQRS & eRX on behalf of Closed Data Service Vendors (DSV).  Our members required that we are EHR vendor neutral, and work with their current HIT processes and vendors.

  1. Generate CMS submissions with our configurable CMS PQRS/eRX submission compiler

  2. Save clinician review time with our automated Validation & Vetting Test Suite

  3. Design and implement specialist metric reports with our CMS Submission Template 

  4. Provide report services for multiple organizations via secure QCDR-HISP cloud.

Our processes have saved time and effort for QCDRs and EHRs
 

CUHSM.org Track Record   

Our CMS Submission Private Cloud has achieved the following benchmarks:    

           Our fully functional CMS submission subsystems have delivered results
                       to
Qualified CMS Data Service Vendors

           All PQRS and eRX reports were fully vetted by CMS

           We have met tight deadlines (QCDR PQRS report generator integration/ development time: 3 months)

           We successfully integrated our processes with the client's IT infrastructure

           We minimize the burden to providers through efficient data migration

           We achieved maximum efficiency by applying staged data validation and vetting processes.    

CUHSM.ORG provides streamlined tools that minimize the time and effort required to fulfill PQRS reporting requirements.

  • We streamline the clinical review process of CMS electronic reports.  We save your providers valuable time, so that they may be providing healthcare services, and not worry about the technical details of CMS report minutia.  More...
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  • We provide support for DIRECT/CONNECT communication services.  We can assist you in the design and implement of a reliable and serviceable communication infrastructure between various HIT configurations in order that your organization can meet the CMS 2014 requirements for Stage 2 Meaningful Use.  More...
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    • Patient Adherence • 2017 QPP Measures • MACRA • QPP Beta Program •

    • Patient Adherence • 2017 QPP Measures • MACRA • QPP Beta Program •

      More information at these links:
    Home
     

    Contact Us

    For more information, contact us via email at clientservices@cuhsm.org

    Phone:  (888) 979-2499 x2

    Universal Health System Metric Tools referenced on this site:
    CMS Submission Toolkit, CST-CMS Submission Template, PQRS
    Audit Tool, PQRS Validator, GPRO Aggregator,
        QCDR-HISP, QRDASolutions, and
    NwHIN Sleuth are trademarks of CMS Gateways, LLC
    All other products mentioned are registered trademarks or trademarks of their respective companies.

    QCDR-HISP = Qualified Clinical Data Registry - Health Information Service Provider

    Questions or problems regarding technical problems for this web site should be directed to
    webmaster@cuhsm.org
    Copyright © 2012-2016. All rights reserved.
    Last modified: Wednesday May 31, 2017.