QUALITY MEASURE DEVELOPMENT
- Measure Development Expertise from Concept through Implementation
- 20+ years of experience with development of over 120+ quality measures used in many current accountability, public reporting and quality improvement programs.
- CMS contracted measure developer with expertise in the current measure development methodologies for process, outcome and patient reported measures.
- Provide guidance and oversee the measure testing process in collaboration with partners from large academic institutions, statisticians, data analysts and/or QIOs.
- Skilled technical expertise to meet the requirements from CMS, EHRS and other regulatory requirements.
eCLINICAL QUALITY MEASURE DEVELOPMENT AND TESTING
- VSAC Value Set Development and Validation
- Measure Authoring Tool (MAT) Expertise
- QDM Element and CQL Development & Testing
- FHIR
- eCQM Testing in BONNIE
REGULATORY ISSUES
- Qualified Clinical Data Registry (QCDR)
- Medicare Access and CHIP Reauthorization Act (MACRA), Quality Payment Program (QPP), Merit-Based Incentive Payment System (MIPS) including Promoting Interoperability (PI), Improvement Activities, and CMMI's Alternative Payment Models (APMs)
- CMS and Office of the National Coordination (ONC) Proposed and Final Rule Review and Advisory Services
CLINICAL DATA REGISTRIES (CDR)
- CDR Business Case and Plan Development
- CDR Development and Evaluation in collaboration with organizations and their preferred registry vendor.
- Development of Quality Measures for Registries and Quality Clinical Data Registries (QCDRs
- Technical specification development including data migration, CRFs, data element, data dictionaries, mapping and clinical workflow data integration into and from EHRs
NATIONAL QUALITY FORUM (NQF) Endorsement
- Advisory services on the NQF Measure Evaluation Criteria including requirements for development, testing (feasibility, reliability, validity) and submission of the application/evaluation forms.
- Preparation of quality measures and application for NQF Staff, Steering Committee and CSAC Review/Approval of Measures
IMPLEMENTATION INTO CMS QUALITY PAYMENT PROGRAMS
- Advisory services to guide organizations on how to submit and meet the requirements for submission into CMS Quaility Payment Program through MUC, MVPs or QCDRs.
- Measures Under Consideration List Process and Submission
- QCDR and QR Self-Nominations including QCDR Measure Testing Requirements
- Measures Application Partnership Process and Submission
VOCABULARY TRAINING
- Training on the Value Set Authority Center (VSAC) to develop value sets for electronic clinical quality measures (eCQMs)
- Training on the code systems needed to build eCQMS including: ICD-10 CM/PCS, SNOMED-CT, LOINC®, RxNorm, CPT codes and others