Accessing and Utilizing QualityNet Reports

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Accessing and Utilizing QualityNet Reports

• Hospital Reporting Program QIOSC
• January 2007

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Objectives

• Understand how to access hospital reports on
  qualitynet.org
• QIO Clinical Warehouse Submission Reports
• QIO Clinical Warehouse Feedback Reports
• Hospital Validation Reports (QIO/Provider Only)
• Annual Payment Update Reports (QIO/Provider Only)
• HQA Preview Reports (QIO/Provider Only)
• Understand which reports are most helpful to
  RHQDAPU
• Understand which reports are most helpful to
  Public Reporting

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QualityNet Overview

• QualityNet provides healthcare quality
  improvement news, resources, training and data
  reporting tools
• QualityNet is the gateway to QualityNet, the only
  CMS-approved website for secure communications
  and healthcare quality data exchange
• QualityNet accesses the QIO Clinical Warehouse
  for submission of data and retrieval of reports

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QIO Clinical Warehouse Overview Flow Chart
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Access for QualityNet

• Hospital must have QualityNet Security
  Administrator
• If you dont have a QualityNet Security
  Administrator, contact your local Quality
  Improvement Organization (QIO) for the Security
  Administrator registration packet
• QualityNet Security Administrators assign access
  roles to additional hospital users
• NOTE All users requesting access to QualityNet
  must be individually approved and verified. This
  mandatory registration process is used to
  maintain the confidentiality and security of
  health care information and data transmitted via
  QualityNet.

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QualityNet Roles

• QIO Clinical Warehouse Data Upload role
• QIO Clinical Warehouse Submission Reports
• QIO Clinical Warehouse Feedback Reports role
• QIO Clinical Warehouse Feedback Reports
• Hospital Validation Reports (QIO/Provider Only)
• Annual Payment Update Reports(QIO/Provider Only)
• HQA Preview Reports (QIO/Provider Only)

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www.QualityNet.org
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QualityNet Log-in
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QualityNet
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Reports Viewer Accessing Reports
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Reports Viewer Details
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Setting Report Parameters

• Before running a report, ask yourself
• What am I exactly looking for?
• Do I know the issue I am identifying?
• Who needs this information?
• What format is best utilized in obtaining the
  information?

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QIO Clinical Warehouse Submission Accessing
Reports
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QIO Clinical Warehouse Submission Accessing
Reports
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QIO Clinical Warehouse Submission Summary Report

• Displays the number of files that were
  successfully accepted into the warehouse, and the
  number of failures where the file was rejected
  from warehouse, by requested time period.
• Only available to the submitter and has the QIO
  Clinical Warehouse Data Upload role

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QIO Clinical Warehouse Submission Summary Report
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QIO Clinical Warehouse Import Detail by Provider
Report

• Details each file submitted to the warehouse by
  requested time period. Displays file demographic
  information (topic, admission/discharge date,
  file name and the statusaccepted or rejected
  from the warehouse).
• Only available to the submitter and has the QIO
  Clinical Warehouse Data Upload role

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QIO Clinical Warehouse Submission Import Detail
by Provider Report
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QIO Clinical Warehouse Feedback Reports
Accessing Reports
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Clinical Warehouse Feedback Reports
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Case Status Summary Report

• Summary of QIO Clinical Warehouse case submission
  status (number of cases submitted, accepted, and
  rejected).
• Only available to users with the QIO Clinical
  Warehouse Feedback Reports role

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Case Status Summary Report Parameter Screen
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Case Status Summary Report
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Measure Status Summary Report

• Summary of measure status (included or excluded
  from measure calculation) for cases accepted into
  the QIO Clinical Warehouse

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Measure Status Summary Report
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Measure Status Summary Report
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Data Submission Detail Report

• Detail report of cases submitted to the QIO
  Clinical Warehouse including submission status
  and error messages per case
• Displays file demographic information (topic,
  admission/discharge date, file name and the
  status accepted or rejected from the warehouse)

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Data Submission Detail Report Parameter Screen
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Data Submission Detail Report
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Measure Status by Case Report

• Detail report of individual cases including
  measure inclusion status and reason for exclusion

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Measure Status by Case Report Parameter Screen
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Measure Status by Case Report
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Annual Payment Update Reports
Accessing Reports
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Annual Payment Update (APU)
Accessing Reports
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APU/RHQDAPU Provider Participation Report

• Details the number of Medicare claims submitted
  for the specified quarter and the number of
  medical records accepted into the QIO Clinical
  Warehouse
• Information is separated out by topic (Beginning
  with 07/01/06 discharges, Surgical Care
  Improvement Project SCIP will be listed out by
  strata)
• Adding HCAHPS and Mortality Measures information
  in the future.

NOTE Utilizing the listed APU/RHQDAPU Provider
Participation Report will assist in tracking of
APU requirements, but DOES NOT guarantee a
provider qualifies for the Annual Payment Update
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APU/RHQDAPU Provider Participation Report
Note starting with 3Q06 discharges a modified
report name and SCIP is broken down by
strata. More HCAHPS and Mortality Measures
information to be added in the future.
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Upper Bound Rate Report

• Displays the Annual Payment Update Validation
  Assessment Upper Bound on Reliability rate
• NOTE Upper Bound Rate report can only be run by
  providers during set time periods

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Upper Bound Rate Report
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Hospital Quality Alliance Preview Report
Accessing Reports
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Hospital Quality Alliance Preview Report
Accessing Reports
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Hospital Quality Alliance Preview Report

• Provides a preview of a hospital's performance on
  hospital quality measures to be publicly reported
  for a selected preview period.
• Download and view Preview Report on a quarterly
  basis (within the set preview time period)
• Report is only available during the 30 day
  preview period

NOTE You must have submitted data to the
warehouse and have an active HQA and/or RHQDAPU
Pledge of Participation in order to have
data on this report
Blank Report?
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Hospital Quality Alliance (HQA) Preview Report
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QualityNet Self-Serve

• History View past and present Vendor
  Authorization(s)
• Forms Inpatient Hospital Vendor Authorization
  for Data Submission
• Report Authorization Vendor(s) and/or Health
  Care Systems
• Program Management to include Coming Soon
• Measure designation
• ICD population/sampling

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QualityNet Self Serve
Vendor Authorization
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QualityNet Self Serve
Vendor Authorization
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Program Management Coming Soon

• More information will be provided when launched
• Web-ex presentation will be available
• Select Program Management link
• User will need to login a second time
• Once logged in it will bring you to 2 links
• Measure designation
• ICD population/sampling

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QualityNet.org Training Resources
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QualityNet.org Training Resources

• QualityNet 101 for New Users
• QualityNet Getting Started (Registration
  Overview)
• File Exchange and Search (Inbox/OutBox)
• QualityNet Reports Viewer Overview
• Vendor Authorization for Hospitals
• Report Authorization Approval for Hospitals
• Request Report Access for Vendors and Health Care
  Systems
• QIO Clinical Warehouse Submission Reports
  Overview
• HCAHPS Data Upload and Submission Reports
• HCAHPS Online Data Entry
• Accessing and Utilizing QualityNet Reports

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Questions?

• Data or Report questions
• Please contact your local Quality Improvement
  Organization (QIO)
• QualityNet.org or QualityNet questions
• QualityNet Users Guide
• located at www.qualitynet.org
• QualityNet Help Desk
• qnetsupport_at_ifmc.sdps.org
• 1-866-288-8912

This material was prepared by the Iowa Foundation
for Medical Care, the Medicare Quality
Improvement Organization for Iowa, under contract
for the Centers for Medicare Medicaid Services
(CMS), an agency of the U.S. Department of Health
and Human Services. The contents presented do
not necessarily reflect CMS policy. 8SoW-IA-PPT-HR
QIOSC-1/07-008a