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Wednesday, March 8

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    7:22pm EST
    Changes to Expiration Date
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    Saturday, April 8, 2017
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    10:16am EST

    The Centers for Medicare & Medicaid Services (CMS) and the Hospital Inpatient Value, Incentives, and Quality Reporting (VIQR) Outreach and Education Support Contractor have released an updated version of the QRDA Category I Conformance Statement Resource interactive educational resource. The updated version includes an overview and troubleshooting information for a total of 29 conformance errors. 

    When test or production QRDA Category I files are submitted for processing to the CMS data receiving system through the QualityNet Secure Portal, errors are identified with a conformance statement, or system-requirement specification. These statements are referred to with a CONF number. CONF numbers are generated to tell the data submitter why the file was rejected and unable to be processed. The Conformance Statement Resource was developed to assist data submitters with the resolution of the most common file-upload errors by providing additional explanations and reference material. Once those identified issues are resolved, the file should be resubmitted to the QualityNet Secure Portal to ensure the modified files are reprocessed.

    Data submitters may find benefit to retesting the QRDA Category I files utilizing the Pre-Submission Validation Application (PSVA) tool. This tool will ensure that the file format issues have been addressed before resubmitting the files to the test or production system within the QualityNet Secure Portal.

    The QRDA Category I Conformance Statement Resource can be found under the eCQM Resource section on the Quality Reporting Center website and, in the coming days, on the QualityNet website under the eCQM Resources and Information tab.

    Please do not respond directly to this email. For further assistance regarding the information contained in this message, please contact the Hospital Inpatient VIQR Outreach and Education Support Team at https://cms-ip.custhelp.com or (844) 472-4477, Monday through Friday, 8 a.m. – 8 p.m. ET.

    If additional assistance is required to troubleshoot QRDA Category I conformance statements, please contact the QualityNet Help Desk at qnetsupport@hcqis.org or (866) 288-8912, Monday through Friday, 8 a.m. – 8 p.m. ET.

Thursday, December 29 2016

  • 9:30pm EST

    The Centers for Medicare & Medicaid Services (CMS) has published Version 0.1 of the 2017 CMS Implementation Guide for Quality Reporting Document Architecture Category III (QRDA-III) Eligible Clinician Programs with schematrons and sample files. As CMS continues to build the submission portal for eligible clinician reporting, ongoing testing and feedback from stakeholders is essential. As part of this process, we encourage our partners and stakeholders to utilize these tools and provide feedback on an ongoing basis. We have made the guide, schematrons and sample files available for a public comment period on the ONC QRDA JIRA Issue Tracker until April 1, 2017. CMS values our stakeholder’s feedback and encourages feedback as soon as you have it available so any issues can be assessed and addressed, if possible.  A JIRA account is required to comment. You can find the implementation guide and supplemental documents on the CMS eCQM Library and the Electronic Clinical Quality Improvement (eCQI) Resource Center. Additional information pertaining to eligible clinician reporting can be found on the Quality Payment Program website.  

     

    This Version 0.1 implementation guide provides CMS-specific instructions for submitting QRDA-III documents for the 2017 performance period for the:

    • Comprehensive Primary Care Plus (CPC+)
    • Merit-Based Incentive Payment System (MIPS)

     

    General Background:

    • QRDA-III is a standard document format for the exchange of aggregated electronic clinical quality measure (eCQM) data. QRDA is one format CMS supports for eCQM submission.
    • The implementation guide defines the form and manner required to implement a valid QRDA file for submission.
    • The Schematron ensures that the submitted files follow all requirements defined in the implementation guide.

     

    The Version 0.1 2017 CMS Implementation Guide for QRDA-III Eligible Clinician Programs contains the following high-level changes compared with the reporting specifications for Eligible Professionals in the 2016 CMS Implementation Guide for QRDA-III Eligible Professional Programs. The Version 0.1 2017 implementation guide:

    • Replaces the term “Eligible Professional” with “Eligible Clinician”.
    • Only contains CMS QRDA-III reporting guidance for eligible clinician programs. The QRDA Category I is no longer an accepted submission method in 2017 for eligible clinician programs.
    • Is based on the HL7 Implementation Guide for CDA Release 2 Quality Reporting Document Architecture – Category III, Standard...
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Thursday, November 17 2016

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    12:05pm EST
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    Common Errors for QRDA Category I Test & Production FilesSession II
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    Common Errors for QRDA Category I Test & Production Files - Session II
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    12:04pm EST

    This Outreach and Education webinar for participants in the Hospital Inpatient Quality Reporting (IQR) Program is scheduled for Wednesday, November 30, 2016.

    The webinar, titled Common Errors for QRDA Category I Test & Production Files – Session II, will be presented by Jennifer Seeman, Hospital Quality Reporting (HQR) Electronic Health Record (EHR) Program Manager, Portfolio, Program and Project Management Support Contractor (SC) and Artrina Sturges, EdD, Project Lead, Medicare IQR-EHR Incentive Program Alignment, Hospital Inpatient Value, Incentives, and Quality Reporting (VIQR) Outreach and Education SC.

    This presentation will provide an overview of several topics related to the mandatory electronic Clinical Quality Measure (eCQM) submission process for the Hospital IQR and Medicare EHR Incentive Programs for Calendar Year 2016. The topics include the top-ten eCQM QRDA test and production file submission errors, tips to troubleshoot the errors, and a review of tools and reference materials to assist facilities to successfully submit files.

    The webinar slides will be available for download from www.QualityReportingCenter.com under Upcoming Events the day before the presentation.

    The webinar will be presented on Wednesday, November 30, 2016, at 2 p.m. ET.

    You may register for the webinar at the following link: https://cc.readytalk.com/r/63g8kx1ze8y2&eom.

Thursday, November 10 2016

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    10:11am EST

    The Centers for Medicare & Medicaid Services (CMS) and the Hospital Inpatient Value, Incentives, and Quality Reporting (VIQR) Outreach and Education Support Contractor have posted an interactive educational resource. This resource pertains to troubleshooting Quality Reporting Document Architecture (QRDA) Category I Conformance Statements.

    When test or production QRDA Category I files are submitted for processing to the CMS data receiving system through the QualityNet Secure Portal (QSP), errors are identified with a conformance statement, or system-requirement specification. These statements are referred to with a CONF number. CONF numbers are generated to tell the data submitter why the file was rejected and unable to be processed. The Conformance Statement Resource was developed to assist data submitters with the resolution of the most common file-upload errors by providing additional explanations and reference material. Once those issues are resolved, the file should be resubmitted to the QSP to ensure the modified files are reprocessed.

    Data submitters may find benefit to retesting the QRDA Category I files utilizing the Pre-Submission Validation Application (PSVA) tool. This tool will ensure that the file format issues have been addressed before resubmitting the files to the test or production system within the QSP.

    The QRDA Category I Conformance Statement Resource (direct link) can be found under the eCQM Resource section on the Quality Reporting Center website, and in the coming weeks, on the QualityNet website under the eCQM Resources and Information tab.

Thursday, October 27 2016

Tuesday, May 3 2016

Tuesday, April 26 2016

Friday, April 15 2016

Tuesday, April 12 2016

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    5:18pm EDT
    Too many differences to list. See Revisions for details.
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    5:17pm EDT

    The Draft 2017 CMS Quality Reporting Document Architecture (QRDA) Implementation Guide (IG) for Eligible Professionals (EPs) (referred to as 2017 CMS QRDA EP IG) has been posted in JIRA, ticket number QRDA-306, for public comment. A JIRA account is required to comment. The public comment period starts on April 12, 2016 and ends on May 3, 2016.

    The 2017 CMS QRDA IG provides implementation guidance for the 2017 performance period for submitting QRDA Category I (QRDA-I) and/or QRDA Category III (QRDA-III) files to the CMS Eligible Professional (EP) programs.

    The current draft posted to JIRA does not contain the following information:

    • 2016 Annual Update electronic clinical quality measures (eCQMs) for the 2017 performance year
    • Draft CMS QRDA IG for the Hospital Quality Reporting (HQR) program, which is currently posted on JIRA for public comment

    About the 2017 CMS QRDA EP IG:

    • The 2017 CMS QRDA IG provides implementation reporting guidance for the Comprehensive Primary Care Plus (CPC+) Program
      • New requirements for C4 filtering added based on the 2015 Edition Health IT Certification Criteria final rule
      • QRDA Category I (QRDA-I) and QRDA Category III (QRDA-III) submission rules and validation for EPs

    Disclaimer: Although there are references to various quality reporting programs administered by the Centers for Medicare and Medicaid Services (CMS) in this Draft 2017 Centers for Medicare and Medicaid Services (CMS) Implementation Guide for Quality Reporting Document Architecture (QRDA) Category I and Category III for Eligible Professionals, please anticipate a second release of the Draft 2017 CMS Implementation Guide for QRDA Category I and Category III for Eligible Professionals based on rule making process and will be posted for a subsequent public comment period.  In the future draft version we will post for public comment, CMS plans to remove references to the Physician Quality Reporting System (PQRS) and the EHR Incentive Program.

    Additional QRDA-Related Resources:

    You can find additional QRDA related resources on the CMS eCQM Library and the eCQI Resource Center.

Friday, April 1 2016

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    11:18am EDT

    The draft 2017 CMS Quality Reporting Document Architecture (QRDA) Implementation Guide for Hospital Quality Reporting (HQR) (referred to as 2017 CMS QRDA HQR Implementation Guide) has been posted in JIRA, ticket number QRDA-300, for public technical comment. A JIRA account is required to comment. The public comment period starts on March 30th and ends on April 18th. Please note, this is a draft document and the contents are subject to change.

    The current draft posted to JIRA does not contain the following information:

    • 2016 Annual Update electronic clinical quality measures (eCQMs) for 2017 reporting
    • Merit-Based Incentive Payment System (MIPS) requirements
    • CMS QRDA Implementation Guide for Eligible Professional Programs

    A second draft Implementation Guide, CMS QRDA Implementation Guide for Eligible Professional Programs, will be posted for public comment in the near future.

    The 2017 CMS QRDA HQR Implementation Guide is for eligible hospitals (EH) and critical access hospitals (CAHs) to use for reporting eCQMs starting in the 2017 reporting period.

    The guide provides technical instructions for QRDA reporting for the following programs:

    • Electronic Health Record (EHR) Incentive Programs for EHs and CAHs
    • Inpatient Quality Reporting (IQR)

    The 2017 CMS QRDA HQR Implementation Guide contains the following high-level changes as compared with the specifications pertaining to the HQR reporting contained in the 2016 CMS QRDA Implementation Guide:

    • The base standard for QRDA I reporting is updated to the HL7 QRDA Category I, DSTU Release 3.1, instead of the HL7 QRDA Category I, DSTU Release 3. The HL7 QRDA Category I, R3.1 was recently approved by the HL7 Clinical Quality Information Workgroup and is in the process of being formally published by HL7. The QRDA Category I, R3.1 has incorporated updates to align with the updates made to the Quality Data Model v4.2 and C-CDA Release 2.1.
    • The constraints for documentationOf/serviceEvent are updated to reflect HQR program specific requirements for TIN and NPI for clarity.
    • Added Section 6.1.5 legalAuthenticator to specify how a Data Submission Vendor (DSV)’s TIN should be sent as legalAuthenticator.
    • Added Section 7 that contains additional HQR specific validations for QRDA I.
    • Sections 10 and 11 contain the updated change logs.

     

Friday, October 9 2015

Wednesday, October 7 2015

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December 9, 2015