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MBQIP Reminders & Updates | March 2020

MBQIP Data Submission Reminders


Emergency Department Transfer Communication (EDTC) | Due: Tuesday, April 15, 2020
An updated version of the Emergency Department Transfer Communication Measure will be utilized for MBQIP reporting starting with January 1, 2020 encounters. 

Submit data to Jill Bullockbullock1@email.arizona.edu


CMS Outpatient Measures*: OP-2, OP-3, OP-18 | Due: Friday, May 1, 2020
  • Patients seen Q4 2019 (October, November, December)
  • CART version 1.18.0
  • CMS Hospital Outpatient Reporting Specifications Manual version 12.0b
  • Submitted to the QualityNet warehouse via CART or by vendor 

CMS Population and Sampling (optional)* | Due: Friday, May 1, 2020
  • Patients seen Q4 2019 (October, November, December) 
  • Outpatient and Inpatient measures
  • Entered via Secure Portal on QualityNet 
*Population and sampling refers to the recording of the number of cases the hospital is submitting to the QualityNet warehouse, this is done directly thru the QualityNet Secure Portal. Reporting of population and sampling data is strongly encouraged but not required in order for your data to be submitted to CMS
 CMS Inpatient Measures: ED-2 | Due: Friday, May 15, 2020
  • Patients seen Q4 2019 (October, November, December)
  • CART version- 4.24.0
  • CMS Hospital Inpatient Reporting Specifications Manual version 5.6a
  • Submitted to the QualityNet warehouse via CART or by vendor

CMS Outpatient Web-based Measures | Due: Friday, May 15, 2020
  • Includes measure OP-22: Patient Left Without Being Seen- full calendar year 2019
  • CMS Hospital Outpatient Reporting Specifications Manual version 12.0b
  • Entered via the Secure Portal on Quality Net 

Healthcare Personnel Influenza Vaccination- HCP/IMM-3 (formerly OP-27) | Due: Friday, May 15, 2020
  • For data October 1, 2019- March 31, 2020
  • Submitted through the National Healthcare Safety Network (NHSN

MBQIP Updates & Resources


Save The Date for the 2020 Abstraction Workshop by Robyn Carlson of Stratis Health Tuesday, March 31, 2020 hosted by Wickenburg Community Hospital

New to Quality Reporting or need a refresher?

The MBQIP Resource Manual, Quality Reporting Guide provides resources to get started click here to download.


MBQIP Monthly March 2020: 

MBQIP Monthly:

  • CAHs Can! Antibiotic Stewardship Profile Series: Ellenville Regional Hospital 
  • Data: CAHs Measure Up – Improving HCAHPS Scores 
  • Tips: Robyn Quips – Tips and Frequently Asked Questions: EDTC Abstraction Quiz Answers 
  • Tools and Resources: Helping CAHs Succeed in Quality Reporting & Improvement

AzFlex Team

Daniel Derksen, MD | Director | dderksen@email.arizona.edu
Jill Bullock | Associate Director | Flex Coordinator | bullock1@email.arizona.edu
Joyce Hospodar | Senior Advisor, Rural Programs | hospodar@email.arizona.edu
Bryna Koch | Special Projects Coordinator | brynak@email.arizona.edu
Melissa Quezada | Sr. Program Coordinator | melissaquezada@email.arizona.edu 
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