MBQIP Data Submission Reminders
Emergency Department Transfer Communication (EDTC) | Due: Friday, July 29, 2022
CMS Outpatient Measures : OP-2, OP-3, OP-18* | Due: Monday, August 1, 2022
- Patients seen Q1 2022 (January, February, March)
- CART version 1.20.1
- CMS Hospital Outpatient Reporting Specifications Manual version 15.0a
- Submitted to the QualityNet warehouse via CART or by vendor
* Measure tied to HealthII metrics
CMS Population and Sampling (optional)* | Due: Monday, August 1, 2022
- Patients seen Q1 2022 (January, February, March)
- Outpatient and Inpatient measures
- Entered via Secure Portal via the Hospital Quality Reporting (HQR) HARP account
*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** | Due: Monday, August 15, 2022
Patients seen Q1 2022 (January, February, March)
CMS Hospital Inpatient Reporting Specifications Manual version 5.11a
Submitted to HQR via CART or by vendor
CART version – 4.28.1
** Currently there are no inpatient chart abstracted core MBQIP measures required.
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MBQIP Updates & Resources
HEALTHII Payments
AHCCCS has not determined the baseline year, but based on the information they have provided, we believe that the baseline year is likely either 2020 or 2021. AzHHA continues to try to persuade AHCCCS that the data period chosen for the baseline year will need to include sufficient time for hospitals to have made an impact towards compliance with the measures.
- Overall, AHCCCS will be paying out $100 million across Arizona hospitals, but it is unclear how much Critical Access Hospitals will receive in these payments.
- Payments are expected to begin being paid out in December 2023 and will be paid each quarter to hospitals which qualify.
- When possible, HEALTHII quality measures would be applied toward the Medicaid population.
- AHCCCS will focus on individual hospital performance, given the distinct hospital characteristics, and will be looking for improvement year over year.
- AHCCCS intends to work on modeling and additional decision making this summer and fall.
Measures tied to HEALTHII payments include, OP-18, Median Time from ED Arrival to ED Departure for Discharged ED Patients, Influenza Vaccination Coverage Among Healthcare Personnel and Successful Implementation of Antibiotic Stewardship Program.
New to Quality Reporting or need a refresher?
The MBQIP Resource Manual, Quality Reporting Guide provides resources to get started click here to download.
Upcoming Office Hours! Ask Robyn – Quarterly Open Office Hour Call for Data Abstractors | Tuesday, July 26, 2022, 2:00 p.m. – 3:00 p.m. CT Register
Sometimes it just helps to talk to someone! Quality Reporting Specialist Robyn Carlson offers open office hour calls to discuss your MBQIP abstraction questions. Sessions are free of charge, but registration is required. For more information about the Ask Robyn calls, contact Robyn Carlson (rcarlson@stratishealth.org).
MBQIP Monthly July 2022:
MBQIP Monthly:
- CAHs Can! National Rural Virtual Quality Improvement Mentor Profile Series: Marilyn Denno
- Data: CAHs Measure Up – HCAHPS Response Rates
- Tips: Robyn Quips – Tips and Frequently Asked Questions: EDTC Abstraction Quiz Answers
- Tools and Resources: Helping CAHs Succeed in Quality Reporting & Improvement
- Updated! MBQIP Data Submission Deadlines
This single-page document contains a chart showing the Medicare Beneficiary Quality Improvement Project (MBQIP) data submission deadlines for Quarter 1 2022 through Quarter 4 2022.
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