PQRS: Steps Needed to Report via Web Interface
August 14, 2016
Written by Sarah Leake
If you have selected GPRO Web Interface Reporting there are a few tasks that you could be doing now to be prepared for the submission period during the first quarter of 2017.
- Review GPRO Web Interface Measures in regards to organizational data
- Define and test data extraction or chart abstraction methods
- If not all measures are reported, investigate and apply clinical workflows to capture data
- Define process and resources for reporting the first Quarter 2017
Make sure to reference the 2016 GPRO Web Interface Narrative Measure Specifications to study and verify that you will be able to report on these measures or identify/implement changes that will allow you to report on these measures for the required Medicare patient population.
List of 2016 GPRO Web Interface Measures (18 measures)
GPRO CARE-2: Falls: Screening for Future Fall Risk
GPRO CARE-3: Documentation of Current Medications in the Medical Record
GPRO CAD-7: Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%)
GPRO DM-2: Diabetes: Hemoglobin A1c Poor Control
GPRO DM-7: Diabetes: Eye Exam
GPRO HF-6: Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
GPRO HTN-2: Controlling High Blood Pressure
GPRO IVD-2: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
GPRO MH-1: Depression Remission at Twelve Months
GPRO PREV-5: Breast Cancer Screening
GPRO PREV-6: Colorectal Cancer Screening
GPRO PREV-7: Preventive Care and Screening: Influenza Immunization
GPRO PREV-8: Pneumonia Vaccination Status for Older Adults
GPRO PREV-10: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
GPRO PREV-11: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
GPRO PREV-12: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
GPRO PREV-13: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
CMS will partially pre-populate the GPRO Web Interface with 2016 claims data from Medicare Part A and B beneficiaries. This sample is based on the claims history for the group practice, and contains demographic and utilization information for those assigned beneficiaries. PQRS group practices are then responsible for populating the remaining data fields and submitting the data during the submission period in the first quarter of 2017. Data can either be manually entered or uploaded into the GPRO Web Interface via an Extensible Markup Language (XML) file, which can be populated by CEHRT.
This is the time to investigate how your organization will best abstract these measure data for Medicare patients. Check if your EHR vendor has methods for abstracting data into the XLM file format. The Measure workflows and logic are good references for this analysis. Define extraction methods through your clinical and/or billing systems or through manual abstraction
Oh, and the Reporting Criteria
A group practice must have 25 or more EPs in order to participate in the GPRO Web Interface. The practice must report on all measures included in the GPRO Web Interface and populate data fields for the first 248 consecutively ranked and assigned beneficiaries in the order in which they appear in the group’s sample for each module or patient care measure. If the pool of eligible assigned beneficiaries is less than 248, then report on 100 percent of assigned beneficiaries.
A PQRS group practice of 100+, reporting via GPRO Web Interface must also report all CAHPS for PQRS summary survey measures via a CMS-certified survey vendor. Reporting CAHPS is optional for groups of <100. CMS will not bear the cost of administering.
GPRO Web Interface Web Page
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