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Upload all QRDA I documents which meet the Initial Population criteria for at least one eCQM being reported to The Joint Commission.
Include all QRDA I documents, even those you suspect will be rejected.
Uploading all documents will assist Joint Commission DDS staff in better understanding the QRDA I issues that are occurring in the field.
Each QRDA I document contains quality data for one patient, for all encounters that occurred during the calendar quarter being reported, for all eCQMs being submitted for the patient.
When re-uploading a patient's QRDA I document, the new file must be cumulative and contain all the patient data for the same reporting period, not just the corrected or new data.
This is true for both aligned eCQMs and Joint Commission only eCQMs. Based on HL7 standards, CMS should be able to accept a file containing data for Joint Commission only eCQMs.
QRDA I documents containing the same Key information of previously uploaded documents will replace the existing QRDA I documents. The Key information is:
Patient ID (in the PatientRole element)
QRDA I CMS Program Name
HCO ID
Quarter (in the effective date in the Reporting Parameters section)
The last QRDA I document processed with the same Key information will become the Active Document within the Platform.
Do not split a patient's data into multiple QRDA I documents (e.g., ED and Stroke data) as the last QRDA I document processed for the patient will be the Active Document, which will affect your hospital's measure rates.
If a patient is being reported for multiple calendar quarters, separate QRDA I documents must be submitted, one for each quarter.
The separate QRDA I documents may be contained within the same Zip.
A single QRDA I document must be <=10 MB (please let us know if this is truly an issue for a single patient's data for one quarter!)
At this time, The Joint Commission is only able to receive QRDA I documents formatted to meet CMS' CY 2023 2024 eCQM Version and Standards Alignment.