eCQM Quality Improvement
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The page provides the ability to access the Source Viewer (Coming Soon) and eCQM Logic Explorerfor all Active documents.
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The Upload Data page may show that individual QRDA I file or the zip files have been uploaded to the DDS Platform; however, this page may display the message "Results will appear after data is loaded and processed".·
Confirm that the uploaded file did not generate any high-level platform errors by reviewing the ‘Data Details’ on the Upload Data page.
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If no high-level errors were generated by the file, then your file is in the queue for processing against the schematron, edits, and eCQM logic.
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The processing turnaround time is dependent upon how many other files (including from other organizations) are waiting in the queue for processing.
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If you continue to receive this message after 24 hours, please create a DDS Platform Support Ticket by clicking on the 'Need Help?' link in the upper right-hand corner of the page.
How to Use:
Browser Zoom
This page may best be viewed at a zoom percentage less than 100%. The best zoom for you will depend on your computer and monitor.
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Definitions for Quality Improvement Counts:·
Measures: The measure selected in the ‘Select Measures’ control
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Active Patients: For the selected Measure and Quarter, count of all unique patients (i.e., QRDA I document) that are in the Initial Population of the eCQM.
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Episodes of Care: For the selected Measure and Quarter, count of all unique encounters that the Active Patients had during the calendar quarter.
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A patient that is discharged one time during the calendar quarter will have a one-to-one relationship between “active patient” and “episode of care”.
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A patient that is discharged three times during the calendar quarter, will have a one-to-three relationship such that there is one “active patient” related to the three “episode of cares”.
For example:·
If there are five (5) “active patients” in the eCQM for the calendar quarter with one (1) encounter each, the number of “episodes of care” equals five (5).
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If there is one (1) “active patient” discharged five times during the calendar quarter, the number of “episodes of care” equals five (5).
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If there are five (5) “active patients” during the calendar quarter where:
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two (2) were discharged two (2) times and
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three (3) were discharged one (1) time,
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the number of “episodes of care” equals seven (7)
Active Document
The last accepted QRDA I document processed by the DDS Platform with the same Key information (Patient ID in the PatientRole element and Quarter in the effective date in the Reporting Parameters section) will become the Active Document within the Platform and be counted as the Active Patient on this page. 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/Patient, which will affect your hospital's measure rates.
Error and Warning Messages
The Data Accuracy page is about those QRDA I documents which generated an error or warning, the Quality Improvement page is about those QRDA I documents that received only warnings or no warning/error messages.
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Definitions for Results by Measure:·
Initial Population: Count of all episodes of care evaluated that meet the Initial Population of the eCQM.
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Observed Rate / Observation:
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Proportion eCQMs: The Observed Rate is calculated as the [Numerator divided by the Denominator].
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Continuous Variable eCQMs: The Observation value is the result of the “measure observations” calculation defined within the eCQM specification to evaluate the care provided by the hospital.
§ For example, time (in minutes) from ED facility location arrival to ED facility location departure for patients admitted to the facility from the emergency department.
Display More Measures
If all measures are not being displayed, hover over the Initial Population and Observed Rate / Observation data contained within the table and a scroll bar will appear on the right-side of the table. This will allow you to scroll down to see the additional measures for which data has been uploaded.
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The ‘Population Breakdown for Selected Measures (Episodes of Care)’ Waterfall Chart shows how each patient’s episode of care were processed against the selected eCQM, for the selected calendar quarter.·
A QRDA I document contains data for all episodes of care for a single patient that are related to a calendar quarter.
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Patients admitted in one quarter and discharged in another quarter, will be counted in the calendar quarter in which they were discharged.
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See definition of the components of the Waterfall Chart below.
Select Measures (left-hand side of page):
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The ‘Active Documents’ section lists all active QRDA I documents which have been uploaded and were not rejected due to an error.·
Patients (QRDA I documents) which have been replaced by being re-uploaded are not accessible. Only the last version of a given document is ‘active’ and may be reviewed. For example:
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The QRDA I document for Mary Jane (named ‘Mary Jane QRDA’) is uploaded on 4/1 in a zip file named ‘MJ’.
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The QRDA I document for Mary Jane (named ‘Mary Jane QRDA’) is re-uploaded on 4/2 in a zip file named ‘MJ-2’.
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Only the 4/2 version of the Mary Jane QRDA I document is ‘active’ and available to be reviewed on this page.
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Clicking on the ‘Magnifying Glass’ next to an active QRDA I document launches the Source Viewer and eCQM Logic
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Explorer which provides:
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a review of the patient data and how the active QRDA I document was processed against the eCQM logic, and if necessary
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the list of Schematron and Edit warnings that the file generated along with the ability to view the specific XML file structure of where the warnings occurred.
Review patient results (Coming Soon) button (right-hand side of page, below 'Active Documents'):
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