Short Demo (Coming Soon) for PC Attestation
What’s in this section:
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Hospitals can attest to submitting two quarters of ePC measures (eCQMs) instead of four quarters of chart-abstracted PC measures for their Perinatal Care measures via the Chart-Abstracted Submission menu.
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NOTE:One for one replacement: Correct: submit ePC-01 instead of PC-01 Not Correct: submit ePC-02 instead of PC-01 |
May replace none, some, or all required PC measures with ePC measures.
2 quarters of PC eCQM data = 4 quarters of the associated chart-abstracted PC measure data
If an organization is uncertain the eCQM data can be submitted (e.g., ePC-06), we strongly suggest the chart-abstracted data is entered until it is certain the eCQM data can be successfully submitted.
A PC measure submitted as a chart-abstracted measure for all 4 quarters, may also be submitted as an eCQM.
If applicable, every ePC eCQM submitted for 2 quarters counts towards both an organization's PC requirement and eCQM requirement.
2. Examples:
CY2021: 2 quarters of eCQM data = 4 quarters of chart-abstracted measure data
CY2022: 3 quarters of eCQM data = 4 quarters of chart-abstracted measure data
CY2023: 4 quarters of eCQM data = 4 quarters of chart-abstracted measure data
CY2022 Example (eCQMs = 3 quarters of data) | |||||
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Example 1 | 1Q | 2Q | 3Q | 4Q | Comments |
Chart-abstracted | Y | Y | Y | Y | HCO submits all 4 quarters of only chart-abstracted measures; no ePC eCQM data are used to meet the Perinatal Care Requirment. HCO is required to submit 4 other (non-ePC) eCQMs. |
eCQM | N | N | N | N | |
Example 2 | 1Q | 2Q | 3Q | 4Q | Comments |
Chart-abstracted | Y | N | N | N | HCO submits first quarter of chart-abstracted PC measures and last 3 quarters of ePC eCQM data; receives feedback on all data submitted. ePC eCQMs are counted towards the hospitals perinatal AND eCQM requirement. |
eCQM | N | Y | Y | Y | |
Example 3 | 1Q | 2Q | 3Q | 4Q | Comments |
Chart-abstracted | N | N | N | N | HCO does not submit 1Q chart-abstracted PC measures and is required to submit 3 quarters of ePC eCQM data. ePC eCQMs are counted towards the hospitals perinatal AND eCQM requirement. |
eCQM | Y | Y | Y | Y | |
Example 4 | 1Q | 2Q | 3Q | 4Q | Comments |
Chart-abstracted: PC-06 | Y | Y | Y | Y | HCO submits 1 chart-abstracted measure (e.g. PC-06) for all 4 quarters. |
eCQM: | |||||
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ePC-01, ePC-02, ePC-05 | N | Y | Y | Y | HCO submits 3 ePC eCQMs (e.g. ePC-01, ePC-02, ePC-05) for 3 quarters. ePC eCQMs are counted towards the hospitals perinatal AND eCQM requirement. Hospital must submit one additional eCQM. |
3. How To Attest:
Click on the open button for the Perinatal Care measure for which you wish to attest to submit via eCQM.
Select the toggle on the right-hand side, “Attest to submit via eCQM”. By clicking on that toggle, you are attesting that you will be submitting this measure as eCQM data instead of aggregate chart-abstracted data.
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