Short Demo (Coming Soon) for PC Attestation PC Attestation (duration: 6:00 minutes)
https://attendee.gotowebinar.com/recording/2525920586566070019
What’s in this section:
General Information about Perinatal Care Attestation
Examples
How to Attest
1. General Information
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 |
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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: 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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This attestation begins with the currently open quarters for which aggregate data has not already been submitted, as well as applying to future quarters of the specified measure.
Aggregate data which has already been submitted, including the open quarters, will continue to be used by The Joint Commission.
If aggregate data has been entered into open quarters, you may delete it prior to attesting to submitting eCQM data. However, if data was entered for closed quarters, that data may not be deleted because it was already used in Joint Commission analysis.
3. After clicking the attest toggle, you will see the following message under the quarter tabs: “Attest to submit via eCQM has been selected and as a result this data may no longer be changed”.
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