[QRDA-806] Which program name do we use in QRDA for CMS vs. TJC 2019 submissions Created: 05/30/19  Updated: 12/22/20  Resolved: 06/03/19

Status: Resolved
Project: QRDA Issue Tracker
Component/s: None

Type: Implementation Guidance Priority: Moderate
Reporter: Kristen Beatson Assignee: Yan Heras
Resolution: Done Votes: 0
Labels: QRDA-I

Attachments: PNG File Program_Name_QRDA1.PNG    
Impact: A change to the Schematron for the id root extension for program name was made for 2019. TJC indicates we should be using: HQR_IQR for their submissions but based on JIRA ticket "QRDA-781", for CMS (eCQM / PI) submissions, we should be using HQR_PI_IQR.
Please clarify which we should include in the file as our understanding is that we should be able to submit the same file to both agencies this year.
Contact Name: Kristen Beatson
Contact Email: kbeatson@medisolv.com
Contact Phone: 4105493849

 Comments   
Comment by Yan Heras [ 06/03/19 ]

Great. We will close this issue. 

Comment by Kristen Beatson [ 06/03/19 ]

Thank you for getting back to me on this! We'll plan on submitting HQR_PI_IQR for both agencies then. Thanks.

Comment by Yan Heras [ 06/03/19 ]

Hi Kristen,

TJC has confirmed that their submissions do not restrict the program name code to only "HQR_IQR". So if you are submitting to CMS to meet requirements for both IQR and PI, you should be able to send the same file with the "HQR_PI_IQR" program name code to both TJC and CMS. 

The only requirement from TJC regarding the program name for the 2019 reporting period is that it has to be one of the CMS program name code specified in the 2019 CMS QRDA IG. 

Thanks. 

Comment by Yan Heras [ 06/03/19 ]

Thanks Kristen. I see your concerns. We will pass your comment to TJC and get their feedback. 

Comment by Kristen Beatson [ 06/03/19 ]

Thank you. I've submitted a question on this to QNET as well requesting direction on which program name to use. Most hospitals submit eCQMs to meet requirements for both IQR and PI. I'm assuming that we are supposed to use HQR_PI_IQR for eCQM submissions to QNET in order to meet both programs. If we are required to use HQR_PI_IQR for CMS programs and HQR_IQR for TJC, we will need to create separate QRDA files for these submissions.

Comment by Yan Heras [ 06/01/19 ]

Hi Kristen,

If you were instructed by TJC to use HQR_IQR for their submission, then please use HQR_IQR to submit to TJC. 

QRDA-781 is addressing a different question and it does not relate to TJC submittions. In the prior reporting year, the program name "HQR_PI_IQR" was named "HQR_EHR_IQR", but this was renamed to "HQR_PI_IQR" for the 2019 reporting period, because CMS renamed the EHR Incentive Program to the Promoting Interoperability Program.

For CMS submissions, are you submitting for the PI and IQR? It would be best if you contact the QualityNet Help Desk to make sure you are using the appropriate program name code for your particular situation. 

In terms of the QRDA I file itself though, for the 2019 reporting period, the same file should work for both agencies maybe with the exception of the CMS program name code.  

 

Comment by QRDA-ICF [ 05/31/19 ]

Thank you for submitting a ticket to the QRDA JIRA Issue Tracker. Our experts are reviewing your ticket and will provide feedback as soon as possible. Thank you for your patience.

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