Why the CQMR is needed
Clinical quality measures are a way to assess the care that patients receive. With the increasing adoption of electronic health records (EHRs), Oregon has new opportunities to measure and improve the quality of care. Using EHR data supports measuring outcomes—for example, measuring whether a diabetic patient’s blood sugar levels are in good control rather than simply measuring whether the patient’s blood sugar levels were tested. The CQMR will enable more efficient collection and use of this important quality data.
Today, however, Oregon has no standard, automated capacity for the collection, storage, or aggregation of clinical quality metrics. The CQMR will fill this gap. It will align with national standards for the collection and calculation of quality measures. To support providers with different levels of technical capacity, the CQMR will offer several secure options for data submission.
How the CQMR will be used
The CQMR will be used for collecting and validating data, calculating measure results for comparison to established benchmarks, and supplying data for analytics. It will comply with privacy and security standards and best practices.
The registry will allow health care organizations to review local, regional, and state data to help inform decision-making and measure how they and others are doing to help improve patient care and reduce system costs. It will provide information that can be used to evaluate systems and processes to determine if changes can be made to help meet goals.
Initially, the CQMR will support two programs:
- Coordinated care organization (CCO) incentive measures
- Oregon Medicaid EHR Incentive Program
OHA’s new incentive-based model pays CCOs for improved health outcomes and accountability, not for the number of services provided. CCOs receive incentives for meeting benchmarks and improvement targets on certain metrics, including a subset of EHR-based clinical measures. Medicaid providers who participate in the EHR Incentive Program (also known as Meaningful Use) report annually on quality measures.
With the CQMR, OHA will be able to collect a more robust and meaningful data set for these programs. Over time, other programs may also use the CQMR. This “report once” approach would reduce administrative burdens for providers by allowing them to submit quality data once in order to meet multiple reporting requirements.
Timeline for development
OHA expects the CQMR to be live in 2018.
Stakeholder informed process
The Office of Health Information Technology worked with Oregon’s CCOs, Medicaid providers and other stakeholders to identify key requirements and set the scope for the CQMR. Moving forward, OHA will continue to work with stakeholders to determine additional future uses. Shared goals ensure the development of a value-based tool that supports emerging system needs, accurate reporting and improved health outcomes.