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Clinical Quality Metrics Registry (CQMR)

CQMR Service Suspension

CQMR Service Suspension

After careful consideration, in light of changing national standards, we have decided to suspend the CQMR service. The CQMR has been a core component of OHA's efforts to ensure quality in the Medicaid program while supporting value-based payment and addressing provider burden. Specifically, the CQMR was intended to provide a streamlined solution for reporting, delivering efficiencies in data collection and reducing reporting burdens by leveraging national standards. OHA remains committed to the goalsof collecting robust clinical data on outcomes measures to support health system transformation.

You can learn more about this change on our suspension FAQ.

About the CQMR

The Clinical Quality Metrics Registry (CQMR) collects, aggregates, and provides electronic clinical quality metrics data to meet program requirements and achieve efficiencies for provider reporting in the state of Oregon. The ability for health care providers and organizations, as well as OHA, to gather and analyze data is a key component to evaluating system performance, improving patient outcomes and reducing costs for Oregonians.

The CQMR will:

  • Improve data transparency and availability
  • Decrease administrative burden of data collection and reporting
  • Enable a ‘report once’ strategy to streamline reporting requirements among multiple quality programs
  • Support Oregon’s Medicaid providers in meeting federal requirements for Meaningful Use incentive payments

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 controlled rather than simply measuring whether the patient’s blood sugar levels were tested. The CQMR enables more efficient collection and use of this important quality data.

The CQMR aligns with national standards for the collection and calculation of quality measures. To support providers with different levels of technical capacity, the CQMR offers several secure options for data submission.

How the CQMR is used

The CQMR is used for collecting and validating data, calculating measure results for comparison to established benchmarks, and supplying data for analytics. It complies with privacy and security standards and best practices.

The registry allows 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.

Currently, the CQMR supports eCQM reporting for the Oregon Medicaid EHR Incentive Program and for CCO Incentive Metrics. In addition, providers may opt to use the CQMR to report MIPS and CPC+ eCQMs to CMS. Planned enhancements to the CQMR include new functionality that will use enrollment data to enable robust filtering of patient-level data.   

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

Implementation started in late 2017. Initial use of the CQMR to support Medicaid EHR Incentive Program eCQM reporting began in January 2019 and to support the CCO Incentive Program in January 2020. Updates will be posted to the status page.

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.

 

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