About the CQMR
The Oregon Health Authority (OHA) is implementing a Clinical Quality Metrics Registry (CQMR). The CQMR will collect, aggregate, and provide clinical quality metrics data to support quality reporting programs 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 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 the Oregon Medicaid EHR Incentive Program. MIPS and CPC+ eCQM submission options will be supported starting in February 2019. The program will then support coordinated care organization incentive measures for 2019 reporting. We will also work with our vendors to enhance CQMR functionality, including robust patient-to-payer attribution for patient-level data. More to come in early 2019.
OHA’s 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
Implementation started in late 2017. Initial use of the CQMR to support Medicaid EHR Incentive Program eCQM reporting will begin in January 2019. 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.