HOSPITAL INPATIENT VIQR/OUTPATIENT QR OUTREACH AND
EDUCATION SUPPORT CONTRACTOR/QIN-QIO MEETING
SUMMARY MINUTES
THURSDAY, FEBRUARY 12, 2015
2–3 p.m. ET

Welcome and Announcements

Upcoming Education Programs
Mary Ann Jones,
IQR Project Director FMQAI/HSAG
Quality Reporting Outreach and Education Support Contractor
Karen VanBourgondien,
Project Coordinator, FMQAI/HSAG
 February 2015:
Inpatient QR:
 February 17, 2015 - VBP (Overview of FY 2017)
 February 19, 2015 - IPF (Keys to Implementing and Abstracting the Tobacco Measure Set)
 February 23, 2015 - IQR (Perinatal Care Core Measure: PC:01)
 February 25, 2015 - eCQM (eCQM Reporting: CY 2015 Program and System
Requirements)
 February 26, 2015 - PCH Navigating QualityNet: Where to Find What You Need When
You Need It
Outpatient QR:
 February 18, 2015 - OQR Understanding the Web-Based Measures
 March 2015:
Inpatient QR:
 March 19, 2015 - IPF (FUH)
 March 19, 2015 - eCQM (TBD title)
 March 23, 2015 - IQR (Healthcare Worker Influenza)
 March 24, 2015 - VBP (Improvement Series)
 March 26, 2015 - PCH (Understanding Public Reporting Preview)
Outpatient QR:
 March 18,2015 - OQR Hospital Compare Review

Inpatient Psychiatric Program (IPF) Overview and Relation To D1
Renee Parks,
IPFQR Team Lead FMQAI/HSAG
 IPFQR program in its infancy
 Established three years ago
 First Year data collected: 4Q2012–1Q2013 (APU 2014)
 Second Year data collected for: 2Q2013–4Q2013 (APU 2015)
 Third Year data collected for: 1Q2014–4Q2014 (APU 2016)
 First full year of reporting
 All HBIPS measures
 Submission period 7/1-8/15/2015
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 Topped-out analysis of data submissions indicates that there is room for improvement in all
measures.
 Better scores are indicated by:
 Lower numbers (closer to 0) for HBIPS 2–4
 Higher numbers (closer to 10) for HBIPS 5–7
 QINS have access to a provider participation report (by year) showing the submission
results by provider which will assist them in selecting hospitals
 Report provides facility-specific measure level data
 A listserv was sent out today from the NCC regarding data for IPFs and ASCs that can be
downloaded from the NCC Workbench, including:
 A contact for the NCC
 Medicare-only claims counts
 D1 Task
 Per HQIS Memo # 15-007-C0, second paragraph, formal evaluation for the D1 task will be
deferred for the first evaluation cycle of the contract (July 2015)
 In addition to all HBIPS measures for 2015, data is being collected for:
 SUB1
 All TOB-related
Question: Will there be any kind of formal training for these measures?
Answer: Please refer to the educational resources posted on the Quality Reporting Center
website at www.QualityReportingCenter.com for available resources.
Question: What year was the Medicare Claims information for?
Answer: The Medicare Claims information is for CY 2014.
Question: Deferral of evaluation of the first period means the next period will be July 2016,
correct?
Answer: That is correct.
Question: On the agenda attachment, “Web-Based Measures Set IPFQR-HBIPS State and
National Data for FY 2015,” the last column refers to the rate per1,000 hours, right? Also just to
confirm, HBIPs-4 scores should be low while HBIPS-5 scores should be high?
Answer: That is correct. Yes, HBIPS 2–4 should be low.
Question: If we do not have access to Psych Data in QualityNet, who should we contact?
Answer: You should contact the QualityNet Help Desk.
Question: Do you have access to the ASC contact list?
Answer: We provided the list to the NCC and they were going to divide the contacts out by
state.
 Shanita from the NCC indicated that the contact file that had been received did not include a
point of contact/named individual, only facility names/addresses/phone numbers.
Question: What data should we expect to be able to get for ASCs?
Answer: Data for the ASCs has not yet been publicly displayed. An October 2015 timeframe is
anticipated for public display of ASC data.
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
Outpatient Quality Reporting Program Update
Elaine Krantzberg,
OQR Project Director FMQAI/HSAG
 Thank you to everyone for submitting their questions and concerns about data after last month’s
call.
 Since receiving that feedback, CMS has made various reports available.
 Please continue to share concerns.
Question: What is the status of the Drop-down Box” issues for QualityNet reports?
Answer: QualityNet is working on the identified issues.
 There has been some discussion of developing a statewide report.
Question: Is it possible for QualtiyNet to provide an Excel option instead of a .PDF? There are
limitations to working with the .PDF.
Answer: Email Elaine Krantzberg the specifics and she will work with the NCC to provide a
workable solution.
Question: How do we find out the identity of a facility’s Security Administrator in QualityNet?
Answer: We will find the answer to this question and/or forward the request on to QualityNet.
Question: Can we (the QIOs) get access to information on the Facility and National Reports
that will show us if a hospital is going to fail?
Answer: This is not currently in either the QIOs’ or the Inpatient Support Contractor’s scope of
work. It is handled by the Validation VIQR. The information does not go to the QIO but is sent
directly to the hospital.

Call for Topics
Mary Ann Jones,
IQR Project Director FMQAI/HSAG
 The QIOs were asked what they would like to hear discussed during the monthly calls.
 More information on how to work with hospitals regarding HCAHPS and the Medicare
Spending per Beneficiary (MSPB) domains
 An email has already been sent to ACUMEN regarding their conducting an MSPB
educational event. More information will follow.
 Presentation/discussion of work that has been done with ASCs during the last scope of work.
 e.g., understanding G-codes and making them go through; how to increase participation
(only 2,000/5,800 ASCs are currently signed-up for Immunization)

Questions and Closing
Mary Ann Jones,
IQR Project Director FMQAI/HSAG
No Questions
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
Action Items
 QINs
1. Send recommendations/requests for education and call topics.
 VIQR SC
1. Jifeng (HSAG) will work with Shanita (NCC) to verify that the ASC contact file included
facility administrator names. A complete file will be resent to the NCC.
2. Discover where to find/what screen on QualityNet will provide QIOs access to information
regarding a facility’s Security Administrator.
3. Add suggested call topics to future agendas
 Query QIN QIOs regarding best practices for these topics

The next National QIN-QIO Call is scheduled for Thursday, March 12, 2015 at
2 p.m. ET.
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