CMS Quality Reporting Services
Quality health care is a high priority for the President, the Department of Health and Human Services (HHS), and the Centers for Medicare & Medicaid Services (CMS). CMS implements quality initiatives to assure quality health care for Medicare Beneficiaries through accountability and public disclosure. CMS uses quality measures in its various quality initiatives that include quality improvement, pay for reporting, and public reporting.
What are Quality Measures?
Quality measures are tools that help us measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care. These goals include: effective, safe, efficient, patient-centered, equitable, and timely care.1
CMS Web Interface Tool
PTM specializes in CMS Web Interface reporting for hospital systems and ACOs. CMS Web Interface was formerly known as the PQRS Group Practice Reporting Option (GPRO) Web Interface. CMS Web Interface is one of six data submission options under MIPS.
Today more than ever, how well you report your quality measures directly impacts your future revenues and profitability.
CMS Web Interface’s short reporting time frame, coupled with the enormity of records that must be abstracted from one or more EMR systems, requires professional abstraction expertise and the staffing to absorb the workload. Not to mention, CMS Web Interface reporting can be a huge distraction from daily operations.
Our team of experienced data abstractors performs CMS Web Interface reporting for a number of hospital systems and ACOs. We create reporting solutions tailored to each client, from complementing existing client resources to performing all required abstractions, Inter-rater reliability (IRR) and reporting requirements.
We completed more than 50,000 chart abstractions for the just completed 2021-2022 CMS Web Interface reporting period while maintaining a >95% IRR.
PTM Data Abstraction Tool (PDAT)™
PDAT™ (ProTeam Data Abstraction Tool) is the proprietary technical heart of our abstraction efforts. PDAT supports real time abstraction throughout the CWI season. The client’s CWI file gets uploaded and organized by each of the 10 CWI quality measures and ranks. Each sample gets abstracted within the electronic tool, and the results of each abstraction display on a dashboard as they are completed.
PDAT ™ streamlines the process by:
- increasing abstraction efficiency,
- reducing abstraction errors,
- providing live measure performance feedback, and
- streamlines analyzing opportunities for improvement.
PDAT supports real time abstraction throughout the CWI season. The client’s CWI file gets uploaded and organized by each of the 10 CWI quality measures and ranks. Each sample gets abstracted within the electronic tool, and the results of each abstraction display on a dashboard as they are completed.