The Physician Quality Reporting System (PQRS) is a Centers for Medicare & Medicaid Services (CMS) quality initiative to provide quality of care information from physician offices to the federal government. Quality Insights of Delaware (now a part of Quality Insights Quality Innovation Network*), Delaware’s Quality Improvement Organization (QIO), had a goal of providing support to 28 eligible providers (EPs) participating in the 2012 PQRS program using electronic health record (EHR)-based reporting. Each EP was required to submit data on three measures by February 28, 2013 via a CMS-named Qualified Direct EHR vendor or Direct Submission Vendor (DSV) to avoid incurring future payment penalties.
Quality Insights of Delaware instituted the following process to accomplish this goal:
- Educated the EPs about the PQRS options to gain their consent to participate. Quality Insights received a commitment from 28 EPs (representing four practices), and, with additional interest very high, committed to provide assistance to a total of 48 EPs.
- Provided technical support to the EPs to build quality data reports for the three or four measures that they were to report to CMS.
- Continued to monitor the EPs’ data reporting to assure the correct demographics and procedure codes were being captured in the reports.
- Assisted the EPs and the selected DSV to determine each practice's EHR capabilities to obtain access to Practice Management and Clinical Data for PQRS reporting.
In addition, Quality Insights hosted weekly Learning & Action Network (LAN) calls to address issues that arose as the participants began to prepare for their PQRS submissions via the DSV. Onsite technical support provided by the Health IT coordinators from Quality Insights also served as a key component to the success of this project.
Thanks to the providers’ hard work and the collaboration between the providers, Quality Insights, and the vendor, all 48 EPs successfully submitted their three measures through the vendor registry by the February 28, 2013 deadline.
*As of August 1, 2014, Delaware has two Quality Improvement Organizations. Quality Insights of Delaware now provides quality improvement technical assistance as a part of Quality Insights Quality Innovation Network. Beneficiary and family centered care quality improvement services are now provided by KEPRO.