Pioneers in Quality - jntcm.ae-admin.com · Pioneers in Quality. 2018 ORYX eCQM Selection Form • Hospitals electing to use the DDS platform for the first time need to be on-boarded

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Joint Commission 2018 eCQM Direct Data Submission Platform: Your Questions Answered

Tricia Elliott, MBA, CPHQ

July 24, 2018

2© 2018, The Joint Commission

Background of DDSPThe Joint Commission Direct Data Submission Platform

Pioneers in Quality


The Joint Commission recognizes accredited hospitals are at the forefront of a new era in health care quality reporting, in which information is collected through electronic health records for the quality of care that patients receive, and data is transmitted to The Joint Commission electronically.

Pioneers in QualityChanging Measure Environment


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Driving Force: Reduce Burden

Keep the measures aligned with what is required by CMS.

Just use what we have to report to CMS.

Accept a direct file transfer from our HIS

59% of HCOs will submit directly to CMS using the QRDA files generated from their EHR

Align with CMS so we are doing the same thing for both


1. Direct submission though the Joint Commission Direct Data Submission Platform

2. Vendor submission through a Joint Commission-listed ORYX vendor ⎻All hospitals submitting eCQM data will be transitioned to the DDS Platform beginning with CY 2019 data and forward*.

Both reporting methods use the QRDA-I file format

Note: The Joint Commission will continue to use ORYX® vendors for submission of hospitals’ chart-based data through 2019 and will be evaluated annually.

Pioneers in QualityCY2018 eCQM Reporting Methods


⎻eCQM data submitted via the Joint Commission Direct Data Submission Platform is the same CMS QRDA-I document (file) format

⎻Direct Data Submission Process ensures all the required security including HIPAA requirements around the receipt and storage of Protected Health Information (PHI) is in place.

Pioneers in QualityFile Format for DDS Platform


DDS Platform OverviewPowered by Apervita

Data Accuracy and Quality Improvement

Verify Data

Verify Data

Upload DataSubmission


Question:What data is submitted to The Joint Commission via the DDS platform?

Answer:

Pioneers in QualityData Submitted

Login Screen

Pioneers in QualityDDS Platform

Note: The screen shots for slides 11–16 have been removed

Welcome Page and Main Menu


Invite and Manage Users


Upload Data: Upload Summary


Verify Data: Data Accuracy


Verify Data: Quality Improvement


Submit Data


Transitioning The Joint Commission Direct Data Submission Platform

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Question:How do I select Direct Data Submission for CY 2018 eCQM data submission?

Answer: You may download a copy of the 2018 ORYX eCQM Measure Selection Form from The Joint Commission website > under the Measurement topic. This form is to be completed and submitted via email to: [email protected]

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2018 ORYX eCQM Selection Form

DDS Selection

mailto:[email protected]


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• 2018 ORYX eCQM Selection forms are due to The Joint Commission no later than October 31, 2018.

• Please include your HCO ID# and “2018 eCQM Selections” in the email subject line.

• If your organization believes it has an extenuating circumstance impacting their ability to submit CY2018 eCQMs to The Joint Commission, the deadline to request an Extenuating Circumstance Request form is October 31, 2018.

DDS Selection

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Question:Who should use this form?

Answer: Individual hospitals selecting their eCQMs should use this form. Instructions are included with the form.

DDS Selection

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Question:What if we are part of a system of hospitals?

Answer: Hospitals that are part of a healthcare system or have a corporate entity who specify which eCQMs their hospital(s) submits, should verify that their system / corporate contact is submitting eCQM selections on their behalf via a System Spreadsheet. The System Spreadsheet may be requested by the system / corporate contact via an email to [email protected]

DDS Selection

mailto:[email protected]

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2018 ORYX eCQM Selection Form• Hospitals electing to use the DDS platform for the

first time need to be on-boarded. Hospitals will be on-boarded in groups monthly between the months of August 2018 and February 2019.

• Hospitals new to the DDS platform should indicate the month their organization would like to be on-boarded. Staff must be available to participate in the onboarding process during the month specified.

• Months are assigned in the order in which the forms are received. Hospitals will be on-boarded in a manageable quantity to provide the necessary support for all organizations.

Note: Onboarding does not equate to submittal of eCQMs. Onboarding provides HCOs access to the platform to upload, review, manage and submit their eCQM data.

DDS Selection

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2018 ORYX eCQM Selection Form• Include the name and email address of the

Designated DDS Contact.

• The designated DDS contact is specific to Direct Data Submission, and may or may not be the ORYX contact.

• The designated contact is the hospital representative who has authority on behalf of their institution to review and accept legal forms for using the DDSP. This individual is the first person to log onto the DDS Platform.

• The designated contact can invite additional users as needed to the Platform. The designated contact is not necessarily the same person who performs the data upload and submittal process.

DDS Selection

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• Hospitals can use an eCQM ORYX vendor to submit their CY2018 eCQM data to The Joint Commission.

• Hospitals electing to use an eCQM ORYX vendor must include their vendor when emailing the eCQM selection form to The Joint Commission.

NOTE: All hospitals submitting eCQM data will be transitioned to the DDS Platform beginning with CY 2019 data and forward.

NOTE: The Joint Commission will continue to utilize ORYX® vendors for submission of hospitals’ chart-based data through 2019 and the use of vendors will be evaluated annually thereafter.

DDS Selection

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Minimum eCQM requirements:

• Hospitals with an ADC>10: Hospitals are required to submit a minimum of four (4) eCQMs for a minimum of one calendar quarter. Any calendar quarter(s) of data may be submitted. Hospitals have the flexibility of choosing which calendar quarter(s) are submitted during the submission process and do not need to be specified at the time of eCQM selection.

• Hospitals with an ADC ≤10: Small Hospitals and Critical Access Hospitals (CAHs) are not required to submit eCQMs, but may do so if they wish.


DDS Selection

HCO On-boardingThe Joint Commission Direct Data Submission Platform

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• Onboarding organizations between August 2018 and February 2019

• Direct Data Submission Platform is open for submission of CY 2018 eCQM data until March 15, 2019, 8 pm CST.

• We encourage organizations to plan ahead. Adequate time is needed to ensure a successful upload and submission:

• To address any questions you may have with the upload and submit processes.

• Resolution of any issue(s) within your organization impacting your ability to upload and submit eCQM data requiring engagement with your IT staff.

• To address any technical issues you may experience using the Platform.

Pioneers in QualityHCO On-Boarding

Question:How will New HCO’s access the DDS Platform?

Answer:• A communication is sent with the month your HCO is to be on-boarded with all the

details

• Prior to onboarding, each HCO receives an email invite to join the Direct Data Submission Platform Please note the link to access the platform expires after a set period of time Invite comes from <[email protected]>

• Keep in mind that onboarding does not equate to submittal of eCQMs. Onboarding provides HCOs access to the platform to upload, review, manage and submit their eCQM data

Pioneers in QualityHCO On-Boarding

DDS Platform Email Invitation

Email Sample

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Click here

HCO Educational ResourcesThe Joint Commission Direct Data Submission Platform

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Question:What type of education and ongoing support will be provided?

Answer:• The Joint Commission provides a series of self-directed webinars Topics such as Demonstration and Platform Overview, Data Accuracy and Quality

Improvement• Routine “Office Hours” Webinar based format, with the ability to ask questions via the chat function Provide support to HCOs during the onboarding process Provide support to HCOs during the data verification and data submission

processes• Direct Data Submission Platform has help screens and links to assist with answering

common questions• HCO users can submit questions or issues via the help link on the screens within the

Platform

Platform Education/AssistancePioneers in Quality

Question:How will I obtain Help or Platform Assistance?

Answer:

• The Direct Data Submission Platform has help screens and links to assist with answering common questions. In addition, users can submit questions or issues via the help link on the screens within the platform. Both Joint Commission and Apervita staff are prepared to respond to help with inquiries in a timely manner.


Platform Help, Education, Support Tickets


EXAMPLE Q&A Topics for Office Hours

Question:When uploading QRDA I .zip file, will I upload the exact file used when I uploaded to CMS? Is there scrubbing of PHI prior to upload?

Answer:• Yes, the same QRDA I .zip files submitted to CMS can be uploaded to the platform.• The DDSP scrubs the PHI before the data is submitted to The Joint Commission.

Pioneers in QualityPlatform Education/Assistance

Documents

Pioneers in Quality - jntcm.ae-admin.com · Pioneers in Quality. 2018 ORYX eCQM Selection Form • Hospitals electing to use the DDS platform for the first time need to be on-boarded