This month's reminders from the AzFlex Team
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March 2017

MBQIP Data Submission Reminders

Emergency Department Transfer Communication (EDTC) Measures | Due: Saturday, April, 15, 2017

CMS Population and Sampling (optional)* | Due: Monday, May 1, 2017

Note: FORHP continues to work with CMS regarding the issues with entry of outpatient population and sampling data via the QualityNet Secure portal.  Additional information and guidance on submission of population and sampling data for next quarter will be shared once details are available.
  • Patients seen Q4 2016 (October, November, December)
  • Outpatient and Inpatient measures
  • Entered via Secure Portal on QualityNet 
*Population and sampling refers to the recording of the number of cases the hospital is submitting to the QualityNet warehouse, which is done directly thru the QualityNet Secure Portal. Reporting of population and sampling data is strongly encouraged but not required in order for your data to be submitted to CMS

CMS Outpatient Measures: OP-1 - OP-5, OP-18, OP-20, OP-21 and OP-22 | Due: Monday, May 1, 2017

  • Patients seen Q4 2016 (October, November, December)
  • Use CART version 1.15
  • CMS Hospital Outpatient Reporting Specifications Manual version  9.1
  • Submitted to the QualityNet warehouse via CART or by vendor

CMS Outpatient Web-based Measure: OP-22 | Due: Monday, May 15, 2017

  • Patient Left Without Being Seen -full calendar year 2016
  • CMS Hospital Outpatient Reporting Specifications Manual version  9.1
  • Entered via the Secure Portal on QualityNet
    Note: (anticipated date of the available entry - late March/early April)

CMS Inpatient Measures: IMM-2 Influenza Immunization, ED-1 & ED-2 | Due: Monday, May 15, 2017

  • Patients seen Q4 2016 (October, November, December)
  • Use CART version 4.19.1
  • CMS Hospital Inpatient Reporting Specifications Manual version 5.1
  • Submitted to the QualityNet warehouse via CART or by vendor

Healthcare Personnel Influenza Vaccination: OP-27 | Due Monday, May, 15 2017

  • Personnel data October 1, 2016-March 31, 2017
  • Submitted through the National Healthcare Safety Network (NHSN)

MBQIP Updates


AzCAH Quality Network Webinar | March 21, 2017 | 2:00 pm

Continuing discussion on Ask Me 3 best practice/update Carondelet Holy Cross project
Click here to Register 

CART Basics Webinar: | Wednesday, March 15, 2017 | 8:00 AM and 12:00 PM    
The CMS Outpatient Quality Reporting Support Center is hosting a webinar CMS Abstraction & Reporting Tool (CART): Knowing the Basics, The session is free of charge, but pre-registration is required. Click here for additional information and Registration.

Stratis Health MBQIP Monthly: 
MBQIP Monthly is an e-newsletter that highlights current information about the Medicare Beneficiary Quality Improvement Project (MBQIP), and provides critical access hospitals (CAHs) with information and support for quality reporting and improvement. February 2017 issue includes the following:
  • CAHs Can! Rural Success: TriStar Ashland City Medical Center, TN
  • Data: CAHs Measure Up – Using the Internal Quality Monitoring Tool with CART Reports
  • Tips: Robyn Quips – How to Run Reports in CART 
  • Tools and Resources: Helping CAHs succeed in quality reporting & improvement
New to Quality Reporting?
MBQIP Resource Manual, Quality Reporting Guide provides resources to get started click here to download.

“Help, I’m New: What Do I Do” Webinar recording

AzFlex Team

Jill Bullock | Associate Director | Flex Coordinator |
Joyce Hospodar | Senior Advisor, Rural Programs |
Bryna Koch | Special Projects Coordinator |

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