Note: Access to the EHR features described in this article may differ for practices who have already purchased a Practice Fusion EHR subscription plan. Please contact Practice Fusion Customer Service for additional information.
Practice Fusion’s new eCQM Dashboard is an intuitive hub for quality measure tracking that allows you to monitor your progress for multiple quality programs, including:
- The Merit-Based Incentive Payment System (MIPS)
- The Medicaid EHR Incentive Program (Meaningful Use)
- Comprehensive Primary Care Plus (CPC+)
How do I access my eCQM Dashboard?
From the Reports section of the Practice Fusion EHR, click on “eCQM Dashboard” under the Quality Reporting section.
What eCQMs are supported for calculation in the Dashboard?
The complete list of eCQMs currently supported in Practice Fusion’s eCQM Dashboard for 2017 can be found in the measure table here.
How do I manage my eCQM Dashboard?
First, make sure that you have your name and current reporting year selected in the dropdown filters at the top of the Dashboard.
Next, you can locate specific measures by scrolling through the eCQM list or by using the search field at the top of the Dashboard to filter by measure name or CMS ID (e.g. “Preventive Care” or “CMS124”).
For each measure, you can click the dropdown arrow at the right to access further details, including the measure description, CMS ID, NQF Number, NQS Domain, and exclusion/exception data.
Alternatively, you can click “Expand all measures” at the top right of the Dashboard to show details for all measures.
How are the eCQM calculations determined?
For detailed information on numerator and denominator specifications, as well as the suggested Practice Fusion workflow, click on the “Learn More” link at the end of the measure description to be taken to the associated Knowledge Base article. Each article will also include details of any relevant codes (diagnoses, procedures, medications, etc.) that must be used to gain measure credit.
You can also visit the United States Health Information Knowledgebase website to access detailed measure specifications, though please note that a free Unified Medical Language System® (UMLS) license, available from NLM, is required to access the site.
How do I check my progress on my eCQMs?
Each measure will have a progress bar that shows your calculated percentage based on the numerator/denominator values for that measure. The eCQM Dashboard calculations will update every 48 hours.
How do I use the Patient Report?
You can utilize the Patient Report to see which patients are being included in each eCQM cohort. Click on the numerator/denominator value of a particular measure (e.g. 4/10) to see a complete list of which patients are included in both the numerator and denominator (“Numerator”) and which patients are only in the denominator (“Denominator only,” i.e. patients for whom the numerator action has not been taken). You may click on any patient name to be taken directly to that patient’s chart.
How many eCQMs do I need to report?
The number of eCQMs you report will depend on the quality program in which you’re participating. The requirements below are specific to the 2017 performance year.
- MIPS: Eligible clinicians report on up to 6 quality measures, including one outcome measure or high-priority measure, to meet the Quality performance category requirements.
- Medicaid Meaningful Use: CMS published changes to the Medicaid EHR Incentive program on August 14, 2017 under the Inpatient Prospective Payment System Final Rule and eligible professionals are now required to report on any six (6) quality measures applicable to their scope of practice via attestation or electronic submission. Please be aware that program requirements may vary by state. You should contact your state Medicaid administrator to confirm your state’s requirements for the 2017 reporting year.
- CPC+ (Track 1 and Track 2): At least 9 of the 14 designated measures from the CPC+ eCQM measure set, including at least two outcome measures and at least two complex care measures.
What is the Generate QRDA file button for?
This feature allows you to generate a QRDA Category 3 file that meets CMS quality reporting standards.
Frequently Asked Questions
What are denominator exclusions?
Denominator exclusions are patients who should be removed from the measure denominator before determining if numerator criteria are met, i.e. patients from the denominator who meet specific criteria that make it clinically unnecessary for the patient to receive the numerator clinical action. Not every measure supports denominator exclusions.
What are denominator exceptions?
Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. They also allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Exception reasons generally fall into three categories: medical reasons, patients’ reasons, and system reasons. Not every measure supports denominator exceptions.
Where did my PQRS Clinical Quality Measures Dashboard go?
The eCQM Dashboard has replaced the previous PQRS Clinical Quality Measures Dashboard since, starting in 2017, the PQRS program no longer is in place. Practice Fusion also recognizes that providers may wish to track quality measures for multiple programs, or simply to improve patient outcomes within their practice. To help facilitate these goals, Practice Fusion created a program-agnostic eCQM Dashboard that we hope serves our providers’ varying quality improvement needs. To access your PQRS data from past years, you may use the dropdown year filter in the eCQM Dashboard and select the historical year you wish to view.