2. Clinical Quality Measures (CQMs) Jason Werner Michigan Department of Health and Human Services

3. Agenda Medicaid EHR Incentive Program Update “As-Is” environment for quality reporting for Medicaid EHR Program “To-Be” environment for quality reporting for Medicaid EHR Program

4. Medicaid EHR Incentive Program Update Medicaid EHR Incentive Program is NOT “dead” or going away eMIPP system currently accepting 2016 registrations as of 6/1/2016 State of Michigan to roll out Stage 3 of Meaningful Use beginning in program year 2017 Dual eligible (MIPS/Medicaid EHR) providers will have to attest separately

5. By the numbers As of 4/30/2016 Eligible Professionals Eligible HospitalsTotals Unique # of participants5,9001176,017 Total Payments9,70429910,003 AIU Payments5,6701135,783 MU Payments4,0341864,220 Incentives distributed$153,121,995$157,002,686$310,124,681

6. CQM Reporting “As Is” 1)Direct Data Entry into eMIPP – Since 2012 2)PDF upload into eMIPP – Since 2012 3)QRDA Category III file upload into eMIPP – Since 2013 4)QRDA Category III file upload via HIE/Direct – Since June 1, 2016 (Optional)

7. Quality Reporting Document Architecture (QRDA) Category I - A QRDA Category I report is an individual patient quality report. Each report contains quality data for one patient for one or more eCQMs, where the data elements in the report are defined by the particular measure(s) being reported. Category III - A QRDA Category III report is a standard structure to use in reporting aggregate quality measure data. Each report contains aggregate quality data for one provider for one or more eCQMs.

8. CQM Reporting “To Be” QRDA Category III file upload via HIE/Direct – Beginning in 2017 (Required) QRDA Category I file upload via HIE/Direct – TBD

9. State of Michigan Data Hub Eligible Professionals Eligible/Critical Access Hospitals Data Peeler Cypress/DQA SOM Data Warehouse eMIPP cat3@direct.mihin.org Valid QRDA Clinical Quality Measure Recovery and Repository (CQMRR) QRDA (CAT III) Check NPI Any provider ™ CMS Repository PQRS MiHIN

10. Why this can be successful Built on standards (QRDA) Expertise (MiHIN, CNSI, Optum etc.) One front door (CQMRR) Sustainable (Built on 90/10 funding, cost sharing among states and initiatives in future) Demonstrated Value (Report Once, clean data in end points)

11. Questions? www.MichiganHealthIT.org wernerj@michigan.gov