1. February 2017 Presented By: Shanelle Van Dyke
Medicare Beneficiary Quality Improvement Project (MBQIP) The Difference Between: OP-27 & IMM-2
February 2017
Presented By: Shanelle Van Dyke

2. Agenda MBQIP Measures The Differences between OP-27 & IMM-2
Inpatient IMM-2
Measure Definition
How it’s collected and reported
Deadlines for submission
Outpatient OP-27

3. MBQIP ‘Core’ Measures

4. MBQIP Measures IMM-2 OP-27
Influenza Immunization
Inpatient Measure
Collected in CART
Uploaded to QualityNet website for submission
Collected & Reported Quarterly
Influenza Vaccination Coverage among Healthcare Personnel
Outpatient Measure
Collected & Submitted in NHSN website
Collected & Reported Annually

5. IMM-2 Performance Measure Name: Influenza Immunization
Measure ID #: IMM-2
Measure Set: Abstraction
Description: This prevention measure addresses acute care hospitalized inpatients age 6 months and older who were screened for seasonal influenza immunization status and were vaccinated prior to discharge if indicated.
Quarterly submission

6. OP-27
Performance Measure Name: Influenza Vaccination Coverage among Healthcare Personnel
Measure ID #: OP-27
Measure Set: Web-Based
Description: For more information about the NHSN measures, see the resources located at
Annual data submission period:
For more information, see the timeline posted to QualityNet.org for this measure; select Hospitals-Outpatient and then Data Submission in the drop-down menu.

7. Upcoming MBQIP Data Submission Deadlines
Inpatient (IQR) Data
IMM-2
May 15th 2017 submission date
Q (October-December)
August 15th 2017 submission date
Q (January-March)
November 15th 2017 submission date
Q (April-May)
Outpatient (OQR) Data
OP-27
October 2016-May 15th 2017 submission date
October 2016-March 2017
October 2017-May 15th 2018 submission date
October 2017-March 2018

8. Quality Reporting Channels - How it’s connected
CMS

9. CMS Abstraction & Reporting Tool (CART)
For Inpatient & Outpatient
Data Collection
This is were you collect IMM:2 data

10. QualityNet secure portal (a.k.a QNet)
For Inpatient & Outpatient Data Submission
This is were you submit IMM:2 data

11. Quality Reporting Channels - How it’s connected
CMS

12. National Healthcare Safety Network (NHSN)
For OP-27 (Outpatient HAI Measure) Collection & Submission

13. Helpful Resources Outpatient & Inpatient CART Basics
CART Patient Set-up/Abstraction and Import/Export
Outpatient Specifications Manual
Inpatient Specifications Manual
Select the time period you are abstracting, it will direct you to the appropriate version. Under topics, select IMM – this will provide all information on this measure from population, to abstraction guidelines, etc.
NHSN
Surveillance for Healthcare Personnel Vaccination_NHSN

14. THANK YOU! Questions ? ? ?
Shanelle Van Dyke
Kyle Cameron—Wyoming Flex
Wyoming Office of Rural Health
Rochelle Spinarski—Rural Health Solutions