Medicare Beneficiary Quality Improvement Project MBQIP The Difference

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

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

MBQIP ‘Core’ Measures 3

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

IMM-2 Performance Measure Name: Influenza Immunization Measure ID #: IMM-2 Performance Measure Name: Influenza Immunization 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 5

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 http: //www. cdc. gov/nhsn/. Annual data submission period: For more information, see the timeline posted to Quality. Net. org for this measure; select Hospitals-Outpatient and then Data Submission in the drop-down menu. 6

Upcoming MBQIP Data Submission Deadlines Inpatient (IQR) Data Outpatient (OQR) Data IMM-2 OP-27 May 15 th 2017 submission date Q 1 2017 (January-March) November 15 th 2017 Q 4 2016 (October-December) August 15 th 2017 submission date October 2016 -May 15 th 2017 submission date October 2016 -March 2017 October 2017 -May 15 th 2018 submission date October 2017 -March 2018 submission date Q 2 2017 (April-May) 7

Quality Reporting Channels - How it’s connected CMS 8

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

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

Quality Reporting Channels - How it’s connected CMS 11

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

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 https: //www. cdc. gov/nhsn/training/ Surveillance for Healthcare Personnel Vaccination_NHSN 13

THANK YOU! Questions ? ? ? Shanelle Van Dyke 1. 406. 459. 8420 Shanelle. Van. Dyke@Quality. Reporting. Services. com Kyle Cameron—Wyoming Flex Wyoming Office of Rural Health 1. 307. 777. 8902 Kyle. Cameron@wyo. gov Rochelle Spinarski—Rural Health Solutions 1. 651. 731. 5211 Rspinarski@rhsnow. com 14