CMS-10109 CMS-10109.final praoryx

Performance Measurement System’s Project Data Transmission for Hospitals – CMS Measures

CMS has designed a system to accept and manage abstracted patient specific clinical data. This clinical warehouse will accept information in the xml format for both CMS CART and JCAHO ORYX values. Therefore, hospitals will be able to accommodate CMS chart requests in whatever fashion, CART or ORYX, is convenient to the hospital.

A hospital may authorize a JCAHO Performance Measurement System (PMS) who has met the Centers for Medicare & Medicaid Services (CMS) 8^th SOW measurement specifications to transmit project data via QualityNet (QNet) Exchange to the Quality Improvement Organization (QIO) clinical warehouse on their behalf. This is an individual hospital decision. The hospital will be responsible for providing authorization to the QIO specifying the topics and discharge dates for each topic that can be accepted from the PMS via QNet Exchange.

The minimum CMS data elements required for a PMS to transmit data into the QNet are the hospital’s Medicare provider number (6 digit) and the patient’s Medicare HIC number. Therefore, although a PMS may choose to collect additional CMS elements beyond the Medicare provider number and the patient’s Medicare HIC number, it is not required for transmission of data to the QIO clinical warehouse.

If a PMS decides that they will transmit data into the QIO national repository for their clients, the PMS must register for QNet Exchange. You will find the QNet Exchange Administrator Registration Form and Instructions document to begin the QNet Exchange registration process on the QNet Exchange Web site http://www.qualitynet.org located under Getting Started w/ QNet Exchange, Registration, and Hospitals. CMS will use the same Joint Commission ID Number as assigned by JCAHO for the PMS preceded by a “J”.

For any problems encountered during registration or use of the QualityNet website, please contact the QualityNet Help Desk Email: [email protected] for support.

Phone: 866-288-8912 (7am - 7pm CST) or Fax: 888-329-7377.