Form CMS-10431 Oncology Care Measures Pop Sample application

PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431)

Form OCMs PopSample_application_April 17 2014_03242017 (508)

PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program

OMB: 0938-1175

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PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program

Web-Based Application for Clinical Care Measures

Online Data Entry Tool Content for FY 2017 and Subsequent Years

Overview

This document provides instructions for using the CMS online web application for reporting Population and Sampling data for the five Oncology Care Measures.

The Population and Sampling application enables a PPS-Exempt Cancer Hospital user or their contracted vendor to enter the population data of Medicare and non-Medicare patients that meet the inclusion criteria for the Oncology Care Measure set. The user or their contracted vendor can also indicate if they are submitting all of the records that meet the inclusion criteria, or if sending a sample, they can identify the frequency of sampling and the number of records that will be included in the sample.

Accessing the Web-Based Application

The user enters their assigned User ID and password to access the secure site and information for their individual hospital.

*Final web design is subject to change as it is dependent on web real estate and IT capacity. Changes will not impact the data elements but rather the application layout.*

Figure 1 Sign In

Manage Measures

After selecting the “View / Edit Population and Sampling” link under Manage Measures, the user selects the Reporting Period and selects the [Continue] button:

Figure 2 View / Edit Population & Sampling Selections

Screenshot - View/EDit Population & Sampling

Sampling Frequency Selection

The user will select the sampling frequency: Quarterly, Not Sampling, or Not Applicable.

Reporting – Initial Inpatient Population and Sample Size

The reporting is identified as Medicare and Non-Medicare.

NQF 0382 - Sample Frequency: Not Sampled

Not Sampled Patient Population

Number

Total Initial Patient Population


Medicare Initial Patient Population


Non-Medicare Initial Patient Population




Figure 3 Oncology Care Measures - (NQF 0382) Oncology: Radiation Dose Limits to Normal Tissues

Initial Inpatient Population

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 







Sample Size

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 





NQF 0383 - Sample Frequency: Not Sampled

Not Sampled Patient Population

Number

Total Initial Patient Population


Medicare Initial Patient Population


Non-Medicare Initial Patient Population





Figure 4 Oncology Care Measures - (NQF 0383) Oncology: Plan of Care for Pain

Initial Inpatient Population

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 







Sample Size

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 



NQF 0389 - Sample Frequency: Not Sampled

Not Sampled Patient Population

Number

Total Initial Patient Population


Medicare Initial Patient Population


Non-Medicare Initial Patient Population






Figure 5 Oncology Care Measures - (NQF 0389) Prostate Cancer: Avoidance of Overuse Measure-Bone Scan for Staging Low-Risk Patients

Initial Inpatient Population

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 







Sample Size

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 





NQF 0384 - Sample Frequency: Not Sampled

Not Sampled Patient Population

Number

Total Initial Patient Population


Medicare Initial Patient Population


Non-Medicare Initial Patient Population






Figure 6 Oncology Care Measures - (NQF 0384) Oncology: Pain Intensity Quantified

Initial Inpatient Population

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 







Sample Size

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 



NQF 0390 - Sample Frequency: Not Sampled

Not Sampled Patient Population

Number

Total Initial Patient Population


Medicare Initial Patient Population


Non-Medicare Initial Patient Population



Figure 7 Oncology Care Measures - (NQF 0390) Prostate Cancer: Adjuvant Hormonal Therapy for High-Risk Patients

Initial Inpatient Population

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 







Sample Size

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Total

Medicare

 

 

 

 

 

Non-Medicare

 

 

 

 

 

Total

 

 

 

 

 



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitlePPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Web-Based Application for Clinical Care Measures Online Data Entry
SubjectPPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Web-Based Application for Clinical Care Measures Online Data Entry
AuthorCMS
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