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What Is The VCMA-HEMR QCDR?

HEMR and the Ventura County Medical Association (VCMA) are proud to present the HEMR Advance Care planning and POLST eRegistry as a Qualified Clinical Data Registry(QCDR) certified by the Center of Medicare and Medicaid Services! We are proud to introduce the first electronic POLST Registry for reporting as a quality measure to the Center of Medicare and Medicaid Services! Physicians can now report electronic POLST submissions as a quality measure under the Merit-based Incentive Payment System (MIPS)!

What is our new measure?

Measure ID: VCMAHEMR1

Measure title: Advance Care planning: Electronic submission of new POLST/MOLST/POST/MOST (“orders for life-sustaining treatment” or “orders for scope of treatment”) into an eRegistry powered by Medcordance

Measure description: For patients with terminal conditions, physicians shall provide advance care planning to identify a patient’s end-of-life treatment preferences and electronically submit a new physician’s order for life-sustaining treatment (“POLST”; also known as “MOST”, “MOLST”, or “POST” in some states) which is submitted into a POLST eRegistry Platform powered by Medcordance, unless declined by patient.

What Is The Ratio Reported Under MIPS?

Numerator: Patients with electronically submitted new POLST/MOLST/POST/MOST.

Denominator: All patients aged 65 and older.

Denominator Exclusions: Patient does not have any of the following:

  • (i) Terminal condition with functional decline
  • (ii) Greater than 3 ER visits in past 3 months due to exacerbation of a chronic condition, or
  • (iii) Greater than 2 hospitalizations in past 6 months due to exacerbation of a chronic condition.

Denominator Exceptions: Patients who have received curative treatment of a terminal condition that may reasonably extend survivability from the terminal condition beyond one year.

Numerator Exclusions: Patient or surrogote decisionmaker declines to complete a POLST/MOLST/POPST/MOST in the Advance Care planning and POLST eREgistry powered by Medcordance.

What Is The Data Source For This Information?

Patient, family, and caregiver survey and and patient-generated electronic submission of POLST and advance healthcare directives into the cloud-based Registry.

Who Can Use This Measure?

All specialties, with focused emphasis on: Palliative Care Medicine, Internal Medicine, Family Practice, Emergency Medicine, Oncology, Obstetrics and Gynecology, Cardiology, Pulmonology, Critical Care Medicine, Infectious Diseases, Nephrology.

Why Is This Important?

All specialties, with focused emphasis on: Palliative Care Medicine, Internal Medicine, Family Practice, Emergency Medicine, Oncology, Obstetrics and Gynecology, Cardiology, Pulmonology, Critical Care Medicine, Infectious Diseases, Nephrology.