VCMA-HEMR QCDR & ePOLST
HEMR and the Ventura County Medical Association (VCMA) are proud to introduce the first electronic POLST (ePOLST) Registry for reporting as a quality measure to the Center of Medicare and Medicaid Services. Physicians can now report ePOLST submissions as a quality measure under the Merit-based Incentive Payment System (MIPS).
Pricing (Annual)
$250 for VCMA Members
$500 for Non-VCMA Members
An ePOLST Registry Solution Built by the Experts
For patients with terminal conditions, physicians provide advance care planning to identify their end-of-life treatment preferences, then electronically submit a new physician’s order for life-sustaining treatment. This is submitted to Medcordance, a POLST eregistry platform, unless declined by a patient.
OUR NEW MEASURE
Measure ID: VCMAHEMR1
Measure Title: Advance Care Planning: Electronic submission of new POLST/MOLST/POST/MOST into an eRegistry or patient medical record.
National Quality Strategy (NQS) domain: Patient Safety
Measure Type: Process
Meaningful Measure Area: Care Is Personalized and Aligned with Patient’s Goals
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.
WHAT IS THE DATA SOURCE FOR THIS INFORMATION?
Patient, family, and caregiver survey and patient-generated electronic submission of POLST and advance healthcare directives into the cloud-based Registry.
What is the Ratio Reported Under MIPS?
Measure Description
VCMAHEMR1
Denominator
All patients aged 65 and older evaluated by the Eligible Professional (E/M Codes 99221-99223, 99231-99233, 99238-99239, 99291-99292, 99304-99310, 99315, 99316)
Numerator
Patients with a submitted new or updated POLST/MOLST/POST/MOST
Numerator exclusions: None
Denominator exceptions
Patients who have received curative treatment of a terminal condition that may reasonably extend survivability from the terminal condition beyond one year
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
National Quality Forum (NQF) number, if it applies
N/A
If the Measure is Risk Adjusted
No
Number of Performance Rates Required for Measures
1
High Priority Status
Patient safety
Traditional vs. Inverse Measure
Traditional
Proportional, Continuous Variable, Outcome, and Ratio Measure Indicator
Proportional