Health-e-MedRecord

Advance Care Planning

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.

Medcordance on Desktop

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