Laura Anderson Product Manager: HQM, Dashboard, Business Intelligence
Agenda What is HQM? How HQM works Dashboard Overview What s next? Q&A 3/2/2012 2
HQMOVERVIEW 3/2/2012 3
HQM is A data warehouse framework with modules and services that; Collects EHR transactional data; data that is organized by patient/encounter Organizes the data into collections of facts within the HQM data warehouse; labs, medications, vital signs Produces summary and detail outcomes results using program rules and complex algorithms Performs automated calculation, tracking and reporting of clinical quality measurement and performance in support of P4R, P4P and other quality programs A tool for clinicians who seek to impact patient healthcare using national standards through participation in quality programs Uses clinical data points to calculate measures. NO G-CODING! Discrete, measure specific patient results Billing data is not used to calculate or report clinical quality measures 3/2/2012 4
Fully integrated for behind the scenes EHR data collection and processing. Automated electronic reporting services removes the client burden of manual submissions and remembering deadlines. NextGen EHR HQM Module Data Collection and Data Warehouse Services Production Data HQM Clinical and Demographic Data Discrete data is sent to the hosted platform via secure web services EHR Data Extraction Services Federal Initiatives (PQRS/MU) Program Channels and Client Registration REC Programs ETL Processes Bridges to Excellence ACC IC3 Data Mart Generation Others : https://hqm webprod.nex tgenisp.com Measure Algorithm Builder Analytical Modules and Program Rules Analytics and Rules Processing Report Modules and Registry Services NextGen HQM Web Portal Web Report Creation and Delivery Electronic Report Creation and Delivery Practice Registration Reports Print Download PDF & Excel CMS ACC BTE 3/2/2012 5
HQM Fun Facts Officially designated and certified as a registry by CMS Top 5 of 70, CMS registries for number of submissions. PQRI 2009, 18 clients, totaling 595 providers received $1,500,000 in incentive payments due to using HQM (average is $2,900/provider) PQRI 2010, 109 clients, totaling 3,757 providers so anticipated payments will be approximately $10,800,000 PQRS 2011 700 Clients ready to go Meaningful Use (MU) 50 + have attested using HQM so far 500+ Clients in the queue We are successfully reporting erx for 836 providers HQM is NextGen s first Enterprise Level, Cloud Based Application 3/2/2012 6
HQM Additional Fun Facts HQM houses more than 8 TB of data. Equivalent of 2.1 MILLION songs from itunes! HQM has nearly 10,000 providers using HQM! Futuristic Greek Ark can house 10,000! HQM receives more than 2 TB compressed, raw data per week. This is more than 200+ full length DVD quality movies! HQM houses data for 51+ million person records. That is more than the population of California and Illinois combined! HQM houses data for 180+ million encounter records. This is the same number of downloads from ibooksdownloaded from Apple to date! (as of Oct 19, 2011) 3/2/2012 7
HQM Highlights Program Participation (underlined Programs are forthcoming) Federal Programs Meaningful Use Certified for 44 clinical measures PQRSand erx DOQ-IT 9 th Scope Regional Extension Centers/Regional Programs New York City Reach Program NYC CHIP Grant/THINC RHIO NYC ehearts Commercial Bridges To Excellence American College of Cardiology IC3 The Guideline Advantage (2012) National Standards NCQA(2012) PCMH (2012) HEDIS (2012) 3/2/2012 8
Measure Summary Reports 3/2/2012 9
Individual Measures 3/2/2012 10
Provider Dashboard 3/2/2012 11
Individual Details Reports 3/2/2012 12
Measure Selection 3/2/2012 13
The NEW Goal Report 3/2/2012 14
The NEW Goal Report 3/2/2012 15
HQM & Dashboard Integration 3/2/2012 16
Quality Story 3/2/2012 17
Sounds Great-How do I get HQM? Open a support ticket for HQM Indicate you want to use it for PQRS, Meaningful use etc.. A HQM Analyst will contact you How long does implementation take? The entire process from beginning to end takes 60 days on average. This includes paperwork, installation of the software, review of reports, etc. 3/2/2012 18
Sounds Great-How do I get HQM? What is involved? Provider registration Lab mapping Data validation to verify you can successfully report HQM services installation and data backload User set-up and training on HQM Web Portal Generate results PQRS clients must approve results before submission 3/2/2012 19
Industry Leading Client Support Tools Measure White Papers to assist clients in successfully documenting and reporting Data validation tools to verify documentation for measures BEFORE reporting Data Validation Passed 3/2/2012 20
KBMVersion Support MU 2012 kicking of soon: 8.0 7.9.1 or higher 7.8 with the MU service packs installed. PQRS 2011 end of reporting coming soon: NextGen KBM7.8 SP5 or higher NextGen KBM7.9 SP1 or higher NextGen KBM8.0 SP1 or higher 3/2/2012 21
Welcome to the NextGen Dashboard Overview 3/2/2012 22
What is NextGen Dashboard? Next Gen Dashboard is.. A presentation layer that organizes and presents information in a format that is easy to read & interpret, integrating with NextGen data (EHR, EPM and HQM). Intuitive graphical display that makes it easy for you to navigate through data. Information from different functional business areas can be viewed easily within one central application. 3/2/2012 23
Dashboard Fun Facts 228 clients 150+ Financial and Patient Flow charts o Based on Commonly used NextGen EPM reports 100 + Clinical data charts o Meaningful Use Views o Based on clinical information from EHR Static Drill Down Enterprise - Practices Locations Providers Users can create their own Dashboards and Charts Perform Save As on prepackaged charts Charts from scratch from spreadsheet, Stored Procedure 3/2/2012 24
So, what does it include? Dashboard 2.3 GR January 13 th Integration with Insight Reporting 6 Categories the library of Dashboards Patient Flow Clinical Workflow Revenue Management Financial Results Regulatory Terminology: Dashboard collection of charts Chart graphical representation of a specific metric 3/2/2012 25
Technical Requirements Requirements Tomcat Web Server (or other Java based Web Server) SQL Server 2005 or higher Recommendations Report server should be the data source for your Dashboard 3/2/2012 26
Dashboard Basics There will be new security items for the corresponding Dashboards categories. 3/2/2012 27
Dashboard Basics Access will be through the App Launcher and the normal NextGen login screen 3/2/2012 28
This is the main Menu. It allows for managing charts & user settings There are 6 predefined Dashboard categories. The personal category is where users are able to create their own dashboards and charts 3/2/2012 29
Appointments based charts Patient Flow 3/2/2012 30
Clinical Diabetes 3/2/2012 31
Clinical Physician Quality Measures 3/2/2012 32
Workflow Workflow charts (showing drill down) 3/2/2012 33
Charges and Lag Revenue Management 3/2/2012 34
Financial Results Financial 3/2/2012 35
Regulatory MU Core Measures 3/2/2012 36
Regulatory HQM Dashboard 3/2/2012 37
Regulatory HQM Dashboard 3/2/2012 38
Regulatory HQM Dashboard 3/2/2012 39
COMING SOON 3/2/2012 40
NextGen squality Reporting, BI and Outcomes Solution Third Party Dashboard Layer Population Management Tools Care Management Tools InSight Reporting HQM Regulatory Drill down reporting at the point of care Concurrent Analytics What if scenarios (BI) Advanced Notifications Patient Recalls Integration with Patient Chart Data Sources EHR, EPM, IP, HQM, etc. NextGen Data Warehouse Registry Repository Submission Retrospective Reporting Program Support Life Sciences / Pharma Research Payers Enterprise Reporting Disease Mgmt. Population Mgmt. Ecosystem reporting 3/2/2012 41
Phased Timeline High level Content 2012 Phase 1 2Q 2012 Consistent Presentation Layer for BI and analytical reporting across HQM, EHR, EPMand Insight Reporting Update HQM Program Library NCQA/PCMH Maintain NQF/PQRS Introduce BI and analytics MU/Regulatory Dashboards available with data from HQM and EHR HQM, Dashboard & CareNet integration Phase 1 HIE integration Phase 2 3Q 2012 Dashboards for Pop mgmt and P4P Advanced BI HQMProgram enhancements Phase 2 HIE integration Clinical Dashboard or summary that shows the provider what is outstanding, what needs to be done. Ongoing updates for HQM Programs Phase 3 4Q 2012 ROI reporting Composite reporting (optimal care reporting) Adaptability for reporting and incoming data Ongoing updates for HQM Programs MU 2012 PQRS 2012 3/2/2012 42
Multi Patient Summary 3/2/2012 43
Patient Summary by Practice 3/2/2012 44
Coming Soon New Provider Summary 3/2/2012 45
Coming Soon New Measure Dashboard 3/2/2012 46
Coming Soon 3/2/2012 47
Coming Soon 3/2/2012 48
Coming Soon 3/2/2012 49
Coming Soon 3/2/2012 50
QUESTIONS? Thank you for your time 3/2/2012 51 51