Hospital Inpatient Quality Reporting & Hospital Outpatient Quality Reporting
Improving Care Through Measurement
HIQR/HOQR/Annual Payment Update
QualityNet (www.qualitynet.org) is the "go to" source for the Hospital Inpatient Quality Reporting (HIQR) and the Hospital Outpatient Quality Reporting (HOQR) programs. Hospitals are encouraged to visit this site frequently for HIQR and HOQR Program requirements, including Annual Payment Update information for both programs. To access relevant sections for each program, hover over “Hospital-Inpatient” or “Hospital-Outpatient," select a dropdown box and review the content.
One component of the Hospital Inpatient Quality Reporting (HIQR) and Hospital Outpatient Quality Reporting (HOQR) Programs is maintaining an active QualityNet Security Administrator. One active QualityNet Security Administrator is required, however, CMS recommends registration of two QualityNet Security Administrators. The current registration forms are posted below.
Please sign in to MyQualityNet at least monthly to maintain an active QualityNet Security Administrator Account.
My QualityNet is a secure Web-based venue that allows the exchange of data files that contain Protected Health Information (PHI) with the Center for Medicare & Medicaid Services (CMS) and eQhealth Solutions and between your hospital and CMS and/or eQHealth Solutions. My QualityNet sign-in is accessible on the top of every page on www.qualitynet.org. This secure section of QualityNet also contains reports related to clinical data submission for HIQR and HOQR, such as the “APU Dashboard," the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data submission reports, HOP QDRP Reports and OPPS Clinical Warehouse Feedback Reports.
Hospital Specific Reports such as, but not limited to, 30 day AMI, HF, PN Mortality and Readmission reports are sent to your MyQualityNet > Exchange Files > Send/Receive box. Hospital Quality Alliance (HQA) Preview Reports are accessible only via MyQualityNet. Again, MyQualityNet is the only CMS-approved method for the electronic transmission of any documents containing Protected Health Information (PHI). Reminder: To maintain an active QualityNet Security Administrator account, sign-in to MyQualityNet at least monthly.
Before transmitting or receiving healthcare information or data, read the QualityNet System Security Policy, PDF
Recommendation: If there is a change in QualityNet Security Administrator(s) at your hospital, ensure a process is in place to register another QualityNet Security Administrator so as to maintain at least one, preferably two, active QualityNet Security Administrator account(s).
Hospital Inpatient and Hospital Outpatient Data Submission information
Click here for Hospital Inpatient Data Submission on QualityNet.
Reminder: To assess data submission completeness, sign-in to MyQualityNet and run reports applicable quarterly data submission, such as: APU Dashboard, RHQDAPU Provider Participation Report, HCAHPS QIO Feedback and HCAHPS Warehouse Feedback Reports
Click here for Hospital Outpatient Data Submission on QualityNet.
Reminder: To assess data submission completeness, sign-in to MyQualityNet and run reports applicable quarterly data submission, such as HOP QDRP Reports and OPPS Clinical Warehouse Feedback Reports.
Hospital Inpatient and Hospital Outpatient Data Validation information
Click here for Hospital Inpatient Data Validation on QualityNet.
Link to Hospital-Inpatient Data Validation Deadlines. Hospitals selected for quarterly validation must follow the deadlines for submission of requested medical records.
Click here for Hospital Outpatient Data Validation on QualityNet.
CMS Abstraction and Reporting Tool (CART)
CART, the CMS Abstraction & Reporting Tool, is a powerful application for the collection and analysis of quality improvement data. Through data collection, retrospective analyses and real-time reporting, CART enables hospitals to comprehensively evaluate and manage quality improvement efforts. Whether a hospital is seeking Medicare certification and/or Joint Commission accreditation, or undertaking its own quality improvement initiatives, CART is ideal for the data collection and analyses that are essential to the success of all quality improvement efforts. The application is available at no charge to hospitals or other organizations seeking to improve the quality of care in the following clinical areas:
To learn more, visit the CART Web Home Page on the QualityNet Web site.
This Web site is produced by eQHealth Solutions, the Quality Improvement Organization (QIO) for Louisiana,
under contract 500-99-LA02
with the Centers for Medicare & Medicaid Services (CMS). The contents presented do not necessarily reflect CMS policy.
Emergency Operations Information