This allows specific cases to be selected and have xml files files created for submission. It is located on the Exports menu under Administration. This can be used in two ways.
- To correct a single case (or a few cases) that have been submitted and need to be resubmitted.
- To delete cases that have been submitted and are incorrect in some way and require deletion.
Verify you are on the correct hospital. If not, change hospital.
Select the Quarter from the drop-down. Select file type to be created - Add or Delete. Select if case(s) should be sent to Subway or downloaded to the browser (on the secure server only).
Select the cases from the list. Please note - only Inpatient OR Outpatient cases can be selected at any one time. If you try to select both, you will receive an error.
Once you have selected the cases, click CMS Export. TJC no longer accepts patient level data.
Please keep in mind the following criteria for a unique record in HQR for the various programs. These are the identifiers that MUST MATCH for a case to overwrite or delete.
IQR
Unique Record Key (What fields make a record unique?)
For each patient episode of care, the following data elements will identify the case as a
unique record in the HQR Secure Portal:
• CMS Certification Number
• Patient Identifier
• Admission Date
• Discharge Date
• Measure Set
OQR
Unique Record Key (What fields make a record unique?)
•CMS Certification Number
•Patient Identifier
•Arrival Time
•Outpatient Encounter Date
•Outpatient Measure Set
IPFQR
Unique Record Key (What fields make a record unique?)
CMS HQR Secure Portal
CMS Certification Number, Patient Identifier, Admission Date, Discharge Date and
Measure Set
For each patient episode of care the following patient identifiers should match for each
Measure Set that is submitted:
• CMS Certification Number
• Patient Identifier
• Admission Date
• Discharge Date
• Measure Set
Exceptions for IPFQR
For the TR-1 measure, each discharge from the IPF must be abstracted as a separate
episode of care, not based on how the inpatient stay was billed. This applies regardless of
whether the patient was discharged from the IPF to home, to another unit within the same
facility, or to a different inpatient facility. If a patient is transferred from an IPF unit to another IPF unit within the same healthcare system and the IPF units share the same
CCN, this should be abstracted as one episode of care. The same patient identifiers listed
above must match for each TR Measure Set transmitted.
For the HBIPS event (HBIPS-EVT) measures (e.g., HBIPS-2 and HBIPS-3), each case
must have a separate XML file; however, if a patient has multiple events the following
patient identifiers should match for each event record transmitted:
• CMS Certification Number
• Patient Identifier
• Measure set
• Event Type
• Event Date