End to end reporting / registry versus EHR benchmarks - Suggestion: add a new field called [measureSpecs] where the options are registry or EHR

[Paulo]

Hi,

There are questions regarding how the QPP API will choose between the registry or EHR benchmarks when a measure is reported with end to end reporting.

A registry may be submitting a measure using the registry specifications but those may be different than the EHR specifications for the same measure. 

Ideally, if a registry is submitting a measure processed according to the registry specifications, one should compare it to the registry benchmark. If a registry is submitting one measure based on EHR specifications, one should compare it to EHR benchmarks.

Right now the suggested approach is:

  [measureId] => 110

                                    [value] => Array

                                        (

                                            [isEndToEndReported] => true

                                            [performanceMet] => 255

                                            [performanceNotMet] => 171

                                            [populationTotal] => 426

                                            [eligiblePopulation] => 426

                                        )

But when a registry does that, the benchmark used is going to be the EHR benchmark even if the specs used were the registry ones.

One suggestion: add a new field called [measureSpecs] where the options could be registry or EHR. 

Case 1) Provider gets the end to end bonus and the benchmark used is registry because measure 110 was processed based on registry specs.

[measureId] => 110

                                    [value] => Array

                                        (

                                            [isEndToEndReported] => true

                                            [measureSpecs] => registry

                                            [performanceMet] => 255

                                            [performanceNotMet] => 171

                                            [populationTotal] => 426

                                            [eligiblePopulation] => 426

                                        )

Case 2) Provider gets the end to end bonus and the benchmark used is EHR because measure 110 was processed based on EHR eCQM specs.

[measureId] => 110

                                    [value] => Array

                                        (

                                            [isEndToEndReported] => true

                                            [measureSpecs] => EHR

                                            [performanceMet] => 255

                                            [performanceNotMet] => 171

                                            [populationTotal] => 426

                                            [eligiblePopulation] => 426

                                        )

Case 3) Provider doesn't gets the end to end bonus and the benchmark used is registry because measure 110 was processed based on registry specs.

[measureId] => 110

                                    [value] => Array

                                        (

                                            [isEndToEndReported] => false

                                            [measureSpecs] => registry

                                            [performanceMet] => 255

                                            [performanceNotMet] => 171

                                            [populationTotal] => 426

                                            [eligiblePopulation] => 426

                                        )

Case 4) Provider doesn't get the end to end bonus and the benchmark used is EHR because measure 110 was processed based on EHR eCQM specs.

[measureId] => 110

                                    [value] => Array

                                        (

                                            [isEndToEndReported] => false

                                            [measureSpecs] => EHR

                                            [performanceMet] => 255

                                            [performanceNotMet] => 171

                                            [populationTotal] => 426

                                            [eligiblePopulation] => 426

                                        )