New endpoints for benchmarks and scoring available!

[iv...@navahq.com]

Hi everyone,

Based on feedback from 3rd party vendors, we've implemented the following endpoints:

POST /submissions/score

• https://qpp-submissions-sandbox.navapbc.com/#!/Submissions/scoreSubmission
• Returns the score for a submission with the provided values without persisting the submission; in other words, this endpoint allows you to create a "test" submission and preview the score (without submitting the data to QPP)
  
  

GET /benchmarks

• https://qpp-submissions-sandbox.navapbc.com/#!/Benchmarks/listBenchmarks
• Returns a list containing all matching benchmarks.
• GET /benchmarks returns all quality measures, and benchmarks, if available
• GET /benchmarks also accepts the following parameters: measureID, submissionMethod, performanceYear, itemsPerPage, and startIndex

Let us know if you have any questions or feedback! 

Ivana Ng

Product Manager

Nava

[Pawan Jindal]

Hello Ivana

 

I am getting some issues with ACI calculation. I would really appreciate if you could clarify this. Using a 2014 EHR, I just populated the 4 base measures:

• Security Risk- Yes
• E-Prescribing -Yes
• Provide Patient Access – Performance rate of 47% (47/100) which should be equal to 10 ACI point
• Health Information Exchange – Performance rate of 2% (2/100) which should be equal to 1 ACI Point

 

Based on above the total points for ACI = 50(base) +11 (performance points) = 61 points.

That should convert to an ACI score of (61/100)*25 =15.25.

 

However, the result from the submission/score API is 15.5.

 

Please advise what I am doing wrong. 

Thanks, 

Pawan

[iv...@navahq.com]

Hi Pawan,

Would you mind providing the original request you made - and to which endpoint?

-Ivana

[Pawan Jindal]

Here you go Ivana. I am calling the submission/score endpoint

{"id":"992cf66e-ec35-4e7f-9b6e-eccfafa886c4","programName":"mips","entityType":"individual","taxpayerIdentificationNumber":"000433789","nationalProviderIdentifier":"9276543210","performanceYear":2016,"measurementSets":[{"id":null,"submissionId":null,"category":"aci","source":"ehr","measureSet":null,"performanceStart":"2016-01-01","performanceEnd":"2016-12-31","measurements":[{"id":null,"measurementSetId":null,"measureId":"ACI_INFBLO_1","value":true},{"id":null,"measurementSetId":null,"measureId":"ACI_ONCDIR_1","value":true},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PPHI_1","value":true},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_EP_1","value":{"numerator":100,"denominator":100}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_HIE_1","value":{"numerator":2,"denominator":100}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PEA_1","value":{"numerator":47,"denominator":100}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PEA_2","value":{"numerator":0,"denominator":0}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PSE_1","value":{"numerator":0,"denominator":0}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_SM_1","value":{"numerator":0,"denominator":0}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_MR_1","value":{"numerator":0,"denominator":0}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PHCDRR_1","value":false},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PHCDRR_2","value":false},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PHCDRR_3","value":false}],"submissionMethod":"electronicHealthRecord"},{"id":null,"submissionId":null,"category":"ia","source":"ehr","measureSet":null,"performanceStart":"2016-01-01","performanceEnd":"2016-02-15","measurements":[],"submissionMethod":"electronicHealthRecord"}],"ErrorMessage":null,"IsSuccessful":true}

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[Pawan Jindal]

Here you go Ivana. I am calling the submission/score endpoint

{"id":"992cf66e-ec35-4e7f-9b6e-eccfafa886c4","programName":"mips","entityType":"individual","taxpayerIdentificationNumber":"000433789","nationalProviderIdentifier":"9276543210","performanceYear":2016,"measurementSets":[{"id":null,"submissionId":null,"category":"aci","source":"ehr","measureSet":null,"performanceStart":"2016-01-01","performanceEnd":"2016-12-31","measurements":[{"id":null,"measurementSetId":null,"measureId":"ACI_INFBLO_1","value":true},{"id":null,"measurementSetId":null,"measureId":"ACI_ONCDIR_1","value":true},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PPHI_1","value":true},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_EP_1","value":{"numerator":100,"denominator":100}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_HIE_1","value":{"numerator":2,"denominator":100}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PEA_1","value":{"numerator":47,"denominator":100}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PEA_2","value":{"numerator":0,"denominator":0}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PSE_1","value":{"numerator":0,"denominator":0}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_SM_1","value":{"numerator":0,"denominator":0}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_MR_1","value":{"numerator":0,"denominator":0}},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PHCDRR_1","value":false},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PHCDRR_2","value":false},{"id":null,"measurementSetId":null,"measureId":"ACI_TRANS_PHCDRR_3","value":false}],"submissionMethod":"electronicHealthRecord"},{"id":null,"submissionId":null,"category":"ia","source":"ehr","measureSet":null,"performanceStart":"2016-01-01","performanceEnd":"2016-02-15","measurements":[],"submissionMethod":"electronicHealthRecord"}],"ErrorMessage":null,"IsSuccessful":true}

[Steve Szeliga]

Hi Pawan,

I did some checking and it appears its a simple math issue, please view the information below and let us know if you have any questions or need any additional information!

Here is the scoring information for Transition Track from Policy:

Performance Rates for Each Measure Worth 20%

Performance Rate 1-10 = 2 points

Performance Rate 11-20 = 4 points

Performance Rate 21-30 = 6 points

Performance Rate 31-40 = 8 points

Performance Rate 41-50 = 10 points

Performance Rate 51-60 = 12 points

Performance Rate 61-70 = 14 points

Performance Rate 71-80 = 16 points

Performance Rate 81-90 = 18 points

Performance Rate 91-100 = 20 points

I am getting some issues with ACI calculation. I would really appreciate if you could clarify this. Using a 2014 EHR, I just populated the 4 base measures:

Security Risk- Yes

E-Prescribing -Yes

Provide Patient Access (ACI_TRANS_PEA_1) – Performance rate of 47% (47/100) which should be equal to 10 ACI point

Health Information Exchange (ACI_TRANS_HIE_1) – Performance rate of 2% (2/100) which should be equal to 1 ACI Point (THIS SHOULD BE 2 ACI POINTS, which makes 15.5 accurate)

There are only two measures that are eligible for 20 points and they are below, which are the two submitted. We are currently investigating a place to externalize this information on the public QPP.CMS.Gov site.

Corresponding Measures

ACI_TRANS_PEA_1

ACI_TRANS_HIE_1

Thanks,

Steven

[Pawan Jindal]

Thanks Steve for the detailed explanation. Based on the documentation on QPP, we assumed that the ACI measure score for 20 points measure will be calculated by doubling the performance rate and then applying the points as described on  https://groups.google.com/forum/#!topic/qpp-apis/UnRw54ei7aQ. So for a performance rate of 14%, we will need to check the points for 28% which is equal to 3 points. Based on your table above, it is not possible to get odd points (1,3,5,7,9 etc.) for these 2 measures. We were unable to find any documentation that clearly states what  you said in the table below for 20 point measures. Could you share the link where we can find this documentation?  

thanks again,
Pawan

[Steve Szeliga]

Hi Pawan, sorry for the delayed response, we are trying to find the best information for where this information should live. We are currently in the process of working on finding a place within the un-authenticated site. Also, within the measure data for the two measures, you can see the "weight": 20. Any time the weight is 20, we will have that scoring scenario, hopefully this is helpful. Once I find out where this information will live, I will resend to this group.

{
	"category": "aci",
	"firstPerformanceYear": 2017,
	"lastPerformanceYear": null,
	"metricType": "proportion",
	"measureId": "ACI_TRANS_HIE_1",
	"title": "Health Information Exchange",
	"description": "The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.",
	"isRequired": true,
	"weight": 20,
	"measureSets": [
	"transition"
	],
	"isBonus": false,
	"objective": "healthInformationExchange"
	},

[Pawan Jindal]

Thanks Steve. That helps a lot. We made the update on our side.