Issues submitting eCQMs with multiple populations

[Matthew Dugal]

Measure CMS 135v7 has multiple populations. When we convert to QPP JSON format, we are using the measure-data.json file from github. The strata names Within12Months & HospitalDischarge provided in measure-data.json match the populations in the eMeasure and we are using them to populate our QPP JSON file. 

When we submit the file we are receiving the following error:

{

  "message": "field 'value' in Submission.measurementSets[0].measurements[13] is invalid: {\"isEndToEndReported\":false,\"strata\":[{\"performanceMet\":0,\"performanceNotMet\":0,\"eligiblePopulation\":0,\"eligiblePopulationException\":0,\"eligiblePopulationExclusion\":0,\"stratum\":\"Within12Months\"},{\"performanceMet\":0,\"performanceNotMet\":0,\"eligiblePopulation\":0,\"eligiblePopulationException\":0,\"eligiblePopulationExclusion\":0,\"stratum\":\"HospitalDischarge\"}]} is invalid for measureId 005",

  "path": "$.measurementSets[0].measurements[13].value"

},

Please advice,

Matthew Dugal

[Matthew Dugal]

Additionally we are seeing similar errors with measures CMS144 (Mips 008) and CMS157 (MIPS 012).

[Sumanth Bandaru]

Hello Team,

Any update on this? 

Thank You,

Sumanth Bandaru.

[Sumanth Bandaru]

Any update on this? 

[Curtiss Schuler]

Matthew,

I think this thread may shed some light for you https://groups.google.com/forum/?utm_medium=email&utm_source=footer#!searchin/qpp-apis/singlePerformanceRate%7Csort:date/qpp-apis/n_rd4uXZwIk/v_tFeXezAgAJ

You now have to look at the metricType and determine if it is to be submitted as a single performance rate or a multi performance rate.

-Curtiss

[Sumanth Bandaru]

Hi Curtis,

Thanks for the response. 

CMS159 eCQM measure has a single performer rate and the MIPS version has multi performance rate. When I ran this eCQM measure through the QPP converter, I got the following json.

{
  "performanceYear" : 2019,
  "entityType" : "individual",
  "nationalProviderIdentifier" : "0001419966",
  "taxpayerIdentificationNumber" : "000144466",
  "measurementSets" : [ {
    "category" : "quality",
    "submissionMethod" : "electronicHealthRecord",
    "measurements" : [ {
      "measureId" : "370",
      "value" : {
        "isEndToEndReported" : true,
        "strata" : [ {
          "performanceMet" : 3,
          "eligiblePopulationExclusion" : 5,
          "performanceNotMet" : 2,
          "eligiblePopulation" : 10,
          "stratum" : "12-17"
        }, {
          "performanceMet" : 0,
          "eligiblePopulationExclusion" : 0,
          "performanceNotMet" : 0,
          "eligiblePopulation" : 0,
          "stratum" : "18+"
        } ]
      }
    } ],
    "programName" : "mips",
    "performanceStart" : "2019-01-01",
    "performanceEnd" : "2019-12-31",
    "source" : "qrda3"
  } ]
}

Can you tell us how QPP converter is creating PerformanceMet, eligiblePopulationExclusion, performanceNotMet, eligiblePopulation values from a single performance rate? 

Thank you,

Sumanth Bandaru.

[Curtiss Schuler]

Sumanth,

Unfortunately I can't answer this question.  I was just relaying the information in the other thread as I had run into the same issue.   The other thread does have a formula for calculating the single performance rate.

-Curtiss

[Steven Szeliga]

Good Morning,

Yes, the issue you are running into with 005 is that it is a single performance rate. For measure 370, since it is taking two different age ranges (12-17 and 18+) as the strata, the weighted average ( ((sum strata's performanceMet) / (sum strata's performanceMet and performanceNotMet)) * 100) being applied. Please let me know if I can provide any additional information.