Relied upon software: Cerner Quality Reporting
The Quality Clearinghouse (QCH) is a centrally maintained clearinghouse that is embedded with the subscription to Cerner Quality Reporting – it is solely compatible with the electronic health record maintained in Cerner Millennium as a source clinical system and is not intended for use as a separate data warehouse.
Use of on demand generation and export of QRDA data files is intended for distinct use cases, such as making data available to a third-party eSubmission vendor or registry capable of receiving QRDA data files and is distinct from electronic report submission capabilities and use-cases under 170.315(c)(3). On-demand generation and export is also not typically intended for interactive data review/management purposes as real-time dashboard views are available within the system for such purposes.
Pre-requisites for generation and export of QRDA data files include the following implementation and configuration tasks:
- establishing a QCH connection for your Millennium environment and provisioning access for authorized users (one-time);
- package installation for eCQM and QRDA specification updates from CMS (annual + monthly releases);
- eCQM set up and validation (annual);
- eCQM data extraction/transfer from Millennium to the QCH (one-time or variable depending upon needs).
Generation and export of QRDA data files is available on-demand in the QCH for appropriately licensed clients where all pre-requisite implementation and configuration tasks have been completed.
Only eCQM data that has been extracted from the connected Millennium environment and transferred to the QCH will qualify for QRDA data file generation.
Recommended set up includes configuration of an automated daily refresh of eCQM data available in the QCH (processing time for these daily extractions varies, but will typically complete within 2-3 days). eCQM data refreshes can also be performed on an ad hoc basis if preferred, but would require an extra step to initiate the extraction/transfer process manually for each refresh.
On-demand QRDA data files are available for the current and immediate previous calendar year on a rolling basis. File generation is supported for dates that fall within the calendar year to which the measure specifications and QRDA file specifications apply. For example, date ranges within CY 2024 are available for generation using the applicable measure and QRDA file specifications for CY 2024
Export of QRDA data files where the date range differs from the measure and QRDA file specification year are considered beyond scope of the certified capabilities and require additional developer assistance. Detailed specifications for eCQM data loads is published in Cerner’s Overview of 2015 Edition Certification Criteria for Clinical Quality Measures Reference Page.
For clients under Cerner’s hosted/ASP models, pre-requisite tasks are typically performed by Cerner acting in the role of a user on behalf of the client as a part of the services agreement. Under these models, a service request must be logged for data extraction/transfer in all instances of QRDA export, whether as part of a recurring schedule of exports or ad hoc.
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