Healthcare delivery is undergoing a significant transformation as it evolves from fee for service (FFS) to a fee for value (FFV) model. This transformation requires new care delivery methods, new payment models, and hard-wiring performance and payments using clinical data. More and more CMS and commercial payer contracts require eMeasures to realize incentives and avoid penalties.
Standard EHR implementations and optimizations do not address the complete data requirements necessary to demonstrate quality, improve performance, and achieve regulatory compliance. CoreQUEST®, Encore’s information-driven implementation and optimization approach, determines specific data requirements (e.g., code sets, structure, and format) and affected workflows for quality, performance-improvement, and regulatory initiatives.
Our proven CoreQUEST methodology, including our proprietary methodology and our specialized eMeasure data tool, CoreGPS®, bridges the gap between eMeasure specifications and your EHR. The solution includes a thorough review of the workflow, data collection, and reporting techniques associated with eMeasures. This solution examines not only the data required but also ties that data to change management and adoption efforts to ensure that users understand and are ready for the changes eMeasures require.
To keep on top of industry and regulatory requirements, Encore supports CoreQUEST through our eMeasures Review Board (eMRB), a team of industry experts which translates industry complexity into associated CoreQUEST and CoreGPS updates. The result is that CoreQUEST helps you respond to the industry as it is advancing while saving your organization from using valuable hours researching the thousands of pages of eMeasure requirements.
CoreQUEST provides the depth needed to improve performance by creating populations while enabling research into the associated physicians, workflows and patients. The methodology also is designed to help your organization succeed through CMS audits (such as Meaningful Use audits).
Using CoreQUEST, our clinical and data experts document the functionality, workflows, content, reporting and adoption considerations necessary to meet the specific measure requirements, as well as all required data elements and associated value sets. Using this methodology makes ETL a “non-issue” and accelerates report development time by 50%.