The Guideline Advantage™ is now a Qualified Clinical Data Registry for Medicare reporting

July 16, 2014

The Guideline Advantage™ is now a Qualified Clinical Data Registry for Medicare reporting

TGA logoThe Guideline Advantage™, a collaboration of the American Cancer Society, American Diabetes Association and American Heart Association, has received a certification that will allow doctors to use it for reporting specific quality information to the Centers for Medicare & Medicaid Services (CMS).

Recently, CMS certified The Guideline Advantage as a Qualified Clinical Data Registry (QCDR) for its Physician Quality Reporting System (PQRS), a reporting program that gives health care providers incentives for reporting healthcare quality improvement measures.

The Guideline Advantage uses the technology of Forward Health Group, Inc. to collect, analyze and provide feedback on adherence to treatment guidelines and quality improvement measures. Working with Electronic Health Records (EHRs) from practices across the country, the program helps health care providers capture information that can be used for quality improvement efforts and for future research in cancer, diabetes and heart disease.

The outpatient quality improvement program targets the nation’s most chronic health conditions that share many similar risk factors—cancer, diabetes and cardiovascular disease― with the goal to improve prevention and treatment in the outpatient setting. Health care providers use the program to share best practices and compare their practice performance to regional and national benchmarks. More than 481,000 patients have been seen in more than 70 practices since January 2013. The federal designation means health care providers who participate in the program do not have to submit multiple reports on their quality information and upload this data to different systems.

“This new designation means less reporting requirements for health care providers, reducing the burden on these practices and allowing them to focus their time and energies on improving patient care,” said Mary Ann Bauman, M.D., chairperson of The Guideline Advantage committee. “Now the responsibility for submitting quality measures or information to these key reporting systems falls to the program, not the physician.”

In addition, the new designation means:

  • Providers are eligible for CMS incentives for reporting their data.
  • The data captured by The Guideline Advantage makes it easier for physicians to submit for incentives allowed under the Medicare Part B program.
  • Any provider who uses an Electronic Health Record can participate.
  • Providers can submit their quality information to CMS across multiple payers (health insurers) not limited to Medicare beneficiaries.

To learn more about The Guideline Advantage and other American Heart Association/American Stroke Association initiatives, visit www.guidelineadvantage.org and www.heart.org.

The Guideline Advantage™ combines the expertise of the American Cancer Society, American Diabetes Association and American Heart Association (ACS, ADA, AHA) to advance prevention and disease management in the outpatient setting. The program promotes the use of evidence-based treatment guidelines, performance measurement tools and quality improvement strategies with the goal of helping you offer your patients every advantage for a healthy life. Visit www.guidelineadvantage.org

Forward Health Group, Inc. (FHG) is a leading-edge provider of data solutions critical to maximizing returns in today’s changing health care environment. FHG’s PopulationManager® platform provides best-in-class data collection, validation, and visualization. The data delivered by FHG enables health care stakeholders to track quality and financial measures, assess and manage risk, and take action to positively impact clinical outcomes and lower costs. As health care is transformed, Forward Health Group is setting the new standard of data care.

Date

July 16, 2014

0