Quality Measure Reporting Sample Clauses
Quality Measure Reporting. As further specified by EOHHS, and in a form and format specified by EOHHS, the Contractor shall provide EOHHS with data on the Clinical Quality Measures set forth in Appendix B for each Quality Sample as follows:
a. For each Clinical Quality Measure, the Contractor shall provide EOHHS with complete and accurate medical records data as requested by EOHHS for each Enrollee in the Quality Sample;
b. The Contractor shall provide all requested clinical data in a form and format determined by EOHHS, no later than thirty (30) days after receiving such request. The Contractor shall provide such data in aggregate form, if so requested by EOHHS; and
c. The Contractor shall provide EOHHS with any additional data or information as requested by EOHHS to audit or validate the quality data the Contactor provides in accordance with this Section.
Quality Measure Reporting. A. Except as set forth in Section 9.03.B, the ACO shall completely and accurately report the quality measures specified in Appendix D for each Performance Year and shall require its Participant Providers to cooperate in quality measure reporting. Complete reporting means that the ACO meets all of the reporting requirements, including timely reporting of the requested data for all measures.
Quality Measure Reporting.
1. Except as set forth in Section VIII.C.2, the ACO shall completely, timely, and accurately report quality measures for each Performance Year and shall require its Next Generation Participants to cooperate in quality measure reporting. Complete reporting means that the ACO meets all of the reporting requirements including timely reporting the requested data for all measures.
2. The ACO shall not report quality measures data on behalf of its Next Generation Participants for a Performance Year if the ACO terminates its agreement pursuant to Section XIX.D.3, and the termination is effective no later than 30 days after February 28 of that Performance Year.
3. CMS shall use the following sources for quality reporting:
(a) ACO reporting via the Group Practice Reporting Option (GPRO) Web Interface tool;
(b) ACO reporting of results from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) or other patient experience surveys;
(c) Medicare claims submitted for items and services furnished to Next Generation Beneficiaries; and
(d) Any other relevant data shared between the ACO and CMS pursuant to this Agreement.
4. For each Performance Year, the ACO is responsible for procuring a CMS- approved vendor to conduct the CAHPS or other patient experience surveys. The ACO is responsible for paying for the surveys and for ensuring that the survey results are transmitted to CMS by a date and in a manner established by CMS.
Quality Measure Reporting. Section VIII.C.3 of the Agreement is hereby amended by inserting at the end the following:
Quality Measure Reporting. A. Except as set forth in Section 9.03.B, the DCE shall completely and accurately report quality measures for each Performance Year and shall require its DC Participant Providers to cooperate in quality measure reporting. Complete reporting means that the DCE meets all of the reporting requirements including timely reporting of the requested data for all measures.
B. The DCE shall not report quality measures data on behalf of its DC Participant Providers for a Performance Year if the DCE provides notice of termination of the Agreement Performance Period pursuant to Section 17.03 by the Termination Without Liability Date for the Performance Year, and the termination is effective no later than 30 Days after such Termination Without Liability Date.
C. CMS shall use the following sources for quality reporting:
1. Medicare claims submitted for items and services furnished to DC Beneficiaries;
2. Any other relevant data shared between the DCE and CMS pursuant to the Agreement; and
3. For Performance Year 2022 and subsequent Performance Years, results from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®)1 or other patient experience surveys.
D. The DCE is responsible for procuring a CMS-approved vendor to conduct the CAHPS or other patient experience surveys. The DCE is responsible for paying for the surveys and for ensuring that the survey results are transmitted to CMS by a date and in a form and manner established by CMS.
Quality Measure Reporting. A. Except as set forth in Section 9.03.B, the ACO shall completely and accurately report the quality measures specified in Appendix D for each Performance Year and shall require its Participant Providers to cooperate in quality measure reporting. Complete reporting means that the ACO meets all of the reporting requirements, including timely reporting of the requested data for all measures.
B. The ACO shall not report quality measures data on behalf of its Participant Providers for a Performance Year if the ACO provides notice of termination to CMS of the Agreement Performance Period pursuant to Section 17.03 that its termination is effective no later than 30 Days after the Termination Without Liability Date of a Performance Year.
C. CMS shall use the following sources for quality reporting:
1. Medicare claims submitted for items and services furnished to REACH Beneficiaries;
2. Any other relevant data shared between the ACO and CMS pursuant to the Agreement; and
3. For Performance Year 2022 and subsequent Performance Years, results from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®)1 or other patient experience surveys.
D. The ACO shall procure a CMS-approved vendor to conduct the CAHPS survey or another patient experience survey specified by CMS. The ACO shall pay for the surveys. In order to meet the reporting requirements of a CAHPS survey, the ACO shall:
1 CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality.
1. By a date specified by CMS, execute a contract with a CAHPS survey vendor to complete the CAHPS data collection;
2. Authorize a CAHPS survey vendor on the ACO REACH CAHPS website by the date specified by CMS; and
3. Ensure that the survey results are transmitted to CMS by a date and in a form and manner specified by CMS. In order to meet the reporting requirements of another patient experience survey specified by CMS, the ACO shall ensure that the survey results are transmitted to CMS by a date and in a form and manner specified by CMS.
Quality Measure Reporting. Section VIII.C.3 of the Agreement is hereby amended by inserting “Except as otherwise specified in this Agreement” before “CMS shall” and by inserting at the end the following: