CMS Hospital Quality Reporting (HQR 2.0)
Investment ID: 009-000462734
Overview
Program Title
CMS Hospital Quality Reporting (HQR 2.0)
Description
The Hospital Quality Reporting System is a quality reporting program where participating hospitals provide CMS with data to help consumers make more informed decisions about their health care. The investment contributes to achieving CMS business needs and strategic goals by measuring the quality of care received in a variety of healthcare settings. This investment is most closely aligned to the CMS strategic goal of better care and lower costs. Its purpose is to provide beneficiaries and stakeholders with information about quality of care and to improve care through information exchange and analysis. The investment's principal users are inpatient/outpatient facilities and ambulatory surgical centers who use it to submit quality of care measures.
Type of Program
Major IT Investments
Multi-Agency Category
Not Applicable
Associated Websites
https://data.medicare.gov/, http://www.medicare.gov/hospitalcompare/search.html
Investment Detail
This investment is a legislatively mandated quality program where participating providers submit data to CMS. CMS uses this data to assist consumers in making more informated decisions about their health care and improve the quality of care within the targeted care settings. Through supporting legislation, CMS can make positive and negative adjustments to payment rates based on approved quality measures. ROI for this quality program is routinely calculated by the Agencies Actuarial services team as part of the budgetary process supporting the program. This is done to ensure the program aligns to the Agency and Departmental goals to improve healthcare and health at a lower cost (value based care).
The IT services are a subset of the overall program budget and are necessary to support the goals of the program. The underlying IT infrastructure and services supporting this program are underwent a modernization. This involved migrating to the cloud and open source products. Additionally, human centered design was incorporated to reduce complexity and consumer burden. The adoption of API first approach will promote interoperability between systems and reduce replication of large data stores. The adoption of Agile development methodologies allows IT to improve time to market and deliver value sooner. The efficiencies created with such initiatives should result in a per unit cost savings that will assist in offsetting the growth of the program.
The IT services are a subset of the overall program budget and are necessary to support the goals of the program. The underlying IT infrastructure and services supporting this program are underwent a modernization. This involved migrating to the cloud and open source products. Additionally, human centered design was incorporated to reduce complexity and consumer burden. The adoption of API first approach will promote interoperability between systems and reduce replication of large data stores. The adoption of Agile development methodologies allows IT to improve time to market and deliver value sooner. The efficiencies created with such initiatives should result in a per unit cost savings that will assist in offsetting the growth of the program.