CQM Aligned Population Health Reporting (CAliPHR)

Assisting Providers With eCQM Reporting in Incentive Programs

CAliPHR is a tool designed to give Eligible Providers (EPs) the ability to meet the clinical quality measurement requirements of federal and state incentive, as well as value-based programs. The tool allows providers to calculate and report clinical quality measures (CQMs), which are tools used to ensure that health care providers are delivering effective, safe, and timely care to patients. Clinical data will be transmitted from EP’s EHR to CAliPHR on an ongoing basis, and securely stored for CQM calculation and reporting.

For more information on CQM basics visit the CMS website here.

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How does it work?

CAliPHR relies on incoming consolidated-clinical document architecture (C-CDA), or quality reporting document architecture category 1 (QRDA 1) feeds from providers that utilize the service. These feeds are generated and sent by health system’s, or practice’s electronic health records (EHR) and clinical information is stored in the tool’s clinical data repository. The measure engine then utilizes this data to calculate various CQMs. A QRDA 3 file containing aggregated, de-identified patient data is generated for reporting purposes. EPs have access to a user portal that allows them to calculate and view their respective measure results, as well as patient level data.

What are the benefits of participating in the CAliPHR Pilot?

  • CQMs give a snapshot of a provider’s performance during a patient visit. This information is useful for making the necessary adjustments to improve the quality of care.
  • Practices and providers will be able to report their CQMs for the Medicaid EHR program electronically.
  • The cost of implementing the interface between a Medicaid practice and CRISP may be subsidized by grant funding.
  • Providers can auto-subscribe to the Encounter Notification Service (ENS) in lieu of creating monthly patient panels manually.

CRISP’s, CAliPHR, v1.0.0 has achieved ONC HIT 2014 Edition modular EHR certification, which designates that the software is capable of supporting eligible providers (EPs) with meeting Stage 1 and Stage 2 Meaningful Use measures required to qualify for funding under the American Recover and Reinvestment Act (ARRA).

“CAliPHR has great potential for the facilitation of electronic clinical quality measurement on a state level,” said Brandon Neiswender, Vice President of Operations, CRISP. “With this certification, it is our belief that CAliPHR users will be better prepared to successfully participate in the EHR Incentive Program.” Learn more and view the press release here.

Please note: The additional types of costs and limitations that a user may encounter in the course of implementing and using this Modular EHR’s capabilities, whether to meet meaningful use objectives and measures or to achieve any other use within the scope of the health IT’s certification, include:

  • There may be a one-time implementation fee and yearly licensing/maintenance charges incurred for the use of CAliPHR.
  • If a user elects to transmit their clinical data to CAliPHR using the C-CDA instead of the QRDA Category 1 data format, the number of CQMs possible, and the accuracy of their results may be impacted.
  • For more information about CAliPHR or to get signed up, contact Marc Falcone at Marc.Falcone@crisphealth.org or call 301.560.6999 x 222 .