Hospital Outpatient Quality Reporting Program
How to Participate
To participate in the Hospital OQR Program initiative, please visit https://www.qualitynet.org.
How to Withdraw
To withdraw from participation in the Hospital OQR Program initiative, please visit https://www.qualitynet.org.
Measure Sets
The current measure sets and OP measure numbers are presented below, according to measure set (they are not in order according to measure number).
- Acute Myocardial Infarction / Chest Pain
- OP-1 - Median Time to Fibrinolysis
- OP-2 - Fibrinolytic Therapy Received Within 30 Minutes
- OP-3 - Median Time to Transfer to Another Facility for Acute Coronary Intervention
- OP-4 - Aspirin at Arrival
- OP-5 - Median Time to ECG
- OP-16: Troponin Results Received Within 60 Minutes*
- ED - Throughput
- OP-18: Median Time from ED Arrival to ED Departure for Discharged ED Patients*
- OP-19: Transition Record with Specified Elements Received by Discharged Patients*
- OP-20: Door to Diagnostic Evaluation by a Qualified Medical Professional*
- OP-22: Left Without Being Seen*
- Pain Management
- OP-21: ED-Median Time to Pain Management for Long Bone Fracture*
- Stroke
- OP-23: ED-Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretation Within 45 minutes of Arrival*
- Surgical
- OP-6 - Timing of Antibiotic Prophylaxsis
- OP-7: Prophylactic Antibiotic Selection for Surgical Patients
- Imaging Efficiency
- OP-8: MRI Lumbar Spine for Low Back Pain
- OP-9: Mammography Follow-up Rates
- OP-10 - Abdomen CT—Use of Contrast Material
- OP-11 - Thorax CT—Use of Contrast Material
- OP-13: Cardiac Imaging for Preoperative Risk Assessment for Non Cardiac Low Risk Surgery
- OP-14: Simultaneous Use of Brain Computed Tomography (CT) and Sinus Computed Tomography (CT)
- OP-15: Use of Brain Computed Tomography (CT) in the Emergency Department for Atraumatic Headache
- Structural Measures
- OP-12: The Ability for Providers with HIT to Receive Laboratory Data Electronically Directly into their Qualified/Certified EHR System as Discrete Searchable Data
- OP-17: Tracking Clinical Results Between Visits*
For more information on the chart-abstracted (and structural measures, please refer to Section 1 of the Hospital OQR Program Specifications Manual. Further information on the Imaging Efficiency Measures specifications is available at QualityNet-Imaging Measures.
*New measure adopted for the CY 2013 payment determination.
Voluntary Reporting of Hospital OQR Program Data for Non-OPPS Hospitals
Critical Access Hospitals (CAHs) and other non-OPPS hospitals may voluntarily submit data. The program provides a unique opportunity for hospitals to report outpatient quality data as a means to improve quality of care and performance. The registration for non-OPPS hospitals is the same as it is for OPPS hospitals. For more information on how to register, please visit QualityNet: How to participate.
Hospitals that decide to participate agree to the same reporting requirements as the OPPS hospitals.
More information on data reporting may be found at http://www.qualitynet.org/ under the Hospitals-Outpatient tab.
Timelines
Upcoming deadlines associated with the Hospital OQR Program reporting:
|
Hospital OQR Program Deadlines for Chart Abstracted Data |
||
|---|---|---|
| Encounter Quarter |
Population and Sampling Data Deadline |
Clinical Data Submission Deadline |
| Q 3 2011 | Feb 1, 2012 * | Feb 1, 2012 |
| Q 4 2011 | May 1, 2012 * | May 1, 2012 |
| Q 1 2012 | Aug 1, 2012 * | Aug 1, 2012 |
| Q 2 2012 | Nov 1, 2012 * | Nov 1, 2012 |
| Q 3 2012 | Feb 1, 2013 * | Feb 1, 2013 |
* Submission of Population and Sampling data for these quarters is voluntary.
Please Note: Dates are subject to change-Please verify Population & Sampling
and Data Submission Deadline on the
QualityNet website.
Other deadlines and dates to remember may be viewed here: Hospital OQR Program Important Dates
Ambulatory Surgery Center Quality Reporting Program
The Ambulatory Surgery Center (ASC) Quality Reporting Program is outlined in the calendar year (CY) 2012 OPPS Final Rule. Under this program, ASCs will begin reporting with October 1, 2012 services on the quality of ASC outpatient care using claims-based measures of care to receive the full annual update to their ASC payment rate, effective for payments beginning in CY 2014.
Five measures were finalized for reporting beginning in October, which are:
- ASC-1: Patient Burn
- ASC-2: Patient Fall
- ASC-3: Wrong Site, Wrong Side, Wrong Patient, Wrong Procedure, Wrong Implant
- ASC-4: Hospital Transfer/Admission
- ASC-5: Prophylactic Intravenous (IV) Antibiotic Timing
For further information on the ASCs' quality data reporting, please see the CY 2012 OPPS Final Rule, beginning on page 371 of the PDF.