Skip to content Skip to navigation

CHIME: CMS Doesn’t Understand Burdens of Electronic Quality Data Reporting

January 29, 2013
by Gabriel Perna
| Reprints

The College of Healthcare Information Management Executives (CHIME) has submitted comments to the Centers for Medicare and Medicaid Services (CMS), expressing concern that hospitals will not be able to put forth complete, accurate quality data via their EHRs. The comments were in response to a request for information (RFI) on hospital and vendor readiness for the submission of electronic quality data, as part of the CMS’ Inpatient Quality Data Reporting (IQR) program.

Essentially, CHIME is worried that the technology and workflow burdens for healthcare CIOs will make accurate and complete quality data reporting through the EHR nearly impossible.

“CHIME has long-advocated for HHS to take a lead role in CQM harmonization – extending through (1) the specific CQM, (2) how the CQM is reported, and (3) to whom it is reported,” leaders of CHIME said in the comments. 

“While we are encouraged by recent efforts by CMS, AHRQ and others, we worry that workflow and technology implications of complete and accurate electronic quality reporting are not fully understood.  Data used by abstractors are often found in dictated reports or free form progress notes, not as structured data in the electronic health record.  And it has been the experience of our members that without making the entire record structured, discreet data or having mature text recognition software in place, one cannot extract all the data needed on every patient to create accurate quality metrics.”

CHIME did have positive comments for CMS, saying it did a great job in for establishing a volunteer pilot program for hospitals to submit CQM data electronically as part of the EHR Incentive Payments program. It hopes CMS will expand this program so more hospitals can use it.



ONC National Coordinator Gets Live Look at Carequality Data Exchange

Officials from Carequality have stated that there are now more than 150,000 clinicians across 11,000 clinics and 500 hospitals live on its network. These participants are also able to share health data records with one another, regardless of technology vendor.

American Red Cross, Teladoc to Provide Telehealth Services to Disaster Victims

The American Red Cross announced a partnership with Teladoc to deliver remote medical care to communities in the United States that are significantly affected by disasters.

Report: The Business of Cybercrime in Healthcare is Growing

While stolen financial data still has a higher market value than stolen medical records, as financial data can be monetized faster, there are indications that there is ongoing development of a market for stolen medical data, according to an Intel Security McAfee Labs report.

Phishing Attack at Baystate Health Potentially Exposes Data of 13K Patients

A phishing scam at Baystate Health in Springfield, Mass. has potentially exposed the personal data of 13,000 patients, according to a privacy statement from the patient care organization and a report from MassLive.

New Use Cases Driving Growth in Health Data Exchange through Direct

In an update, DirectTrust reported significant growth in Direct exchange of health information and the number of trusted Direct addressed enabled to share personal health information (PHI) in the third quarter of 2016.

Insurers to CBO: Consider Private Insurers’ Data in Evaluations of Telemedicine

Eleven private insurers, including Aetna, Humana and Anthem, are urging the Congressional Budget Office (CBO) to consider the experience of commercial insurers when evaluating the impact of telemedicine coverage in Medicare.