In this demo, we're going to walk through how to report
the APM Performance Pathway for a group within QPP.
To start, we're going to log in to the QPP platform.
Using your HARP ID and your password,
you can enter the information, and then from there,
you need to attest to the Statement of Truth.
Once you've signed in, you'll land on the QPP homepage.
From here you can see that the reporting window is open,
and you have the ability to start reporting.
If you're associated with multiple groups
or multiple different Entities within your user,
you will see different tabs that are associated on this page
that outline either APM Entities or practices.
For the purpose of this demo,
we're going to evaluate practices.
On the practice page,
you can see that each one of the groups
has different types of special scenarios associated.
Only groups that have APM participants are able
to actually report the APP.
For this, as we scroll down,
you can see that we have information
that is associated with APM Entities,
and you also can view
the APM Entity details as you go through.
If I click on Report as a Group,
the first place that I'm going to land
is going to be on the reporting options.
This gives you the ability to either navigate into the APP
or report for traditional MIPS.
It's important to notate
that if you are reporting for your APM participants
and you also have MIPS-eligible participants
that are not part of the APM,
you would need to report to both traditional MIPS and the APP
to ensure that there are no negative adjustments
assigned to any of your participants
that are not eligible to receive the APP score.
From here, we would click on Start Reporting.
We're going to be met with a prompt that says,
"By clicking Report APP,
you are agreeing to be scored through the APP."
So, once I click on this button,
you can see that we land on our Reporting Overview page.
Since this is APP reporting, you can see that the weighing
associated with each one of the categories
is in line with what is expected --
Quality at 50,
Promoting Interoperability at 30,
and improvement activities at 20.
Since you are reporting through the APP,
you are receiving full auto credit
for improvement activities
because you are reporting APP.
From here, we're going to go ahead and upload a file
with the associated measures for APP reporting.
These measures are measure 001, measure 134, and 236.
Any measures that are reported outside of there
with the program name of APP1 will be rejected,
and the file will not be uploaded successfully.
From here you can see that
the file that I uploaded was successful,
and I can now view my submission details.
You can see that my quality score has been populated,
as well as the fact that I have reported
via the MIPS clinical measures, also known as CQMs.
I can navigate into the Quality page
to view the details associated.
From here, you can see the submitted measures
that were part of my submission,
which then, again, included measure 001, 134, and 236.
Each one of these are sorted based off of the score
associated with the measure itself.
As we scroll down the page, we can see that there is
some additional information associated with reporting.
For groups that are larger than 15,
they will also be eligible to receive
the hospital-wide readmission measure
if they have met the minimum threshold,
and also are responsible for registering
and reporting the CAHPS measure.
Since this information will not be available
until after the submission period closes,
during the submission period, we're going to show you
that these measures are applicable,
they have a weight, but have a score of zero.
So, as we scroll down to the bottom
to evaluate our quality score,
you can see that the denominator associated with the category
is 50 because there are five required measures --
the three reportable,
in addition to the hospital-wide readmission
and the CAHPS measure.
We have our category weight of 50
and then all of our points that are then assigned
based off of our weight.
Once we finish the submission period
and have the data associated with these two measures,
when you log in, you would be able to see
both the performance rate and measure score
that's associated with the measures
if you have met either the threshold for the CAHPS
or the threshold for having
the hospital-wide readmission measure applied to your group.
From here, we have completed our quality reporting for the APP.
If we go back to the Group Reporting Overview page,
we can now see that the Quality has been completed
and the next step would then be
to report your Promoting Interoperability.
You have the option to either create your PI score
through a manual entry or upload a file via a QRDA III
or a QPP JSON file in alignment with the requirements
of the Promoting Interoperability category.
It's important to notate that each one of these submissions
are by themselves and only exist underneath of the APP.
If we go back to the Reporting Options page,
if we go to the Traditional MIPS and go to Edit Submission,
we can see that the information that's been reported
does not actually translate over into this area.
Again, if you are looking to report for your participants
that are not associated with the APP,
you will need to go into the Traditional MIPS category
and complete reporting for all categories
that you wish to report.
If you do not report any information
underneath of the Traditional MIPS category,
all participants that are associated with the group
and not eligible for the APP score
will receive a score of zero for the year.
If you're looking to report for other groups
or other practices within your user account,
you can go back to the account home or Switch Practice
and select any additional groups or entities
that you wish to report for.
This concludes the demo for APP reporting
and how to report through the QPP platform.