Summary of Testing Methods and Key Findings
Testing was carried out by deploying the relevant modules in a live environment for use in submission of the QRDAIII files. Test participants included certified healthcare professionals and IMAT Solutions Inc. The system was evaluated based on its usability, accuracy, security, and compliance with the specified criteria.
Test Objective
To validate that the Clinical Quality Measures (CQMs) functionalities for both the “Import and Calculate” and “Report” modules meet the requirements specified in the certification criteria 170.315(c)(2) and 170.315(c)(3). This test plan evaluates the software’s ability to:
1. Import and calculate certified eCQMs correctly according to the measure specifications.
2. Generate reports based on the eCQMs IMAT has certified and provide the required data output.
Measures and Outcomes
Number of patients covered in data reported to CMS and TJC
Description of Measurement
Count of patients that IMAT has received QRDA I records or other clinical data for that were represented in the generated QRDA III records.
Associated Certification Criteria
Modules: 170.315(c)(2),(c)(3)
Justification for Selected Measurement
Shows IMATs ability to generate QRDA III records for use in submissions to CMS and TJC
Care Setting
IMAT has received certification through NCQA as Validated Data Stream under their Data Aggregator Validation(DAV) program. IMAT will focus on care settings which have been validated under the DAV program. This currently includes the Outpatient Care and Outpatient Lab care settings.
Outcome
Pass/Fail: Pass
Count of patients that IMAT has received QRDA I records or other clinical data for that were represented in the generated QRDA III records: 81051
Details: The system successfully imported the data without any issues. No errors were encountered during the import process. Data is correctly displayed within IMAT.
Percentage of QRDA III’s generated that were submitted to CMS and TJC
Description of Measurement
Companion measure used to track the percentage of QRDA III’s that were generated. This was used to track quality issues that could affect reporting.
Associated Certification Criteria
Modules: 170.315(c)(2),(c)(3)
Justification for Selected Measurement
Tracks the quality of data generated
Care Setting
IMAT has received certification through NCQA as Validated Data Stream under their Data Aggregator Validation(DAV) program. IMAT will focus on care settings which have been validated under the DAV program. This currently includes the Outpatient Care and Outpatient Lab care settings.
Outcome
Pass/Fail: Pass
Percentage: 100%
Details: The system successfully generated CQM reports in the required format. All required data points were included and formatted correctly. The report generation was completed within an acceptable time frame.
Challenges encountered: Receiving up-to-date information from our ingestion sites about which providers should be included in the QRDAIII file for export. NPI/TIN warnings are displayed upon submission if all relevant providers are not included in the file export.
Number of issues found requiring attention per eCQM measure.
Description of Measurement
Companion measure used to track the stability of the product across each eCQM measure. The success of the product relies on the ability to produce useful data that can be submitted to CMS and TJC
Associated Certification Criteria
Modules: 170.315(c)(2),(c)(3)
Justification for Selected Measurement
Tracks the quality of the product submitting data to CMS and TJC
Care Setting
IMAT has received certification through NCQA as Validated Data Stream under their Data Aggregator Validation (DAV) program. IMAT will focus on care settings which have been validated under the DAV program. This currently includes the Outpatient Care and Outpatient Lab care settings.
Outcome
Pass/Fail: Pass
Issues found across all eCQMs: 0
Details: Calculations for all tested CQMs were accurate and consistent with expected outcomes. Results were verified against sample calculations to ensure correctness.