© 2013 The MITRE Corporation. All rights Reserved.
Cypress Tech Talk
January 19th, 2016
© 2013 The MITRE Corporation. All rights Reserved.
Agenda
■ Cypress v2 ConOps
■ Major additions to the 2015 Certification Rule
■ Resulting v3 ConOps
■ Other planned Cypress v3 features
■ Cypress Versions
■ Open Discussion
2
© 2013 The MITRE Corporation. All rights Reserved.
Cypress v2 ConOps
■ C1
– Tests on a per measure basis
– Data allowed from any selected measure
■ C2
– Testing across all selected measures
■ C3
– Testing baked into C1/C2 tests
© 2013 The MITRE Corporation. All rights Reserved.
Additions made in 2015 Certification
Rule
■ Increased Test Rigor
■ Optional Certification
– Data Filtering
■ Automated Import/Export of QRDA Cat I
© 2013 The MITRE Corporation. All rights Reserved.
Import and Export of QRDA Data
■ “…Require that a system user be able to import CQM data
formatted to the QRDA standard for one or multiple patients
at any time the user chooses and without additional
assistance to operate.”
■ “…Require that a system user be able to export CQM data
formatted to the Quality Reporting Document Architecture
(QRDA) Category I standard at any time the user chooses
for one or multiple patients and without subsequent
developer assistance to operate.”
© 2013 The MITRE Corporation. All rights Reserved.
Manual Entry
■ Still need to test entry of data elements for C1
■ Small subset of overall data elements
■ Test entry of uncommon data elements
– Elements that cannot be mapped to CCDA
– Elements that rarely appear in the wild
■ No test patients supplied. Vendor tested only on codes and
metadata for data criteria
© 2013 The MITRE Corporation. All rights Reserved.
Single Measure Tests
■ Used for C1, C2, and C3 certification
■ Document Duplication
– Future releases may increase complexity of duplication
algorithm
■ Additional validations based on common submission
requirements
■ Program specific submission errors displayed as warnings
© 2013 The MITRE Corporation. All rights Reserved.
Single Measure Testing
© 2013 The MITRE Corporation. All rights Reserved.
C4: Data Filter
■ Filter Capabilities:
– Supplemental Data
■ Race
■ Ethnicity
■ Gender
■ Payer
– Problem List
– Provider
■ NPI
■ TIN
■ Practice Site
© 2013 The MITRE Corporation. All rights Reserved.
Testing C4 in Cypress v3 c4
■ Uses patient population from a
single measure
■ Combination demographic filters
– “All African-American Males”
– “All Hispanics over the age of
65”
– “All Medicaid patients over the
age of 18”
■ Problem List
– All patients that have a
SNOMED code from a
specified value set
■ Provider
– All patients that visited a
specific provider, using a
specific TIN at a single
address
© 2013 The MITRE Corporation. All rights Reserved.
Other Cypress v3 Planned Features
■ Roles and permissions system
– Allows ATLs to offer public Cypress instance with certification
data available to vendors
■ Cypress Administration Dashboard
– Monitor status of test creation / calculation
– Manage installed Cypress bundles
– Manage users and access
■ Responsive UI
– Works with displays from tablet to 4K
– 508 Compliant
■ Cypress Submission Toolbox
– Features from Cypress Validation Utility built into Cypress v3
© 2013 The MITRE Corporation. All rights Reserved.
Available Cypress Versions
Cypress
Version
eCQM Version QRDA
Implementatio
n Guide
Cypress 2.7.0 2015 EP + EH DSTU R3
(2015)
Cypress 2.6.1 2014 EP + EH DSTU Errata
(2014)
Bolded versions
available for
certification
© 2013 The MITRE Corporation. All rights Reserved.
OPEN DISCUSSION
13
© 2013 The MITRE Corporation. All rights Reserved.
Next Cypress Tech Talk
■ Tuesday February 2nd at 1pm EST
■ Register at
https://attendee.gotowebinar.com/register/432015307270123
5201
■ Completed Webinars will be posted on the Cypress Website
on the Timeline Tab.
– http://projectcypress.org/timeline.html
■ Send questions and feedback to the Cypress Talk List as
talk@projectcypress.org
14

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1 19 16 cypress tech talk

  • 1. © 2013 The MITRE Corporation. All rights Reserved. Cypress Tech Talk January 19th, 2016
  • 2. © 2013 The MITRE Corporation. All rights Reserved. Agenda ■ Cypress v2 ConOps ■ Major additions to the 2015 Certification Rule ■ Resulting v3 ConOps ■ Other planned Cypress v3 features ■ Cypress Versions ■ Open Discussion 2
  • 3. © 2013 The MITRE Corporation. All rights Reserved. Cypress v2 ConOps ■ C1 – Tests on a per measure basis – Data allowed from any selected measure ■ C2 – Testing across all selected measures ■ C3 – Testing baked into C1/C2 tests
  • 4. © 2013 The MITRE Corporation. All rights Reserved. Additions made in 2015 Certification Rule ■ Increased Test Rigor ■ Optional Certification – Data Filtering ■ Automated Import/Export of QRDA Cat I
  • 5. © 2013 The MITRE Corporation. All rights Reserved. Import and Export of QRDA Data ■ “…Require that a system user be able to import CQM data formatted to the QRDA standard for one or multiple patients at any time the user chooses and without additional assistance to operate.” ■ “…Require that a system user be able to export CQM data formatted to the Quality Reporting Document Architecture (QRDA) Category I standard at any time the user chooses for one or multiple patients and without subsequent developer assistance to operate.”
  • 6. © 2013 The MITRE Corporation. All rights Reserved. Manual Entry ■ Still need to test entry of data elements for C1 ■ Small subset of overall data elements ■ Test entry of uncommon data elements – Elements that cannot be mapped to CCDA – Elements that rarely appear in the wild ■ No test patients supplied. Vendor tested only on codes and metadata for data criteria
  • 7. © 2013 The MITRE Corporation. All rights Reserved. Single Measure Tests ■ Used for C1, C2, and C3 certification ■ Document Duplication – Future releases may increase complexity of duplication algorithm ■ Additional validations based on common submission requirements ■ Program specific submission errors displayed as warnings
  • 8. © 2013 The MITRE Corporation. All rights Reserved. Single Measure Testing
  • 9. © 2013 The MITRE Corporation. All rights Reserved. C4: Data Filter ■ Filter Capabilities: – Supplemental Data ■ Race ■ Ethnicity ■ Gender ■ Payer – Problem List – Provider ■ NPI ■ TIN ■ Practice Site
  • 10. © 2013 The MITRE Corporation. All rights Reserved. Testing C4 in Cypress v3 c4 ■ Uses patient population from a single measure ■ Combination demographic filters – “All African-American Males” – “All Hispanics over the age of 65” – “All Medicaid patients over the age of 18” ■ Problem List – All patients that have a SNOMED code from a specified value set ■ Provider – All patients that visited a specific provider, using a specific TIN at a single address
  • 11. © 2013 The MITRE Corporation. All rights Reserved. Other Cypress v3 Planned Features ■ Roles and permissions system – Allows ATLs to offer public Cypress instance with certification data available to vendors ■ Cypress Administration Dashboard – Monitor status of test creation / calculation – Manage installed Cypress bundles – Manage users and access ■ Responsive UI – Works with displays from tablet to 4K – 508 Compliant ■ Cypress Submission Toolbox – Features from Cypress Validation Utility built into Cypress v3
  • 12. © 2013 The MITRE Corporation. All rights Reserved. Available Cypress Versions Cypress Version eCQM Version QRDA Implementatio n Guide Cypress 2.7.0 2015 EP + EH DSTU R3 (2015) Cypress 2.6.1 2014 EP + EH DSTU Errata (2014) Bolded versions available for certification
  • 13. © 2013 The MITRE Corporation. All rights Reserved. OPEN DISCUSSION 13
  • 14. © 2013 The MITRE Corporation. All rights Reserved. Next Cypress Tech Talk ■ Tuesday February 2nd at 1pm EST ■ Register at https://attendee.gotowebinar.com/register/432015307270123 5201 ■ Completed Webinars will be posted on the Cypress Website on the Timeline Tab. – http://projectcypress.org/timeline.html ■ Send questions and feedback to the Cypress Talk List as talk@projectcypress.org 14