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Outpatient Quality Data Reporting Program

The Hospital Outpatient Quality Data Reporting Program (HOP QDRP) is now a mandatory part of hospital quality reporting and accreditation.  It is a quality data reporting program implemented by the Centers for Medicare & Medicaid Services (CMS) for outpatient hospital services with a primary purpose of promoting high quality care for patients receiving services in hospital outpatient settings.  The HOP QDRP is modeled on the current quality data reporting program for inpatient services, the Hospital Inpatient Quality Reporting Program, also known as the Hospital Quality Alliance (HQA).



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Under this program, hospitals report data using well tested standardized measures of care, including data for 11 quality measures for Acute Myocardial Infarction (AMI), Chest Pain (CP), Surgery, and Imaging Efficiency Measures.  Participating hospitals agree that they will meet administrative, data collection and submission, and data validation requirements including posting the results on CMS’s




Baystate Health 

  • Hospitals can prevent surgical wound infections.  Medical research shows that surgical patients who get antibiotics within the hour before their surgery are less likely to get wound infections.  The timing is important as getting an antibiotic earlier, or after surgery begins, is not as effective.  
  • Reporting cardiac measures helps hospitals identify which patients should be referred for early and aggressive cardiac care.  By rapid assessment and transfer, cardiac care can be optimized and lives can be saved.
  • Reporting imaging measures can help to drive the following changes: protecting patients’ safety by keeping patients’ exposure to radiation and other risks as low as possible; following up when screening tests, such as mammograms, show a possible problem; and avoiding the risk, stress, and cost of doing imaging tests that patients may not need.  
  • All three BH hospitals participate in the HOP QDRP.  Process measures in each area are higher than the national averages. 


Future work

Our future work will focus on optimizing gaps in care delivery identified as we continue to participate in the HOP QDRP expansion.



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