Clinical Quality Measure
CMS050v2 (NQF TBD) - Adult Recommended Core Measure

Closing the referral loop: Receipt of specialist report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred.



NQS DOMAIN:   Care Coordination




Description and Implementation within the EMR software

Denominator: All patients, regardless of age, with at least 1 encounter during the meaningful-use reporting period and who were referred by one provider to another provider.

Numerator: Patients in the above mentioned list for whom the referring provider received a report from the provider to whom the patient was referred. UniCharts looks for the custom code QM993A: [Quality Measure] Report received from the provider to whom the patient was referred or QM993B: [Quality Measure] Report NOT received from the provider to whom the patient was referred within the PROCEDURES/SERVICES section on the ENCOUNTER form as the required documentation.

Exceptions: None

Note: If the EMR finds that Refer this patient checkbox on the PREVIOUS encounter is checked, it will automatically present a dialog box at the time of locking the encounter form for appropriate user input.

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