HOP QRP: Hospital Outpatient Quality Reporting Program Logo

Hospital Outpatient Quality Reporting Program

How to Participate

To participate in the Hospital OQR Program initiative, please visit qualitynet.org.

How to Withdraw

To withdraw from participation in the Hospital OQR Program initiative, please visit qualitynet.org.

Measure Sets

The current measure sets and OP measure numbers are presented below, according to measure set (they are not in order according to measure number).

  • Acute Myocardial Infarction / Chest Pain
    • OP-1: Median Time to Fibrinolysis
    • OP-2: Fibrinolytic Therapy Received Within 30 Minutes
    • OP-3: Median Time to Transfer to Another Facility for Acute Coronary Intervention
    • OP-4: Aspirin at Arrival
    • OP-5: Median Time to ECG
  • ED - Throughput
    • OP-18: Median Time from ED Arrival to ED Departure for Discharged ED Patients
    • OP-19: Transition Record with Specified Elements Received by Discharged Patients *
    • OP-20: Door to Diagnostic Evaluation by a Qualified Medical Professional
    • OP-22: Left Without Being Seen **
  • Pain Management
    • OP-21: ED-Median Time to Pain Management for Long Bone Fracture
  • Stroke
    • OP-23: ED-Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretation Within 45 minutes of Arrival
  • Surgical
    • OP-6: Timing of Antibiotic Prophylaxsis
    • OP-7: Prophylactic Antibiotic Selection for Surgical Patients
  • Imaging Efficiency
    • OP-8: MRI Lumbar Spine for Low Back Pain
    • OP-9: Mammography Follow-up Rates
    • OP-10: Abdomen CT-Use of Contrast Material
    • OP-11: Thorax CT-Use of Contrast Material
    • OP-13: Cardiac Imaging for Preoperative Risk Assessment for Non Cardiac Low Risk Surgery
    • OP-14: Simultaneous Use of Brain Computed Tomography (CT) and Sinus Computed Tomography (CT)
    • OP-15: Use of Brain Computed Tomography (CT) in the Emergency Department for Atraumatic Headache Public Reporting Postponed †
  • Web-Based Measures
    • OP-12: The Ability for Providers with HIT to Receive Laboratory Data Electronically Directly into their Qualified/Certified EHR System as Discrete Searchable Data
    • OP-17: Tracking Clinical Results Between Visits
    • OP-25: Safe Surgery Checklist Use
    • OP-26: Hospital Outpatient Volume Data on Selected Outpatient Surgical Procedures
    • OP-27: Influenza Vaccination Coverage among Healthcare Personnel ††
    • OP-29: Endoscopy/Polyp Surveillance: Appropriate Follow-up Interval for Normal Colonoscopy in Average Risk Patients
    • OP-30: Endoscopy/Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
    • OP-31: Cataracts - Improvement in Patient's Visual Function within 90 days Following Cataract Surgery ^

* OP-19 has been removed; however, submission of a "non-blank" value is required through Q4 2013 encounters.

** OP-22 is a chart-abstracted measure reported via a web-based tool in the secure portion of QualityNet.

† OP-15 will not be publically reported on Hospital Compare and will not be used in the CY 2015 payment determination.

†† OP-27 will be reported to the National Safety Health network web site.

^ OP-31 implementation has been delayed until January 2015.

For more information on the chart-abstracted and web-based (structural) measures, please refer to Section 1 of the Hospital OQR Program Specifications Manual. Further information on the Imaging Efficiency Measures specifications is available at QualityNet - Imaging Measures.

Voluntary Reporting of Hospital OQR Program Data for Non-OPPS Hospitals

Critical Access Hospitals (CAHs) and other non-OPPS hospitals may voluntarily submit data. The program provides a unique opportunity for hospitals to report outpatient quality data as a means to improve quality of care and performance. The registration for non-OPPS hospitals is the same as it is for OPPS hospitals. For more information on how to register, please visit QualityNet: How to participate.

Hospitals that decide to participate agree to the same reporting requirements as the OPPS hospitals.

More information on data reporting may be found at https://www.qualitynet.org/ under the Hospitals-Outpatient tab.

Timelines

Upcoming deadlines associated with the Hospital OQR Program reporting:

Deadlines
Data Submission Deadline Encounter Quarter Encounter Dates
Feb 1, 2014 Q3 2013 Jul - Sep 2013
May 1, 2014 Q4 2013 Oct - Dec 2013
Aug 1, 2014 Q1 2014 Jan - Mar 2014
Nov 1, 2014 Q2 2014 Apr - Jun 2014
Feb 1, 2015 Q3 2014 Jul - Sep 2014
May 1, 2015 Q4 2014 Oct - Dec 2014
Population and Sampling Due Encounter Quarter Encounter Dates
Feb 1, 2014* Q3 2013 Jul - Sep 2013
May 1, 2014* Q4 2013 Oct - Dec 2013
Aug 1, 2014* Q1 2014 Jan - Mar 2014
Nov 1, 2014* Q2 2014 Apr - Jun 2014
Feb 1, 2015* Q3 2014 Jul - Sep 2014
May 1, 2015* Q4 2014 Oct - Dec 2014
*Submission of Population and Sampling is voluntary for the quarter.
CDAC Record Request
(as Scheduled)
Encounter Quarter Encounter Dates
Mar 2014 Q3 2013 Jul - Sep 2013
Jun 2014 Q4 2013 Oct - Dec 2013
Sep 2014 Q1 2014 Jan - Mar 2014
Dec 2015 Q2 2014 Apr - Jun 2014
March 2015 Q3 2014 Jul - Sep 2014
June 2015 Q4 2014 Oct - Dec 2014
OPPS Annual Payment Update*—Applicable Quarters
Calendar Year 2015
Data Submission Q3 2013 & Q4 2013
Q1 2014 & Q2 2014
Validation Results Q2 2013, Q3 2013, & Q4 2013
Q1 2014
Calendar Year 2016
Data Submission Q3 2014 & Q4 2014
Q1 2015 & Q2 2015
Validation Results Q2 2014, Q3 2014, & Q4 2014
Q1 2015
* See Reference Checklist for additional APU requirements.

Please Note: Dates are subject to change. Please verify Population & Sampling and Data Submission Deadlines on the QualityNet website.

Other deadlines and dates to remember may be viewed here: Hospital OQR Program Important Dates