As a certified QE, PurpleLab® is proud to publicly report industry-standard measures and CMS-approved alternative measures to make insights into provider performance, including cost and quality data, transparent.
This report highlights one standard measure available as a QE. The measure is all claims-based and looks at the use of two tests- Estimated glomerular filtration rate (eGFR) and Urine albumin-creatinine ration (uACR) – to manage diabetic patients at risk of Chronic Kidney Disease (CKD). Purplelab chose the measure based on the data available in our HealthNexus® platform.
Download PurpleLab’s Standard Measure Report below
The Qualified Entity Certification Program (QECP) was created as part of the Affordable Care Act to facilitate health system improvement using insights from data. The program allows Qualified Entities to apply to receive CMS claims data for the purpose of combining that data with a commercial data set and using it to report back publicly on health system quality measures.
A Qualified Entity (QE) is an organization permitted to combine Medicare data with other claims data to report on quality measures that can be used to improve the performance of healthcare providers and suppliers. Once certified under the Quality Entity Certification Program (QECP), QE’s are eligible to receive standardized extracts of Medicare Parts A, B, and D data.
Measures available to QEs for public reporting are maintained on a list of Standard measures by the QECP. If a QE feels that use of alternative measures would be more valid, reliable, responsive to consumer preferences, cost-effective, or relevant to dimensions of quality and resource use not addressed by standard measures, a QE can choose to report alternative measures in place of or in addition to standard measures. To see the current list of standard measures and learn more about alternative measure reporting, please visit QECP Standard and Alternative Measures on the QECP website.
In compliance with QECP Rules and Regulations, QE’s are required to report on selected standard measures and CMS-approved alternative measures annually within one year of receiving the data.
PurpleLab’s standard and alternative measure reporting leverages, combines, and compares two sources of data:
Both standard and alternative reports measure PurpleLab’s commercial claims warehouse and combined data sources (PurpleLab’s commercial claims + QE Medicare data). All measures in the standard and alternative public reports are benchmarked at the national level.
For QE public reporting, PurpleLab adheres to CMS cell suppression policy to protect data privacy.