ASCA Benchmarking Configuration

Operation > ASCA Benchmarking Configuration

The Ambulatory Surgery Center Association encourages its members to submit an Outcomes survey annually.  This tool will enable producing the survey quickly and efficiently.  Much of the data gleaned from this report will be helpful in Medicare quality reporting requirements also.

 

Initial Setup

Use the drop downs to mark each entry as they need to appear within the Outcomes Monitoring Project's categories.  Codes will show in purple with a drop down to the right, so an applicable ASCA category (or none if available categories do not match the reporting requirement) can be selected. After the initial setup, configuration will only need to be reviewed if a room, cancel reasons, indicator codes, applicable follow up codes or specialty codes are added.

 

Map case starting time to OR Start or Surgery Start from Clinical Log.  

Map indicator codes to the applicable ASCA codes on the right.

 

Go to Reports > Operations Reports > OP5025 - ASCA Benchmarking to produce the actual report.

 

 

Data Calculations

The ASCA Outcomes report is revised fairly regularly at this time.  Below please see a listing of where each question on the report retrieves its information.

 

Section I: Volume

1. & 1A. Total Cases:  Cases = visits.  Unbilled will be counted.  Cancelled visits will not be counted.

2.  Procedure Type Summary (By Billed CPT): Please see ACSA for current CPT list.

3.  Level of Care:   from Case History > Clinical Log, General Information tab, ASA Class.

4.  Payer Mix:  system calculated based on Payer Type for primary payer.

 

Section II: Quality Measures

Part 1:  Quality Measures Suspended by Medicare

Based on G Codes in Clinical Log for all patients.

 

Part 2:  Quality Measures Reported to Medicare

Unplanned anterior vitrectomy'

Normothermia Outcome

 

Part 3: Quality Measures NOT Reported to Medicare

Toxic Anterior Segment Syndrome (TASS) - Not reportable from HST Practice Management

Perioperative Blood Glucose Monitoring - Not reportable from HST Practice Management

Intravenous (IV) Prophylactic Antibiotic Administration for Prevention of Surgical Site Infection - Reported G Codes

 

Section III: Operations Measures

1. through 2C.     Based on indicator code mapping

3A - 6 - System Calculated

 

Section IV: Outcome of Care Measures

Based on indicator code mapping

 

Section V: Complication Measures

Based on indicator code mapping

Obtain CPT information for VTE patients from the HST Practice Management Account - Visit Ledger tab or report OP5016

 

Section VI: Staffing Measures (Not Reportable by HST)

Not reportable from HST Practice Management.

 

Section VII: Financial Measures

1. Billing-Contractual Write-Offs-Payments= Net Accounts Receivable (BL-CW-PY=NAR)

2. Billing-Contractual Write-Offs= Net Patient Revenue (BL-CW=NPR)

3, 4 & 5. Not reportable by HST

6. NOTE: Only report this amount for centers that perform quarterly physical counts

7. NOTE: Centers can obtain this amount by running the IV4008 - Items Used report for the reporting quarter; Group by Item category or Department and Hide Detail

8 & 9. Not reportable by HST