User Story Clinic: January 13th, 2022

Story 1

Original Story:

Provide NPI-TIN level files with MIPS performance data for each of the following four CQM/eCQMs: 1, 2, 3

Notes:

NPI-TIN file: group or clinician tax id

CQM: measure ID

1. Iteration n: get access to data 4-7 days (multiple systems, vpn access, etc) enablers 
2. Iteration n or n+1: find the data (3hr - 1 wk)
3. Iteration n1 or n2: validate it is the right data and it is correct

Requirement

MIPS performance provider data from 2017 - 2020

iterative dev stories

connect to RDS

define expected outputs (record count, working filters, etc)

Bring PK data  a couple of other key fields over

validate filters, record counts etc

bring all unmodified data over

bring over (complex) modified data

Bring over ( difficult) modified data

Beneficiary: Generic requestor Role and specific requestor role

Public, Generic requestor, Specific requestor role

Value:

Rewrite:

As a Provider Office, I want to see the provider IDs associated with my office, so that I know the MIPS report includes all of my personnel

1. Verify that only providers at the office between from 2017 to 2020 are included
2. Verify that the provider id is shown
3. Verify that the Provider Last Name is shown
4. Verify that the Provider first name is shown

As a Provider Office, I want to see a score for my providers' usage of bone scans for low risk prostrate cancer patients , so that I know which of my providers are within Medicare performance boundaries

1. verify that only providers eligible for a measure 34c score are shown 

As a Provider Office, I want to see a score for my providers' usage of MRIs for low risk prostrate cancer patients , so that I know which of my providers are within Medicare performance boundaries

1. verify that providers eligible for a measure 28f score are shown 
2. Verify that the scores are only shown on providers who are eligible for 28f