The ACO Sync is a process for determining the ACO aggregated quality scores. The steps are as follows:

 

1. Data Validation

  • ACO Sync is aborted if no active ACO Roster File is present.


2. Initial Sync Process

  • Synchronize providers to the aggregate clinic and remove all providers that have been deleted from the member clinic.

  • Synchronize measures:

    • Create or update all necessary CQM, MCQM, and eCQM measures for syncing.

    • If no MCQM measure is found for a member, but an ACO Roster exists for the aggregate clinic, create an MCQM measure for that CQM/eCQM measure.

3. Data Cleanup

  • Remove encounters from the aggregate clinic if the corresponding source member clinic encounter or QRDA performances has been removed (applicable for both CQM and MCQM measures).

4. Member Clinic CQM Sync Process

  • Loop through each member clinic to sync CQM Measures:

    • Update clinic log to indicate "Sync Running".

    • Iterate through each Template/QRDA-I Measure and sync it with the Aggregate Clinic CQM Template Measure.

    • Skip syncing to CQM measures if any member clinic has a tracked MCQM measure. Otherwise, proceed with the next steps:

      • Sync CQM template encounters from member clinics to the aggregate clinic.

      • Sync QRDA-I performances to the aggregate clinic's CQM template encounters.

5. Finalizing Clinic CQM Sync

  • Once all Template & QRDA-I measures are synced, update logs for the clinic and proceed to the next clinic.

  • After all clinics have completed their sync process:

    • Check if the aggregate clinic has an ACO roster file and needs MCQM measure sync.

      • If Yes: Queue a new Delayed Job to sync MCQM measures for the virtual group clinic.

      • If No:

        • Update aggregate clinic measure stats.

        • Queue a Delayed Job to update ACO Clinic Stats.

        • Mark the sync as "Complete" in logs.

6. MCQM Sync Process (Delayed Job Execution)

  • Start syncing data into MCQM measures.

  • Update logs to reflect "MCQM Sync Running".

  • Synchronize all CQM, MCQM, and eCQM measure encounters:

    • Ensure that first name, last name, gender, and date of birth match those in the ACO Roster File before syncing into the aggregate clinic MCQM measure.

  • Once MCQM measures are synced:

    • Update aggregate clinic measure stats.

    • Queue a Delayed Job to update ACO Clinic Stats.

    • Mark the sync process as "Complete" in logs.