What is a QCDR?
A Qualified Clinical Data Registry (QCDR) is a reporting mechanism that was introduced in 2014 for the Physician Quality Reporting System (PQRS) program. here are several reporting mechanisms to fulfill the PQRS requirements in addition to a QCDR, such as using an EMR system, CMS Web-Interface, CMS Certified Survey Vendor, or using claims data.
However, as of October 14, 2016, under the new Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), a new quality program was introduced replacing the PQRS and other quality programs known as the Merit-based Incentive Payment System (MIPS).
MIPS consists of four performance categories:
1. Quality (replaces PQRS)
2. Advancing Care Information (replaces EHR Meaningful Use)
3. Improvement Activities (new category)
4. Resource Use (replaces Value Modifier program)
To learn more about each MIPS performance category criteria, go to the new CMS Quality Payment Program page at www.qpp.cms.gov.
Who will be eligible to participate under MIPS?
For 2017 and 2018 year reporting the following clinicians will be eligible: Physicians (MD/DO and DMD/DDS), Physician Assistants, Clinical Nurse Specialists, and Certified Registered Nurse Anesthetists. Clinicians can report as individuals (under their NPI), or as a group (under their TIN).
CMS plans to expand eligibility to other healthcare professionals in 2019 and beyond.
You can determine your eligibility in the CMS Quality Payment Program page at www.qpp.cms.gov.
What makes reporting via a QCDR different from other reporting mechanisms?
The QCDR reporting option is different from a traditional registry or an EMR system because it is not limited to Medicare patient data, but across all payers. In addition, The QCDR can host “non-MIPS” measures approved by CMS for reporting, which are more relevant to the eligible clinician’s specialty care and therefore, professionals achieve a better performance rate.
What measures are available for reporting through the AAAAI QCDR?
There are currently 28 quality measures available in the registry for the 2017 reporting year including the following areas of care: Asthma, Allergen Immunotherapy, Drug Allergy, Sinusitis, and General Care. See the AAAAI QCDR measures list and specifications at www.aaaa.org/qcdr.
How can I upload or transfer my data into a QCDR?
A QCDR can collect data using xml files or QCDR III files. These files have unique specifications and are formats approved by CMS. If you are transferring data directly from your EMR system, contact your EMR vendor representative or IT support to further assist you and recommend the submission file that works best for you based on the quality measures and reporting mechanism you choose to report on.
QCDRs also collect manually entered data, but this can be time consuming. It is recommended that one enters data in a regular basis throughout the year and/or have a designated staff to do so.
For additional information, please contact us at QCDR@aaaai.org.