AQI and QCDR

The nuts and bolts of QCDR reporting via AQI

PQRS reporting via QCDR

• The Qualified Clinical Data Registry is a new PQRS reporting channel in 2014.

• AQI has been designated as a QCDR.

• Practices can do PQRS reporting through AQI via the QCDR reporting channel.

QCDR Reporting through AQI

• Sign-up for the ASA QCDR Service– ASA is selling the service– AQI is the technical services vendor

• Sign-up with AQI– Groups must be AQI participants

• Contribute the correct data to AQI for PQRS reporting via the QCDR channel

ASA QCDR Service

• The American Society of Anesthesiologists (ASA), through its affiliate, Anesthesia Quality Institute (AQI), has developed a meaningful way for physician anesthesiologists to successfully participate in the PQRS.

• More information is available on the ASA website here: http://www.asahq.org/qcdr

• Send Questions to – qcdr@asahq.org

AQI Participation

• In order to report PQRS via QCDR with AQI, groups must be participants of AQI.

• More information about participating in AQI is on the AQI website: http://aqihq.org/become-a-member.aspx

2015 PQRS reporting via QCDR

• 9 measures from 3 domains including at least 2 outcomes

• Report on all cases – This is different from claims made reporting

• MAV does not apply• Monthly feedback on each EP and each

measure via reporting from AQI

QCDR Reporting Steps

• Collect the data – demographic and clinical

• Report data to AQI• Monitor the QCDR reports provided by AQI• Review data at end of year

• AQI submits your data to CMS

The Measures

• 19 measures– 8 existing PQRS measures – 11 non-PQRS QCDR measures

• 12 measures must be reported using Cat II CPT codes

• 7 measures reporting using other codes• The measures cover a variety of domains – Process, Communication and Care Coordination,

Outcomes, Effective Clinic Care, & Patient Safety

Collect the clinical data

• QCDR requires reporting on 9 measures across 3 NQS domains including 2 outcomes.

• This data will come from a variety of systems – Billing - general demographic and process

measures– Quality Capture – clinical outcomes– AIMS – clinical outcomes/patient safety– EMR – clinical outcomes and other domains

Collecting data for Process Measures

• Claims reporting works well for collecting process measures.

• Providers check a box on a piece of paper.• Coders enter Cat II CPT codes into the billing

system and the codes come to AQI.• Many of the measures can be collected and

reported using Cat II CPT codes via the billing systems.

Collecting Data for Clinical Measures

• Clinical outcomes will need to be collected to satisfactorily participate in PQRS QCDR

• Many groups collect clinical outcomes using paper forms

• Data needs to be digitized and coded to AQI specifications

• Data will then be uploaded to AQI’s FTP server

Collecting data from AIMS/EMR

• Your EMR/AIMS will contain several useful measures– Use of transfer of care checklist is an example

• Groups will need to work with their software provider to create reporting – This includes entering the data and extracting the

data• Output file will be sent to AQI

Report your data to AQI

• The data required for QCDR reporting most likely will be in multiple files

• These files will need to be uploaded to AQI• AQI will work with you to ensure the proper

data is being reported• Work with your vendors – billing, quality, AIMS,

EMR to ensure their systems are capturing the data you need and reporting it to AQI

Monitor Reports

• AQI provides feedback at the group and individual EP level on all measures you send in

• Reports are refreshed with every new data file groups submit

• AQI will schedule periodic meetings to review your reports

• There will be a meeting with signoff prior to AQI submitting your data

QCDR Reporting – Success Factors

• Groups who are able to satisfactorily participate in PQRS via QCDR:– Are members of AQI (and submit the correct data)– Have a quality capture program in place– Dedicate staff/resources to the QCDR project– Want to be seen as leaders in the field

Next Steps

• Contact AQI to setup a meeting to discuss your current local conditions and capabilities

• AQI is here to guide you on the path to satisfactory participation in PQRS via the QCDR

CMS Resources – Simple version

• CMS documentation on 2014 QCDR: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2014_QualifiedClinicalDataRegistry_MadeSimple.pdf