Qualified Clinical Data Registry Reporting
The Quality Outcomes Database (QOD) has been approved as a 2018 Centers for Medicare & Medicaid Services (CMS)-Approved Qualified Clinical Data Registry (QCDR) for the Merit-Based Incentive Program (MIPS) 2018 reporting year.
The QOD Surgical Spine QCDR offers 14 unique surgical spine non-MIPS (Merit-Based Incentive Payment System) measures approved by the CMS. A participating registry eligible professional (EP) can choose from these measures to report for purposes of satisfying the Quality portion of MIPS and avoid associated penalties. The list of Surgical Spine Care measures available through the QOD for 2018 MIPS reporting are listed below:
QOD Surgical Spine Non-MIPS Measures
|Measure ID||Measure Title|
|NPA 3||Functional Outcome Assessment for Spine Intervention|
|NPA 4||Quality of Life Assessment for Spine Intervention|
|NPA 5||Patient Satisfaction with Spine Care|
|NPA 6||Spine‐related procedure Site Infection|
|NPA 11||Unplanned Reoperation Following Spine Procedure Within the 30-day Post‐Operative Period|
|NPA 12||Selection of Prophylactic Antibiotic Prior to Spine Procedure|
|NPA 14||Medicine Reconciliation Following Spine Related Procedure|
|NPA 15||Risk–assessment for Elective Spine Procedure|
|NPA 16||Depression and Anxiety Assessment Prior to Spine‐Related Therapies|
|NPA 17||Narcotic Pain Medicine Management Following Elective Spine Procedure|
|NPA 18||Smoking Assessment and Cessation Coincident with Spine-related Therapies|
|NPA 19||Body Mass Assessment and Follow‐up Coincident with Spine-related Therapies|
|NPA 20||Unhealthy Alcohol Use Assessment Coincident With Spine Care|
|NPA 23||Spine/Extremity Pain Assessment|
These measures are the first specialty-specific measures developed by the profession for purpose of satisfying federal quality reporting measures. The complete list of surgical spine measures and specifications can be found here: QOD Surgical Spine non-MIPS Measure Specification.
How QOD Can Help
The QOD can serve as a tool to assist EPs with meeting the following QCDR reporting requirements by:
- Reporting at least six measures for at least 50 percent of the EPs applicable patients seen during the 2017 participation period.
- Reporting on at least one outcome measure.
The QOD QCDR is open to all participating QOD registry physicians and will provide EPs with a method for reporting data for MIPS under the Quality Category. EPs interested in participating in the QOD QCDR can learn more about joining the QOD by following the link below.
The Merit-Based Incentive Payment System (MIPS) is a Quality Payment Program (QPP) payment track under MACRA (Medicare Access and CHIP Re-Authorization Act) that combines requirements previously included in the Physician Quality Reporting System (PQRS), the Medicare EHR Incentive Program (Meaningful Use) and Value-Based Payment Modifier (VBM) programs.
EPs who did not satisfactorily participate in the QPP in 2017 are subject to a negative payment adjustment of 4% in their 2019 Medicare payments. To learn more about the QPP and MIPS reporting options and requirements, visit https://qpp.cms.gov.
For questions regarding QOD, contact NPA.