Merit-Based Incentive Program (MIPS) Reporting
The Quality Outcomes Database (QOD) has been approved as a 2019 CMS-Approved Qualified Clinical Data Registry (QCDR) for the Merit-Based Incentive Program (MIPS) 2019 reporting year.
The QOD Surgical QCDR reporting mechanism provides participating registry providers with a method to satisfy MIPS requirements under the Quality category and avoid associated penalties by reporting on a more meaningful set of non-MIPS measures developed by the profession. The QOD can serve as a tool to assist providers with meeting the following QCDR reporting requirements:
- Report at least six measures for at least 60 percent of the provider’s applicable patients seen during the 2019 participation period.
- Report on at least one outcome measure.
The QOD Spine QCDR offers eleven non-MIPS measures that have been approved by the Centers for Medicare & Medicaid Services (CMS) and from which a provider can choose to report for purposes of satisfying the Quality portion of MIPS. These measures, focused on spine care, were the first specialty-specific measures developed by the profession for purposes of satisfying federal quality reporting mandates. The list of QOD’s QCDR measures available through the QOD for 2019 MIPS reporting are listed below:
QOD QCDR Measures:
|Measure ID||Measure Title|
|NPA6||Spine‐Related Procedure Site Infection|
|NPA11||Unplanned Readmission Following Spine Procedure within the 30-day Postoperative Period|
|NPA12||Selection of Prophylactic Antibiotic Prior to Spine Procedure|
|NPA18||Smoking Assessment and Cessation Coincident with Spine-Related Therapies|
|NPA19||Body Mass Assessment and Follow‐up Coincident with Spine-Related Therapies|
|NPA24||Narcotic Pain Medicine Management Following Elective Spine Procedure|
|NPA25||Depression and Anxiety Assessment Prior to Spine‐Related Therapies|
|NPA26||Functional Outcome Assessment for Spine Intervention|
|NPA27||Spine/Extremity Pain Assessment|
|NPA28||Patient Satisfaction with Spine Care|
|NPA29||Quality-of-Life Assessment for Spine Intervention|
The complete list of surgical spine measures and specifications can be found here: QOD Surgical Spine Non-MIPS Measure Specification, and here: 2019 QOD-QCDR Final Measure Specifications Listing.
The QOD QCDR is open to all participating QOD registry physicians. Providers interested in participating in the QOD QCDR who are not currently participating in the QOD registry can enroll by completing the steps for QOD participation at: http://www.neuropoint.org/NPA%20N2QOD%20Participation.html.
The Merit-Based Incentive Payment System (MIPS) is a payment track under the Quality Payment Program (QPP) under MACRA (Medicare Access and CHIP Re-Authorization Act) that combines requirements that were previously included in the Physician Quality Reporting System (PQRS), the Medicare EHR Incentive Program (Meaningful Use), and Value-Based Payment Modifier (VBM) programs.
The QOD QCDR will provide providers with a method for reporting data for MIPS under the Quality Category. To learn more about the QPP and MIPS reporting options and requirements, visit: https://qpp.cms.gov.
Please contact the NPA at firstname.lastname@example.org, tel: 847-378-0500, with questions or for more information on the QOD and QOD QCDR.