Is QCDR Reporting for me?

QCDR Reporting is the best option for practices that have limited MIPS Quality Measures to report under the traditional MIPS Registry Quality Measure options.

If your TIN is not able to find 6 measures out of the MIPS Quality Measures available, QCDR reporting may be a better option for you! QCDR reporting enhances general “registry” reporting because it allows targeted provider groups to share and learn from “best practices” via peer benchmarked performance on unique measures. In addition, it allows for co-stewardship of potential measures and measure development for new, unique measures. If you are interested in capturing data on unique Patient360 QCDR measures or in co-developing new measures, please contact us!

Patient360’s exclusive measures support physicians in the following specialties:

  • Orthopedic
  • NMM (Neuromusculoskeletal Medicine)/OMM (Osteopathic Manipulative Medicine)
  • Sport Medicine
  • Chiropractic
  • Physiatry
  • PT (Physical Therapy)/OT (Occupational Therapy)
  • Podiatry
  • Primary Care
  • Cardiology
  • Endocrinology
  • Mental Health
  • Oncology
  • Radiation Oncology
  • Internal Medicine
  • Pain & Palliative Care
  • Family practice
  • Internal Medicine
  • Pulmonary Medicine
QCDR Reporting

For 2021: Patient360 continues to partner with East Tennessee State University for QCDR measure development.

Our official title: East Tennessee State University Department of Health Services Management & Policy in Collaboration with Patient360

Patient360 is now permitted to submit the following QCDR measures in 2021:

  • MUSIC4
  • IROMS11
  • IROMS12
  • IROMS13
  • IROMS14
  • IROMS15
  • IROMS16
  • IROMS17
  • IROMS18
  • IROMS19
  • IROMS20

Click HERE for QCDR measure details and specification.

P360 Legacy QCDR Program: Maine Osteopathic Association in Collaboration with Patient360 2018 QCDR Measures

NQS Domain: Effective Clinical Care
Measure Type: Outcomes
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable Measure: No
Ratio Measure: No
Denominator Exclusions: Patients not getting OMT
Denominator Exceptions: Cognitive impairment
Numerator Exclusions: None
Data Source: PM, EHR or EMR, other
Applicable Specialty/Specialties: Osteopathy, psysiatry, physical medicine & rehabilitation (PM&R), pain, orthopedics, anesthesia, chiropractic, occupational/physical therapy, and podiatry.

NQSDomain: Efficiency & Cost Reduction
Measure Type: High Priority, Process
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable Measure: No
Ratio Measure: No
Denominator Exclusions: Those without imaging
Denominator Exceptions: Emergency surgery within 24 hours of a STAT advanced imaging study
Numerator Exclusions: None
Data Source: PM, EHR or EMR, other
Applicable Specialty/Specialties: Osteopathy, psysiatry, physical medicine & rehabilitation (PM&R), pain, orthopedics, anesthesia, chiropractic, occupational/physical therapy, and podiatry.

NQS Domain: Patient Safety
Measure Type: Outcomes
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable Measure: No
Ratio Measure: No
Denominator Exclusions: Not on controlled meds
Denominator Exceptions: No CSA or OA in place at time of UDS or no violations
Numerator Exclusions: None
Data Source: PM, EHR or EMR, other
Applicable Specialty/Specialties: Osteopathy, psysiatry, physical medicine & rehabilitation (PM&R), pain, orthopedics, anesthesia, chiropractic, occupational/physical therapy, and podiatry.

NQS Domain: Patient Safety
Measure Type: Outcomes
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable Measure: No
Ratio Measure: No
Denominator Exclusions: No spinal stenosis, no acupuncture
Denominator Exceptions: None
Numerator Exclusions: None
Data Source: PM, EHR or EMR, other
Applicable Specialty/Specialties: Osteopathy, psysiatry, physical medicine & rehabilitation (PM&R), pain, orthopedics, anesthesia, chiropractic, occupational/physical therapy, and podiatry.

NQS Domain: Patient Safety
Measure Type: Process, High Priority
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable Measure: No
Ratio Measure: No
Denominator Exclusions: No OA/CSA in place
Denominator Exceptions: None
Numerator Exclusions: None
Data Source: PM, EHR or EMR, other
Applicable Specialty/Specialties: Osteopathy, psysiatry, physical medicine & rehabilitation (PM&R), pain, orthopedics, anesthesia, chiropractic, occupational/physical therapy, and podiatry.

NQS Domain: Patient Safety
Measure Type: Outcomes
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable Measure: No
Ratio Measure: No
Denominator Exclusions: No anxiety dx or symptoms
Denominator Exceptions: Psychiatrist documentation of medical necessity for benzodiazepine over SNRI/SSRI
Numerator Exclusions: None
Data Source: PM, EHR or EMR, other
Applicable Specialty/Specialties: Osteopathy, psysiatry, physical medicine & rehabilitation (PM&R), pain, orthopedics, anesthesia, chiropractic, occupational/physical therapy, and podiatry.

NQS Domain: Patient Safety
Measure Type: Outcomes
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable Measure: No
Ratio Measure: No
Denominator Exclusions: No CSA or CSA & BMI >= 30
Denominator Exceptions: None
Numerator Exclusions: None
Data Source: PM, EHR or EMR, other
Applicable Specialty/Specialties: Osteopathy, psysiatry, physical medicine & rehabilitation (PM&R), pain, orthopedics, anesthesia, chiropractic, occupational/physical therapy, and podiatry.