Qualified Clinical Data Registries

1. Qualified Clinical Data Registries • A new mechanism to report physician performance • CMS will phase out claims-based reporting in favor of this registry-based mechanism over the next 5 years • Moves responsibility for measure development, data collection and reporting from CMS to the specialty society registry • Will allow the society to select and develop its own measures • NACOR is one of the first registries certified under this program • 19 measures have been approved for the first year – we will have the option of adding to or removing from this list in 2015

2. Anesthesia Measures in the QCDR • 4 existing PQRS measures (antibiotic timing, central line sterile placement, PACU normothermia, beta blockade for CABG patients) • Also from PQRS: • Medication reconciliation (#130) • Smoking cessation screening (#226) • Acute pain management (#342) • Preoperative risk assessment (#358)

3. Anesthesia Measures in the QCDR (cont.) • Post-op transfer of care protocol OR > PACU • Post-op transfer of care protocol OR > ICU • Prevention of PONV, adults • Prevention of PONV, pediatrics • OR/PACU cardiac arrest rate • OR/PACU all-cause mortality • Successful completion of planned procedure (composite anesthesia safety)

4. Anesthesia Measures in the QCDR (cont.) • PACU re-intubation rate • PACU acute pain management success • Composite procedural safety for central line placement • Composite anesthesia patient satisfaction

5. How to Participate • Practices/providers must self-nominate to CMS by July 1 • Practices must participate in NACOR • Discount to $0 for ASA members; no charge for QCDR reporting in 2014 • $500 per year for non-members; additional charges for QCDR reporting may apply • Practices must report NPI numbers to NACOR for eligible providers • Practices must collect and report the necessary performance measures through either billing data or QM data systems