NACOR USER GUIDE FOR 2016 QUALITY REPORTING

Revised 8/1/16

NACOR USER GUIDE FOR

2016 QUALITY REPORTING

Please note the information contained within this

document applies to the 2016 PQRS reporting year only.

This guide will be updated in 1st quarter 2017 to reflect the

changes in the 2017 PQRS program.

Revised 8/1/16

©2016 Anesthesia Quality Institute. All rights reserved. Please contact the Anesthesia Quality Institute at

[email protected] for permission to use any of the information in this document. Updated August 1, 2016

Table of Contents

PQRS Reporting – Keys to Success .............................................................................................. 3

2016 Quality Reporting Options – Qualified Registry versus Qualified Clinical Data Registry . 5

Selecting your Quality Reporting Option ....................................................................................... 5

Quality Reporting Contracts and Fees .......................................................................................... 6

Selecting Your Measures – Qualified Registry: ............................................................................ 7

Qualified Registry Reporting Requirements ................................................................................. 8

Cross-Cutting Measures ................................................................................................................ 8

Sample Qualified Registry Data Collection Form ......................................................................... 9

Selecting Your Measures - Qualified Clinical Data Registry: ..................................................... 10

QCDR Reporting Requirements................................................................................................... 10

Sample QCDR Data Collection Form........................................................................................... 11

Quality Reporting – Roles and Responsibilities ......................................................................... 12

Creating Your Data File ................................................................................................................ 14

NACOR Minimum Data Fields...................................................................................................... 15

2016 QR/QCDR NACOR XML Specifications ............................................................................. 16

Uploading Data to NACOR ........................................................................................................... 29

File Review and Notification ........................................................................................................ 29

Further Support ............................................................................................................................ 30

Data Transmission ....................................................................................................................... 30

FTP Folder Structure .................................................................................................................... 31

2016 Quality Reporting Deadlines ............................................................................................. 32

Quality Reporting Data Reports .................................................................................................. 33

Resources ..................................................................................................................................... 39

mailto:[email protected]

Page 3 of 39



Disclaimer and Copyright Statement

Participation in the ASA® Quality Service does not guarantee satisfactory participation in the

Centers for Medicare and Medicaid Services (CMS) Physician Quality Reporting System

(PQRS) program. Successful submission to CMS is contingent upon each individual eligible

provider (EP) and/or practice meeting the PQRS program requirements and the timeliness,

quality, and accuracy of the data they provide for reporting. The information provided is not

to be construed as practice management or legal advice. Every reasonable effort has been

made to ensure the accuracy of the information presented at the time of posting, but the

American Society of Anesthesiologists (ASA), and its related organization, the Anesthesia

Quality Institute (AQI) do not warrant or guarantee that the information presented is

exhaustive or error-free. AQI and ASA further disclaim all liability for loss or damage incurred

by third parties arising from the use of the information. Please consult your legal advisor or

other qualified professional for guidance and information specific to your situation.

The performance measures (Measures) and this guidance are not clinical guidelines, do not

establish a standard of medical care, and have not been tested for all potential applicants.

ASA and AQI shall not be responsible for any use of the Measures or guidance materials. The

Measures and guidance, while copyrighted, can be reproduced and distributed, without

modification, for non-commercial purposes, e.g., use by health care providers in connection

with their practices. Commercial use is defined as the sale, license, or distribution of the

Measures or guidance for commercial gain, or incorporation of the Measures or guidance

into a product or service that is sold, licensed or distributed for commercial gain. ASA and

AQI encourage use of the Measures and guidance by other health care professionals, where

appropriate. Please contact the Anesthesia Quality Institute at [email protected] before

using information contained in this document to ensure proper permissions are obtained.

Limited proprietary coding is contained in this guidance for convenience. Users of the

proprietary code sets should obtain all necessary licenses from the owners of these code

sets. ASA and AQI disclaim all liability for use or accuracy of any Current Procedural

Terminology (CPT®) or other coding contained herein. THE MEASURES AND GUIDANCE ARE

PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.



Page 4 of 39



PQRS Reporting – Keys to Success UNDERSTAND

o PQRS Reporting Requirements (number of measures required, number of NQS

domains and number outcome measures, if applicable)

o PQRS Reporting Mechanisms (Qualified Registry, Qualified Clinical Data

Registry)

o Roles and Responsibilities (pages 12-13)

IDENTIFY

o Measures that are reportable by all providers in your practice

COLLECT

o Billing and Administrative Data along with measure codes

SUBMIT

o Have the measures data that you collected digitized and sent to AQI in an XML

format

REVIEW

o Your practice’s Quality Reporting Reports on the AQI website to track measure

compliance for your providers

Quality Reporting Virtual Office Hours

Attend our regularly scheduled virtual office hours offered the second Tuesday of each

month at 11 a.m. (CST). During office hours’ members of the ASA staff provide general

announcements regarding Quality Reporting. Q&A session follows the announcements.

2016 Dates for Virtual Office Hours:

September 13

October 11

November 8

December 13


https://attendee.gotowebinar.com/register/451659957792316930




Page 5 of 39



2016 Quality Reporting Options – Qualified Registry versus

Qualified Clinical Data Registry For 2016, ASA is offering two Quality Reporting Options: Qualified Registry (QR) and

Qualified Clinical Data Registry (QCDR). Both of these options are considered individual

reporting options. For 2016, ASA is not offering the Group Practice Reporting Option

(GPRO).

The differences between the QR and QCDR are listed below:

Qualified Registry (QR) Qualified Clinical Data

Registry (QCDR)

Number of Measures to be

reported

9 9

Number of NQS Domains 3 3

Number of Outcome Measures to

be reported

0 2

Payers Medicare Part B FFS All Payers

Allows for MAV process to trigger Yes No

Cross-Cutting Measure required

for face-to-face encounters

Yes No

Types of Measures Available to

Report

PQRS only PQRS and ASA/QCDR

approved for use in the

QCDR

For both reporting options, eligible professionals (EP) must report on >50 percent of the

eligible cases for nine measures.

Selecting your ASA Quality Reporting Option Participating in Quality Reporting requires selection of the appropriate reporting option for

your practice. For 2016, ASA offers the Qualified Registry (QR) and the Qualified Clinical

Data Registry (QCDR).

The practice roster that you will complete will ask you to select QR or QCDR as your Quality

Reporting Option. The option you select is binding and cannot be changed for the 2016

reporting year.


Page 6 of 39



Quality Reporting Contracts and Fees Quality Reporting requires you to complete both the National Anesthesia Clinical Outcomes

Registry (NACOR) and ASA Quality Reporting Agreements. Please be aware that if you are

currently a NACOR participant, you are not automatically enrolled in ASA Quality Reporting.

You must sign up for ASA Quality Reporting separately.

There are four contracts that are required for ASA Quality Reporting:

1. NACOR Participation Agreement

2. Business Associate Contract and Data Use Agreement

3. ASA Quality Reporting Agreement

4. Addendum for Quality Reporting to the National Anesthesia Clinical Outcomes

Registry Participation Agreement

There is also a practice roster that needs to be completed. Once we receive the completed

roster, an ASA Member Service Representative will analyze for membership status and

generate an invoice for any fees due.

Email the signed contracts and Practice Roster to [email protected].



Page 7 of 39



Selecting Your Measures – Qualified Registry: Measure specifications provide the details of each measure. This includes the measure

description, type of measure (process/outcome), domain name, denominator criteria and

numerator options.

Denominator: Describes the eligible cases for a measure or the eligible patient

population.

Numerator: Describes the specific clinical action required by the measure for

performance.

Practices can only report on measures for which they bill the CPT codes listed in the

denominators.

2016 ASA Qualified Registry:

For 2016, the ASA Qualified Registry has been approved for 26 PQRS measures. Please

refer to the 2016 PQRS measure specifications.

The PQRS measures related to anesthesia providers are:

Measure Number

Measure Name

PQRS 44

CABG: Preoperative Beta-Blocker in Patients with

Isolated CABG Surgery

PQRS 76

Prevention of Central Venous Catheter (CVC) – Related

Bloodstream Infections

PQRS 404

Anesthesiology Smoking Abstinence

PQRS 424

Perioperative Temperature Management

PQRS 426

Post-Anesthetic Transfer of Care Measure: Procedure

Room to a PACU

PQRS 427

Post-Anesthetic Transfer of Care Measure: Procedure

Room to an ICU

PQRS 430

Prevention of Post-Operative Nausea and Vomiting

(PONV) – Combination Therapy

If your providers see patients in a preoperative clinic or do any inpatient hospital visits that

require billing E&M (Evaluation and Management) Codes, there may be additional PQRS

measures available for your providers to report.


https://www.aqihq.org/files/PQRS%20at%20a%20Glance_final.pdf

Page 8 of 39



Qualified Registry Reporting Requirements

Report at least nine (9) measures, covering at least three (3) of the NQS domains.

Report each measure for at least 50 percent of the EP’s Medicare Part B FFS patients

seen during the reporting period to which the measure applies.

Of the measures reported, if the EP sees at least one (1) Medicare patient in a face-to-

face encounter, the EP will report on at least one (1) measure contained in the PQRS

cross-cutting measure set.

If less than nine (9) measures apply to the EP, the EP would report on each measure that

is applicable AND report each measure for at least 50 percent of the Medicare Part B

FFS patients seen during the reporting period to which the measure applies.

Measures with a 0 percent performance rate would not be counted unless they are an

inverse measure.

Cross-Cutting Measures

Both individual EPs and group practices reporting via the qualified registry reporting

mechanism are required to report one (1) cross-cutting measure if they have at least one (1)

Medicare patient with a face-to-face encounter. CMS defines a face-to-face encounter as an

instance in which the EP bills for services that are associated with face-to-face encounters

under the Physician Fee Schedule (PFS).

Please reference the 2016 Cross-Cutting Measures list for broadly applicable measures that

are defined as cross-cutting and reference the 2016 PQRS list of Face-To-Face Encounter

Codes for the billable codes that identify face-to-face encounters for the purposes of 2016

PQRS reporting.

CMS will analyze claims data to determine if at least 15 cross-cutting measure denominator-

eligible encounters can be associated with the individual EP or group practice. If it is

determined that at least one (1) cross-cutting measure could have been reported but was

not, the individual EP with face-to-face encounters will be automatically subject to the 2018

PQRS payment adjustment.


https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2016_PQRS-Crosscutting.pdf

http://www.cms.gov/apps/ama/license.asp?file=/PQRS/Downloads/2016_FacetoFaceEncounter_CodeList_12_18_2015.xlsx

http://www.cms.gov/apps/ama/license.asp?file=/PQRS/Downloads/2016_FacetoFaceEncounter_CodeList_12_18_2015.xlsx

Page 9 of 39



Sample Qualified Registry Data Collection Form **Disclaimer: This is a sample QR (Qualified Registry) Data Capture Form. Not all PQRS

measures have been included on this form. This example contains measures from three

NQS domains. Practices can customize based upon their measure selection.**

Anesthesiologist: _____________________________________ Date of Service: _______/________/_______

Physical Status 1 2 3 4 5 6

Same MD, DOS and same patient. State Procedure: ___________________________________________

PQRS 44: CABG - Preoperative Beta-Blocker

4115F: Beta Blocker Administered within 24

hrs. prior to surgical incision

4115F 1P: Documentation of Medical Reason

for not administering Beta Blocker

4115F 8P: Beta Blocker not administered,

reason not otherwise specified

PQRS 424: Temperature Management

4255F: Anesthesia of 60 minutes duration or

longer

4559F: At least 1 body temperature > 35.5

degrees Celsius

4559F 1P: Documentation of medical reason for

not recording at least 1 body temperature > 35.5

degrees Celsius

4559F 8P: At least 1 body temperature > 35.5

degrees Celsius NOT recorded

G9654: Monitored Anesthesia Care

PQRS 76: CVC related Bloodstream Infections

6030F: All elements of sterile barrier

techniques followed

6030F 1P: Medical Reason for not following

sterile barrier techniques

6030F 8P: Sterile Barrier Techniques not

followed, reason not otherwise specified

PQRS 426: Transfer of Care to PACU

G9656: Pt transferred directly from

anesthetizing location to PACU

G9657: Transfer of care during an anesthetic to

the ICU

G9655: Transfer of Care Checklist Used

G9658: Transfer of Care Checklist NOT Used

PQRS 110: Preventive Care & Screening: Influenza

Immunization

G8482: Influenza Immunization administered

or previously received

G8483: Influenza immunization was not

administered for reasons documented by

clinician

G8484: Influenza immunization was not

administered, reason not given

PQRS 427: Transfer of Care to ICU

0581F: Pt transferred directly from

anesthetizing location to ICU

0583F: Transfer of Care Checklist Used

0583F 8P: Transfer of Care Checklist Not Used

PQRS 130: Documentation of Current Medications

(Cross Cutting)

G8427: Current medications obtained,

documented and reviewed

G8430: Medications not documented, Patient

not eligible

G8428: Current medications not

documented, reason not given

PQRS 430: Prevention of Post-Op Nausea and Vomiting

4554F: Pt received inhalational anesthetic agent

4556F: Pt exhibits 3 or more risk factors for

PONV

4558F: Pt received 2 prophylactic anti-emetic

agents

4558F 1P: Documentation of medical reason for

NOT receiving 2 anti-emetics

4558F 8P: Pt did NOT receive at least 2 anti-

emetics preoperatively and intraoperatively

PQRS 404: Smoking Abstinence

G9642: Current Cigarette Smoker

G9643: Elective Surgery

G9497: Seen preoperatively by

anesthesiologist or proxy prior to day of

surgery

G9644: Pt abstained from smoking

G9645: Pt DID NOT abstain from smoking


Page 10 of 39



Selecting Your Measures - Qualified Clinical Data Registry: Measure specifications provide the details of each measure. This includes the measure

description, type of measure (process/outcome), domain name, denominator criteria and

numerator options).

Denominator: Describes the eligible cases for a measure or the eligible patient

population.

Numerator: Describes the specific clinical action required by the measure for

performance.

Practices can only report on measures for which they bill the CPT codes listed in the

denominators.

2016 ASA QCDR

For 2016, the ASA QCDR has been approved for 45 measures (19 ASA QCDR measures and

26 PQRS measures). The ASA QCDR measures were written by the ASA for use in the QCDR.

The PQRS measures are official measures from CMS. Please refer to the 2016 AQI QCDR

Measure specifications for details regarding the ASA measures and to the 2016 PQRS

specifications for PQRS measures.

QCDR Reporting Requirements

Report at least nine (9) measures available for reporting under a QCDR covering at least

three (3) of the NQS domains.

Report each measure for at least 50 percent of the EP’s patients. This includes case

data for all payers (not just Medicare).

Of these measures, the EP would report on at least two (2) outcome measures, OR if two

(2) outcomes measures are not available, report on at least one (1) outcome measure

and at least one (1) of the following types of measures – resources use, patient

experience of care, efficiency/appropriate use, or patient safety.

In meeting the criteria for reporting measures, participants can report on a combination

of PQRS and non-PQRS measures available to report through the respective QCDR.

Measures with a zero percent performance rate would not be counted unless they are an

inverse measure.

Cross-cutting measures are not required for the QCDR reporting option.


https://www.aqihq.org/files/2016_AQI_non-PQRS_Measure_Narrative_Final_2016-05-04.pdf

https://www.aqihq.org/files/2016_AQI_non-PQRS_Measure_Narrative_Final_2016-05-04.pdf



Page 11 of 39



Sample QCDR Data Collection Form **Disclaimer: This is a sample QCDR Data Capture Form. Not all PQRS or non-PQRS QCDR

measures have been included on this form. This example contains measures from four NQS

domains and five outcomes measures. Practices must customize based upon their measure

selection.**

Anesthesiologist: _____________________________________ Date of Service: _______/________/_______

Physical Status 1 2 3 4 5 6

Same MD, DOS and same patient. State Procedure: ___________________________________________

PQRS 44: CABG - Preoperative Beta-Blocker

4115F: Beta Blocker Administered within 24

hrs. prior to surgical incision

4115F 1P: Documentation of Medical Reason

for not administering Beta Blocker

4115F 8P: Beta Blocker not administered,

reason not otherwise specified

ASA 10: Composite Anesthesia Safety

ASA10A: No Serious adverse event

ASA10B: Serious adverse event

PQRS 76: CVC related Bloodstream Infections

6030F: All elements of sterile barrier

techniques followed

6030F 1P: Medical Reason for not following

sterile barrier techniques

6030F 8P: Sterile Barrier Techniques not

followed, reason not otherwise specified

ASA 13: PACU Reintubation Rate

ASA13H: Procedure under General Anesthesia

by an SGA or ETT

ASA13J: SGA or ETT was removed in OR or PACU

ASA13A: Pt required new airway management

prior to PACU D/C

ASA13B: Pt did not require new airway

management

ASA13G: Pt received a planned trial of

extubation

PQRS 404: Smoking Abstinence

G9642: Current Cigarette Smoker

G9643: Elective Surgery

G9497: Seen preoperatively by

anesthesiologist or proxy prior to day of

surgery

G9644: Pt abstained from smoking

G9645: Pt DID NOT abstain from smoking

ASA 15: Composite Procedural Safety for Central Line

Placement

ASA15B: Pt did not experience arterial injury

ASA15A: Pt experienced arterial injury

PQRS 426: Transfer of Care to PACU

G9656: Pt transferred directly from

anesthetizing location to PACU

G9657: Transfer of care during an anesthetic

to the ICU

G9655: Transfer of Care Checklist Used

G9658: Transfer of Care Checklist NOT Used

ASA 16: Composite Patient Experience

ASA16A: Pt provided with survey to assess their

experience and satisfaction with anesthesia

ASA16B: Patient was NOT provided a survey

ASA16F: Pt unable to be surveyed (cognitive

impairment)

ASA16G: Unable to provide survey in patient’s

preferred language

ASA 8: Post-Operative Vomiting (Peds)

ASA08A: Pt received general anesthetic with

inhalational anesthetic for maintenance

ASA08B: 2 or more risk factors for POV

4558F: Pt received at least 2 prophylactic

anti-emetics of different classes pre-op and

intra-op

4558F 1P: Medical Reason for not

administering combination therapy (e.g.

intolerance)

4558F 8P: Combination therapy not

administered

ASA 38: New Corneal Injury not diagnosed in PACU

ASA38A: No New Exposure Keratitis or Corneal

abrasion in PACU or Recovery

ASA38B: NEW exposure keratitis or corneal

abrasion


Page 12 of 39



Quality Reporting – Roles and Responsibilities (NACOR) is an approved Qualified Registry (QR) and Qualified Clinical Data Registry (QCDR)

for the Centers for Medicare & Medicaid Services (CMS) 2016 PQRS reporting. Regardless

of the reporting option chosen, participating in PQRS can be a challenging exercise requiring

coordination and input from multiple parties.

Each practice is ultimately responsible for:

Understanding PQRS reporting and performance requirements,

The quality of data submitted to NACOR

Monitoring PQRS reporting compliance via NACOR dashboard reports; and

Meeting NACOR deadlines (see page 30).

Because NACOR is dependent on the quality of data it receives from its participants, it is

important that each party understand their roles and responsibilities to submit the highest

level of data integrity as well as helping practices successfully meet PQRS reporting

requirements.

ASA/AQI Roles and Responsibilities:

Offer two methods for CMS PQRS reporting – QR and QCDR

Support a wide range of anesthesia measures for each reporting option and a variety of

practice settings

Provide resources to help practices navigate the complexities of PQRS reporting:

o Website resources

o Monthly webinars followed by Q & A

o Responses to measures questions via email: [email protected]

o Sample quality capture forms (see pages 9 and 11)

o Vendor list – AQI maintains a list of vendors on its website that have tested their

ability to meet NACOR’s file formatting and content requirements. Because each

practice is unique, practices are responsible for verifying a vendor’s ability to

successfully submit data on their behalf. AQI in no way endorses, certifies,

guarantees or warrants the services of any listed vendor.

o Dashboard reports to help practices monitor QCDR/QR measure compliance

o Submission of QR and QCDR files to CMS in accordance with regulatory requirements


http://www.asahq.org/quality-and-practice-management/quality-reporting-nacor

http://www.asahq.org/quality-and-practice-management/quality-reporting-nacor/reporting-resources


Page 13 of 39



Practice Roles and Responsibilities:

Chose a physician anesthesiologist or other quality champion to manage and oversee the

practice quality reporting activities. These activities typically include the following:

Select a reporting option – QCDR or QR

Identify measures that are reportable for all of the practice’s eligible providers

Operationalizing the data collection, data formatting, and data submission processes:

o Determine whether the practice will utilize the service(s) of a vendor(s) or in-house IT

staff. When making this decision a variety of factors may be considered including the

type of IT support available within the practice, the IT systems the practice already

has in place and the amount of time the quality champion can dedicate to the

project.

Check TIN and NPI numbers for completeness and accuracy

Be aware of and meet AQI deadlines (see page 30)

Take advantage of the resources ASA/AQI provides:

o Review online QR/QCDR reports on a monthly basis to identify potential gaps. Follow

up with your EPs, in-house IT staff or vendor(s), and take the necessary corrective

action.

o Participate in ASA Quality Reporting Virtual Office Hours

o Read AQI listserv communications and follow recommended actions

Responsibilities that often require collaboration between the Practice and its IT staff or

Vendor(s):

Establish a quality control process with the practice’s vendor(s) or in-house IT staff.

Merge data from multiple sources into one file prior to submission to AQI.

o If it is not possible to submit one merged file, and separate files from multiple

sources will be submitted, the champion should confirm with their vendor or in-house

IT staff that a uniformly named episode of care ID (page 19) is located in each file.

Prior to submission of files to NACOR, the practice and its vendor(s) or internal IT staff

should verify the accuracy of the file formatting, content, and inclusion of the episode of

care ID.

o Files that do not contain the necessary episode of care ID cannot be accurately

merged and therefore will be rejected by AQI.

o Files that do not meet NACOR’s file format or content requirements will not be

accepted.



https://www.aqihq.org/vendorsQCDRHelp.aspx

https://www.aqihq.org/vendors.aspx

Page 14 of 39



Creating Your Data File NACOR collects data from anesthesia practices and hospitals through data extracts

developed by software vendors or reports generated by the practice and/or hospital. Your

practice will have access to QR or QCDR reports which will assist you in monitoring your

providers’ measures compliance.

The minimum level of data required to participate in NACOR is Data Types 1 and 2 below.

Every anesthesia practice has this information available. Type 1 data is self-reported

through the AQI website. Type 2 data is available in any billing system. Type 3 data is the

applicable measure codes for each PQRS or ASA/QCDR Measure.

Data Type 1: Practice information: practice information, Practice Champion information,

data submission contacts (i.e., vendor or practice name), provider data (i.e., provider ID,

staff role, DOB, NPI, TIN, quality reporting option) and facility information (name, facility

location, facility type). SOURCE: The practice is issued a members-only login and the

information is entered via the AQI website. This information is collected one time, but

periodic updates are recommended to reflect group demographic changes.

Data Type 2: Case-specific data (minimum data requirement) in several tiers: simple (e.g.,

CPT code, anesthesia type, provider ID number, patient age), moderate (e.g., duration of

surgery, agents used). SOURCE: Administrative and billing data from the practice billing

software. Optional complex data (e.g., output from AIMS with vital signs, fluids, drug doses).

Data Type 3: Quality Reporting measure specific codes. Examples of the codes follow:

PQRS: Category II CPT or HCPCS codes (i.e., 6030F 1P or 0583F)

ASA/QCDR: ASA Measure codes (i.e., ASA11A or ASA16F)

Practices may use an AQI QCDR Ready Vendor or have their in-house IT staff create the XML-

formatted file (see pages 16-27). The table on page 15 shows the required minimum data

fields for Qualified Registry (QR) and Qualified Clinical Data Registry (QCDR) reporting

options.

XML file format testing is required prior to file submission. Please use the applicable XML

sample file validator.


http://www.asahq.org/quality-and-practice-management/quality-reporting-nacor/vendors

https://www.aqihq.org/vendorsqcdrhelp.aspx


Page 15 of 39



NACOR Minimum Data Fields

Data Element Location in

XML Schema

NACOR

(Declined

QR or QCDR)

Qualified

Registry

Qualified

Clinical Data

Registry

Unique Anesthesia Episode of Care

ID

<AnesthesiaRecordID>

Staff ID <StaffID>

Staff Role (MD, DO, CRNA, AA) <StaffRole>

Staff NPI Number <NPI>

Facility ID <FacilityID>

Date of Service <AnesthesiaStartTime>

Anesthesia Start Time <AnesthesiaStartTime>

Anesthesia End Time <AnesthesiaEndTime>

Patient Gender <Gender>

Patient age or Date of Birth

<DOB> or <Age>

Anesthesia Type (General, MAC,

etc.)

<AnesthesiaCategory>

ASA Physical Status (E Designator

when appropriate)

<ASAClass>

Surgical CPT Code <CPTValue>

Payment Code (i.e., Medicare) <PaymentCode>

PQRS Measure Number * <QCDRMeasure>

ASA Measure Number <QCDRMeasure>

PQRS Measure Code*

(i.e., 0581F)

<QCDRCodeValue>

ASA Measure Code

(i.e., ASA10A)

<QCDRCodeValue>

Modifier (1P or 8P, if applicable)* <QCDRModifier>

Denominator Exclusion*

<QCDRDenomExclusion>

ASA CPT Code (If billing vendor does

not collect Surgical CPT codes ok to

send ASA CPT code)

<CPTAnesValue>

ICD10 (Required if part of the

denominator criteria for a measure)

<ICDValue>

*Note: Measures reported for Qualified Registry (QR) should use the XML QCDR Node Set


Page 16 of 39



2016 QR/QCDR AQI NACOR XML Specifications

XML Element Description Example Data

Element Valid Values Data Type

Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<AnesthesiaRecords> Opening tag for all anesthesia records. This

tag contains no data.

<AnesthesiaRecords

xmlns="https://www.aqihq.or

g/AQIXMLResources/AQISche

ma.xsd">

N/A Yes Yes

<RecordHeader> Sub-element of the anesthesia records

element. This tag contains no data.

N/A Yes Yes

<PracticeID> Sub-element of the record header element.

The practice identification number generated

by AQI/ArborMetrix upon initial registration.

<PracticeID>3</PracticeID> Unique

practice

identifier

assigned by

AQI /

ArborMetrix

Incremental integer {1-

9999}

Number 4 Yes Yes

<CreatedBy> Sub-element of the record header element.

The name of the organization or entity who

created the file.

<CreatedBy>AQITestProcess<

/CreatedBy>

Organizatio

nal Name

generating

the file

Free-form text Character 150 Yes Yes

<CreateDate> Sub-element of the record header element.

The date and time the file was created.

<CreateDate>1900-01-

01T13:00:00.000</CreateDa

te>

Date/Time

the file was

generated

ISO 8601 Standard

Date/Time format

YYYY-MM-

DDThh:mm:ss[.mmm]

Date time 23 Yes Yes

</RecordHeader> Closing tag for the record header element.

This tag contains no data.

N/A Yes Yes

<AnesthesiaRecord> Sub-element of the anesthesia records


N/A Yes Yes

<Demographic> Sub-element of the anesthesia record


N/A Yes Yes


Page 17 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<PatientID> Sub-element of the demographic element.

The patient specific identification number

generated or used by the anesthesia

practice's billing software to indicate which

patient the procedure/case was performed.

Note, this value should not be equal to and is

not the patient medical record number.

<PatientID>Patient123</Pati

entID>

Note: When PatientID value is

null use <PatientID

xmlns:nil="true" />

Unique

patient

identifier

(Not MRN)

Alphanumeric free-form

text

Character 25 No* No*

<DOB> Sub-element of the demographic element.

The month, day, and year on which the

patient was born.

<DOB>1900-01-01</DOB>

Note: When DOB value is null,

omit this element.

Patient date

of birth

ISO 8601 Standard Date

format

YYYY-MM-DD

Date 10 No† No†

<Gender> Sub-element of the demographic element.

The biological sex at birth. The World Health

Organization (WHO) summarizes the issue as

follows: "Sex refers to the biological and

physiological characteristics that define men

and women. Gender refers to the socially

constructed roles, behaviors, activities, and

attributes that a given society considers

appropriate for men and women." Oct 21,

2011.

<Gender>F</Gender> Patient sex F

M

Other

Unknown

Character 7 Yes Yes

</Demographic> Closing tag for the demographic element.


N/A Yes Yes

<Procedure> Sub-element of the anesthesia record


N/A Yes Yes

<ProcedureID> Sub-element of the procedure element. The

practice specific identification number


practice's billing software to indicate which

procedure/case was performed.

<ProcedureID>ProcedureID1<

/ProcedureID>

Unique

procedure

identifier


text

Character 50 No* No*

<FacilityID> Sub-element of the procedure element. The

practice specific identification number


practice's billing software to indicate in what

facility the procedure/case was performed.

<FacilityID>FacilityID1</Facili

tyID>

Unique

facility

identifier


text

Character 50 Yes Yes


Page 18 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<ProcStatus> Sub-element of the procedure element. The

value specifying the state of the

procedure/case which was performed.

<ProcStatus>Emergency</Pr

ocStatus>

Procedure

Status

Ambulatory

Elective

Emergency

Emergent

Other

Unknown

Urgent

Character 10 Yes‡ Yes‡

<CPTSet> Sub-element of the procedure element.

Opening tag for the set of CPT codes. This tag

contains no data.

Note: When not submitting

surgical CPT codes, omit this

set.

N/A No No

<CPT> Sub-element CPT set element. Opening tag

for the CPT code data. This tag contains no

data. This tag is required only if it's parent tag

CPTSet is present.

N/A Yes Yes

<CPTRank> Sub-element of the CPT element. Order of

precedence for codes submitted. Rank 1 is

the CPT code representing the primary

procedure billed.

<CPTRank>1</CPTRank> CPT code

rank


9999}

Number 4 Yes Yes

<CPTValue> Sub-element of the CPT element. The Current

Procedural Terminology (CPT) code set

describes medical, surgical, and diagnostic

services and is designed to communicate

uniform information about medical services

and procedures among physicians, coders,

patients, accreditation organizations, and

payers for administrative, financial, and

analytical purposes.

<CPTValue>93313</CPTValu

e>

Category I &

III codes

Regular Expression: ^([0-

9]{4,4}[T0-9])$

Character 5 Yes Yes

<CPTModifier> Sub-element of the CPT element. CPT

modifiers provide additional information

about the procedure performed.

<CPTModifier>59</CPTModifi

er>

Note: When CPT modifier

value is null use <CPTModifier

xmlns:nil="true" />

Modifiers

for Category

I codes

Regular Expression: ^([A-

Z0-9]{2,2})$

Character 2 No No

</CPT> Closing tag for the CPT element. This tag

contains no data.

N/A

</CPTSet> Closing tag for the CPT set element. This tag

contains no data.

N/A

</Procedure> Closing tag for the procedure element. This


N/A


Page 19 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<AnesthesiaCase> Sub-element of the anesthesia record


N/A

<AnesthesiaRecordID> Sub-element for the anesthesia case

element. The primary key number internally

generated by the anesthesia practice from

the billing or electronic medical/health record

related to the episode of anesthetic care.

This is not the identifiable medical record

number

<AnesthesiaRecordID>Anesth

esiaRecordID1</AnesthesiaR

ecordID>

Unique

Anesthesia

Episode of

Care ID (an

anesthesia

case ID for

episode of

care)


text


<AnesthesiaStaffSet> Sub-element of the anesthesia case element.


N/A Yes Yes

<AnesthesiaStaff> Sub-element of the anesthesia staff set


N/A Yes Yes

<StaffID> Sub-element of the anesthesia staff element.

The practice specific provider/staff

identification number generated or used by

the anesthesia practice's billing software to

indicate the provider/staff that participated

in the procedure/case.

<StaffID>StaffID1</StaffID> Provider ID Alphanumeric free-form

text


<NPI> Sub-element of the anesthesia staff element.

The standard unique health identifier for

health care providers as mandated by the

Health Insurance Portability and

Accountability (HIPAA) Act of 1996.

<NPI>1234567890</NPI> Provider NPI Provider NPI (National

Provider Identification)

Number

Number 10 Yes Yes


Page 20 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<Staff Role> Sub-element of the anesthesia staff element.

Identifies the provider credentials.

<StaffRole>MD-

Anesthesiologist</StaffRole>

Staff

credentials

Certified Anesthesiologist

Assistant

Certified Registered Nurse

in Anesthesia (CRNA)

DO-Anesthesiologist

Fellow (Anesthesiology)

MD-Anesthesiologist

Surgeon

Nurse Practitioner

Physician Assistant

Registered Nurse (RN)

Resident (Anesthesia)

Student Registered Nurse

in Anesthesia (SRNA)


</AnesthesiaStaff> Closing tag for the anesthesia staff element.


N/A

</AnesthesiaStaffSet> Closing tag for the anesthesia staff set


N/A

<AnesthesiaMethodSet> Sub-element of the anesthesia case element.


N/A Yes Yes

<AnesthesiaMethod> Sub-element of the anesthesia method set


N/A Yes Yes


Page 21 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<AnesthesiaCategory> Sub-element of the anesthesia method

element. The anesthesia technique used for

the procedure/case.

<AnesthesiaCategory>Genera

l</AnesthesiaCategory>

Anesthesia

type

Neuraxial

Neuraxial-Combined

Spinal and Epidural

Neuraxial-Epidural

Neuraxial-Spinal

General Anesthesia

General Anesthesia-

Volatile Inhalational Agent

General Anesthesia-Total

Intravenous Anesthesia

Monitored Anesthesia

Care


Care with Local

Anesthesia


Care with Sedation


Care with Topical

Anesthesia

Regional


<AnesthesiaStartTime> Sub-element of the anesthesia method

element. The month, day, and year on which

the procedure/case/episode of care took

place

Time when the anesthesia team assumes

continuous care of the patient and begins

preparing the patient for an anesthetic.

<AnesthesiaStartTime>1900-

01-

01T01:01:01</AnesthesiaSta

rtTime>

Date of

service &

anesthesia

start time

ISO 8601 Standard

Date/Time format

YYYY-MM-

DDThh:mm:ss[.mmm]


<AnesthesiaEndTime> Sub-element of the anesthesia method

element. The month, day, and year on which

the procedure/case/episode of care took

place

Time at which anesthesiologist turns over

care of the patient to a post anesthesia care

team (either PACU or ICU).

<AnesthesiaEndTime>1900-

01-

01T01:01:01</AnesthesiaEn

dTime>

Date

anesthesia

ended &

anesthesia

end time

ISO 8601 Standard

Date/Time format

YYYY-MM-

DDThh:mm:ss[.mmm]


</AnesthesiaMethod> Closing tag for the anesthesia method


N/A


Page 22 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

</AnesthesiaMethodSet> Closing tag for the anesthesia method set


N/A

<CPTAnessSet> Sub-element of the anesthesia case element.


Note: When not submitting

anesthesia CPT codes, omit

this element set.

N/A No No

<CPTAnes> Sub-element of the CPT aness set. This tag

contains no data.

N/A Yes Yes

<CPTAnesValue> Sub-element of the CPT anes element. The

Current Procedural Terminology (CPT) code

set describes medical, surgical, and

diagnostic services and is designed to

communicate uniform information about

medical services and procedures among

physicians, coders, patients, accreditation

organizations, and payers for administrative,

financial, and analytical purposes.

<CPTAnesValue>00562</CP

TAnesValue>

Category I

codes

Regular Expression:

^([0|1][0-9]{4,4})$

Character 5 Yes Yes

<CPTAnesModifer> Sub-element of the CPT anes element. CPT

modifiers provide additional information

about the procedure performed.

<CPTAnesModifer>QK</CPTA

nesModifer>

Note: When CPT anes

modifier value is null use

<CPTAnesModifer

xmlns:nil="true" />

Modifiers

for Category

I codes


Z0-9]{2,2})$

Character 2 No No

</CPTAnes> Closing tag for the CPT anes element. This


N/A

</CPTAnessSet> Closing tag for the CPT aness set element.


N/A

</AnesthesiaCase> Closing tag for the anesthesia case element.


N/A

<PreOp> Sub-element of the anesthesia record


N/A Yes Yes

<Age> Sub-element of the PreOp element. The

length of time that the patient has lived from

birth to the date of service in years.

<Age>25</Age> Patient age Incremental integer {0-

110}

Number 3 Yes† Yes†


Page 23 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<ASAClass> Sub-element of the PreOp element. American

Society of Anesthesiologists Physical Status

Classification System Oct 15, 2014.

www.asahq.org/resources/clinical-

information/asa-physical-status-

classification-system.

<ASAClass>IIIE</ASAClass> ASA

Physical

Status

I

IE

II

IIE

III

IIIE

IV

IVE

V

VE

VI

VIE

Character 4 Yes Yes

<ICDSet> Sub-element of the PreOp element. This tag

contains no data.

Note: When child elements

are null, use <ICDSet

xmlns:nil="true" />

N/A No No

<ICD> Sub-element of the ICD set element. This tag

contains no data.

N/A No⁰ No⁰

<ICDRank> Sub-element of the ICD element. Order of


the ICD code representing the primary

diagnosis used to identify the diagnosis

related group (DRG).

<ICDRank>1</ICDRank> ICD

Diagnosis

Rank


9999}

Number 4 No⁰ No⁰

<ICDValue> Sub-element of the ICD element. ICD

(International Classification of Diseases) is a

set of codes used to indicate patient

diagnosis, comorbidities and during any

medical encounter.

<ICDValue>V25.11</ICDValu

e>

ICD

Diagnosis

Code


TV-Z][0-9][A-Z0-9])(\.[A-Z0-

9]{1,4})?$

Character 8 No⁰ No⁰

<ICDVersion> Sub-element of the ICD element. ICD version

used (ICD9 or ICD10).

<ICDVersion>9</ICDVersion> ICD

Diagnosis

version

Incremental integer {9-10} Number 2 No⁰ No⁰

</ICD> Closing tag for the ICD element. This tag

contains no data.

N/A

</ICDSet> Closing tag for the ICD set element. This tag

contains no data.

N/A

</PreOp> Closing tag for PreOp element. This tag

contains no data.

N/A


Page 24 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<IntraOp> Sub-element of anesthesia record element.



are null, use <IntraOp

xmlns:nil="true" />

NA Yes Yes

<PostOp> Sub-element of anesthesia record element.


N/A Yes Yes

<PaymentMethod> Sub-element of PostOp element. This tag

contains no data.

N/A Yes Yes

<PaymentCode> Sub-element of the payment method

element. The primary way in which a health

care provider is compensated for services

provided.

<PaymentCode>Government:

Medicare Fee for Service -

Part B</PaymentCode>

Payment

method

Charity

Commercial

Government: Medicaid

Government: Medicare

Fee for Service - Part A


Fee for Service - Part B


Fee for Service - Part C

Government:

Military/Veterans

Government: Other

Other

Self-Pay

Unknown

Worker’s Compensation

Yes Yes


Page 25 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<PaymentDescription> Sub-element of the payment method

element. The secondary way in which a

health care provider is compensated for

services provided.

<PaymentDescription>Comm

ercial</PaymentDescription>

Note: When the payment

description element is null,

omit this element.

Payment

method

Charity

Commercial








Government:

Military/Veterans

Government: Other

Other

Self-Pay

Unknown


No No

<PaymentDescriptionSec> Sub-element of the payment method

element. The tertiary way in which a health

care provider is compensated for services

provided.

<PaymentDescriptionSec>Sel

f-

Pay</PaymentDescriptionSec

>


description sec element is

null, omit this element.

Payment

method

Charity

Commercial








Government:

Military/Veterans

Government: Other

Other

Self-Pay

Unknown


No No


Page 26 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<PaymentDescriptionTh> Sub-element of the payment method

element. The quaternary way in which a

health care provider is compensated for

services provided.

<PaymentDescriptionTh>Gov

ernment:

Other</PaymentDescriptionT

h>


description th element is null,

omit this element.

Payment

method

Charity

Commercial








Government:

Military/Veterans

Government: Other

Other

Self-Pay

Unknown


No No

</PaymentMethod> Closing tag for payment method. This tag

contains no data.

N/A

<ICDSet> Sub-element of the PostOp element. This tag

contains no data.


are null, use <ICDSet

xmlns:nil="true" />

N/A No⁰ No⁰

<ICD> Sub-element of the ICD set element. This tag

contains no data.

N/A No⁰ No⁰

<ICDRank> Sub-element of the ICD element. Order of


the ICD code representing the primary

procedure used to identify the diagnosis

related group (DRG).

<ICDRank>1</ICDRank> ICD

Procedure

Rank


9999}

Number 4 No⁰ No⁰

<ICDValue> Sub-element of the ICD element. ICD

(International Classification of Diseases) is a

set of codes used to indicate patient

procedure during any medical encounter.

<ICDValue>V25.11</ICDValu

e>

ICD

Procedure

Code


Z0-9]{7})$

Character 7 No⁰ No⁰

<ICDVersion> Sub-element of the ICD element. ICD version

used (ICD9 or ICD10).

<ICDVersion>9</ICDVersion> ICD

Procedure

version

Incremental integer {9-10} Number 2 No⁰ No⁰


Page 27 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

</ICD> Closing tag for the ICD element. This tag

contains no data.

N/A

</ICDSet> Closing tag for the ICD set element. This tag

contains no data.

N/A

</PostOp> Closing tag for the Post Op element. This tag

contains no data.

N/A

<OutcomesEvents> Sub-element of the anesthesia record



are null, use <OutcomeEvents

xmlns:nil="true" />

N/A No Yes

<QCDRSet> Sub-element of the outcomes events



are null, omit this element

set.

The QCDR set will be used for

quality report for both QR and

QCDR programs.

N/A No Yes

<QCDR> Sub-element of the QCDR set element. This


N/A No Yes

<QCDRMeasure> Sub-element of the QCDR element. The

measures’ listed identification number

supplied by CMS / AQI.

<QCDRMeasure>ASA08</QC

DRMeasure>

Measure

Number

Regular Expression:

^(ASA[0-9]{2,2}?(PQRS[0-

9]{3,3})$

Note: The QR program only

accepts PQRS measures,

The QCDR program

accepts both PQRS and

ASA measures.

Character 6 No Yes

<QCDRCodeValue> Sub-element of the QCDR element. The

quality tracking codes (CPT II, HCPCS, or ASA)

which facilitate data collection for the

purposes of performance measurement.

<QCDRCodeValue>4558F</Q

CDRCodeValue>

CPT II code,

HCPCS

code, or ASA

Measure

code

Regular Expression:

^(ASA[0-9]{2,2}[A-Z])?([0-

9]{4,4}F)?(G[0-9]{4,4})?$

Character 6 No Yes

<QCDRModifier> Sub-element of the QCDR element. Quality

code modifiers provide additional information

about the quality data captured.

<QCDRModifier>8P</QCDRM

odifier>


are null, use <QCDRModifier

xmlns:nil="true" />

Quality code

modifier

Regular Expression:

^(1|8)P$

Character 2 No No


Page 28 of 39





Field

Size

Data

Required

for

NACOR

Data

Required

for QR /

QCDR

<QCDRDenomExclusion> Sub-element of the QCDR element. Measure

defined denominator exclusions. This

element is not used.

This element currently is not

used. Use

<QCDRDenomExclusion

xmlns:nil="true" />

Quality

measure

exclusion

Free-form text Character 50 No No

<QCDRMeasureNotes> Sub-element of the QCDR element. Quality

measure reported notes.

<QCDRMeasureNotes>Enter

some note

here</QCDRMeasureNotes>

Note: When the QCDR

measure notes element is null

use <QCDRMeasureNotes

xmlns:nil="true" />

Quality

measure

notes

Free-form text Character 150 No No

</QCDR> Closing tag for the QCDR element. This tag

contains no data.

N/A

</QCDRSet> Closing tag for the QCDR set element. This


N/A

</OutcomesEvents> Closing tag for the outcomes events element.


N/A

</AnesthesiaRecord> Closing tag for the anesthesia record


N/A

</AnesthesiaRecords> Closing tag for the anesthesia records


N/A

* Patient identifier, Procedure identifier may be used as additional fields for matching disparate data sources. These values will be required if AQI/ArborMetrix is performing the merger of disparate

data.

† One of patient age or date of birth is required, not both. Both may be submitted.

‡ Procedure status: Emergency is used as denominator exclusion for many ASA measures used in quality reporting to CMS. This value is usually captured as part of ASA physical status as the "E"

designator, but some systems are not able to concatenate "E" with the ASA physical status Roman numeral appropriately.

⁰ ICD codes are only needed if the EP intends on reporting PQRS measures which use ICD values in the specification's denominator. If reporting ICD code values, all ICD elements are required.


Page 29 of 39



Uploading data to NACOR It is recommended that data is uploaded to NACOR at least monthly in order to take

advantage of the QR or QCDR reports for measure compliance.

All files must be placed on NACOR servers. AQI will not pull files from vendors or practices.

File Review and Notification The following file errors will result in data not being loaded into NACOR:

Non-XML file format

Multiple files without the required ID in both files

Files where staff IDs and facility IDs do not match what was provided in the practice

roster upon contracting

Files that do not meet the minimum data field requirements to meet CMS measure

specifications

Files without NPI numbers

Qualified Registry files without payment type

Files that do not meet the 2016 Quality Reporting deadlines listed on page 30

More information on XML file format specifications and test file validation can be found

at: aqihq.org/vendorsQCDRHelp.aspx.

Notifications will be sent with the following conditions:

Success

Production file processed successfully and placed in the queue for processing

Test file validated against XSD successfully but not placed in the queue for

processing

Error

File dropped in a folder other than ‘testupload’ or ‘produpload’

File does not have a ‘.xml’ or ‘.zip’ extension

File does not pass XSD validation

File data fails to load into the staging environment

File data fails to be placed in the queue

A Help Desk ticket will be automatically generated based on the Error messaging.

The FTP contact and Practice Champion will receive an email if there are problems loading a

file. It is the practice/vendor’s responsibility to correct errors and resubmit a production file.


http://aqihq.org/vendorsQCDRHelp.aspx

Page 30 of 39



Further Support Please contact [email protected] for further assistance.

Data Transmission AQI leverages a secure SSH/SFTP server setup through which practices and responsible

vendors submit participant data to NACOR. Access to this server can be obtained directly

from the Practice Champion. Please contact the Practice

Champion you are submitting on behalf of to obtain a user ID

and password for an FTP account on the NACOR platform.

The Practice Champion grants FTP permission by logging in

and checking the box in the “User List” (as pictured).

If you are submitting on behalf of multiple practices, please contact

[email protected].

When your NACOR account is created, you will receive an account activation email with a

secure link to the platform that remains active for 48 hours. Upon activation, you will be

required to establish your password. Do not share your credentials with others.

The FTP server information is below:

Host: sftp://data.arbormetrix.com

Port: 22

Protocol: SFTP – SSH File Transfer Protocol

Logon Type: Normal

User: The username is on the FTP Account page on the AQI application for users who have

been granted authorization as an “FTP account user”. To view this page, click on your

username in the top right corner of the AQI application and click FTP Account. The username

is listed at the top of the FTP Account page.




Page 31 of 39



Password: The password is the same as the FTP account user’s password for the AQI

application.

FTP Folder Structure Users place files in the appropriate folder for transmission to ArborMetrix. Here are

descriptions of the available folders for each site:

Applicationuploads: Folder for uploading data to import into the registry. Subfolders below:

produpload: Upload data to production. This data gets integrated into the application.

testupload: Upload data for acceptance testing. This data does not get integrated

into the application.

Dropbox: Mutually exchange files via this “dropbox.” Files are removed after 90 days.


Page 32 of 39



2016 Quality Reporting Deadlines

2016 deadlines for practices registered for ASA Quality Reporting.

In order to report using the Quality Reporting service, contracts must be executed for

participation in both NACOR and the Quality Reporting service:

Deadlines

Registration for Quality Reporting

October 31, 2016

One month of production data (includes

measure codes)

Within 60 days of contract signing

January – November 2016 Data

January 31, 2017

December 2016 Data

February 15, 2017


Page 33 of 39



Quality Reporting Data Reports

There are six reports available to track your provider’s measure compliance:

1. TIN Summary


Page 34 of 39



2. Measure Summary


Page 35 of 39



3. Provider Summary


Page 36 of 39



4. Measure Detail


Page 37 of 39



5. Cases by Provider and Month


Page 38 of 39



6. QCDR Benchmark


Page 39 of 39



Resources

2016 QCDR Measure Specifications

2016 PQRS Measure Specifications

2016 QR versus QCDR Measures

AQI QCDR Ready Vendors

Resources for Developers

XML File Format Validator

Sample Qualified Registry Data Capture Form

Sample Qualified Clinical Data Registry Data Capture Form

Quality Reporting Interest Form

Quality Reporting Registration Process

Quality Reporting Office Hours

Send your questions to:

Quality Reporting Registration questions: [email protected]

General Questions regarding AQI Participation: [email protected]

Technical Questions (Data Format, Report Questions): [email protected]

Regulatory and Measure-Related questions: [email protected]


https://www.aqihq.org/files/2016%20AQI%20non-PQRS%20Measures%20Narrative_FINAL_2016-04-21.pdf


https://www.aqihq.org/files/measures-available-for-qr-vs-qcdr.pdf

http://www.asahq.org/quality-and-practice-management/quality-reporting-nacor/vendors

https://www.aqihq.org/vendorsQCDRHelp.aspx


https://www.aqihq.org/files/2016%20QR_SAMPLE_Data%20Capture%20Form.pdf

https://www.aqihq.org/files/2016%20QCDR_SAMPLE_Data%20Capture%20Form_updated%20041116.pdf

https://extranet.asahq.org/public/Lists/QCDR%20Readiness%20Form/NewForm.aspx?Source=https%3a//extranet.asahq.org/public/Lists/QCDR%2520Readiness%2520Form/AllItems.aspx&RootFolder

http://www.asahq.org/quality-and-practice-management/quality-reporting-nacor/sign-up






Documents

NACOR USER GUIDE FOR 2016 QUALITY REPORTING