AAOS Receives 2018 QCDR Designation From CMS

AAOS Orthopaedic Quality Resource Center to have 38 measures and help surgeons with MIPS

Rosemont, Ill. (January 29, 2018) — The American Academy of Orthopaedic Surgeons (AAOS) Orthopaedic Quality Resource Center has been designated as a qualified clinical data registry (QCDR) by the Centers for Medicare & Medicaid Services (CMS) for 2018. In 2017, AAOS integrated with the American Joint Replacement Registry (AJRR), the national hip and knee registry, and inherited the QCDR. The Orthopaedic Quality Resource Center has been designated as a QCDR since 2014, and can help eligible professionals (EPs) and group practices receive positive payment adjustments and avoid penalties under the Merit-based Incentive Payment System (MIPS) component of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

The AAOS Orthopaedic Quality Resource Center is a collaboration between AJRR, the American Association of Hip and Knee Surgeons (AAHKS), the Orthopaedic Trauma Association (OTA), and the American Orthopaedic Association’s (AOA) Own the Bone program. The QCDR is held on a platform developed by Premier Inc. This is the first year that AAOS has been involved in the expansion of the measures.

“The AJRR is pleased to announce that the Orthopaedic Quality Resource Center has been designated as a QCDR once again for 2018,” said AJRR Steering Committee Chair Kevin J. Bozic, MD, MBA. “Our partnership with other orthopaedic organizations focused on improving value for patients has allowed us to offer a great resource for surgeons in past years. And now, with the support of AAOS we can use their expertise to inform the measures our QCDR collects.”

The 2018 AAOS Orthopaedic Quality Resource Center will have 38 measures, including three AAHKS-sponsored hip and knee measures and the AAOS’ 2017 Orthopaedic Preferred Specialty (OPS) List. The AOA’s Own the Bone program has also provided measures that will remain as part of the platform. The 2017 OPS List’s measures were selected because they are not burdensome to report and are very relevant to the majority of orthopaedic surgeons. The AAOS QCDR can be used by EPs across all orthopaedic specialties.

QCDRs can submit quality data directly to CMS, which is essential to surgeons for them to satisfy the requirements of the MIPS track of MACRA. There are a few situations that exclude orthopaedic surgeons from being eligible to meet MIPS, but most surgeons are expected to either participate or face a penalty on Medicare Part B claims. MIPS participants can either earn a positive or negative reimbursement. The payment adjustment percentages will increase each performance year, eventually becoming a 9 percent positive or negative payment adjustment on 2020 program year data. High performers in 2020 will potentially be able to earn a positive adjustment three times that at 27 percent.

“CMS changed its QCDR application process, and organizations are now designated five months sooner,” continued Dr. Bozic. “This gives more opportunities for surgeons to submit MIPS data, and therefore more chances to implement improvement in the value delivered to patients in a way that will benefit their practice and patients, and potentially result in financial remuneration. One of AAOS’ primary goals is to facilitate high value patient care among its members with patient outcome registries, and the designation of the Orthopaedic Quality Resource Center will set the precedent for more progress to come.”

The AAOS Orthopaedic Quality Resource Center can be accessed at www.medconcert.com/AJRR.

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