Articles  |   August 2016
AQI Reports
Author Affiliations
  • Emily Richardson, M.D.
    Committee on Practice Quality Improvement
Article Information
Patient Safety / Practice Management / Advocacy and Legislative Issues / Quality Improvement / Articles
Articles   |   August 2016
AQI Reports
ASA Monitor 08 2016, Vol.80, 50-51.
ASA Monitor 08 2016, Vol.80, 50-51.
Collection of data is all well and good, but improvement in patient outcomes requires the ability to turn information into action. The AQI Practice Quality Improvement Committee (PQIC) will collect and present examples of this principle so that all of us can learn from those who are doing it well. Learn more about quality improvement at
On April 27, 2016, the Department of Health and Human Services issued a Notice of Proposed Rulemaking to implement key provisions of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. MACRA is bipartisan legislation that replaces the flawed Sustainable Growth Rate formula by paying clinicians for the value and quality of care they provide.1  The proposed rule would implement the changes required by MACRA through a new system called the Quality Payment Program (QPP). The goal of the QPP is to continue to support health care quality, efficiency and patient safety.2  The QPP includes two provider reimbursement programs, the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Most Medicare clinicians will initially participate in the QPP through the MIPS.3  Under MIPS, the Physician Quality Reporting System (PQRS), Value-based Payment Modifier (VBM) and the Electronic Health Record Incentive Program (Meaningful Use) will be rolled into one program. In addition, a fourth component, Clinical Practice Improvement Activities (CPIA), will be added to promote ongoing improvement and innovation in clinical practice. There has been much speculation as to what the potential role of Qualified Clinical Data Registries (QCDRs) within the MIPS and specifically within the CPIA performance category will be. The purpose of this article is to provide an overview of the CPIA requirements and describe how participation in a QCDR can help meet those requirements.
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