Improving Healthcare Quality with Clinical Performance Registry

What is a Registry?

A Qualified Registry (QR) is an entity approved by the Centers for Medicare and Medicaid Services (CMS) to collect and report quality data from multiple clinicians and practice sites. A Qualified Clinical Data Registry (QCDR) is also an entity approved by CMS to report clinician quality data but also demonstrates clinical expertise and experience in creating, developing and testing new quality measures. Our Clinical Performance Registry serves as an umbrella term encompassing two QCDRs and a Qualified Registry:

• Emergency- Clinical Performance Registry (E-CPR): focused on emergency medicine and urgent care clinicians.
• Hospitalist-Clinical Performance Registry (H-CPR): focused on inpatient medicine including hospitalists, intensivists and skilled nursing care.
• MedAmerica QR: supporting all CMS MIPS clinical quality measures (CQMs)

Launched in 2015, E-CPR and H-CPR were among the first of its kind still operating today, dedicated to acute care. These registries are designed to streamline the reporting process, improve clinical quality, and maximize reimbursement for healthcare providers.

Why Choose Our QCDR?

• Maximize Reimbursement: Physicians who perform poorly on MIPS measures risk losing up to 9% of their Medicare Part B payments. By contrast, most of our QCDR participants avoid penalties and many receive positive bonuses.
• Drive Clinical Quality: Our QCDR helps drive clinical quality by reporting data on all patients, not just Medicare beneficiaries. We can create and report on custom measures to support clinical goals and use data for other quality initiatives.
• Custom Measures: Our custom quality measures, like those for medication-assisted treatment (MAT) for opioid use disorder, are transforming care across the country. These measures encourage evidence-based practices for undertreated conditions.

Success Stories

Partnering with CEP America (dba Vituity), clinicians have seen significant benefits by reporting with Clinical Performance Registry. Our seasoned consultants support developing a measure strategy to maximize Medicare reimbursement and develop new clinical quality measures, some of which have become industry standards.

It was 2017 when E-CPR created three new measures, including ECPR46 Avoidance of Opiates for Low Back Pain and Migraines with the aim of curbing the opioid epidemic. Other measures created that year were avoidance of long-acting/extended-release opiate prescriptions and opiate prescriptions for >3 days. The long-acting measure was combined with opiate prescriptions for >3 days into one measure, still reported for smaller groups due to the complexity to abstract. While ECPR46 – avoidance of opiates for low back pain and migraines – expanded to all Emergency Medicine groups with CEP America more measures added to the complement. It has been so impactful, CMS has included ECPR46 in its Emergency Medicine MVP Pathway.

In 2018, ECPR51 – discharge prescription of Naloxone – was created. ECPR56 – Initiation of MAT – is the most recent measure created in 2021. These measures have been less widely adopted, but especially impactful as sites began Narcan or MAT programs.

Join Us in Transforming Care

We welcome the opportunity to support like-minded organizations that improve lives. Our clinical leadership has over 10 years of experience in MIPS data collection and reporting, and we participate in nationwide specialty societies and clinical improvement work groups. Our program supports quality improvement in all areas of acute care medicine, including emergency medicine, urgent and ambulatory care, hospital medicine, critical care medicine, and post-acute care.

To learn more about joining our program,