- What is a Clinical Data Registry?
- What is the difference between a Clinical Data Registry and a Specialized Registry?
- What does “Active Engagement” mean and how is it demonstrated?
- What does “Production Data” mean?
- What is the benefit of engaging with a Clinical Data Registry?
- Can I use MDinteractive to meet this objective within the PI category of MIPS?
- Can any specialty use MDinteractive Clinical Data Registry?
- What is the cost to use MDinteractive Clinical Data Registry?
- Are there any additional fees associated with using the registry?
- What file formats do you accept?
- How do I register intent to actively engage with MDinteractive Clinical Data Registry?
- How do I further satisfy the requirements of being actively engaged so that I can claim it as a measure when I do my attestation for 2021 MIPS?
- What if I am already registered with MDinteractive as a Specialized Registry?
- How is the Public Health and Clinical Data Exchange PI objective scored?
A clinical data registry tracks information about the health status of patients and the health care they receive over varying periods of time. A clinical data registry can be used to monitor health care quality and resource use. This information can be used to decide the best course of treatment and to improve care for patients in the future. The Promoting Interoperability category of MIPS requires active engagement with 2 registries in 2021 to achieve the 10 points attributed to this objective. Clinical Data Registry can also be used be used by Eligible Hospitals (EH) or Critical Access Hospitals (CAH) participating in the Promoting Interoperability (PI) Program in 2021.
The term “Specialized Registry” is no longer being used but those that have been in active engagement with a Specialized Registry are “grandfathered” into being able to stay in active engagement and claim this as a registry.
The MIPS eligible clinician is in the process of moving towards sending "production data" to a public health agency or clinical data registry, or is sending production data to a public health agency (PHA) or clinical data registry (CDR). Active engagement may be demonstrated in one of the following sequencial phases:
Completed Registration to Submit Data:
The MIPS eligible clinician registered to submit data with the PHA or, where applicable, the CDR to which the information is being submitted; registration was completed within 60 days after the start of the MIPS performance period; and the MIPS eligible clinician is awaiting an invitation from the PHA or CDR to begin testing and validation. This option allows MIPS eligible clinicians to meet the measure when the PHA or the CDR has limited resources to initiate the testing and validation process. MIPS eligible clinicians that have registered in previous years do not need to submit an additional registration to meet this requirement for each MIPS performance period.
Testing and Validation:
The MIPS eligible clinician is in the process of testing and validation of the electronic submission of data. MIPS eligible clinicians must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within a MIPS performance period would result in that MIPS eligible clinician not meeting the measure.
The MIPS eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.
Production data refers to data generated through clinical processes involving patient care, and it is used to distinguish between data and “test data” which may be submitted for the purposes of enrolling in and testing electronic data transfers.
A provider or groups who engage with MDinteractive Clinical Data Registry will be able to attest yes to this objective when they do their PI category attestation. Attesting to 2 of the measures within this objective (CDR would count as one) will be worth 10 points (weighted at 25%) within this objective.
Clinical data registries provide information to health care professionals to improve the quality and safety of the care they provide to their patients. Information from clinical data registries can be used to compare the effectiveness of different treatments for the same disease or condition, to evaluate different approaches to a procedure and to monitor the safety of implanted devices. The information from clinical data registries is also used to support health care education, accreditation and certification. Finally, information from clinical data registries is increasingly used to ensure that payment is adjusted based on the quality of care provided and to give patients the information they need to make better choices.
Yes, a provider or group can register with MDinteractive Clinical Data Registry. MDinteractive Clinical Data Registry is declaring its readiness to meet the Promoting Interoperability Clinical Data Registry Reporting Measure. This will count for 1 of the 2 required measures to receive the full 10 points within the Promoting Interoperability category of MIPS. MDinteractive Clinical Data Registry can also be used be used by Eligible Hospitals (EH) or Critical Access Hospitals (CAH) participating in the Promoting Interoperability (PI) Program in 2021.
Yes. Providers often have difficulty finding a registry to actively engage with. The MDinteractive CDR provides a good option for those looking for a registry. A provider or providers can choose from hundreds of EHR or registry Quality measure that apply to their specialty. Registration is now open for providers planning to attest for 2021.
The cost for the MDinteractive Clinical Data Registry is $199 per provider. Hospitals will pay $199 per bed. Payment is made at the time the account is created based on the number of providers indicated. Total cost includes:
- Unlimited Phone, Chat, and and Email Support
- Provider Friendly, Easy-to-Use Tools and Software
There are no additional fees (see cost above) associated with the CDR.
Different EHR Formats Accepted Including QRDA Category I and QRDA Category III. Please contact MDinteractive customer service with any questions related to file format.
Registration is now open for providers planning to attest for 2021.
Steps to register the intent to actively engage with MDinteractive Clinical Data Registry:
- Create an account with MDinteractive. Please choose "Clinical Data Registry" on the Submission Type field.
- Click on "Register with CDR" and fill in the form "Clinical Data Registry engagement"
- Enter all necessary data:
- Provider Last Name:
- Provider First Name:
- Individual NPI:
- Individual TIN:
- EHR: enter EHR name
- Reporting Period: 2021
- EHR measures to submit to Clinical Data Registry: for example CMS122 (DIABETES: HEMOGLOBIN A1C POOR CONTROL) and CMS69 (BODY MASS INDEX SCREENING AND FOLLOW-UP). A provider can submit a minimum of one measure or a maximum of six measures.
- Active engagement to submit data to Clinical Data Registry: Completed Registration to Submit Data
- Submit payment
How do I further satisfy the requirements of being actively engaged so that I can claim it as a measure when I do my attestation for 2021 MIPS?
After the “Registration of Intent” is successfully completed:
- Download patient quality data from the EHR and upload it to the File Storage Module at MDinteractive.
- The data will be tested and validated by MDinteractive.
- After the tests are passed, EHR data should be uploaded at regular intervals into MDinteractive.
- Providers will be able to login and see online their quality performance dashboard.
- In January 2022, providers will attest (within the PI category of MIPS) with QPP or via MDinteractive that they have been in active engagement to submit data to a clinical data registry.
- EHRs or organizations with additional questions regarding how to submit data to MDinteractive Clinical Data Registry should call 800-634-4731 or email firstname.lastname@example.org.
MIPS eligible clinicians who have previously registered, tested, or begun ongoing submission of data to a registry do not need to “restart” the process. A MIPS eligible clinician may count a specialized registry under this measure if the MIPS eligible clinician achieved the phase of active engagement as described under “active engagement option 3: production” meaning the clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the clinical data registry.
This PI objective contains 5 measures*- with Clinical Data Registry Reporting being 1 of the 5 measures. To receive full credit for this objective (10 points in the PI category) the provider(s) would claim active engagement with at least 2 registries. The measures under the Public Health and Clinical Data Exchange objective are reported using “yes or no” responses. The MIPS eligible clinician will receive the full 10 points for reporting two “yes” responses, or for submitting a “yes” for one measure and claiming an exclusion for another. If there are no “yes” responses and two exclusions are claimed, the 10 points will be redistributed to Provide Patients Electronic Access to Their Health Information measure.
*The following measures are included in the Public Health and Clinical Data Exchange objective: Immunization Registry Reporting, Electronic Case Reporting, Public Health Registry Reporting, Clinical Data Registry Reporting, and Syndromic Surveillance Reporting.