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2021 MIPS IA_PM_7: Use of QCDR for feedback reports that incorporate population health

Activity ID

IA_PM_7

Activity Weighting

High

Subcategory Name

Population Management

Activity Description

Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations.

Objective

Increase knowledge of practice patterns and treatment outcomes to better serve patients, including vulnerable populations.

Suggested Documentation

Evidence of use of qualified clinical data registry (QCDR) data and support to identify local/geographical practice patterns and clinical outcomes, particularly among underserved, vulnerable, and special-needs populations. By vulnerable populations/patients, CMS is referring to racial and ethnic minorities, refugees, those who are elderly, financially disadvantaged, or without health insurance, and those who have a disability or medical condition which are associated with disparities in outcomes across populations. Include at least one of the following elements:

1) QCDR agreement – Documented arrangement with a QCDR to generate feedback reports summarizing local practice patterns and treatment outcomes, including for vulnerable populations; OR
2) Feedback reports – Copies of feedback reports provided by a QCDR that summarize local practice patterns and treatment outcomes with focus on vulnerable populations.

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