Immunization Registry
According to whitepapers, what is required to meet this measure?
Practices must be actively engage with their State Health Department which means able to submit and receive immunization data.
What is the difference between Clinical Data Registries and Qualified Clinical Data Registries?
Clinical Data registries record information about the health status of patients and the health care they receive over varying periods of time & QCDR is an entity that collects clinical data from MIPS clinicians (both individual and groups) and submits it to CMS on their behalf for purposes of MIPS
What is the purpose of the syndromic surveillance registry?
To detect, monitor, and characterize unusual activity for further public health investigation or response
Why are Electronic Case reporting necessary?
The automated generation and transmission of case reports from electronic health records to public health agencies to review and take action if needed
What type of interface is required for this measure?
HL7
How do practices report requirements to CMS for this measure?
Yes/No attestation for a minimum of any continuous 90-day period within the calendar year
What is active engagement?
The MIPS eligible clinician is in the process of moving towards sending “production date” to a PHA or CDR or is sending production data
What type of data is collected by this registry?
Information on patients seeking treatment at emergency, urgent care,ambulatory care, inpatient or outpatient healthcare settings which depends on the state
Provide two examples of possible reportable conditions?
COVID (SARS/MERS), Influenzae, Plague, Poliovirus infection, Tuberculosis, Hepatitis, Lyme, Malaria, Mumps, Rabies, Tuberculosis infections, etc.
Who is the sponsor of the Pinnacle Cardiology registry?
American College of Cardiology
How many exclusions are available for this measure?
3 (Does not administer any immunizations, operates in a jurisdiction where the registries are not capable of accepting specific standards, or data as 6 months prior to the start of the reporting period)
Provide 8 examples of possible registry options.
PRIME, PTOR, Reg-ENT, UREQA, TOPS, RISE, QOPI, Patient360, IRIS, Diabetes Collaborative, Data Derm, Axon, AQUA
What is the measure ID?
PI_PHCDRR_2
Where is data submitted?
EP submit data with a Public Health Agency or where applicable the Clinical Data Registry
What is 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.
What are the benefits of being connected with an immunization registry?
Provider have access to complete immunization records of their patients and receive clinical decision support in accordance with an increasingly complex vaccination schedule, public health systems will use information to help monitor and control vaccine preventable diseases, and schools will be able to save time in complying with immunization requirements.
Patient360 is sponsored by?
Maine Osteopathic Association
Provide a reason as to why most of our practices claim an exclusion for this measure?
In most states, this registry option is avaliable to EPs that practice at urgent care clinics or in the ER
How can trigger codes be used to meet this measure?
Some states have a list of (ICD 10/LOINC/SNOMED) codes that will trigger a case report.
What types of data are public health registries responsible for collecting?
Patient safety and quality improvement organizations that enable knowledge generation or process improvement regarding the diagnosis, therapy, and prevention of conditions that affect a population could be considered.