1. Vendor Webinar Annette Antos, Registry Manager
Benjamin Westlake, Senior Applications Development Manager
Gerry Tarafa, Senior Compliance Manager
July 14, 2017

2. Agenda Review of 2017 QCDR Measures Retired vs New Measures
Measure ID and Measure Code Changes
Tools/Resources
Improvement Activities
2017 Schema Changes
FTP transition
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

3. 2017 Measures CMS approved AQI NACOR as QCDR and QR for 2017
15 QCDR measures available for reporting
New measure numbers for all
New coding structure (XXAXX) for all
11 updated measures, 4 new measures
31 MIPS measures available for reporting
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

4. 2017 Retired Measures
ASA retired ASA #14: Assessment of Acute Postoperative Pain
CMS retired these ASA Measures:
ASA #10: Composite Measure Safety
ASA #28: Rate of Post-operative stroke or death in asymptomatic patients undergoing Carotid Artery Stenting (CAS)
ASA #29: Rate of Post-operative stroke or death in asymptomatic patients undergoing Carotid Endarterectomy (CEA)
ASA #30: Rate of Endovascular aneurysm repair (EVAR) of small or moderate non-ruptured abdominal aortic aneurysms (AAA) who die while in the hospital
ASA #31: Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation
ASA #32: Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet
ASA #37: Unplanned Transfer or Admission to Hospital
Do not report these measures to NACOR for 2017 MIPS Quality Reporting!
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

5. 2017 QCDR Measures
AQI18: Coronary Artery Bypass Graft (CABG): Prolonged Intubation – INVERSE MEASURE
AQI28: New Corneal Injury Not Diagnosed in the Postanesthesia Care Unit/Recovery Area after Anesthesia Care
AQI29: Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics)
AQI31: Post-anesthesia Care Unit (PACU) Re-intubation Rate – INVERSE MEASURE
AQI32: Procedural Safety for Central Line Placement
AQI34: Perioperative Cardiac Arrest – INVERSE MEASURE
AQI35: Perioperative Mortality Rate – INVERSE MEASURE
AQI37: Surgical Safety Checklist – Applicable Safety Checks Completed Before Induction of Anesthesia
AQI41: Coronary Artery Bypass Graft (CABG): Stroke – INVERSE MEASURE
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

6. 2017 QCDR Measures - Continued
AQI42: Coronary Artery Bypass Graft (CABG): Post-Operative Renal Failure – INVERSE MEASURE
AQI48: Anesthesia: Patient Experience Survey
AQI49: Adherence to Blood Conservation Guidelines for Cardiac Operations using Cardiopulmonary Bypass (CPB) – Composite*
AQI50: Application of Lung-Protective Ventilation during General Anesthesia*
AQI51: Assessment of Patients with Obstructive Sleep Apnea*
AQI52: Treatment of Hyperglycemia with Insulin*
* Indicates NEW measure
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

7. 2017 Measure ID Changes 2016 Measure ID 2017 Measure ID Measure Title
ASA 8
AQI29
Prevention of POV – Combination Therapy
ASA 11
AQI34
Perioperative Cardiac Arrest
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

8. Measure Code Changes 2016 Code 2017 Code Description Measure Title
ASA08A
10A37
Patient received general anesthetic with inhalational anesthetic for maintenance
Prevention of POV
ASA08B
10A38
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

9. Tools and Resources 2017 QCDR Measure Booklet
2017 QCDR Measure Specifications Table
2016/2017 QCDR Measure ID Crosswalk
2017/2017 QCDR Measure Codes Crosswalk
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

10. 2017 Improvement Activities (IA)
AQI/NACOR will support Improvement Activities
Recommended IA’s for Anesthesiology and Pain Medicine
NACOR participants can attest to IA_PSPA_1 (Participation in an AHRQ-listed patient safety organization)
Practices will attest to activities via the NACOR Dashboard in ArborMetrix
Details coming soon!
Practice’s responsibility to maintain the documentation
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

11. 2017 Schema Changes
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

12. New Data Submission Portal
Effective July 10, 2017
Old submission portal closed June 25, 2017
New submission portal
User Accounts for data submission
s with login information were sent to the practice/vendors on July 7, 2017.
Additional feedback reporting for submissions
Beginning July 1, 2017, AQI will launch the new data submission portal which still uses a secure FTP server, however we will be able to provide additional feedback on data submissions. To date, we have only provided feedback regarding strict XML validation rules. We are launching a new tool which will provide the same validation checks, but also perform low level analytic checks to provide informative feedback on data submissions, data completeness, and simple measure analysis.
The new portal will open July 10, 2017.
© 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

13. Data Submission: Submit monthly – Basic Data Flow
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

14. Data Submission: Submit monthly - Portal
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

15. Data Submission: Reporting Deadlines​
Deadline​
Registration for 2017 NACOR Quality Reporting​
October 31, 2017​
Submission of data (1/1/2017 – 11/30/2017)​
January 31, 2018​
Final Reconciliation of TIN/NPI Numbers​
Submission of December 2017 data​
February 15, 2018​
Opt Out of Quality Reporting ​
© 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.