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Participation by a physician or other clinician in systematic clinical database registry that includes consensus endorsed quality measures

CBE ID
0493
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Participation in a systematic qualified clinical database registry involves:
a. Physician or other clinician submits standardized data elements to registry
b. Data elements are applicable to consensus endorsed quality measures
c. Registry measures shall include at least two (2) representative NQF consensus endorsed measures for registry's clinical topic(s) and report on all patients eligible for the selected measures.
d. Registry provides calculated measures results, benchmarking, and quality improvement information to individual physicians and clinicians.
e. Registry must receive data from more than 5 separate practices and may not be located (warehoused) at an individual group’s practice. Participation in a national or state-wide registry is encouraged for this measure.
f. Registry may provide feedback directly to the provider’s local registry if one exists.

        • 1.14 Numerator

          The clinician participates in a systematic qualified clinical database registry capable of the following:
          a. Physician or other clinician submits standardized data elements to registry
          b. Data elements are applicable to consensus endorsed quality measures
          c. Registry measures shall include at least two (2) representative NQF consensus endorsed measures for registry's clinical topic(s) and report on all patients eligible for the selected measures.
          d. Registry provides calculated measures results, benchmarking, and quality improvement information to individual physicians and clinicians.
          e. Registry must receive data from more than 5 separate practices and may not be located (warehoused) at an individual group’s practice. Participation in a national or state-wide registry is encouraged for this measure.
          f. Registry may provide feedback directly to the provider’s local registry if one exists.

        • 1.15 Denominator

          1

        • Exclusions

          none

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Care Coordination Project 2013-2014
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email