Physician Quality Reporting System

The 2015 PQRS Consent is now available here. Submission instructions are located below.

The Physician Quality Reporting System (PQRS) is a program under the Centers for Medicare and Medicaid Services (CMS). PQRS is designed to promote reporting of quality information by eligible professionals (EPs). EPs who do not satisfactorily report 50% performance on at least nine quality measures in three domains for the January 1, 2015 - December 31, 2015 reporting period, will be subject to a 2.0% negative payment adjustment (penalty) in their fee schedule amount in 2017.

In 2015 the STS National Database has once again been designated a Qualified Clinical Data Registry (QCDR) for PQRS reporting. A QCDR is a CMS-approved entity that collects medical and/or clinical data for the purpose of patient and disease tracking to foster improvement in the quality of care furnished to patients. The data submitted to CMS via a QCDR covers quality measures across multiple payers and is not limited to Medicare beneficiaries or limited to measures within PQRS.

Individual surgeons participating in the STS Adult Cardiac Surgery Database (ACSD) may enroll by completing a PQRS 2015 Consent form prior to October 31, 2015. CMS requires a new consent every year.

As a QCDR, STS cannot report for surgeons who are already enrolled in the Group Practice Reporting Option (GPRO) or as part of an Accountable Care Organization (ACO.)

STS will report to CMS all of the following measures on behalf of individual consenting surgeons:

Measure#DescriptionDomainSTS Field#
PQRS 43CABG - Use of Internal Mammary ArteryEffective Clinical Care2655
PQRS 44 CABG - Use of Preoperative Beta BlockerEffective Clinical Care1060
PQRS 164CABG - Prolonged Postoperative IntubationEffective Clinical Care4835
PQRS 165CABG - Deep Sternal Wound Infection RateEffective Clinical Care4700
PQRS 166CABG - Postoperative StrokeEffective Clinical Care4810
PQRS 167CABG - Postoperative Renal FailureEffective Clinical Care4870
PQRS 168CABG - Postoperative Re-explorationEffective Clinical Care4755-4775
PQRS 173Preoperative Screening for Unhealthy Alcohol UseCommunity/Population Health480
PQRS 226Preoperative Tobacco Use, Screening and Cessation InterventionCommunity/Population Health400 + 5055
STS 1CABG - Prolonged postoperative length of stayEfficiency & Cost Reduction305 + 315
STS 2 CABG - Short postoperative length of stayEfficiency & Cost Reduction305 + 315
STS 3CABG + Valve - Prolonged postoperative length of stayEfficiency & Cost Reduction305 + 315
STS 4CABG + Valve - Short postoperative length of stayEfficiency & Cost Reduction305 + 315
STS 5Isolated Valve - Prolonged postoperative length of stayEfficiency & Cost Reduction305 + 315
STS 6Isolated Valve - Short postoperative LOSEfficiency & Cost Reduction305 + 315
STS 7Patient centered surgical risk assessment and communicationPerson/caregiver centered experience & outcome5170-5210 + 5230

 

If you have questions, contact Donna McDonald, Senior Manager, STS National Database and Patient Safety, at dmcdonald [at] sts [dot] org or (312) 202-5842.

There are 3 ways to submit your consent form. Submissions are due no later than October 31st, 2015.

Email:
lmedek [at] sts [dot] org and
jyap [at] sts [dot] org

Fax:
312-202-5867

Mail:
STS
633 N. St. Clair St. Floor 23
Chicago, IL 60611-3658

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