Tool Name Virtual Groups Specialty Parameters

Advance QCDR None

Blue Nine QCDR None

CareSense None

CitiusTech Inc All Specialties

Coherent Eye Care Registry Optometry practices are eligible to join a virtual group so
long as there are less then 10 physicians reporting under
the same tax ID.
Doctors Quality Reporting Network

FOTO QCDR Not Applicable

Intermountain ROMS Physical Therapy, Occupational Therapy, and Physical

Medicine.
International Spine Study Group in Not Applicable
Collaboration with K2M

MBSAQIP QCDR Not Applicable

Michigan Urological Surgery Improvement Not Applicable

Collaborative (MUSIC) QCDR

OME Not Applicable

 Services Offered
Collection and dissemination of Quality Measures, Improvement Activities and Promoting Interoperability data to CMS.

Blue Nine Systems, LLC has developed and deployed Neptune, a mobile anesthesia information management system (AIMS). O
designed not only to document the recorded intraoperative events related to the anesthetic but also is unique in facilitating a
material and drug cost collection and patient quality data. In addition, our complimentary online portal (Triton) is specifically d
facilitate pre- and post- operative data
collection including quality measures data in a simple, provider-friendly manner. These two systems combined provide full per
throughput data collection.
By working coordinately, Neptune and Triton are able to ensure that data is submitted accurately and is a direct representatio
documented by healthcare providers. This coordination allows for a seamless transmission of remote data from each provider
location that is synchronized to our central HIPAA-secure relational data repository. This secure repository houses all the infor
needed to calculate and transmit each of the
Blue Nine QCDR quality measures associated with each individual provider TIN/ NPI.

CareSense is a HIPAA compliant, web-based data collection and analysis solution. The system allows for the collection of stand
and custom questions through tablets, smartphones web-based forms, email links, text messages and automated phone calls.
supports validation rules, branching logic, CAT surveys, and email/text reminders for data entry; custom/standard reports, que
dashboards and benchmarking tools for analysis; and has the capability to import and export information from EMR systems,
studies, and work with satisfaction, marketing, and financial data. The system is a proven solution in the medical data collectio
has collected surveys from over a million patients worldwide.

1. Provider Onboarding: Verify the eligibility of each Eligible Clinician and/or QPP group practice participating in QPP
2. Feedback Reports: Provide feedback reports to providers before actual data submission
3. Performance category: Support Quality, PI and IA MIPS category for submission
4. Audits: Completion of a randomized audit of a subset of data prior to the submission to CMS for accuracy of reports based o
appropriate Measure Specifications (i.e. accuracy of numerator, denominator, and exclusion criteria etc.)
5. Data Submission: Automated submission of quality measures through APIs using QPP XML to CMS upon successful verificati
Feedback Reports from the provider
6. Training: Self-help training material, in form of PDF documents, will be provided to providers on MIPS program requirement
entire QCDR process for submission

Other Services (Additional cost):

1. Data aggregation services (QRDA, HL7, 837, CCDA)
2. Measure processing against patient data from source like EHR and calculating performance and reporting rates
3. Calculating performance scores for each MIPS Quality category and calculating composite scores

MIPS QPP Reporting for optometry and ophthalmology (Medicare & Commercial), E.H.R. reporting
The Doctors Quality Reporting Network seamlessly extracts, aggregates, calculates and reports MIPS measures for individual p
groups. DQRN analytics and reporting includes QPP Quality measures, as well as Improvement Activities and Promoting Intero
attestation. DQRN staff provide clinicians with assistance in the selection of measures to be reported and physician developed
provide actionable information to assist in meeting quality metrics and improvement activities.

The FOTO QCDR provides fully automated registry services to promote reduced burden for the provider and allow for end-to-e
via seamless connections with other sources. The provider’s electronic health record (EHR) vendor connects with the FOTO QC
provide relevant data from the medical and billing records and a portion of the data for quality measures. The FOTO Measurem
provides data collection and score calculations for quality measures, including the calculations for risk-adjusted residual score
certain quality measures. Thus, the providers are those who use the services of the FOTO Measurement System and an EHR. Im
Activities data is collected within the FOTO QCDR. (A separate specified file format data transfer option is offered for provider
are not able to connect to the FOTO QCDR API.) The FOTO QCDR gathers data from all these sources and transmits the data to
CMS Quality Payment Program Submission API. Thus, the fully automated nature of the FOTO QCDR is achieved via seamless c
with the provider’s EHR, the FOTO Measurement System, and the CMS Quality Payment Program Submission API.

Software platform to collect and manage QCDR outcome measures that are reportable to CMS under the MIPS quality program
can document and attest their improvement activities. Additional features are available at additional cost to allow clinician to
improve other patient reported outcomes utilizing reporting and analytics via real-time online dashboards.
Access to BACS Data Management and BACS Preauthorization- Ability to administer 24 available PROMs through electronic da
and reporting, including ad-hoc.

No additional cost to MBSAQIP participants for MIPS and MBSAQIP QCDR education, public website, individual QCDR portal, Q
and QCDR data (Quality and IAs components) submission to CMS.

The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a physician-led quality improvement collaborative foc
improving the quality and cost-efficiency of urologic care for patients in Michigan. Participating practices submit data to a clin
maintained by the MUSIC Coordinating Center and tri-annual consortium-wide meetings are held each year to discuss data, re
adjusted measures of processes of care and patient outcomes, and identify strategies and best practices for quality improvem
regards to services offered as a QCDR, MUSIC will report to CMS on the supported measures for all participating eligible profes
agree to have their data submitted. MUSIC will also attest to these providers participation in the supported improvement activ
appropriate. At this time, there is no cost to participants for this service.

Collection and submission of OME data. Available exclusively to Cleveland Clinic clinicians.
 Performance
Categories
Supported
Improvement Activities, Promoting
Interoperability, Quality

Improvement Activities, Quality

Quality

Improvement Activities, Promoting

Interoperability, Quality

Improvement Activities, Promoting

Interoperability, Quality
Improvement Activities, Promoting
Interoperability, Quality

Improvement Activities, Quality

Improvement Activities, Quality

Quality

Improvement Activities, Quality

Improvement Activities, Quality

Quality
 Improvement Activities Supported
IA Activity IDs:

IA_PM_21, IA_BE_6, IA_PSPA_17, IA_PSPA_19, IA_PSPA_20, IA_PSPA_1,

IA_PM_17, IA_EPA_1, IA_CC_15, IA_CC_4, IA_PSPA_7, IA_PM_10,
IA_PM_7, IA_CC_6, IA_BE_2

IA Activity IDs:

IA_PSPA_5, IA_PSPA_17, IA_PSPA_19, IA_PSPA_2, IA_PSPA_7, IA_CC_6

None

All Improvement Activities

IA Activity IDs:

IA_CC_12, IA_BE_7
IA Activity IDs:

IA_CC_12, IA_CC_10, IA_PM_13, IA_BE_6, IA_EPA_3, IA_PM_5, IA_BE_15,

IA_BE_4, IA_BE_14, IA_BE_20, IA_PSPA_19, IA_CC_2, IA_PM_16,
IA_PM_14, IA_CC_1, IA_BE_21, IA_BE_22, IA_PSPA_20, IA_PSPA_18,
IA_BE_7, IA_PM_17, IA_PM_12, IA_CC_13, IA_CC_14, IA_EPA_1,
IA_PM_11, IA_CC_4, IA_BMH_2, IA_BE_12, IA_PSPA_16, IA_PSPA_7,
IA_PM_10, IA_PM_7, IA_BE_9, IA_CC_6

IA Activity IDs:

IA_BE_6, IA_BE_22, IA_BE_7, IA_AHE_3, IA_BE_13, IA_PM_10

IA Activity IDs:

IA_AHE_4, IA_PSPA_18, IA_BE_8, IA_BE_11, IA_PSPA_14, IA_AHE_3,

IA_BE_12, IA_PSPA_7, IA_PM_10, IA_CC_6
 None

IA Activity IDs:

IA_EPA_4, IA_PSPA_4, IA_PM_21, IA_PSPA_5, IA_PM_2, IA_CC_10,

IA_CC_11, IA_PSPA_22, IA_CC_5, IA_BE_6, IA_EPA_3, IA_PSPA_28,
IA_PSPA_23, IA_PSPA_6, IA_PSPA_29, IA_PSPA_25, IA_BMH_8, IA_AHE_1,
IA_BE_15, IA_BE_4, IA_BE_3, IA_BE_14, IA_BE_16, IA_CC_3, IA_PSPA_17,
IA_PSPA_15, IA_BE_20, IA_CC_8, IA_PM_15, IA_PSPA_21, IA_PSPA_19,
IA_CC_2, IA_PM_16, IA_CC_9, IA_CC_1, IA_BE_21, IA_BE_22, IA_PSPA_24,
IA_PSPA_27, IA_PSPA_20, IA_AHE_4, IA_AHE_2, IA_PSPA_18, IA_AHE_5,
IA_PSPA_3, IA_ERP_2, IA_PSPA_1, IA_BE_8, IA_BE_10, IA_BE_7, IA_BE_11,
IA_PSPA_11, IA_PSPA_13, IA_PSPA_2, IA_PM_17, IA_PSPA_12,
IA_PSPA_14, IA_PM_1, IA_EPA_5, IA_ERP_1, IA_CC_13, IA_AHE_3,
IA_EPA_1, IA_PM_18, IA_AHE_6, IA_BE_18, IA_CC_15, IA_BE_13, IA_CC_7,
IA_PM_3, IA_CC_4, IA_BE_12, IA_BE_19, IA_PSPA_8, IA_PSPA_7,
IA_PM_10, IA_PM_7, IA_BE_9, IA_CC_6, IA_BE_2, IA_EPA_2, IA_PM_6,
IA_BE_17

IA Activity IDs:

IA_PSPA_19, IA_PM_16, IA_PSPA_20, IA_AHE_4, IA_PSPA_18, IA_BE_8,

IA_BE_7, IA_BE_11, IA_PSPA_2, IA_PM_17, IA_BE_12, IA_PSPA_16,
IA_PSPA_7, IA_BE_2

None
 Interoperability Measures Supported
PI Measure IDs:

PI_PHCDRR_3, PI_EP_1, PI_HIE_1

None

None

All Promoting Interoperability Measures

PI Measure IDs:

PI_EP_1, PI_HIE_1
All Promoting Interoperability Measures

None

None
None

None

None

None
 Quality Measures - Supported
Quality IDs:

005, 008, 044, 047, 076, 128, 130, 226, 317, 374, 402, 404, 407,
424, 430, 431, 463

Quality IDs:

044, 076, 130, 404, 424, 430

Quality IDs:

109, 111, 128, 130, 131, 154, 155, 178, 182, 217, 218, 220, 226,
317, 350, 351, 352, 353, 358

All MIPS Registry Eligible Measures

Quality IDs:

001, 012, 019, 117, 130, 191, 226, 374

Quality IDs:

001, 005, 007, 008, 012, 019, 065, 066, 110, 111, 112, 113, 117,
119, 128, 130, 134, 191, 192, 226, 236, 238, 317, 370, 374, 438

Quality IDs:

127, 128, 130, 131, 134, 154, 155, 181, 182, 217, 218, 219, 220,
221, 222, 223, 226, 402

None
Quality IDs:

021, 023, 047, 109, 128, 130, 131, 154, 178, 179, 226, 317, 358,
374, 402, 412, 431, 458

Quality IDs:

354, 355, 356

Quality IDs:

102, 104, 130, 250, 265

None
 eCQMs - Supported
None

None

None

All available eCQMs

Quality IDs:

001, 012, 019, 117, 130, 191, 226, 374

Quality IDs:

001, 005, 007, 008, 009, 012, 019, 065, 066, 107, 110, 111, 112,
113, 117, 119, 128, 130, 134, 191, 192, 226, 236, 238, 239, 240,
281, 305, 309, 310, 317, 318, 366, 370, 371, 372, 374, 375, 376,
377, 378, 379, 382, 438

None

None
Quality IDs:

318

None

None

None
 QCDR Measures
•Ambulatory Post-Discharge Patient Assessment
•Case Delay
•Immediate Adult Post-Operative Pain Management
•Neuromuscular Blockade: Documented Assessment of Neuromuscular Function Prior to Extubation
•Neuromuscular Blockade: Reversal Administered
•Obstructive Sleep Apnea: Mitigation Strategies
•Obstructive Sleep Apnea: Patient Education
•Patient-Reported Experience with Anesthesia

None

•Pain, Function and General Health Postoperative Improvement

None

None
None

•Functional Status Change for Patients with Neck Impairments

• Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in imp
Numeric Pain Rating Scale (NPRS), in rehabilitation patients with hip, leg or ankle (lower extremity except knee) injury.
• Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in imp
Numeric Pain Rating Scale (NPRS), in revalidation patients with knee injury pain.
• Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in imp
Numeric Pain Rating Scale (NPRS), in revalidation patients with low back pain.
• Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in in im
Numeric Pain Rating Scale (NPRS), in rehabilitation patients with arm, shoulder, or hand injury.
• Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in in im
Numeric Pain Rating Scale (NPRS), in rehabilitation patients with neck pain/injury.
• Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indi
rehabilitation of patients with knee injury measured via their validated Knee Outcome Survey (KOS) score, or equivalent instru
published validation and demonstrates a peer reviewed published MCID.
• Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indi
patients with arm, shoulder, and hand injury measured via the validated Disability of Arm Shoulder and Hand (DASH) score, Qu
(QDASH) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer r
• Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indi
patients with neck pain/injury measured via the validated Neck Disability Index (NDI).
• Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indi
patients with low back pain measured via the validated Modified Low Back Pain Disability Questionnaire (MDQ) score.
• Failure to Progress (FTP): Proportion of patients not achieving a Minimal Clinically Important Difference (MCID) to indicate
patients with hip, leg or ankle injuries using the validated Lower Extremity Function Scale (LEFS) score, or equivalent instrume
published validation and demonstrates a peer reviewed published MCID.
• Minimum Clinically Important Difference (MCID) of Patient-Reported Outcome Measurement Information System Compu
(PROMIS CAT PF) in Spine Surgery Patients

• Risk standardized rate of patients who experienced a postoperative escalation in care event following a primary Laparosc
Sleeve Gastrectomy operation
• Risk standardized rate of patients who experienced a pulmonary complication following a primary Laparoscopic Roux-en-
Gastrectomy
• Risk standardized rate of patients who experienced an extended length of stay (> 3 days) following a primary Laparoscopi
Sleeve Gastrectomy operation

• Kidney Stones: Alphablockers at discharge for patients undergoing kidney stone surgery, Ureteroscopy or Shockwave Lith
• Kidney Stones: Antibiotics should not be provided at the time of SWL
• Kidney Stones: ED visit within 30 days of ureteroscopy
• Kidney Stones: Opioid utilization after ureteroscopy
• Kidney Stones: SWL in patients with total renal stone burden > 2 cm or > 1 cm lower pole stones
• Prostate Cancer: Active Surveillance/Watchful Waiting for Low Risk Prostate Cancer Patients
• Prostate Cancer: Avoidance of Overuse of CT Scan for Staging Low Risk Prostate Cancer Patients
• Prostate Cancer: Confirmation Testing in low risk AS eligible patients
• Prostate Cancer: Follow-Up Testing for patients on active surveillance for at least 30 months
• Prostate Cancer: Radical Prostatectomy Cases LOS

• Extent of Osteoarthritis Observed in Arthroscopic Partial Meniscectomy

• Patient-Reported Pain and/or Function Improvement after APM Surgery
• Patient-Reported Pain and/or Function Improvement after Total ACLR Surgery
• Patient-Reported Pain and/or Function Improvement after Total Hip Arthroplasty
• Patient-Reported Pain and/or Function Improvement after Total Knee Arthroplasty
• Patient-Reported Pain and/or Function Improvement after Total Shoulder Arthroplasty
BI-Clinical™ is the world’s leading healthcare BI and analytics platform
with an extensive range of configurable apps that cover over 750+ KPIs -
the largest measure library in the industry. It is a modular, configurable
and scalable platform, based on the Measure – Monitor – Act framework.

BI-Clinical is powered by state-of-the-art modules to drive quality

compliance, facilitate self-service, identify areas of improvement and
enable proactive oversight to safeguard revenues and avoid penalties.

Modules

BIC-Rules Engine

BIC-Rules Management Module

BIC-Audit 360

BIC-Compare

BIC-Analytics
BI-Clinical: Advantage:
BI-Clinical is used by large health systems and health plans to drive regulatory reporting, monitor patient and member populati
• Comprehensiveness: One stop solution for reporting on multiple regulatory and improvement initiatives.
• Speed-of-business: Out-of-the-box quality analysis, fastest rules engine to help you assess compliance daily.
• Flexibility: Building and managing additional measures to comply with new / changing quality programs.
• Proactiveness: Ability to continuously monitor and proactively close gaps.
• Compliance: Ensuring accuracy of submissions and enable traceability for audits.
• Control & Transparency: Strong audit capabilities (including real-time audit), catering to both provider and payer-based in

Description
The fastest and most comprehensive rules engine in the industry. High-performance processing of clinical, financial, operation
Designed to scale at the speed of your business and submit for compliance.

• Configurable Module: A highly configurable rules engine that can compute complex quality and performance measures a
• High Performance: Performance at the speed of business - can run in real-time or batch mode, with daily, weekly, month
• NCQA and ONC Certified: Regulatory data submission platform that is certified for both payer and provider measures
• Massive Scalability: Highly scalable processing to match business needs - real-time as well as batch processing

Award-winning, state-of-the-art rules management module that cater to the entire spectrum of your needs of custom rules, st

• Custom Measure Creation: Ability to build and manage complex measures including clinical, operational, financial and ad
• Measure Library: Pick and customize measures from the largest library of 750+ pre-built measures across multiple domai
• Efficient Processes: Automate manual data processing and achieve up to 60% improvement in process efficiency for quali
• Faster Go-live: Launch your quality performance initiatives up to 30% faster due to significant time savings in measure de

The healthcare industry's first solution for comprehensive audits of clinical measures, cohorts and rules. Offers real-time clinic

• Self-service Capabilities: Provides organizational users and third-party vendors a self-service interface to generate audit r
• Cohort Analysis: Transparency into specific population cohort and member details for focused planning and intervention.
• Powerful Analytics: Rich, analytical visualizations for compliance status reports of measures and members at an enterpris
• Comprehensive Support: Ensure adherence through CitiusTech’s 10-year comprehensive support for all clinical quality me

Comprehensive tool that enables healthcare organizations to analyze differences in measure outputs with respect to new imp

• Strong Comparability: Comprehensive comparison of measure outputs across historic runs to swiftly establish rate and po
• Self - Management: Highly intuitive, do-it-yourself interface that ensures minimal or zero dependence on clinical experts,
• Powerful Visualization: Rich, persona-driven visualizations and transparent view of underlying issues to determine the ro
• Speed of Reporting: Extraction of reports at the speed of business, providing a holistic view as well as granular-level comp

Proven Measure-Monitor-Act framework to drive oversight and improvement across all your value-based care programs.
• Easy-to-use: Powerful, intuitive, easy-to-use interface for reporting and analytics. Provides an extensive set of pre-built d
• Out-of-the-box Reports: Pre-built reports across a spectrum of initiatives - MIPS, ACO, HEDIS®*, HCC, QCDR, CMS Coreset
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operational and regulatory domains