OUR 2020 MEASURES
The SaferMD Qualified Clinical Data Registry (QCDR) offers exclusive measures for radiologists, and all of the standard CMS MIPS measures.
SaferMD 2020 QCDR Measures
Timely Gastrointestinal Radiology Result Notification
MEASURE ID : SMD26
MEASURE TITLE : Timely Gastrointestinal Radiology Result Notification
MEASURE DESCRIPTION: Percentage of gastrointestinal (GI) imaging exams that were reported to the referring provider within the appropriate timeframe based on the findings
NQS DOMAIN: Patient Safety
MEASURE TYPE: Process
MEANINGFUL MEASURE AREA: Preventable Healthcare Harm
NATIONAL QUALITY FORUM (NQF) NUMBER: N/A
STRATUM 1: Bowel obstruction
Denominator: Imaging exams with a finding of bowel obstruction
Numerator: Exams that were reported to the referring provider within 15 minutes of exam completion
STRATUM 2: Sigmoid Volvulus
Denominator: Imaging exams with a finding of sigmoid volvulus
Numerator: Exams that were reported to the referring provider within 15 minutes of exam completion
STRATUM 3: Pneumoperitoneum
Denominator: Imaging exams with a finding of pneumoperitoneum
Numerator: Exams that were reported to the referring provider within 15 minutes of exam completion
DENOMINATOR EXCEPTIONS: None
DENOMINATOR EXCLUSIONS: None
NUMERATOR EXCLUSIONS: None
RISK ADJUSTED: No
PERFORMANCE RATES REQUIRED: 1
HIGH PRIORITY STATUS: Yes
INVERSE MEASURE: No
PROPORTIONAL MEASURE: Yes
CONTINUOUS VARIABLE MEASURE: No
HIGH PRIORITY TYPE: Patient Safety
RATIO MEASURE: No
Timely Radiology Peer Review
MEASURE ID: SMD33
MEASURE TITLE: Timely Radiology Peer Review
MEASURE DESCRIPTION: Percentage of radiology peer review cases that were completed within 15 minutes following its appearance in the exam queue
NQS DOMAIN: Patient Safety
MEASURE TYPE: Process
MEANINGFUL MEASURE AREA: Preventable Healthcare Harm
NATIONAL QUALITY FORUM (NQF) NUMBER: N/A
DENOMINATOR: Radiology peer review cases completed
NUMERATOR: Cases that were completed within 15 minutes of its appearance in the exam queue
DENOMINATOR EXCEPTIONS: None
DENOMINATOR EXCLUSIONS: None
NUMERATOR EXCLUSIONS: None
RISK ADJUSTED: No
PERFORMANCE RATES REQUIRED: 1
HIGH PRIORITY STATUS: Yes
INVERSE MEASURE: No
PROPORTIONAL MEASURE: Yes
CONTINUOUS VARIABLE MEASURE: No
HIGH PRIORITY TYPE: Patient Safety
RATIO MEASURE: No
Timely Aorta Result Notification
MEASURE ID: SMD37
MEASURE TITLE : Timely Aorta Result Notification
MEASURE DESCRIPTION: Aorta findings notification
NQS DOMAIN: Patient Safety
MEASURE TYPE: Process
MEANINGFUL MEASURE AREA: Preventable Healthcare Harm
NATIONAL QUALITY FORUM (NQF) NUMBER: N/A
STRATUM 1: Aortic Dissection
Denominator: Diagnostic exams with a finding of aortic dissection
Numerator: Exams that were reported to the referring provider within 15 minutes of exam completion
STRATUM 2: Aortic Aneurism
Denominator: Imaging exams with a finding of aortic aneurism
Numerator: Exams that were reported to the referring provider within 15 minutes of exam completion
DENOMINATOR EXCEPTIONS: None
DENOMINATOR EXCLUSIONS: None
NUMERATOR EXCLUSIONS: None
RISK ADJUSTED: No
PERFORMANCE RATES REQUIRED: 1
HIGH PRIORITY STATUS: Yes
INVERSE MEASURE: No
PROPORTIONAL MEASURE: Yes
CONTINUOUS VARIABLE MEASURE: No
HIGH PRIORITY TYPE: Patient safety
RATIO MEASURE: No
Effective Image Guided Biopsies
MEASURE ID: SMD39
MEASURE TITLE: Effective Image Guided Biopsies
MEASURE DESCRIPTION: Image guided Biopsy performance
NQS DOMAIN: Patient Safety
MEASURE TYPE: Outcome
MEANINGFUL MEASURE AREA: Preventable Healthcare Harm
NATIONAL QUALITY FORUM (NQF) NUMBER: N/A
STRATUM 1: Percutaneous lung biopsies
DENOMINATOR: Imaging guided percutaneous lung biopsies performed
NUMERATOR: Number of pnemothoraces and other complications within 24 hours following imaging guided percutaneous lung biopsies
STRATUM 2: Thyroid biopsies
DENOMINATOR: Imaging guided thyroid biopsies performed
NUMERATOR: Biopsies that result in non-diagnostic samples
DENOMINATOR EXCEPTIONS: None
DENOMINATOR EXCLUSIONS: None
NUMERATOR EXCLUSIONS: None
RISK ADJUSTED: No
PERFORMANCE RATES REQUIRED: 1
HIGH PRIORITY STATUS: Yes
INVERSE MEASURE: Yes
PROPORTIONAL MEASURE: Yes
CONTINUOUS VARIABLE MEASURE: No
HIGH PRIORITY TYPE: Outcome
RATIO MEASURE: No
Timely Pathology Peer Review
MEASURE ID: SMD32
MEASURE TITLE: Timely Pathology Peer Review
MEASURE DESCRIPTION: Percentage of pathology peer review cases that were completed within 15 minutes following its appearance in the exam queue
NQS DOMAIN: Patient Safety
MEASURE TYPE: Process
MEANINGFUL MEASURE AREA: Preventable Healthcare Harm
NATIONAL QUALITY FORUM (NQF) NUMBER: N/A
DENOMINATOR: Pathology peer review cases completed
NUMERATOR: Cases that were completed within 15 minutes of its appearance in the exam queue
DENOMINATOR EXCEPTIONS: None
DENOMINATOR EXCLUSIONS: None
NUMERATOR EXCLUSIONS: None
RISK ADJUSTED: No
PERFORMANCE RATES REQUIRED: 1
HIGH PRIORITY STATUS: Yes
INVERSE MEASURE: No
PROPORTIONAL MEASURE: Yes
CONTINUOUS VARIABLE MEASURE: No
HIGH PRIORITY TYPE: Patient Safety
RATIO MEASURE: No
Timely Notification of Diagnostic Exams That Require Follow-up
MEASURE ID: SMD36
MEASURE TITLE: Timely Notification of Diagnostic Exams That Require Follow-up
MEASURES DESCRIPTION: Incidental finding workups
NQS DOMAIN: Effective Clinical Care
MEASURE TYPE: Intermediate Outcome
MEANINGFUL MEASURE AREA: Transfer of Health Information and Interoperability
NATIONAL QUALITY FORUM (NQF) NUMBER: N/A
STRATUM 1: Diagnostic exams require follow-up
Denominator: Diagnostic exams interpreted with a finding that requires follow-up
Numerator: Exams in which the referring clinician is notified within 36 hours of exam completion
STRATUM 2: Results require additional procedure
Denominator: Exams in which the results yield a finding that requires an additional procedure
Numerator: Exams in which the required follow up procedure was completed
DENOMINATOR EXCEPTIONS: None
DENOMINATOR EXCLUSIONS: None
NUMERATOR EXCLUSIONS: None
RISK ADJUSTED: No
PERFORMANCE RATES REQUIRED: 1
HIGH PRIORITY STATUS: Yes
INVERSE MEASURE: No
PROPORTIONAL MEASURE: Yes
CONTINUOUS VARIABLE MEASURE: No
HIGH PRIORITY TYPE: Outcome
RATIO MEASURE: No
Timely Vascular Ultrasound Result Notification
MEASURE ID: SMD38
MEASURE TITLE: Timely Vascular Ultrasound Result Notification
MEASURE DESCRIPTION: Vascular ultrasound emergency notification performance
NQS DOMAIN: Patient Safety
MEASURE TYPE: Process
MEANINGFUL MEASURE AREA: Preventable Healthcare Harm
NATIONAL QUALITY FORUM (NQF) NUMBER: N/A
STRATUM 1: New DVT
Denominator: Diagnostic exams with a finding of a new DVT
Numerator: Exams that were reported to the referring provider within 15 minutes of exam completion
STRATUM 2: Testicular torsion
Denominator: Diagnostic exams with a finding of testicular torsion
Numerator: Exams that were reported to the referring provider within 15 minutes of exam completion
STRATUM 3: Ovarian torsion
Denominator: Diagnostic exams with a finding of ovarian torsion
Numerator: Exams that were reported to the referring provider within 15 minutes of exam completion
DENOMINATOR EXCEPTIONS: None
DENOMINATOR EXCLUSIONS: None
NUMERATOR EXCLUSIONS: None
RISK ADJUSTED: No
PERFORMANCE RATES REQUIRED: 1
HIGH PRIORITY STATUS: Yes
INVERSE MEASURE: No
PROPORTIONAL MEASURE: Yes
CONTINUOUS VARIABLE MEASURE: No
HIGH PRIORITY TYPE: Patient Safety
RATIO MEASURE: No
Optimized Thrombolysis in Ischemic Stroke
MEASURE ID: SMD40
MEASURE TITLE: Optimized Thrombolysis in Ischemic Stroke
MEASURE DESCRIPTION: Degree of revascularization following intervention for ischemic stroke
NQS DOMAIN: Effective Clinical Care
MEASURE TYPE: Intermediate Outcome
MEANINGFUL MEASURE AREA: Functional Outcomes
NATIONAL QUALITY FORUM (NQF) NUMBER: N/A
DENOMINATOR: Neuro-interventional revascularization procedures performed for ischemic stroke
NUMERATOR: Interventions in which TICI2B level re-perfusion is achieved
DENOMINATOR EXCEPTIONS: None
DENOMINATOR EXCLUSIONS: None
NUMERATOR EXCLUSIONS: None
RISK ADJUSTED: No
PERFORMANCE RATES REQUIRED: 1
HIGH PRIORITY STATUS: Yes
INVERSE MEASURE: No
PROPORTIONAL MEASURE: Yes
CONTINUOUS VARIABLE MEASURE: No
HIGH PRIORITY TYPE: Outcome
RATIO MEASURE: No