The GIQuIC 2024 Qualified Clinical Data Registry (QCDR) is approved to report for individual eligible providers, groups, and virtual groups to the CMS Merit-based Incentive Payment System (MIPS), specifically the Quality, Promoting Interoperability, and Improvement Activities performance categories.
If you are considering using the GIQuIC QCDR to report to CMS’ MIPS program for the 2024 reporting year, please watch the following two webinars. They outline the steps you need to take now in order to report to MIPS through GIQuIC in 2024.
April 2024 GIQuIC 2024 MIPS Top 5 on the To Do List Webinar and Slides
- Click here for GIQuIC 2024 MIPS Top 5 on the To Do List webinar
- Click here for GIQuIC 2024 MIPS Top 5 on the To Do List slides
June 2024 GIQuIC 2024 MIPS Moving Through Your To Do List Webinar and Slides
- Click here for GIQuIC 2024 MIPS Moving Through Your To Do List webinar
- Click here for GIQuIC 2024 MIPS Moving Through Your To Do List slides
- Click here for GIQuIC 2024 MIPS Moving Through Your To Do List handout
To report via the GIQuIC 2024 QCDR, a provider must be registered and actively participating in GIQuIC by submitting data and running measure reports no later than June 30, 2024.
If a physician is MIPS-eligible in 2024:
- They must submit data for three performance categories, including:
- Quality – 30% of MIPS score
- Improvement Activities – 15% of MIPS score
- Promoting Interoperability – 25% of MIPS score
- CMS will collect and calculate data for the Cost Performance Category – 30% of MIPS score
- Individual eligible providers, groups, and virtual groups can report to the Quality, Promoting Interoperability, and Improvement Activities performance categories via the GIQuIC 2024 QCDR
- A final MIPS score of 0 to 100 points will be calculated according to performance across the four MIPS performance categories
- The final score determines whether a physician or group receives a negative, neutral, or positive MIPS payment adjustment; 75 points overall is needed to avoid a negative payment adjustment
- A MIPS payment adjustment that reflects performance during 2024 will be applied to payments for covered professional services in 2026
- Click here for CMS’ 2024 MIPS Quick Start Guide
MIPS Performance Categories
Quality Performance Category
The Quality Performance Category uses measures to evaluate clinician performance reflecting the quality of healthcare that is being provided to patients and accounts for 30% of the final MIPS score. Reporting GI-specific quality measures is a key benefit of participating in GIQuIC and reporting to CMS’ MIPS program via the GIQuIC 2024 QCDR.
2024 GIQuIC QCDR Measures
Click here for complete numerator/denominator descriptions of each of the 2024 GIQuIC QCDR measures.
Getting Started with Quality
Put together your Quality Plan of Action:
* Please note that the CMS submission deadline is March 31, 2025. If you are submitting via the GIQUIC Qualified Clinical Data Registry (QCDR), you must adhere to GIQuIC’s published submission deadline which will be mid-March 2025.
** CMS requires physicians to review their performance at least four times throughout the
2024 performance year.
For more information about the Quality Performance Category for the 2024 Performance Year, please visit: https://qpp.cms.gov/mips/quality-requirements.
Improvement Activities Performance Category
The Improvement Activities performance category rewards participants for activities that improve clinical practice and accounts for 15% of the final MIPS score. There is a list of activities that are weighted as either medium (worth 10 points each) or high (worth 20 points each). To earn full credit in this category, participants must submit one of the following combinations of activities:
- 2 high-weighted activities
- 1 high-weighted activity and 2 medium-weighted activities, or
- 4 medium-weighted activities
Small practices and practices in rural areas complete two medium-weight activities or one high-weight activity for maximum score.
CMS provides a list of more than 100 suggested activities in their Improvement Activities Inventory so you can select those that best fit your practice to improve patient engagement, safety, and care. A PDF of the 2024 Improvement Activities Inventory is available for download here.
In addition, there are CMS-approved Improvement Activities that are specific to QCDRs, as noted in the inventory.
Getting Started with Improvement Activities
Put together your Improvement Activities Plan of Action:
* The last day to initiate an Improvement Activity is October 3, 2024.
** Please note that the CMS submission deadline is March 31, 2025. If you are submitting Improvement Activity attestations via the GIQUIC Qualified Clinical Data Registry (QCDR), you must adhere to GIQuIC’s published submission deadline which will be mid-March 2025.
For more information about the Improvement Activities Performance Category for the 2024 Performance Year, please visit: https://qpp.cms.gov/mips/improvement-activities.
Promoting Interoperability Performance Category
The Promoting Interoperability Performance Category emphasizes the use of certified electronic health record technology (CEHRT) to facilitate the exchange of information between clinicians, pharmacies, and patients to improve outcomes. It accounts for 25% of the final MIPS score.
Getting Started with Promoting Interoperability
Put together your Promoting Interoperability Plan of Action:
* Please note that the CMS submission deadline is March 31, 2025. If you are submitting Promoting Operability data and attestations via the GIQUIC Qualified Clinical Data Registry (QCDR), you must adhere to GIQuIC’s published submission deadline which will be mid-March 2025.
For more information about the Promoting Interoperability Performance Category for the 2024 Performance Year, please visit: https://qpp.cms.gov/mips/promoting-interoperability.