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Welcome to ACEP’s Clinical Emergency Data Registry

About CEDR

CEDR (Clinical Emergency Data Registry) is the first Emergency Medicine (EM) specialty-wide registry and was developed by ACEP.

CEDR has the capability and functionality to do the following:

  • Measure EM outcomes
  • Identify practice patterns and trends
  • Improve the quality of acute care
  • Meet and exceed QPP/ MIPs quality reporting
  • Eliminate and/ or increase payer revenue

In addition, the CEDR registry ensures that emergency physicians, rather than other parties, are identifying practices that work best for them.

CEDR currently offers a choice of 44 Quality Measures and 30 Improvement Activities to fulfill MIPS quality reporting requirements.

Take a Closer Look – Dr. Stephen Epstein

 

CEDR Presentation Video at ACEP15 

Viewing this presentation requires an ACEP Membership

 

Why Should You Participate?

Instead of being mired in an alphabet soup of reporting requirements, CEDR allows for a single data capture to fulfill the requirements of multiple programs, making your quality measure reporting more efficient. The healthcare environment is transitioning from volume-based to value-based payment for care. The CEDR registry will ensure that emergency physicians, rather than other parties, are identifying what practices work best and for whom.

The CEDR registry is developed under a sophisticated information technology infrastructure with ongoing development to support emerging quality needs of ACEP members and will be implemented in a phased-in manner over the next year in terms of the number of participating EDs, scope and functionality.

Through the aggregation and organization of data on clinical effectiveness, patient safety, care coordination, patient experience, efficiency and system effectiveness, CEDR will provide clinicians with a definitive resource for informing and advancing the highest quality of emergency care.

 

Advantages: CEDR - An Enhancement to Traditional Claims-Based Reporting

Here’s Why:

A Physician Friendly System

The CEDR registry is designed to be physician-friendly. With little data entry burden to emergency clinicians or ED staff, clinical and patient data will be extracted, transformed and loaded into CEDR from the ED’s electronic health record system, practice management system, or administrative data system.

Approved by CMS

ACEP has been approved by the Centers for Medicare and Medicaid Services (CMS) for CEDR to serve as a “qualified clinical data registry” or QCDR, to help emergency physicians and clinicians meet CMS’ Quality Payment Program (QPP) / Merit-Based Incentive Payment Program reporting and regional and national certification requirements.

Evidence-Based Decision Making

National and comparative data generated by the CEDR registry will support evidence-based shared decision making and guideline-informed physician practices.

Comparative Quality Benchmarking

CEDR will provide participating emergency clinicians with feedback regarding their individual- and/or ED-level performance on a range of process and outcome quality measures, benchmarked against their peers at national and regional levels.

Policy Impacts

For government policy-makers, the CEDR registry will provide further understanding around clinical effectiveness, patient safety, care coordination, patient experience, efficiency and system effectiveness.

How can I get more information about CEDR?

Email us today

About QCDRs

About Qualified Clinical Data Registries (QCDR)

  • The Merit-Based Incentive Payment Plan (MIPS) is one of the two tracks for the CMS Quality Payment Program (QPP). QCDRs are one of the submission methods for MIPS.
  • A QCDR is an entity that collects clinical data from MIPS-eligible clinicians to accurately and successfully report it to CMS on their behalf.
  • The idea behind QCDRs was for specialty providers to create specialty-specific QCDR.
    • CEDR is such a QCDR developed by American College of Emergency Physicians for the Emergency Physicians.

A QCDR measure

  • A measure that isn’t in the annual list of MIPS measures for the applicable performance period.
  • A measure that may be in the annual list of MIPS measures but has major differences in how it’s submitted by the QCDR.
  • A QCDR can customize their version of the CAHPS for MIPS measure (for example, by supporting only a subset of the Survey Summary Measures (SSMs)). The QCDR measure version of the CAHPS for MIPS survey would also take non-Medicare beneficiaries into consideration.

A ‘Qualified Registry’ vs. a ‘QCDR’

A qualified registry (QR) can collect and submit quality data to CMS but is limited to submission of only CMS-developed measures. The QCDR reporting option is more beneficial than use of a qualified registry provides the important benefit of developing and hosting specialty-specific measures approved by CMS for reporting and obtaining maximum potential benefit on quality and potential reimbursement.

How can I get more information about CEDR?

Email us today

Frequently Asked Questions

What is CEDR?

Developed by ACEP, the Clinical Emergency Data Registry (CEDR), is the first Emergency Medicine specialty-wide registry, to measure acute care quality, outcomes, practice patterns and trends in emergency care. The CEDR registry ensures that emergency physicians, rather than other parties, are identifying what practices work best for them.

What are the benefits of participating in CEDR?

  • Protection of revenue and ability to gain bonus.
  • MACRA/MIPS compliance.
  • Establish national benchmarks for EM-specific quality measures.
  • Assists you to easily fulfill the ABEM (American Board of Emergency Medicine) MOC (Maintenance of Certification) requirement.
  • Facilitate appropriate emergency care research.

How do I access my Dashboard?

  1. Click Your CEDR Dashboard at the top of this page ↑ to proceed.
  2. After you click on the CEDR Dashboard Icon it will take you to the login page where you can login with your ACEP ID and Password.

How are the different performance categories scored?

What is Quality Performance Category Scoring?

For the 2018 performance period:

  • The weight of the Quality performance category is 50% of your MIPS final score.
  • Quality measures that can be scored against a benchmark will receive between 3 and 10 points as measure achievement points.
  • Quality measures that don’t have a benchmark or do not meet the case minimum (e.g., a denominator of 20) will receive 3 points.

What does the onboarding and implementation process for CEDR look like?

  1. Complete the Interest Form
  2. After beginning conversation with a CEDR intake specialist, complete the more Detailed Application.
  3. Complete the Contracting Process (this includes a Business Agreement, Clinical Participation Agreement, Billing company agreement and/or Hospital contract agreement).
  4. Move into technical implementation with your CEDR account owner at ACEP who will guide you through selection of data connection method (Pull, Push, or FHIR), data extraction, and data communication and mapping process.
  5. Check Sample Data
  6. Run Query on Quality Payment Program Measures for extracted data.
  7. Delivery of dashboard.
  8. Ongoing refresh and review of dashboard enhancements.

What is the cost of CEDR participation?

A standardized Data Processing fee is applied, which is relative to the annual visit volume for each particular ED.

Additionally, an Annual Provider Fee for each participating provider (including advanced practice/midlevel providers), though this fee is waived if a provider is or becomes an ACEP members, provider groups that enroll for 100% club membership, and members of associated organizations (i.e.: SEMPA) for advanced practice/midlevel providers.

More information on the cost of CEDR participation will be provided during the contracting process.

How can I get more information about CEDR?

Email us today

Video Resources

CEDR Sign Up Demo

Watch the CEDR Presentation at ACEP15

Viewing this presentation requires an ACEP Membership

Past Webinars and Educational Resources

CEDR Logo Webinar Channel 

Web Resources

Presentation Resources

NQRN Banner Image

How can I get more information about CEDR?

Email us today

2018 Measures

With the CEDR Qualified Clinical Data Registry (QCDR) option in 2018, emergency physicians and clinicians may choose to report the following QCDR Measures, QPP Measures, and eCQMs to receive credit for MIPS quality reporting. Quality Improvement (QI) measures and EQUAL measures are not eligible to be reported for MIPS Quality Reporting through CEDR.

QCDR Measures Supported

Scroll Table
ID Description Domain Type
ACEP19 Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older Efficiency & Cost Reduction Process
ACEP20 Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years Efficiency & Cost Reduction Process
ACEP21 Coagulation Studies in Patients Presenting with Chest Pain with No Coagulopathy or Bleeding Efficiency & Cost Reduction Process
ACEP22 Appropriate Emergency Department Utilization of CT for Pulmonary Embolism Efficiency & Cost Reduction Process
ACEP24 Pregnancy Test for Female Abdominal Pain Patients Patient Safety Process
ACEP25 Tobacco Screening and Cessation Intervention for ED Patients with Cardiovascular and/or Pulmonary Conditions Community -Population Health Process
ACEP29 Sepsis Management: Septic Shock: Repeat Lactate Level Effective Clinical Care Process
ACEP30 Sepsis Management: Septic Shock: Lactate Clearance Rate ≥ 10% Effective Clinical Care Outcome
ACEP31 Appropriate Foley Catheter Use in the Emergency Department Patient Safety Process
ACEP32 ED Median Time from ED arrival to ED departure for discharged ED patients for Adult Patients Patient Experience of Care Outcome
ACEP33 ED Median Time from ED arrival to ED departure for discharged ED patients for Adult Patients in Supercenter EDs (80+) Patient Experience of Care Outcome
ACEP35 ED Median Time from ED arrival to ED departure for discharged ED patients for Adult Patients in High Volume EDs (60k-79,999) Patient Experience of Care Outcome
ACEP36 ED Median Time from ED arrival to ED departure for discharged ED patients for Adult Patients in Average Volume EDs (40k- 59,999) Patient Experience of Care Outcome
ACEP37 ED Median Time from ED arrival to ED departure for discharged ED patients for Adult Patients in Moderate Volume EDs (20k- 39,999) Patient Experience of Care Outcome
ACEP38 ED Median Time from ED arrival to ED departure for discharged ED patients for Adult Patients in Low Volume EDs (19,999 and less) Patient Experience of Care Outcome
ACEP39 ED Median Time from ED arrival to ED departure for discharged ED patients for Adult Patients in Freestanding EDs Patient Experience of Care Outcome
ACEP40 ED Median Time from ED arrival to ED departure for discharged ED patients for Pediatric Patients Patient Experience of Care Outcome
ACEP41 ED Median Time from ED arrival to ED departure for discharged ED patients for Pediatric Patients in Supercenter EDs (80k +) Patient Experience of Care Outcome
ACEP43 ED Median Time from ED arrival to ED departure for discharged ED patients for Pediatric Patients in High Volume EDs (60k-79,999) Patient Experience of Care Outcome
ACEP44 ED Median Time from ED arrival to ED departure for discharged ED patients for Pediatric Patients in Average Volume EDs (40k-59,999) Patient Experience of Care Outcome
ACEP45 ED Median Time from ED arrival to ED departure for discharged ED patients for Pediatric Patients in Moderate Volume EDs (20k-39,999) Patient Experience of Care Outcome
ACEP46 ED Median Time from ED arrival to ED departure for discharged ED patients for Pediatric Patients in Low Volume EDs (19,999 and less) Patient Experience of Care Outcome
ACEP47 ED Median Time from ED arrival to ED departure for discharged ED patients for Pediatric Patients in Freestanding EDs Patient Experience of Care Outcome
ACEP48 Sepsis Management: Septic Shock: Lactate Level Measurement, Antibiotics Ordered, and Fluid Resuscitation Effective Clinical Care Process

Download QCDR Measures PDF

QPP Measures Supported

Scroll Table
ID Description NQS Domain Type
QPP66 Appropriate Testing for Children with Pharyngitis Efficiency & Cost Reduction Process
QPP76 Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections Patient Safety Process
QPP91 Acute Otitis Externa (AOE): Topical Therapy Effective Clinical Care Process
QPP93 Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy Avoidance of Inappropriate Use Efficiency & Cost Reduction Process
QPP116 Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis Efficiency & Cost Reduction Process
QPP187 Stroke and Stroke Rehabilitation: Thrombolytic Therapy (tPA) Effective Clinical Care Process
QPP254 Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain Effective Clinical Care Process
QPP255 Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure Effective Clinical Care Process
QPP317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Community/Population Health Process
QPP326 Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy Effective Clinical Care Process
QPP331 Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) Efficiency and Cost Reduction Process
QPP332 Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patient with Acute Bacterial Sinusitis (Appropriate Use) Efficiency and Cost Reduction Process
QPP333 Adult Sinusitis: Computerized Tomography for Acute Sinusitis (Overuse) Efficiency and Cost Reduction Process
QPP415 Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older Efficiency & Cost Reduction Process
QPP416 Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years Efficiency & Cost Reduction Process
QPP419 Overuse Of Neuroimaging For Patients With Primary Headache And A Normal Neurological Examination Efficiency & Cost Reduction Efficency

CMS QPP Measures Website

ECQMs Measures Supported

Scroll Table
ID Description Domain Type
ECQM66 Appropriate testing for children with pharyngitis Efficiency & Cost Reduction Process
ECQM317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Community/Population Health Process

QI Measures Supported

Scroll Table
ID Description Domain Type
ACEPQI01 Sepsis Management: Septic Shock: Blood Cultures Ordered Effective Clinical Care QI/Process
ACEPQI02 Emergency Medicine: Appropriate Use of Imaging for Recurrent Renal Colic Efficiency: Overuse QI/Process
ACEP26 Sepsis Management: Septic Shock: Lactate Level Management Effective Clinical Care QI/Process
ACEP27 Sepsis Management: Septic Shock: Antibiotics Ordered Effective Clinical Care QI/Process
ACEP28 Sepsis Management: Septic Shock: Fluid Resuscitation Effective Clinical Care QI/Process

*QI measures are not eligible for 2018 MIPS Quality Reporting through CEDR Download QI Measures PDF

EQUAL Measures Supported

Scroll Table
ID Description
EQUAL1 CT utilization for back pain
EQUAL2 EQUAL 2 XRay utilization for back pain
EQUAL3 MRI utilization for back pain
EQUAL4 CT utilization for minor head injury
EQUAL5 CT yield for minor head injury
EQUAL6 CT for renal colic
EQUAL7 CT for syncope
EQUAL8 CT utilization for pulmonary embolism
EQUAL9 CT yield for pulmonary embolism
EQUAL10 Chest pain admission rate
EQUAL11a Disposition among ED visits for chest pain -Discharges
EQUAL11b Disposition among ED visits for chest pain - Observation
EQUAL11c Disposition among ED visits for chest pain - Inpatient Admission
EQUAL11d Disposition among ED visits for chest pain – Transfers
EQUAL12a Stress testing and imaging among ED visits for chest pain - Stress ECG
EQUAL12b Stress testing and imaging among ED visits for chest pain - Stress Nuclear, SPECT
EQUAL12c Stress testing and imaging among ED visits for chest pain - Stress Nuclear, PET
EQUAL12d Stress testing and imaging among ED visits for chest pain - Stress Echocardiogram
EQUAL12e Stress testing and imaging among ED visits for chest pain - Coronary CT Angiography
EQUAL12f Stress testing and imaging among ED visits for chest pain - Stress Cardiac MR

For more information on the EQUAL program, visit the Equal Website

*EQUAL measures are not eligible for 2018 MIPS Quality Reporting through CEDR.

How can I get more information about CEDR?

Email us today

News

Call for performance measure topics

ACEP’s Clinical Emergency Data Registry (CEDR) is soliciting new topics for performance measure development from March 28-April 27th. All ACEP members are invited to submit a topic relevant to emergency medicine. Submissions for consideration will be reviewed and prioritized based on strength of evidence, opportunity for quality improvement, and impact on the specialty.

Submit Performance Measure Topic 

How can I get more information about CEDR?

Email us today

Participate Steps

Participant Questionnaire

  • Your group provides CEDR with information on group size, number of hospital EDs served, annual ED census, number of emergency clinician providers and contact information for each ED.

CEDR Sign Up Portal 

Participation Agreement and Business Associate Agreement

  • The Participation Agreement is a vehicle to create common understanding and agreement of participation and expectations. It also includes the Business Associate Agreement and the Data Use Agreement for HIPPA compliance.

Initial Data Capture

  • All data extract and upload activity is fully encrypted and complies with HIPAA guidelines. We have successfully mapped data from over 50 different EHR systems.

RCMS / EHR Mapping

  • This step involves Group Administrator participation. A Client Account Manager (CAM) will engage the group in discussion to ensure accurate data mapping.

Report Generation

  • The Client Account Manager will coordinate calls with the group to review performance reports and answer questions. Typically during this step, the group will get access to an interactive dashboard. The dashboard gives the group the ability to query their data, see measure performance across different measures for multiple locations and providers.

Internship at American College of Emergency Physicians (ACEP)

ACEP is looking to engage Graduate/Senior level college students for a semester of management and IT trainee/internship. The ACEP Internship is one option for experiential learning and is available to selected students enrolled at a participating University in a degree-granting program or have recently completed one.

Download PDF 

Installation of the Registry Practice Connector (RPC)

  • Our standard integration method involves the installation of a piece of software known as the Registry Practice Connector which runs as a Windows service. This service is integrated with the Revenue Cycle Management (RCM) system and/or Electronic Health Record (EHR) database using read-only credentials for the back end RDBMS (i.e. Microsoft SQL Server, etc.).
  • The Registry Practice Connector allows us a great deal of flexibility in mapping data elements required by the registry and usually requires no involvement of the RCM &/or EHR vendor beyond providing read-only credentials to the database in situations that require it.
  • Our goal is to have minimal impact and require little if any work effort on the part of the RCM / EHR vendor and/or the group IT staff.
  • In situations where RPC installation is not possible, the registry can accept data files from the participating site or the RCM / EMR vendor via the data push method. Files are typically transferred via secure file transport protocol (SFTP). However, we encourage participation thru the data pull method via the Registry Practice Connector to reduce the burden of data collection and reporting on the ED providers and RCM firms.

How can I get more information about CEDR?

Email us today

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