Toolkit

Standardized Reporting

The Society of Interventional Radiology standardized reporting initiative is helping members with the integration of standardized and structured reporting into IR practice.

SIR advocates the adoption of practice paradigms that, above all, improve patient outcomes. Standardized reporting provides many benefits including a structured method to capture clinic data that can be customized to your clinic workflow. They also provide a seamless way to support your registry efforts.

Quality Improvement Resources

These clinical quality measures are included for reporting to the Center for Medicare and Medicaid Services (CMS) in the Merit-based Incentive Payment System (MIPS) program and within MIPS Value Pathways (MVPs). Quality measures are essential to improving patient care, resource usage and patient outcomes. SIR follows the principles of measurement science using a rigorous, evidence-based, and multi-disciplinary approach that aims to link supporting evidence with outcomes, reduce variations in care, and reinforce the feasibility of measure implementation.  

•  View- Clinical Outcome Post Endovascular Treatment (PDF) - on hold for 2024
  • Quality ID: QPP409
  • Percentage of patients with a Modified Rankin Score (mRS) score of 0 to 2 at 90 days following endovascular stroke intervention
  • Measure type: Outcome
    
    
• View- Door to Puncture Time for Endovascular Stroke Treatment (PDF)
  • Quality ID: QPP413
  • Percentage of patients undergoing endovascular stroke treatment who have a door to puncture time of 90 minutes or less
  • Measure type: Intermediate Outcome
    
    
• View- Varicose Vein Treatment with Saphenous Ablation: Outcome Survey (PDF)
  • Quality ID: QPP420
  • Percentage of patients treated for varicose veins (CEAP C2-S) who are treated with saphenous ablation (with or without adjunctive tributary treatment) that report an improvement on a disease specific patient reported outcome survey instrument after treatment
  • Measure type: Patient-Reported Outcome-Based Performance Measure
    
    
• View- Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal (PDF)
  • Quality ID: QPP421 
  • Percentage of patients in whom a retrievable IVC filter is placed who, within 3 months post-placement, have a documented assessment for the appropriateness of continued filtration, device removal, or the inability to contact the patient with at least two attempts. 
  • Measure type: Process

• View- Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries (PDF)
  • Quality ID: QPP465
  • Percentage of patients with documentation of angiographic endpoints of embolization AND the documentation of embolization strategies in the presence of unilateral or bilateral absent uterine arteries.
  • Measure type: Process

Participate in the Quality Payment Program

Participating in the Center for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP) and reporting on measures specifically focused on interventional radiology has significant implications for IR quality and reimbursement. Participation and appropriate self-designation using specialty code 94 (IR) instead of code 30 (DR) are critical to future quality efforts. Correctly identifying under the IR specialty code will improve IRs ability to successfully participate in CMS measure development processes relevant to IR practice and increasing reimbursement while demonstrating reduced costs. 

Participants can check their MIPS eligibility through CMS’ updated Quality Payment Program Participation Status Lookup Tool.

Follow these steps:

• Go to the Quality Payment Program Website

• Sign in using your QPP access credentials

• Submit your MIPS data for the performance period or review the data reported on your behalf by a third party.

Questions? Contact the Quality Payment Program at 1-866-288-8292 or at: QPP@cms.hhs.gov.

APM Performance Pathway (APP) Reporting Requirements

The 2024 performance period will be the final performance year that the CMS Web Interface will be an available collection type for Shared Savings Program ACOs reporting quality measures under the APP. Beginning in 2025, ACOs must report either eCQMs, MIPS CQMs, and/or the new Medicare CQMs. 

CMS has created a new collection type specifically for ACOs, Medicare CQMs, which can only be reported under the APP. Medicare CQMs are intended to address the data aggregation and patient matching issues Shared Savings Program ACOs experienced when reporting eCQMs and MIPS CQMs under the APP.