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Measuring quality of urology care using a qualified clinical data registry

Gadzinski, Adam J.; Cooperberg, Matthew R.

doi: 10.1097/MOU.0000000000000511
OFFICE BASED UROLOGY - THE TRANSITION FROM VOLUME TO VALUE-BASED CARE: Edited by Matthew J. Resnick and Mehmet Özsoy
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Purpose of review Qualified clinical data registries (QCDRs) serve as a framework for quality improvement efforts, clinical research endeavors, and participation in reimbursement incentive programs. However, the measurement of quality and the recommendations to guide QCDRs in developing new quality measures is a complex process. In this review, we highlight the government policies that lead to the creation of QCDRs, how QCDR quality measures are developed, and the current QCDRs that focus on urological care.

Recent findings QCDRs facilitate participation in the merit-based incentive payment system for reimbursement adjustments. Most QCDRs leverage existing clinical guidelines in the development of new quality measures. In 2018, there are four urology QCDRs with quality measures for many urological conditions. These QCDRs form the infrastructure for quality improvement and provide new resources for research endeavors.

Summary Quality measurement within QCDRs will allow urologists to focus improvement efforts to deliver high-quality urological care while also facilitating reimbursement incentives and creating novel research datasets.

Department of Urology, University of California, San Francisco, San Francisco, California, USA

Correspondence to Matthew R. Cooperberg, MD, MPH, Department of Urology, University of California, San Francisco, 550 16th St, Box 1695, San Francisco, CA 94143, USA. Tel: +1 415 885 7748; e-mail: matthew.cooperberg@ucsf.edu

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