PQRS Oncology Measures Group PQI Template

  • The PQRS Oncology Measures Group PQI template is a free companion offering to the ASTRO PQRSwizard and guides participants through the required steps to complete an American Board of Radiology (ABR) qualified PQI project. Download the PQRS Oncology Measures Group PQI template today!

    PQRSwizard Overview

    The ASTRO PQRSwizard is an online registry tool that provides a step-by-step guide to collect and report data to the Centers for Medicare and Medicaid Services (CMS) using either individual measures and the Oncology Measures Group. The Oncology Measures Group is an alternative to individual measures reporting option that significantly reduces the burden of participation in PQRS because, instead of having to report on 80 percent of all patients for 3 measures, providers are only required to report on 20 unique patients, a majority of which must be Medicare FFS patients.

    PQI Project Overview

    Beginning in 2013, registered participants of the ASTRO PQRSwizard who report using the Oncology Measures Group can use their participation as a base for fulfilling the Part IV Practice Quality Improvement (PQI) requirements of Maintenance of Certification (MOC) that have been established by the American Board of Radiology (ABR). To begin, interested participants should download the free template.

    This project is based on the ABR’s four-part Plan-Do-Study-Act (PDSA) process for continuous quality improvement. Participants will link two PDSA cycles together to create an action-oriented improvement plan that assesses the effects of their quality improvement strategy. For the purposes of this project, each of the two consecutive PDSA cycles will coincide with two consecutive PQRS reporting period.

    • In the first PDSA cycle/PQRS reporting period, participants will use the Oncology Measures Group to collect baseline data, evaluate their performance, and develop a performance improvement plan.
    • In the second PDSA cycle/PQRS reporting period, participants will re-measure their performance on the Oncology Measures Group measures and evaluate their performance outcomes to see if their performance goals were met. The project concludes with a written participant reflection.

    How to Participate

    1. Register for and download the free PQRS Oncology Measures Group PQI template.
    2. Save a digital copy of the template in a location that you will have continual access to throughout the entire length of your project (typically a minimum of one calendar year).
    3. Read through the entire template to familiarize yourself with the project outline as well as the Oncology Measures Group measures that are used in the ASTRO PQRSwizard.
    4. Register for your first PQRS reporting period.
    5. Complete the first PDSA cycle which includes collecting baseline data, evaluating your performance, and develop a performance improvement plan. 
    6. Implement your performance improvement plan.
    7. Register for your second PQRS reporting period.
    8. Complete the second PDSA cycle which includes re-measuring your measure performance, evaluating your performance outcomes, and completing a written project reflection.
    9. Attest to your project completion on the ABR website.

    Recording Progress and Reporting Completion

    Participants are responsible for documenting their project using the outline included in the template. Participants will not submit their partially or fully completed template to ASTRO at any point during their project. Once completed, participants must personally attest to its completion on the myABR website in accordance with the ABR’s MOC requirements. While ASTRO is able to confirm an individual’s participation in the PQRSwizard, ASTRO will not be collecting, reviewing, or validating individual participant’s projects.

    Qualification

    The PQRS Oncology Measures Group PQI Template is qualified for physicians and physicists by the American Board of Radiology in meeting the criteria for practice quality improvement (PQI), toward the purpose of fulfilling requirements in the ABR Maintenance of Certification Program. The activity was approved on November 11, 2013, and expires on November 10, 2019.

    Please contact the Education Department with any questions about the PQI template and Jessica Adams with any questions about the ASTRO PQRSwizard