AQUA QCDR Measures

The AUA Quality (AQUA) Registry has once again been recognized by CMS as a Qualified Clinical Data Registry (QCDR) for 2023.

2023 AQUA Non-QPP Measures [pdf]

2023 AQUA QPP Measures

1 Effective Clinical Care Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
47 Communication & Care Coordination Advance Care Plan
48 Effective Clinical Care Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
50 Person & Caregiver- Centered Experience & Outcomes Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
102 Efficiency and Cost Reduction Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients
104 Effective Clinical Care Prostate Cancer: Combination Androgen Deprivation Therapy for High Risk or Very High Risk Prostate Cancer
112 Effective Clinical Care Breast Cancer Screening
113 Effective Clinical Care Colorectal Cancer Screening
117 Effective Clinical Care Diabetes: Eye Exam
128 Community/Population Health Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
130 Patient Safety Documentation of Current Medications in the Medical Record
134 Community/Population Health Preventive Care and Screening: Screening for Depression and Follow-Up Plan
226 Community/Population Health Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
236 Effective Clinical Care Controlling High Blood Pressure
238 Patient Safety Use of High Risk Medications for Older Adults
317 Community/Population Health Preventive Care and Screening: Screening for High Blood Pressure Follow-up Documented
318 Patient Safety Falls: Screening for Future Fall Risk
357 Effective Clinical Care Surgical Site Infection
358 Person & Caregiver- Centered Experience & Outcomes Patient-Centered Surgical Risk Assessment and Communication
370 Effective Clinical Care Depression Remission at Twelve Months
374 Communication & Care Coordination Closing the Referral Loop: Receipt of Specialist Report
431 Community/Population Health Preventive Care and Screening Unhealthy Alcohol Use: Screening & Brief Counseling
432 Patient Safety Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair
433 Patient Safety Proportion of Patients Sustaining a Bowel Injury at the time of any Pelvic Organ Prolapse Repair
438 Effective Clinical Care Statin Therapy  for the Prevention and Treatment of Cardiovascular Disease
453 Effective Clinical Care Percentage of Patients who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score – better)
457 Effective Clinical Care Percentage of Patients Who Died from Cancer Admitted to Hospice for Less than 3 days
462 Effective Clinical Care Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy
476 Person & Caregiver- Centered Experience & Outcomes Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia
481 Effective Clinical Care Intravesical Bacillus-Calmette Guerin for Non-muscle Invasive Bladder Cancer
487 Community/Population Health Screening for Social Drivers of Health
488 Effective Clinical Care Kidney Health Evaluation
493 Community/Population Health Adult Immunization Status

Important Dates & Deadlines

October 1, 2022
Recruitment Closes for Non-MIPS Participation

February 25, 2023
Sign and Upload Data Release Consent Forms (DRCF) and TIN CMS 1500 Forms on AQUA Registry Dashboard

March 15, 2023
AQUA Internal 2022 MIPS Submission Deadline

March 31, 2023
CMS Official 2022 MIPS Submission Deadline

April 1, 2023
AQUA Registry Recruitment Period Begins

*Disclaimer: If your institution expects third parties to use their institution-specific BAA, has complex security requirements or other special issues, make sure to start the enrollment process as soon as possible to ensure all necessary paperwork is completed prior to the deadline.

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2022 Measure Resources:

  1. PY2022 Maximum Point Values for AQUA Supported Measures
  2. 2022 Non-QPP Measure Specification Changes from 2021
  3. 2022 QPP Measure Specification Changes from 2021
  4. 2022 AQUA Benchmarks and Maximum Point Values

2023 QCDR Measures Quicklist [pdf]

2022 QCDR Measures Quicklist [pdf]

2021 QCDR Measures Quicklist [pdf]

2020 QCDR Measures Quicklist [pdf]

2019 QCDR Measures Quicklist [pdf]

2018 QCDR Measures Quicklist [pdf]

2017 QCDR Measures Quicklist [pdf]

2016 QCDR Measures Quicklist [pdf]

Disclaimer: The AUA encourages practices to download and review CMS' improvement activity (IA) data validation requirements. Providers should maintain documentation supporting the compilation of each activity, in the event of a future CMS audit. Additionally, the AUA AQUA Registry cannot guarantee a positive or negative payment adjustment at any time.