CROSSWALK (Appendix C2) 2022 Qualified Clinical Data Registry (QCDR) Measure Submission Template

2021 Qualified Clinical Data Registry (QCDR) Self-Nomination Measure Submission Template
versus 2022 Quality Payment Program (QPP) Webform
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Change #1:
Location: N/A
Reason for Change:
Removed and reorganized the information from the first 12 columns of the 2021 QCDR
Measure Submission Template due to the increased functionality within the Webform.
2021 QCDR Measure Submission Template Text:
Measure Specification Fields:
-PIMMS Tracking ID (PIMMS USE ONLY)
-Input Row Completeness
-Error Messages for Required Fields
-Measure ID: Measure Title (Reference only)
-Measure Ready for PIMMS Review?*
-Do you own this measure?*
-If you answered "No" or "Co-owned by 2 or more QCDRs", please indicate the approved owner
or co-owners
-Program Submission Status*
-If this is a previously CMS approved measure, please provide the CMS assigned measure ID*
-If existing measure with changes, please indicate what has changed to the existing measure
2022 QPP Webform:
N/A: All elements removed and reorganized within the 2022 Webform.
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Change #2:
Location: QPP Webform
Reason for Change:
Change from if applicable to optional.
2021 QCDR Measure Submission Template Text:
Measure Specification Field-NQF ID Number (if applicable)
2022 QPP Webform:
NQF ID Number (Optional)

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Change #3:
Location: QPP Webform
Reason for Change:
New tab added for ‘Analytics Section’ to incorporate all measure analytics instead of being listed
individually.
2021 QCDR Measure Submission Template Text:
Inverse, Proportional, Continuous Variable, Ratio were all separate cells to be filled out.
2022 QPP Webform:
‘Analytics Section’ tab includes Measure Calculation Type* with the options listed.

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Change #4:
Location: QPP Webform
Reason for Change:
Added * as it is now a required field, in addition to language for the inclusion of social determinants
of health if applicable.
2021 QCDR Measure Submission Template Text:
If risk-adjusted, indicate which score is risk-adjusted
2022 QPP Webform:
Which score is risk adjusted?*

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Change #5:
Location: QPP Webform
Reason for Change:
Added a new bullet point for newly required information under ‘Analytics Section’.
2021 QCDR Measure Submission Template Text:
N/A

2022 QPP Webform:
Disclosure: Does this measure require the use of proprietary software, devices, etc.? *

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Change #6:
Location: QPP Webform
Reason for Change:
Added a new tab ‘Testing Section’ to incorporate all testing data.
2021 QCDR Measure Submission Template Text:
N/A
2022 QPP Webform:
New tab ‘Testing Section’ added.

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Change #7:
Location: QPP Webform
Reason for Change:
Added * as it is now a field that is required per policy.
2021 QCDR Measure Submission Template Text
Validity Testing Summary

2022 QPP Webform:
Validity Testing Summary*

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Change #8:
Location: QPP Webform
Reason for Change:
Removed the word “provide”.
2021 QCDR Measure Submission Template Text
Provide the rationale for the QCDR measure*

2022 QPP Webform:
Rationale for the QCDR measure*

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Change #9:
Location: QPP Webform
Reason for Change:
Added * as it is now a field that is required per policy.
2021 QCDR Measure Submission Template Text:
Provide measure performance data (# months data collected, average performance rate,
performance range, and number of clinicians or groups)

2022 QPP Webform:
Provide measure performance data (# months data collected, average performance rate,
performance range, and number of clinicians or groups) *

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Change #10:
Location: QPP Webform
Reason for Change:
Added a new sub-bullet for Participation Plan requirements
2021 QCDR Measure Submission Template Text:
N/A

2022 QPP Webform:
If applicable, provide a Participation Plan if QCDR measure has low adoption by clinicians
(Optional)

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*Please note: Overall, changes have been made in the way in which this QCDR measure
information is collected, through electronic means via the QPP Webform, rather than a manual
approach, via the QCDR Measure Submission Template. This improvement was implemented
based on stakeholder feedback and utilizing the human centered design approach.