ASC Quality Reporting

Overview

The Ambulatory Surgical Center Quality Reporting (ASCQR) Program is a pay-for-reporting, quality data program finalized by the Centers for Medicare & Medicaid Services (CMS). Under this program, ASCs report quality of care data for standardized measures to receive the full annual update to their ASC annual payment rate, beginning with Calendar Year (CY) 2014 payments.

Program Requirements

Initial program requirements were included in the CY 2012 Outpatient Prospective Payment System (OPPS)/ASC final rule, CMS-1525-FC, and the FY 2013 Inpatient Prospective Payment System (IPPS) rule. 

Read more about the Ambulatory Surgical Center (ASC) Quality Reporting Program in the CY 2012 OPPS/ASC final rule. Our section begins on page 371 of the PDF document (also noted as Federal Register page 74492).

Measures for CY 2014 Payment Determination

• ASC-1 Patient Burn
• ASC-2 Patient Fall
• ASC-3 Wrong Site, Wrong Side, Wrong Patient, Wrong Procedure, Wrong Implant
• ASC-4 Hospital Transfer/Admission
• ASC-5 Prophylactic Intravenous (IV) Antibiotic Timing

Measures for CY 2015 Payment Determination

• ASC-1 Patient Burn
• ASC-2 Patient Fall
• ASC-3 Wrong Site, Wrong Side, Wrong Patient, Wrong Procedure, Wrong Implant
• ASC-4 Hospital Transfer/Admission
• ASC-5 Prophylactic Intravenous (IV) Antibiotic Timing
• ASC-6 Safe Surgery Checklist Use
• ASC-7 ASC Facility Volume Data on Selected ASC Surgical Procedures

Measures for CY 2016 Payment Determination

• ASC-1 Patient Burn
• ASC-2 Patient Fall
• ASC-3 Wrong Site, Wrong Side, Wrong Patient, Wrong Procedure, Wrong Implant
• ASC-4 Hospital Transfer/Admission
• ASC-5 Prophylactic Intravenous (IV) Antibiotic Timing
• ASC-6 Safe Surgery Checklist Use
• ASC-7 ASC Facility Volume Data on Selected ASC Surgical Procedures
• ASC-8 Influenza Vaccination Coverage among Healthcare Personnel

Public Reporting

In selecting measures for the ASC Quality Reporting Program, we have focused on measures that have a high impact on and support HHS and CMS priorities for improved health care outcomes, quality, safety, efficiency and satisfaction for patients. Our goal for the future is to expand any measure set adopted for ASC quality reporting to address these priorities more fully and to align ASC quality measure requirements with those of other reporting programs as appropriate, including the Hospital Outpatient Quality Reporting Program, the Hospital Inpatient Quality Reporting Program, Physician Quality Reporting System (PQRS), and reporting requirements implemented under the HITECH Act so that the burden of reporting will be reduced.

Announcements

Check this page periodically for new updates and announcements about the ASCQR Program.