Standard measures weren't built for specialists.
Our QCDR measures were.
Most registries force you to use generic measures where it's hard to get a perfect score. We developed our own CMS-approved measures to ensure you're scored on the actual excellence of your specialty—not administrative checkboxes.
Avoid the “Topped Out” ceiling.
Each quality measure earns 1–10 points based on your performance percentile. But when a measure's national average is already high, the upper point levels become unavailable—no matter how well you perform.
If you report 6 measures and 4 are topped out at 5 points, you're losing 20+ points—even with perfect performance. That's a significant hit to your Quality category score.
One portal. All four categories.
Rather than managing multiple portals and vendors, our registry serves as the single point of submission for your entire MIPS program.
Quality
Access to both standard MIPS measures and proprietary QCDR measures—with optimization logic that steers you toward measures with highest point potential.
Improvement Activities
Automated tracking of IA activities. Using QCDR data for practice improvement itself qualifies as an Improvement Activity—built-in credit.
Promoting Interoperability
End-to-end management of EHR-based PI requirements. We handle the data validation and submission workflow.
Why a QCDR is different.
| Dimension | Standard Registry / EHR | VBCA QCDR |
|---|---|---|
| Measures | Limited to “one-size-fits-all” CMS measures that often don't fit your specialty | Access to proprietary, specialty-specific measures we developed and CMS approved |
| Optimization | High “topped out” risk—common measures have scoring ceilings that cap your points | Optimization logic—we steer you toward measures with the highest point potential |
| Validation | Manual data cleanup—the practice must fix data errors before uploading | Active gap detection—our platform identifies “gaps in care” automatically at the patient level |
| Timing | End-of-year focus—primarily used during the final submission window | Year-round strategy—real-time scenario modeling shows how changes affect your final score |
| Support | Software only—you're on your own for audits and CMS inquiries | Audit shield—our team manages submission and stands behind the data if CMS requests review |
Continuous validation, not annual submission.
A registry shouldn't be a mailbox for the end-of-year data dump. It should be a real-time validator that identifies gaps in care in June so you aren't surprised by a low score in January.
CMS requires QCDRs to provide feedback at least four times per year. We exceed that with real-time, patient-level validation—if a surgical episode is missing a documentation element in July, you'll know it in July.
Scenario Modeling
“What if” scoring across Quality, PI, IA, and Cost categories
Financial Impact
Connect performance to reimbursement before final submission
Cost Visibility
See which patients and episodes are driving your cost score
Audit Shield
We stand behind the data if CMS ever requests a review
Measures designed for clinical relevance.
We don't just consume CMS-defined measures. We develop our own—fully calculable from discrete claims and EMR data, built into The Platform from day one.
Heart Rate Control in Atrial Fibrillation
Evaluates effectiveness of pharmacological rate control in AFib patients. Targets heart rate <110 bpm, aligning with ACC/AHA guidelines.
SGLT2 Inhibitor Use in CKD
Promotes evidence-based prescribing in chronic kidney disease stages 2-3. SGLT2 inhibitors slow CKD progression regardless of diabetes status.
Echocardiogram Stewardship in CHF
Reduces unnecessary repeat testing in stable heart failure patients—adding cost without altering management or improving outcomes.
Noninvasive Ischemic Imaging Stewardship
Targets overuse of stress imaging in chronic coronary disease without clinical indication.
Bonus: First and second-year measures receive automatic MIPS points regardless of performance. Clinical value plus auto-points equals higher reimbursement with zero extra effort.
In the transition to MVPs and mandatory models, your choice of registry is your most important strategic decision. A standard registry is a cost center. A QCDR is a score-protector that allows you to report on the complex, high-value work you actually do—rather than the administrative checkboxes CMS provides.
The practices that control their measure selection today will have a strategic advantage when specialty-specific scoring becomes mandatory.
See how proprietary measures change your score.
We'll show you what your MIPS score looks like with standard measures versus our QCDR measures—and what that difference means for your reimbursement.
Go deeper
MIPS Reporting & Strategy
Strategic MIPS reporting—measure selection, score modeling, and the full four-category picture.
Learn about MIPS →MIPS Value Pathways
MVPs require tighter alignment between measures. See how QCDR measures fit the new framework.
Learn about MVPs →The Platform
Every QCDR measure we develop is built into the platform—scenario modeling, cost visibility, and more.
Tour the Platform →