Ambulatory Surgical Center Quality Reporting (ASCQR) Program
The Centers for Medicare & Medicaid Services (CMS) seeks to develop a comprehensive set of quality measures to be available for widespread use for making informed decisions and quality improvement in the ambulatory surgical center (ASC) setting. CMS uses a variety of data sources to determine the quality of care that Medicare beneficiaries receive.
Ambulatory Surgical Centers (ASC) claims data submitted by facilities for Medicare Part B fee-for-service patients are used for the measure sets listed below. Each measure is calculated using a separate, distinct methodology and, in some cases, separate encounter periods.
- Measures ASC-1 through ASC-5 utilize Quality Data Codes placed by the ASC on the Form CMS-1500, version 02/12, or associated electronic data set where Medicare is the primary or secondary payer.
- Colonoscopy Measure – This outcome measure for ASC settings is meant to provide facilities with information on patient outcomes that will allow them to improve quality of care for patients undergoing low-risk colonoscopy.
- Orthopedic Measure – This outcome measure for ASC settings provides facilities with information to improve the quality of care delivered to patients undergoing orthopedic surgeries at ASCs.
- Urology Measure – This outcome measure for ASC settings provides facilities with information to improve the quality of care delivered to patients undergoing urology surgeries at ASCs.
Data for other measures are reported via an online tool, either directly to CMS through the QualityNet Secure Portal or to the National Healthcare Safety Network.