June 10, 2020

GRID Updates: New Interactive Reports and Quality Measures

Facilities and physicians participating in the General Radiology Improvement Database (GRID) receive semiannual comparison reports on turnaround times (TAT), patient wait times, incident rates and other process and outcome measures to help identify opportunities for improvement and provide resources for contract negotiations.

New Interactive GRID Reports

GRID 2.0 continues to expand the data use capabilities of the registry with online interactive reports. These reports permit sites to explore various areas of interest using near real-time data, updated almost daily. Most report data can also be exported to permit local analysis and sharing at the site.

Available now: The GRID Exam Search report in the ACR National Radiology Data Registry (NRDR®) portal under the Interactive Reports menu is a useful way to view GRID exams using a variety of criteria. Sites can explore exam data using filters for Exam Date, Modality, Place of Service, Physician NPI, CPT Code, Anatomy, Study Description and more.

Of particular interest is the ability to investigate outliers in TAT by filtering the report for values outside of site-established thresholds. This information can help identify systemic issues in the image-reading process (for example, exceedingly long TATs) or potential data collection errors (for example, negative TATs as shown in the screenshot below).

Coming Soon: The GRID Aggregate Measures report will augment the current quarterly performance reports by providing more contemporaneous data and further stratification of measures, such as TAT by place of service and number of readers. Comparison of site performance against registry benchmarks, with easy-to-understand indicators of high/low performance, can help participants identify gaps in care and facilitate local quality improvement efforts. Look for this report in summer of 2020, also under the NRDR Interactive Reports menu.

New to interactive reports? Check out these demo videos on navigating reports and working with filters.

GRID 2.0: New GRID Quality Measures

GRID now offers participants additional quality measures to fulfill reporting requirements for the Merit-based Incentive Payment System (MIPS). In January, GRID added 11 new quality measures, referred to as GRID 2.0.

Like other GRID measures, the new measures cover a broad array of topics for quality and performance in the practice of radiology. While seven of the 11 new measures are currently available as QCDR measures for MIPS reporting, ACR plans to submit the new measures to the Centers for Medicare and Medicaid Services (CMS) for potential use as MIPS measures (rather than solely QCDR measures). For CMS to consider the measures for use as such, the ACR must acquire testing data to demonstrate the success of future implementation at the practice level.

The NRDR team invites current GRID users and others to serve as early adopters to begin reporting data on the new quality measures as soon as possible. With the seven new measures already included in the NRDR Qualified Clinical Data Registry (QCDR) portal, current QCDR users can earn MIPS quality performance points while acting as early adopters of the measures.

Potential early adopters are encouraged to review the measure submission guidelines or contact the NRDR team at NRDRsupport@acr.org for more information.