Patient Safety Data Reporting

What is PSDR?

Patient Safety Data Reporting is a form of quality control performed by accredited facilities within the outpatient setting. Those participating in the data reporting process create a system-wide culture of clinical quality and demonstrate the positive results of accreditation.

Patient Safety Data Reporting is a required process that promotes ongoing data collection to identify the trends affecting patient outcomes. Facilities participating in QUAD A’s Office-Based Surgical, Office-Based Procedural, Oral Maxillofacial Surgery, Pediatric Dentistry, International Surgical, or Medicare ASC program must submit Patient Safety Data Reporting (PSDR) information for the added provider(s) from the first day the new provider(s) began working in the facility. QUAD A has successfully collected data from hundreds of thousands of individual cases, creating one of the nation's largest health care data repositories.

It is important for QUAD A to continue in the forefront of this effort. By monitoring our own data, we demonstrate the effectiveness of our standards and are assured that we remain an authority on health care delivery. QUAD A delivers standard revisions based on information collected from this valuable data. This approach distinguishes QUAD A from other accrediting organizations and provides a safeguard for patients and the accrediting process.

PSDR Quarterly Deadlines:
- Period 1 (Jan.-March) - Submission deadline April 15th
- Period 2 (April-June) - Submission deadline July 15th
- Period 3 (July-Sept.) - Submission deadline Oct 15th
- Period 4 (Oct.-Dec.) - Submission deadline Jan 15th

PSDR Documents

The following documents are available in support of your Patient Safety Data Reporting requirements:

QUAD A’s patient safety data reporting system, as required by QUAD A’s standards, requires online reporting every three (3) months. This online reporting includes the submission of three (3) random cases for each surgeon/proceduralist and all unanticipated sequelae. The reported cases for each surgeon/proceduralist must include the first case done by each surgeon/proceduralist per month during the reporting period for a total of three (3) cases, plus all unanticipated sequelae. If a surgeon/proceduralist has not performed at least one (1) case per month, cases from other months in the period may be selected for a total of three (3) reported cases per period. QUAD A understands that unanticipated sequelae may occur at any time and has built a new reporting system to allow for unanticipated sequelae to be entered as they happen.

Random Case and Unanticipated Sequela review form templates are available for your facility to understand what information will be captured; however, all cases must be entered directly into the QUAD A online system. No paper forms will be accepted by the QUAD A office.

Facilities that are not compliant with case reporting will be placed on probation after the extension period ends and will be assessed a late fee of $100 per physician that is non-compliant. Facilities will have the duration of the probation period, 60 calendar days, to complete their patient safety data reporting.

If a physician using the facility has performed fewer than three (3) cases during a reporting period, that information must be reported to the QUAD A office using the Exemption form. All cases that were performed during that period must be reported through the online system.

As always, if you have any questions regarding the completion of your Patient Safety Data Reporting, please contact us by phone or email helpdesk@QUADA.org.

How do I change or add my Patient Safety Data Reporting Administrator? The Medical Director must complete the “Patient Safety Data Reporting Administrator Authorization Form” located on the QUAD A website under Patient Safety Data Reporting Documents. The completed form should be emailed to helpdesk@QUADA.org.

What if I don’t remember my facility password? Simply click the Forgot your password? link on the Patient Safety Data Reporting login screen. You will then be prompted to enter your email address. Be sure to use the designated facility administrator’s password. You will then receive an email from support@QUADA.org with a link to reset the facility password. Call the help desk at 224-643-7704 if you need further assistance.

Do we have to enter the data for the first case of every month for each surgeon/proceduralist? Yes, QUAD A standards require providers to submit Patient Safety Data Reporting information for the first case of every month for each surgeon.

What if a surgeon/proceduralist didn’t perform any cases in one of the months? If a surgeon/proceduralist has not performed at least one case per month, cases from other months in the period may be selected for a total of three reported cases per period.

What if a surgeon/proceduralist performs fewer than three cases during the period? If a physician using the facility has performed fewer than three cases during a reporting period, that information must be reported to the QUAD A office using the Exemption form. All cases that were performed during that period must be reported through the online system.

My practice doesn’t routinely use CPT Codes. How do I find a procedure’s CPT Code? QUAD A utilizes the CPT codes created and maintained by the American Medical Association (AMA). The AMA website offers a variety of CPT code resources.

How do I enter PSDR for a case that included several procedures? If you are entering a case that included several procedures, like a “mommy makeover,” you would enter each individual procedure as a line item within the random case submission. A breast lift, liposuction, and tummy tuck would be entered as Mastopexy (breast lift), Suction assisted lipectomy, and Excision of excessive skin and subcutaneous tissue.

We’ve created a helpful list of common procedures and their associated CPT codes.

You can find documentation here.

How does Peer Review differ from Patient Safety Data Reporting?

What QUAD A previously called Peer Review is a separate and distinct process from what many physicians are familiar with as a full clinical peer review process, which is performed at a physician-to-physician level. The objective data elements required during the quarterly Patient Safety Data Reporting, as part of the accreditation process, is specifically intended for medical study and the evaluation and improvement of quality care and reduction of morbidity and mortality. Such data can be entered prior to the facility conducting its peer review meetings. Revised standards manuals will be published soon and will use more distinct language to demonstrate the difference.

As we fully transition from referring to this process as Peer Review to Patient Safety Data Reporting, be aware that our online reporting portal may continue to reflect the term Peer Review for a time until all our vendors have completed updates to the systems they administer on our behalf.

How do I know if my facility has to submit PSDR data? Facilities participating in QUAD A’s Office-Based Surgical, Office-Based Procedural, Oral Maxillofacial Surgery, Pediatric Dentistry, International Surgical, or Medicare ASC program must submit Patient Safety Data Reporting (PSDR) information for the added provider(s) from the first day the new provider(s) began working in the facility.

Patient Safety Data Reporting

What is PSDR?

PSDR Documents

Frequently Asked Questions

PATIENTS FIRST. ALWAYS.

With a focus on patient safety and industry best practices, QUAD A can elevate your healthcare facility. To learn more about the benefits of our accreditation, click the link below, email: info@QUADA.org or call us at 224-643-7704.