Understanding IA_PSPA_7: Using QCDR Data for Ongoing Practice Improvement MIPS reporting is often viewed as something a practice completes at the end of the year: collect the data, calculate the results and submit the information to CMS. But MIPS data can be much more useful when physicians can see their performance during the performance year, while there is still time to make improvements. That is the concept behind IA_PSPA_7 — Use of QCDR Data for Ongoing Practice Assessment and Improvements. For Podiatrists participating with Registry Clearinghouse, this Improvement Activity is particularly relevant because Registry Clearinghouse receives updated clinical data on a regular basis, allowing Podiatrists to monitor their MIPS performance throughout the year. Instead of simply reporting what happened after the year is over, the data can be used to identify opportunities for improvement, make changes and then monitor whether those changes are working.