2017 MIPS Measures Relevant to Colon and Rectal Surgery

  1. Quality (60% of total score) -  Select 6 measures including one outcome measure (or high priority measure if one outcome measure is not applicable) and report each on 50% of eligible Medicare and non-Medicare patient/visits for a minimum of 90 days.  Suggestions for your specialty include but are not limited to the following:
  2. ACI: Advancing Care Information (25% of total score) - Replaces the Medicare EHR Incentive Program also known as Meaningful Use.  A minimum of the following base measures are required if reporting this category. Note that EHR's certified to a 2014 edition report a different set of measures.
    • Conduct security risk analysis
    • ePrescribe
    • Provide patient electronic access
    • Send a summary of care
    • Receive/accept a summary of care
  3. CPIA: Improvement Activities (15% of total score)  - Attest that you completed up to 2 high-weighted activities or 4 medium-weighted activities for a minimum of 90 days. Groups with fewer than 15 participants or if you are in a rural or health professional shortage area,  attest that you completed 1 high-weighted or 2 medium-weighted activities for a minimum of 90 days.  There are over 90 possible measures to choose from. The following are suggestions only:
    • Collection and use of patient experience and satisfaction data on access (medium weighted).
    • Annual registration in the Prescription Drug Monitoring Program (medium weighted).
    • Engagement of new Medicaid patients and follow-up (high-weighted).
    • Engage patients and families to guide improvement in the system of care (medium weighted).
    • Implementation of documentation improvements for practice/process improvements (medium weighted).
    • Implementation of improvements that contribute to more timely communication of test results (medium weighted).

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