- Quality - 55% of total score: Report 6 measures, including one Outcome or other High Priority measure for 12 months on at least 70% of eligible encounters to receive a score against 2022 National Benchmarks. Information about EMA (what happens if you report less than 6 measures) can be found here. Suggestions for your specialty include, but are not limited, to the following: ID:249NQF:eMeasure ID:High Priority:No
2022 MIPS Measure #249: Barrett’s Esophagus
Percentage of esophageal biopsy reports that document the presence ofBarrett’smucosa that also include a statement about dysplasia
Measure Type- Process
SpecificationsSpecialty- Pathology
ID:250NQF:eMeasure ID:High Priority:No2022 MIPS Measure #250: Radical Prostatectomy Pathology Reporting
Percentage of radical prostatectomy pathology reports that include the pT category, the pN category, the Gleason score and a statement about margin status.
Measure Type- Process
SpecificationsSpecialty- Oncology/Hematology
- Pathology
ID:395NQF:eMeasure ID:High Priority:Yes2022 MIPS Measure #395: Lung Cancer Reporting (Biopsy/Cytology Specimens)
Pathology reports based on lung biopsy and/or cytology specimens with a diagnosis of primary non-small cell lung cancer classified into specific histologic type following the International Association for the Study of Lung Cancer (IASLC) guidance or classified as non-small cell lung cancer not otherwise specified (NSCLC-NOS) with an explanation included in the pathology report.
Measure Type- Process
SpecificationsSpecialty- Pathology
ID:396NQF:eMeasure ID:High Priority:Yes2022 MIPS Measure #396: Lung Cancer Reporting (Resection Specimens)
Pathology reports based on lung resection specimens with a diagnosis of primary lung carcinoma that include the pT category, pN category and for non-small cell lung cancer (NSCLC), histologic type.
Measure Type- Process
SpecificationsSpecialty- Pathology
ID:397NQF:eMeasure ID:High Priority:Yes2022 MIPS Measure #397: Melanoma Reporting
Pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors.
Measure Type- Process
SpecificationsSpecialty- Pathology
ID:440NQF:eMeasure ID:High Priority:Yes2022 MIPS Measure #440: Skin Cancer: Biopsy Reporting Time – Pathologist to Clinician
Percentage of biopsies with a diagnosis of cutaneous Basal Cell Carcinoma (BCC) and Squamous Cell Carcinoma (SCC), or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within 7 days from the time when the tissue specimen was received by the pathologist.
Measure Type- Process
SpecificationsSpecialty- Dermatology
- Pathology
- IA: 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 15 or fewer 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. A group can attest to an activity when at least 50% of the clinicians in the group perform the same activity during any continuous 90-day period (or as specified in the activity description) in the same performance year. The following are suggestions for your specialty:
- IA_BE_7 -Participation in a QCDR, that promotes use of patient engagement tools (medium weighted).
- IA_BE_25 -Drug Cost Transparency (high weighted).
- IA_CC_1 - Implementation of use of specialist reports back to referring clinician or group to close referral loop (medium weighted).
- IA_CC_2 - Implementation of improvements that contribute to more timely communication of test results (medium weighted).
- IA_PM_17 -Participation in Population Health Research (medium weighted).
- IA_PSPA_1 -Participation in an AHRQ-listed patient safety organization. (medium weighted).
- IA_PSPA_2 -Participation in MOC Part IV (medium weighted).
- IA_PSPA_19 - Implementation of formal quality improvement methods, practice changes or other practice improvement processes (medium weighted).
- Full list of Improvement Activities