- Quality - 30% 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 2023 National Benchmarks. Suggestions for your specialty include, but are not limited to, the following:
- PI: Promoting Interoperability - 25% of total score: For a minimum of 90 days, report all required measures. EHR technology certified to the 2015 Cures Update must be in place by October 3, 2023. There are exclusions available for most of the required measures. Please check your QPP Participation Status to see if you are automatically exempt from PI. If you are exempt, the 25% will be re-weighted to the Quality performance category making it 55% of your score.
- e-Prescribing
- Query of Prescription Drug Monitoring Program (PDMP) (optional)
- Provide Patients Electronic Access to Their Health Information
- Support Electronic Referral Loops by Sending Health Information (option 1)
- Support Electronic Referral Loops by Receiving and Reconciling Health Information (option 1)
- Health Information Exchange (HIE) Bi-Directional Exchange (option 2)
- Immunization Registry Reporting
- Syndromic Surveillance Reporting
- Electronic Case Reporting
- Public Health Registry Reporting
- Clinical Data Registry Reporting
- 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_EPA_1 - Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record (high weighted).
- IA_AHE_7-Comprehensive Eye Exams (medium weighted).
- IA_CC_8 - Implementation of documentation improvements for practice/process improvements (medium 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_BE_4 - Engagement of patients through implementation of improvements in patient portal (medium weighted).
- IA_BE_1 - Use of certified EHR to capture patient reported outcomes (medium weighted).
- IA_BE_3 - Engagement with QIN-QIO to implement self-management training programs (medium weighted).
- IA_BE_6 - Regularly Assess Patient Experience of Care and Follow Up on Findings (high weighted).
- IA_BE_15 - Engagement of Patients, Family, and Caregivers in Developing a Plan of Care (medium weighted).
- IA_BE_22 - Improved Practices that Engage Patients Pre-Visit (medium weighted).
- IA_BE_25 - Drug Cost Transparency (high weighted).
- IA_ERP_2-Participation in a 60-day or greater effort to support domestic or international humanitarian needs (high weighted).
- IA_PM_6-Use of toolsets or other resources to close healthcare disparities across communities (medium weighted).
- IA_PSPA_2-Participation in MOC Part IV (medium weighted).
- IA_PSPA_8-Use of Patient Safety Tools (medium weighted).
- IA_PSPA_16 - Use of decision support and standardized treatment protocols (medium weighted).
- Full list of Improvement Activities