MVP ID: G0053
Most applicable medical specialty(s):
Rheumatology
The Advancing Rheumatology Patient Care MVP focuses on the clinical theme of providing fundamental treatment and management of rheumatological conditions.
Quality
Report 4 quality measures (one must be an outcome or a high priority measure):
- Quality ID: 130 - Documentation of Current Medications in the Medical Record
- Quality ID: 134 - Preventive Care and Screening: Screening for Depression and Follow-Up Plan
- Quality ID: 176 - Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy
- Quality ID: 177 - Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity
- Quality ID: 178 - Rheumatoid Arthritis (RA): Functional Status Assessment
- Quality ID: 180 - Rheumatoid Arthritis (RA): Glucocorticoid Management
- Quality ID: 487 - Screening for Social Drivers of Health
- Quality ID: 493 - Adult Immunization Status
- Quality ID: 503 - Gains in Patient Activation Measure (PAM) Scores at 12 Months
- Quality ID: ACR12 - Disease Activity Measurement for Patients with PsA
- Quality ID: ACR14 - Gout: Serum Urate Target
- Quality ID: ACR15 - Safe Hydroxychloroquine Dosing
- Quality ID: UREQA10 - Ankylosing Spondylitis: Controlled Disease Or Improved Disease Function
Improvement Activities
Report Two medium-weighted improvement activities or One high- weighted improvement activity:
- Activity ID: IA_AHE_3 - Promote Use of Patient-Reported Outcome Tools
- Activity ID: IA_BE_1 - Use of certified EHR to capture patient reported outcomes
- Activity ID: IA_BE_15 - Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
- Activity ID: IA_BE_24 - Financial Navigation Program
- Activity ID: IA_BE_25 - Drug Cost Transparency
- Activity ID: IA_BE_4 - Engagement of patients through implementation of improvements in patient portal
- Activity ID: IA_BE_6 - Regularly Assess Patient Experience of Care and Follow Up on Findings
- Activity ID: IA_BMH_2 - Tobacco use
- Activity ID: IA_EPA_1 - Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
- Activity ID: IA_EPA_2 - Use of telehealth services that expand practice access
- Activity ID: IA_MVP - Practice-Wide Quality Improvement in MIPS Value Pathways
- Activity ID: IA_PCMH - Electronic submission of Patient Centered Medical Home accreditation
- Activity ID: IA_PM_16 - Implementation of medication management practice improvements
- Activity ID: IA_PSPA_28 - Completion of an Accredited Safety or Quality Improvement Program
Cost
Calculated by CMS using administrative claims data:
Population Health Measures
Select one population health measure to be scored by CMS using administrative claims data:
- #479: Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for the Merit-Based Incentive Payment Program (MIPS) Groups (Administrative Claims)(!!)
- #484: Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (Administrative Claims) (!!)
Promoting Interoperability
Report on the same PI measures required under traditional MIPS unless qualified for automatic reweighting or approved hardship exception:
- Prevention of Information Blocking
- e-Prescribing
- Query of the Prescription Drug Monitoring Program (PDMP) (Optional)
- Provide Patients Electronic Access to Their Health Information
- Support Electronic Referral Loops By Sending Health Information AND
- Support Electronic Referral Loops By Receiving and Reconciling Health Information OR
- Health Information Exchange (HIE) Bi-Directional Exchange
- Enabling Exchange Under the Trusted Exchange Framework and Common Agreement (TEFCA)
- Immunization Registry Reporting
- Syndromic Surveillance Reporting
- Electronic Case Reporting
- Public Health Registry Reporting
- Clinical Data Registry Reporting
- Security Risk Analysis
- Safety Assurance Factors for EHR Resilience Guide (SAFER Guide)
- ONC Direct Review
MVP Registration
- MVP Participants must register between April 1 – December 2, 2024 to report an MVP in 2024.
- To register, MVP Participants must select:
- The MVP they intend to report.
- 1 population health measure included in the MVP.
- Any outcomes-based administrative claims measures on which the MVP Participant intends to be scored (if available).
- If reporting as a subgroup, registration must also include:
- A list of Taxpayer Identification Numbers (TINs)/National Provider Identifiers (NPIs) in the subgroup;
- A plain language name for the subgroup (which will be used for public reporting);
- A description of the composition of the subgroup, which may be selected from a list or described in a narrative.
- MVP Participants won’t be able to:
- Submit/make changes to the MVP they select after the close of the registration period (December 2, 2024).
- Report on an MVP they didn’t register for during the 2024 performance year.
- Report on more than one MVP.