MVP ID: G0059
Most applicable medical specialty(s):
Anesthesiology
The Patient Safety and Support of Positive Experiences with Anesthesia MVP focuses on increasing quality of anesthesia care, improving postoperative outcomes, promoting patient safety, and enhancing satisfaction for patients receiving anesthesia. The measures are used for a variety of surgical procedures that anesthesiologists deliver care for, and are broadly applicable to anesthesiologists practicing within ambulatory, outpatient, and inpatient hospital settings.
Quality
- Quality ID: 404 Anesthesiology Smoking Abstinence
- Quality ID: 424 Perioperative Temperature Management
- Quality ID: 430 Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy
- Quality ID: 463 Prevention of Post-Operative Vomiting (POV) - Combination Therapy (Pediatrics)
- Quality ID: 477 Multimodal Pain Management
- Quality ID: 487 Screening for Social Drivers of Health
- Quality ID: ABG44 Low Flow Inhalational General Anesthesia
- Quality ID: AQI48 Patient-Reported Experience with Anesthesia
- Quality ID: EPREOP31 Intraoperative Hypotension (IOH) among Non-Emergent Noncardiac Surgical Cases
Improvement Activities
Report Two medium-weighted improvement activities or One high- weighted improvement activity:
- Activity ID: IA_BE_22 Improved Practices that Engage Patients Pre-Visit (Medium)
- Activity ID: IA_BE_6 Regularly Assess Patient Experience of Care and Follow Up on Findings (High)
- Activity ID: IA_BMH_2 Tobacco use (Medium)
- Activity ID: IA_CC_15 PSH Care Coordination (High)
- Activity ID: IA_CC_19 Tracking of clinician’s relationship to and responsibility for a patient by reporting MACRA patient relationship codes (High)
- Activity ID: IA_CC_2 Implementation of improvements that contribute to more timely communication of test results (Medium)
- 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 (High)
- Activity ID: IA_MVP Practice-Wide Quality Improvement in MIPS Value Pathways (High)
- Activity ID: IA_PCMH Electronic submission of Patient Centered Medical Home accreditation
- Activity ID: IA_PSPA_1 Participation in an AHRQ-listed patient safety organization (Medium)
- Activity ID: IA_PSPA_16 Use decision support—ideally platform-agnostic, interoperable clinical decision support (CDS) tools —and standardized treatment protocols to manage workflow on the care team to meet patient needs (Medium)
- Activity ID: IA_PSPA_7 Use of QCDR data for ongoing practice assessment and improvements (Medium)
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.