MVP ID: M1368
Most applicable medical specialty(s):
Infectious Disease, Immunology
The Prevention and Treatment of Infectious Disorders Including Hepatitis C and HIV MVP focuses on the clinical theme of promoting quality care for patients suffering from infectious disorders.
Quality
- Quality ID: 065: Appropriate Treatment for Upper Respiratory Infection (URI) - Process, High Priority, eCQMs, MIPS CQMs
- Quality ID: 130: Documentation of Current Medications in the Medical Record - Process, High Priority, eCQMs, MIPS CQMs
- Quality ID: 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan - Process, eCQMs, MIPS CQMs, Medicare Part B claims measures
- Quality ID: 205: Sexually Transmitted Infection (STI) Testing for People with HIV - Process, eCQMs, MIPS CQMs
- Quality ID: 240: Childhood Immunization Status - Process, eCQMs
- Quality ID: 310: Chlamydia Screening for Women - Process, eCQMs
- Quality ID: 338: HIV Viral Suppression - Outcome, High Priority, eCQMs, MIPS CQMs
- Quality ID: 340: HIV Medical Visit Frequency - Process, High Priority, MIPS CQMs
- Quality ID: 387: Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users - Process, MIPS CQMs
- Quality ID: 400: One-Time Screening for Hepatitis C Virus (HCV) and Treatment Initiation - Process, MIPS CQMs
- Quality ID: 401: Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis - Process, MIPS CQMs
- Quality ID: 475: HIV Screening - Process, eCQMs
- Quality ID: 487: Screening for Social Drivers of Health - Process, High Priority, MIPS CQMs
- Quality ID: 493: Adult Immunization Status - Process, MIPS CQMs
Improvement Activities
Report Two medium-weighted improvement activities or One high- weighted improvement activity:
- IA_AHE_1: Enhance Engagement of Medicaid and Other Underserved Populations - High
- IA_AHE_12: Practice Improvements that Engage Community Resources to Address Drivers of Health - High
- IA_AHE_5: MIPS Eligible Clinician Leadership in Clinical Trials or CBPR - Medium
- IA_BE_15: Engagement of Patients, Family, and Caregivers in Developing a Plan of Care - Medium
- IA_BE_4: Engagement of patients through implementation of improvements in patient portal - Medium
- IA_EPA_1: Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record - High
- IA_MVP: Practice-Wide Quality Improvement in MIPS Value Pathways - High
- IA_PCMH: Electronic submission of Patient Centered Medical Home accreditation
- IA_PM_11: Regular review practices in place on targeted patient population needs - Medium
- IA_PM_14: Implementation of methodologies for improvements in longitudinal care management for high risk patients - Medium
- IA_PM_22: Improving Practice Capacity for Human Immunodeficiency Virus (HIV) Prevention Services - Medium
- IA_PM_6: Use of Toolsets or Other Resources to Close Health and Health Care Inequities Across Communities - Medium
- IA_PSPA_23: Completion of CDC Training on Antibiotic Stewardship - High
- IA_PSPA_32: Use of CDC Guideline for Clinical Decision Support to Prescribe Opioids for Chronic Pain via Clinical Decision Support - High
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.