MVP ID: M1370
Most applicable medical specialty(s):
Chiropractic Medicine, Physiatry, Physical Therapy, Occupational Therapy
The Rehabilitative Support for Musculoskeletal Care MVP focuses on the clinical theme of promoting quality care for patients
Quality
Report 4 quality measures (one must be an outcome or a high priority measure):
- Quality ID: 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan - Process, eCQMs, MIPS CQMs, Medicare Part B claims measures
- Quality ID: 155: Falls: Plan of Care - Process, High Priority, MIPS CQMs, Medicare Part B claims measures
- Quality ID: 217: Functional Status Change for Patients with Knee Impairments - Patient Reported Outcome, High Priority, MIPS CQMs
- Quality ID: 218: Functional Status Change for Patients with Hip Impairments - Patient Reported Outcome, High Priority, MIPS CQMs
- Quality ID: 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments - Patient Reported Outcome, High Priority, MIPS CQMs
- Quality ID: 220: Functional Status Change for Patients with Low Back Impairments - Patient Reported Outcome, High Priority, MIPS CQMs
- Quality ID: 221: Functional Status Change for Patients with Shoulder Impairments - Patient Reported Outcome, High Priority, MIPS CQMs
- Quality ID: 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments - Patient Reported Outcome, High Priority, MIPS CQMs
- Quality ID: 478: Functional Status Change for Patients with Neck Impairments - Patient Reported Outcome, High Priority, MIPS CQMs
- Quality ID: 487: Screening for Social Drivers of Health - Process, High Priority, MIPS CQMs
Improvement Activities
Report Two medium-weighted improvement activities or One high- weighted improvement activity:
- IA_AHE_12: Practice Improvements that Engage Community Resources to Address Drivers of Health - High
- IA_AHE_3: Promote Use of Patient-Reported Outcome Tools - High
- IA_AHE_6: Provide Education Opportunities for New Clinicians - High
- IA_AHE_9: Implement Food Insecurity and Nutrition Risk Identification and Treatment Protocols - Medium
- IA_BE_6: Regularly Assess Patient Experience of Care and Follow Up on Findings - High
- IA_BMH_12: Promoting Clinician Well-Being - High
- IA_BMH_15: Behavioral/Mental Health and Substance Use Screening & Referral for Older Adults - High
- IA_CC_1: Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop - Medium
- IA_CC_12: Care coordination agreements that promote improvements in patient tracking across settings - Medium
- IA_CC_8: Implementation of documentation improvements for practice/process improvements - 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_EPA_2: Use of telehealth services that expand practice access - Medium
- IA_EPA_3: Collection and use of patient experience and satisfaction data on access - Medium
- IA_MVP: Practice-Wide Quality Improvement in MIPS Value Pathways - High
- IA_PCMH: Electronic submission of Patient Centered Medical Home accreditation
- 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
- IA_PSPA_21: Implementation of fall screening and assessment programs - 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.