MVP ID: M0004
Most applicable medical specialty(s):
Neurology
The Supportive Care for Neurodegenerative Conditions MVP focuses on the clinical theme of promoting quality care for patients with cognitive-based neurological disorders such as dementia, Parkinson’s Disease (PD), and Amyotrophic Lateral Sclerosis (ALS).
Quality
Report 4 quality measures (one must be an outcome or a high priority measure):
- Quality ID: 047: Advance Care Plan - Process, High Priority, MIPS CQMs, Medicare Part B claims measures
- Quality ID: 238: Use of High-Risk Medications in Older Adults - Process, High Priority, eCQMs, MIPS CQMs
- Quality ID: 281: Dementia: Cognitive Assessment - Process, eCQMs
- Quality ID: 282: Dementia: Functional Status Assessment - Process, MIPS CQMs
- Quality ID: 286: Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia - Process, High Priority, MIPS CQMs
- Quality ID: 288: Dementia: Education and Support of Caregivers for Patients with Dementia - Process, High Priority, MIPS CQMs
- Quality ID: 290: Assessment of Mood Disorders and Psychosis for Patients with Parkinson's Disease - Process, MIPS CQMs
- Quality ID: 291: Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson's Disease - Process, MIPS CQMs
- Quality ID: 293: Rehabilitative Therapy Referral for Patients with Parkinson's Disease - Process, High Priority, MIPS CQMs
- Quality ID: 386: Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences - Process, High Priority, MIPS CQMs
- Quality ID: 487: Screening for Social Drivers of Health - Process, High Priority, MIPS CQMs
- Quality ID: AAN22: Quality of Life Outcome for Patients with Neurologic Conditions - Patient Reported Outcome, High Priority, QCDR
- Quality ID: AAN34: Patient reported falls and plan of care - Patient Reported Outcome, High Priority, QCDR
- Quality ID: AAN9: Querying and Follow-up About Symptoms of Autonomic Dysfunction for Patients with Parkinson’s Disease - Process, QCDR
Improvement Activities
Report Two medium-weighted improvement activities or One high- weighted improvement activity:
- IA_AHE_3: Promote Use of Patient-Reported Outcome Tools - High
- IA_BE_16: Promote Self-management in Usual Care - Medium
- IA_BE_24: Financial Navigation Program - Medium
- IA_BE_4: Engagement of patients through implementation of improvements in patient portal - Medium
- IA_BE_6: Regularly Assess Patient Experience of Care and Follow Up on Findings - High
- IA_BMH_4: Depression screening - Medium
- IA_BMH_8: Electronic Health Record Enhancements for BH data capture - Medium
- IA_CC_1: Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop - 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_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_16: Implementation of medication management practice improvements - Medium
- IA_PM_21: Advance Care Planning - 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.