MVP ID: M1421
Most applicable medical specialty(s):
Dermatology, Nonphysician Practitioners, Nurse Practitioner, Physician Assistants
The Dermatological Care MVP focuses on the clinical theme of providing treatment and management of dermatologic care.
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: 176 - Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy
- Quality ID: 226 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
- Quality ID: 397 - Melanoma Reporting
- Quality ID: 410 - Psoriasis: Clinical Response to Systemic Medications
- Quality ID: 440 - Skin Cancer: Biopsy Reporting Time - Pathologist to Clinician
- Quality ID: 485 - Psoriasis- Improvement in Patient-Reported Itch Severity
- Quality ID: 486 - Dermatitis – Improvement in Patient-Reported Itch Severity
- Quality ID: 487 - Screening for Social Drivers of Health
- Quality ID: 503 - Gains in Patient Activation Measure (PAM) Scores at 12 Months
- Quality ID: 509 - Melanoma: Tracking and Evaluation of Recurrence
- Quality ID: AAD6 - Skin Cancer: Biopsy Reporting Time - Clinician to Patient
- Quality ID: AAD8 - Chronic Skin Conditions: Patient Reported Quality-of-Life
- Quality ID: AAD12 - Melanoma: – Appropriate Surgical Margins
- Quality ID: AAD16 - Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Procedures
- Quality ID: AAD17 - Continuation of Anticoagulation Therapy in the Office-based Setting for Closure and Reconstruction After Skin Cancer Resection Procedures
- Quality ID: AAD18 - Avoidance of Opioid Prescriptions for Closure and Reconstruction After Skin Cancer Resection
Improvement Activities
Report Two medium-weighted improvement activities or One high- weighted improvement activity:
- Activity ID: IA_AHE_1 - Enhance Engagement of Medicaid and Other Underserved Populations
- Activity ID: IA_AHE_6 - Provide Education Opportunities for New Clinicians
- 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_BE_15 - Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
- Activity ID: IA_EPA_2 - Use of telehealth services that expand practice access
- Activity ID: IA_PM_26 - Vaccine Achievement for Practice Staff: COVID-19, Influenza, and Hepatitis B
- 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_8 - Use of Patient Safety Tools
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 1, 2025 to report an MVP in 2025.
- 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 1, 2025).
- Report on an MVP they didn’t register for during the 2025 performance year.
- Report on more than one MVP.