MVP ID: M1424
Most applicable medical specialty(s):
Pulmonology, Sleep Medicine, Nonphysician Practitioners, Nurse Practitioner, Physician Assistants
The Pulmonology Care MVP focuses on assessing optimal care for patients treated for a broad range of pulmonology conditions including COPD, asthma, sleep apnea, and general pulmonology.
Quality
- Quality ID: 047: Advance Care Plan
- Quality ID: 052: Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation and Long-Acting Inhaled Bronchodilator Therapy
- Quality ID: 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
- Quality ID: 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
- Quality ID: 277: Sleep Apnea: Severity Assessment at Initial Diagnosis
- Quality ID: 279: Sleep Apnea: Assessment of Adherence to Obstructive Sleep Apnea (OSA) Therapy.
- Quality ID: 398: Optimal Asthma Control
- Quality ID: 487: Screening for Social Drivers of Health
- Quality ID: 503: Gains in Patient Activation Measure (PAM) Scores at 12 Months
- Quality ID: ACEP25: Tobacco Use: Screening and Cessation Intervention for Patients with Asthma and COPD
Improvement Activities
Report Two medium-weighted improvement activities or One high- weighted improvement activity:
- IA_AHE_3: Promote Use of Patient-Reported Outcome Tools
- IA_AHE_9: Implement Food Insecurity and Nutrition Risk Identification and Treatment Protocols
- IA_AHE_12: Practice Improvements that Engage Community Resources to Address Drivers of Health - High
- IA_BE_23: Integration of patient coaching practices between visits
- IA_CC_9: Implementation of practices/processes for developing regular individual care plans
- IA_EPA_2: Use of telehealth services that expand practice access
- IA_PM_26: Vaccine Achievement for Practice Staff: COVID-19, Influenza, and Hepatitis B
- IA_MVP: Practice-Wide Quality Improvement in MIPS Value Pathways - High
- IA_PCMH: Electronic submission of Patient Centered Medical Home accreditation
- IA_PM_13: Chronic Care and Preventative Care Management for Empaneled Patients
- IA_PM_16: Implementation of medication management practice improvements
Cost
Calculated by CMS using administrative claims data:
- Measure ID: COST_COPDE_1 - Inpatient Chronic Obstructive Pulmonary Disease (COPD) Exacerbation
- Measure ID: COST_ACOPD_1 - Asthma/Chronic Obstructive Pulmonary Disease (COPD)
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.