How to choose PQRS measures

  1. Per CMS, the following factors should be considered when deciding which measures to select for PQRS reporting:
    • Clinical conditions usually treated;
    • Types of care typically provided (e.g., preventive, chronic, acute);
    • Settings where care is usually delivered (e.g., office, emergency department [ED], surgical suite);
    • Quality improvement goals;
    • Other quality reporting programs in use or being considered;
  2. Find out if any of the PQRS measures groups apply to your specialty. You can find the list of PQRS measures groups here. It is usually easier to report measures groups because a health provider only needs to report a minimum 20 eligible patient sample (at least 11 patients need to have Traditional Fee for Service Medicare). For example, family practice or internal medicine providers usually report the Diabetes Measure Group or the Preventive Care Measures Group. Cardiologists usually report the CAD Measures Group. If there is no measures group that applies directly to your specialty, you could choose the Cardiovascular Prevention Measures Group or the Preventive Care Measures Group.
  3. If you cannot report PQRS using a Measures Group, you will have to report using individual measures.  Unlike the measures groups where you only need to report a minimum 20 patient sample, when reporting individual measures you will need to report at least 50% of the Medicare eligible patients for each measure.  Tip:  If possible, when selecting measures you could avoid measures that are very broadly applicable to all of your Medicare patients.  For example:

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