MIPS Measures Relevant to Electrophysiology Cardiac Specialists

  1. Quality - 45% of total score:  Report the Electrophysiology Cardiac Specialist Measures Set. for 12 months. To earn 1 or 3 points on a measure report at least one eligible case. To earn more than 3 points on a measure report at least 60 percent of eligible cases.  Suggestions for your specialty include but are not limited to the following: 
     
    ID:

    348
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #348: HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate

    Patients with physician-specific risk-standardized rates of procedural complications following the first time implantation of an ICD

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Electrophysiology Cardiac Specialist
    ID:

    392
    NQF:

    2474
    eMeasure ID:
    High Priority:

    Yes

    #392: HRS-12: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation

    Rate of cardiac tamponade and/or pericardiocentesis following atrial fibrillation ablation. This measure is submitted as four rates stratified by age and gender:

    • Submission Age Criteria 1: Females 18-64 years of age
    • Submission Age Criteria 2: Males 18-64 years of age
    • Submission Age Criteria 3: Females 65 years of age and older
    • Submission Age Criteria 4: Males 65 years of age and older

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Electrophysiology Cardiac Specialist
    ID:

    393
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #393: HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision

    Infection rate following CIED device implantation, replacement, or revision

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Electrophysiology Cardiac Specialist
     
    • *These  registry measures make-up the Electrophysiology Cardiac Specialist Measures set. 
  2. PI: Promoting Interoperability - 25% of total score: For a minimum of 90 days, report all required measures. EHR technology certified to the 2015 Edition certification must be in place by October 3, 2019. There are exclusions available for most of the 11 measures that are reported. Please check your QPP Participation Status to see if you are exempt from PI. If you are exempt, the 25% will be re-weighted to the Quality performance category.
  3. IA: Improvement Activities - 15% of total score:  Attest that you completed up to 2 high-weighted activities or 4 medium-weighted activities for a minimum of 90 days. Groups with 15 or fewer participants or if you are in a rural or health professional shortage area: Attest that you completed 1 high-weighted or 2 medium-weighted activities for a minimum of 90 days:

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