- Quality - 65% of total score: Report 6 measures, including one Outcome or other High Priority measure for 12 months on at least 70% of eligible encounters to possibly earn more than 3 points on a measure. Note: Small practices (less than 16 in the practice) can earn 3 points on a measure if at least 1 eligible case is reported. Suggestions for your specialty include, but are not limited to, the following:
- 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. A group can attest to an activity when at least 50% of the clinicians in the group perform the same activity during any continuous 90-day period (or as specified in the activity description) in the same performance year. There are over 100 possible activities to choose from. The following are suggestions only:
- IA_AHE_6 - Provide Education Opportunities for New Clinicians (high weighted).
- IA_BE_6 - Collection and follow-up on patient experience and satisfaction data on beneficiary engagement (high weighted).
- IA_BE_15 - Engagement of Patients, Family, and Caregivers in Developing a Plan of Care (medium weighted).
- IA_PM_5 - Engagement of community for health status improvement (medium-weighted).
- IA_PSPA_1 - Participation in an AHRQ-listed patient safety organization. (medium weighted).
- IA_PSPA_11 - Participation in CAHPS or other supplemental questionnaire (high-weighted).
- IA_PSPA_17 - Implementation of analytic capabilities to manage total cost of care for practice population (medium weighted).
- IA_PSPA_19 - Implementation of formal quality improvement methods, practice changes, or other practice improvement processes (medium weighted).