- Quality - 70% of total score: Report 6 measures, including one Outcome or high priority measure 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:
- #128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
- #130 Documentation of Current Medications in the Medical Record - High Priority
- #226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
- #374: Closing the Referral Loop: Receipt of Specialist Report
- 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. There are over 90 possible measures to choose from. The following are suggestions only:
- IA_EPA_3 - Collection and use of patient experience and satisfaction data on access (medium weighted).
- IA_AHE_1 - Engagement of new Medicaid patients and follow-up (high-weighted).
- IA_BE_14 - Engage patients and families to guide improvement in the system of care (medium weighted).
- IA_CC_8 - Implementation of documentation improvements for practice/process improvements (medium weighted).
- IA_CC_2 - Implementation of improvements that contribute to more timely communication of test results (medium weighted).
- IA_PM_4 Glycemic Management Services (high-weighted).
- IA_PM_20 Glycemic Referring Services (medium weighted).
- IA_PM_19 Glycemic Screening Services (medium weighted).
- IA_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop (medium weighted).
- IA_CC_7 Regular training in care coordination (medium weighted).
- IA_CC_9 Implementation of practices/processes for developing regular individual care plans (medium weighted).
- IA_CC_10 Care transition documentation practice improvements (medium weighted).
- IA_CC_11 Care transition standard operational improvements (medium weighted).
- IA_CC_12 Care coordination agreements that promote improvements in patient tracking across settings (medium weighted).
- IA_EPA_3 Collection and use of patient experience and satisfaction data on access (medium weighted).
- IA_EPA_5 Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/) (medium weighted).
- IA_BE_5 Enhancements/regular updates to practice websites/tools that also include considerations for patients with cognitive disabilities (medium weighted).
- A_BE_15 Engagement of Patients, Family, and Caregivers in Developing a Plan of Care (medium weighted).
- IA_BE_16 Evidenced-based techniques to promote self-management into usual care (medium weighted).
- IA_BE_17 Use of tools to assist patient self-management (medium weighted).
- IA_BE_21 Improved Practices that Disseminate Appropriate Self-Management Materials (medium weighted).
- IA_PSPA_19 Implementation of formal quality improvement methods, practice changes, or other practice improvement processes (medium weighted).
- IA_CC_5 - Participate in a CMS Partnership for Patients Hospital Engagement Network (medium weighted).
- IA_BE_11 - Participate in a QCDR that promotes implementation of patient self-action plans, and processes and tools that engage patients for adherence to treatment plan (medium weighted).
- IA_PSPA_1 - Participate in an Agency for Healthcare Research and Quality (AHRQ)-listed patient safety organization (medium weighted).
- IA_PSPA_11 - Participate in CAHPS or other supplemental questionnaire (high-weighted).
- IA_PM_5 - Engagement of community for health status improvement (medium weighted).
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