- Quality - 45% of total score: Report 6 measures, including one Outcome (or high priority measure if outcome not available) 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:
- #65 Appropriate Treatment for Children with Upper Respiratory Infection (URI) - High Priority
- #66 Appropriate Testing for Children with Pharyngitis - High Priority
- #91 Acute Otitis Externa (AOE): Topical Therapy - High Priority
- #93 Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate Use - High Priority
- #116 Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis - High Priority
- #130 Documentation of Current Medications in the Medical Record - High Priority
- #131 Pain Assessment and Follow-Up - High Priority
- #226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
- #317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
- #331 Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) - High Priority
- #332 Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use) - High Priority
- #333 Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) - High Priority
- #402 Tobacco Use and Help with Quitting Among Adolescents
- #431 Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
- #464 Otitis Media with Effusion (OME): Systemic Antimicrobials Avoidance of Inappropriate Use - High Priority
- 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.
- e-Prescribing
- Query of Prescription Drug Monitoring Program (PDMP) (optional)
- Verify Opioid Treatment Agreement (optional)
- Provide Patients Electronic Access to Their Health Information
- Support Electronic Referral Loops by Sending Health Information
- Support Electronic Referral Loops by Receiving and Incorporating Health Information
- Immunization Registry Reporting
- Syndromic Surveillance Reporting
- Electronic Case Reporting
- Public Health Registry Reporting
- Clinical Data Registry Reporting
- 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:
- Collection and use of patient experience and satisfaction data on access (medium weighted).
- Annual registration in the Prescription Drug Monitoring Program (medium weighted).
- Engagement of new Medicaid patients and follow-up (high weighted).
- Engage patients and families to guide improvement in the system of care (medium weighted).
- Implementation of documentation improvements for practice/process improvements (medium weighted).
- Implementation of improvements that contribute to more timely communication of test results (medium weighted).
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