- Quality - 50% of total score: Select at least 6 measures including one Outcome measure (or high priority measure if outcome measure is not applicable) and report each on at least 60% of eligible Medicare and non-Medicare patient/visits for the entire year. Suggestions for your specialty include but are not limited to the following:
- #110 Preventive Care and Screening: Influenza Immunization*
- #111 Pneumonia Vaccination Status for Older Adults*
- #130 Documentation of Medications in the Medical Record* - High Priority
- #226 Tobacco Use: Screening and Cessation Intervention*
- #238 Use of High-Risk Medications in the Elderly*
- #317 Preventive Care and Screening: Screening for High Blood Pressure*
- #331 Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Appropriate Use) Note: This is an inverse measure. Performance rate of 0% on this measure is considered the best quality of care/score. - High Priority
- #332 Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use) - High Priority
- #333 Adult Sinusitis: Computerized Tomography for Acute Sinusitis (overuse) Note: This is an inverse measure. Performance rate of 0% on this measure is considered the best quality of care/score. - High Priority
- #334 Adult Sinusitis: More than 1 Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse) Note: This is an inverse measure. Performance rate of 0% on this measure is considered the best quality of care/score. - High Priority
- #338 HIV Viral Load Suppression* Outcome
- #340 HIV Medical Visit Frequency* High Priority
- #374 Closing the Referral Loop: Receipt of Specialist Report * High Priority
- #398 Optimal Asthma Control - Outcome
- #402 Tobacco Use and Help with Quitting Among Adolescents*
- #444 Medication Management for People with Asthma
- *These 10 measures (and EHR Measure 160) are part of the Allergy/Immunology Specialty Measures Set
- PI: Promoting Interoperability (formerly ACI) - 25% of total score: Replaces the Medicare EHR Incentive Program also known as Meaningful Use. A minimum of the following base measures are required if reporting this category. Note that EHR's certified to a 2014 edition report a different set of measures.
- 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. The following is a sampling of some of the published IA measures:
- 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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