- Quality - 50% of total score: Select 6 measures including one Outcome measure (or other high priority measure if an outcome measure is not applicable) and report each on at least 60% of eligible Medicare and non-Medicare patient/visits over the entire year. Suggestions for your specialty include but are not limited to the following:
- #44 Preoperative beta-blocker in patients with isolated CABG surgery*
- #76 Prevention of catheter-related bloodstream infections*
- #404: Anesthesiology Smoking Abstinence* Outcome
- #424 Perioperative temperature management* Outcome
- #426 Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) * Outcome
- #427 Post-Anesthetic Transfer of Care Measure: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)* High Priority
- #430 Prevention of Post-Operative Nausea and Vomiting (PONV) – Combination Therapy* High Priority
- #463 PPrevention of Post-Operative Vomiting (POV) - Combination Therapy (Pediatrics)*
- *These 8 measures comprise the Anesthesia 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. 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).
- Other resources from CMS: MIPS Measures Guide for Anesthesiologists and Certified Registered Nurse Anesthetists: Highlights a list of measures and activities for the Quality, Cost, Improvement Activities and Promoting Interoperability performance categories.
