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MIPS Measures Relevant to Anesthesiology

  1. 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.   Information about EMA (what happens if you report less than 6 measures) can be found here.  Suggestions for your specialty include, but are not limited to, the following: 
     
    ID:
    044
    NQF:
    0236
    eMeasure ID:
    High Priority:
    No

    2021 MIPS Measure #044: Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery

    Percentage of isolated Coronary Artery Bypass Graft (CABG) surgeries for patients aged 18 years and older who received a beta-blocker within 24 hours prior to surgical incision.

    Measure Type
    • Process
    Specifications
    Specialty
    • Anesthesiology
    • Thoracic Surgery
    ID:
    076
    NQF:
    eMeasure ID:
    High Priority:
    Yes

    2021 MIPS Measure #076: Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections

    Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound techniques followed

    Measure Type
    • Process
    Specifications
    Specialty
    • Anesthesiology
    • Hospitalists
    • Interventional Radiology
    ID:
    404
    NQF:
    eMeasure ID:
    High Priority:
    Yes

    2021 MIPS Measure #404: Anesthesiology Smoking Abstinence

    The percentage of current smokers who abstain from cigarettes prior to anesthesia on the day of elective surgery or procedure

    Measure Type
    • Intermediate Outcome
    Specifications
    Specialty
    • Anesthesiology
    ID:
    424
    NQF:
    2671
    eMeasure ID:
    High Priority:
    Yes

    2021 MIPS Measure #424: Perioperative Temperature Management

    Percentage of patients, regardless of age, who undergo surgical or therapeutic procedures under general or neuraxial anesthesia of 60 minutes duration or longer for whom at least one body temperature greater than or equal to 35.5 degrees Celsius (or 95.9 degrees Fahrenheit) was achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Anesthesiology
    ID:
    430
    NQF:
    eMeasure ID:
    High Priority:
    Yes

    2021 MIPS Measure #430: Prevention of Post-Operative Nausea and Vomiting (PONV) – Combination Therapy

    Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively

    Measure Type
    • Process
    Specifications
    Specialty
    • Anesthesiology
    ID:
    463
    NQF:
    eMeasure ID:
    High Priority:
    Yes

    2021 MIPS Measure #463: Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics)

    Percentage of patients aged 3 through 17 years, who undergo a procedure under general anesthesia in which an inhalational anesthetic is used for maintenance AND who have two or more risk factors for post-operative vomiting (POV), who receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively

    Measure Type
    • Process
    Specifications
    Specialty
    • Anesthesiology
    ID:
    477
    NQF:
    eMeasure ID:
    High Priority:
    Yes

    2021 MIPS Measure #477: Multimodal Pain Management

    Percentage of patients, aged 18 years and older, undergoing selected surgical procedures that were managed with multimodal pain medicine

    Measure Type
    • Process
    Specifications
    Specialty
    • Anesthesiology
     
  2. 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 90 possible measures to choose from. The following are suggestions only:

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