- Quality - 45% 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. Suggestions for your specialty include, but are not limited to, the following:
ID:182NQF:2624eMeasure ID:High Priority:Yes
2020 MIPS Measure #182: Functional Outcome Assessment
Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter AND documentation of a care plan based on identified functional outcome deficiencies on the date of the identified deficiencies
Measure Type- Process
SpecificationsSpecialty- Audiology
- Chiropractic Medicine
- Family Medicine
- Nephrology
- Orthopedic Surgery
- Physical Medicine
- Physical Therapy/Occupational Therapy
- Preventive Medicine
- Speech/Language Pathology
ID:217NQF:0422eMeasure ID:High Priority:Yes2020 MIPS Measure #217: Functional Status Change for Patients with Knee Impairments
A patient-reported outcome measure of risk-adjusted change in functional status for patients aged 14 years+ with knee impairments. The change in functional status (FS) is assessed using the Knee FS patient-reported outcome measure (PROM) (©2009-2019 Focus on Therapeutic Outcomes, Inc.). The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality. The measure is available as a computer adaptive test, for reduced patient burden, or a short form (static measure)
Measure Type- Outcome
SpecificationsSpecialty- Chiropractic Medicine
- Orthopedic Surgery
- Physical Therapy/Occupational Therapy
ID:218NQF:0423eMeasure ID:High Priority:Yes2020 MIPS Measure #218: Functional Status Change for Patients with Hip Impairments
A patient-reported outcome measure of risk-adjusted change in functional status for patients 14 years+ with hip impairments. The change in functional status (FS) is assessed using the Hip FS patient-reported outcome measure (PROM) (©2009-2019 Focus on Therapeutic Outcomes, Inc.). The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality. The measure is available as a computer adaptive test, for reduced patient burden, or a short form (static measure)
Measure Type- Outcome
SpecificationsSpecialty- Chiropractic Medicine
- Orthopedic Surgery
- Physical Therapy/Occupational Therapy
ID:219NQF:0424eMeasure ID:High Priority:Yes2020 MIPS Measure #219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments
A patient-reported outcome measure of risk-adjusted change in functional status for patients 14 years+ with foot, ankle and lower leg impairments. The change in functional status (FS) is assessed using the Foot/Ankle FS patient- reported outcome measure (PROM) (©2009-2019 Focus on Therapeutic Outcomes, Inc.). The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality. The measure is available as a computer adaptive test, for reduced patient burden, or a short form (static measure)
Measure Type- Outcome
SpecificationsSpecialty- Chiropractic Medicine
- Orthopedic Surgery
- Physical Therapy/Occupational Therapy
ID:220NQF:0425eMeasure ID:High Priority:Yes2020 MIPS Measure #220: Functional Status Change for Patients with Low Back Impairments
A patient-reported outcome measure of risk-adjusted change in functional status for patients 14 years+ with low back impairments. The change in functional status (FS) is assessed using the Low Back FS patient-reported outcome measure (PROM) (©2009-2019 Focus on Therapeutic Outcomes, Inc.). The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality. The measure is available as a computer adaptive test, for reduced patient burden, or a short form (static measure)
Measure Type- Outcome
SpecificationsSpecialty- Chiropractic Medicine
- Orthopedic Surgery
- Physical Therapy/Occupational Therapy
ID:221NQF:0426eMeasure ID:High Priority:Yes2020 MIPS Measure #221: Functional Status Change for Patients with Shoulder Impairments
A patient-reported outcome measure of risk-adjusted change in functional status for patients 14 years+ with shoulder impairments. The change in functional status (FS) is assessed using the Shoulder FS patient-reported outcome measure (PROM) (©2009-2019 Focus on Therapeutic Outcomes, Inc.). The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality. The measure is available as a computer adaptive test, for reduced patient burden, or a short form (static measure)
Measure Type- Outcome
SpecificationsSpecialty- Chiropractic Medicine
- Orthopedic Surgery
- Physical Therapy/Occupational Therapy
ID:222NQF:0427eMeasure ID:High Priority:Yes2020 MIPS Measure #222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments
A patient-reported outcome measure of risk-adjusted change in functional status (FS) for patients 14 years+ with elbow, wrist, or hand impairments. The change in FS is assessed using the Elbow/Wrist/Hand FS patient-reported outcome measure (PROM) (©2009-2019 Focus on Therapeutic Outcomes, Inc.). The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality. The measure is available as a computer adaptive test, for reduced patient burden, or a short form (static measure).
Measure Type- Outcome
SpecificationsSpecialty- Chiropractic Medicine
- Orthopedic Surgery
- Physical Therapy/Occupational Therapy
ID:478NQF:eMeasure ID:High Priority:Yes2020 MIPS Measure #478: Functional Status Change for Patients with Neck Impairments
This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients aged 14+ with neck impairments. The change in FS is assessed using the Neck FS PROM.* The measure is risk-adjusted to patient characteristics known to be associated with FS outcomes. It is used as a performance measure at the patient, individual clinician, and clinic levels to assess quality
Measure Type- Outcome
SpecificationsSpecialty- Chiropractic Medicine
- Orthopedic Surgery
- Physical Therapy/Occupational Therapy
- 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, 2020. There are exclusions available for most of the 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 making it 70% of your score.
- e-Prescribing
- Query of Prescription Drug Monitoring Program (PDMP) (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:
- 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_EPA_1 - Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record (high 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_AHE_3 - Promote use of Patient-Reported Outcome Tools (high weighted).