- Quality - 45% of total score: Report 6 measures, including one Outcome or high priority measure 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:
- #131 Pain assessment prior to initiation of patient therapy and follow-up - Note: This measure is reported/counted for every eligible patient visit vs. once per reporting period. High Priority
- #182 Functional outcome assessment - Note: This measure is reported/counted for every eligible patient visit vs. once per reporting period. High Priority
- #217 Functional Status Change for Patients with Knee Impairments
- #218 Functional Status Change for Patients with Hip Impairments
- #219 Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments
- #220 Functional Status Change for Patients with Low Back Impairments
- #221 Functional Status Change for Patients with Shoulder Impairments
- #222 Functional Status Change for Patients with Elbow, Wrist or Hand Impairments
- #223 Functional Status Change for Patients with General Orthopedic Impairments
- 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:
- 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 clinicians/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).
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