- Quality - 50% of total score: Select 6 measures including one Outcome measure (or high priority measure if an outcome measure is not applicable) and report each on 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:
- #47 Care Plan* - High Priority
- #128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan*
- #130 Documentation and verification of current medications in the medical record* Note: This measure is reported on every patient visit (vs. once per reporting period).- High Priority
- #185 Endoscopy/Polyp Surveillance – Colonoscopy Interval for Patients with a History of Adenomatous Polyps – Avoidance of Inappropriate Use* - High Priority
- #226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention*
- #271 Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury – Bone Loss Assessment*
- #275 Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor)*
- #317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented*
- #320 Endoscopy/Polyp Surveillance – Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients *- High Priority
- #343 Screening Colonoscopy Adenoma Detection Rate* - High Priority
- #374 Closing the Referral Loop: Receipt of Specialist Report* - High Priority
- #390 Hepatitis C: Discussion and Shared Decision Making Treatment Options* - High Priority
- #401 Screening for Hepatocellular Carcinoma (HCC) in Patients with Hepatitis C Cirrhosis*
- #402 Tobacco Use and Help with Quitting Among Adolescents*
- #425 Photodocumentation of Cecal Intubation*
- #431 Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling*
- #439 Age Appropriate Screening Colonoscopy* - High Priority
- *These 17 registry measures make-up the Gastroenterology 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).
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