MIPS Measures Relevant to Interventional Radiology

  1. Quality - 70% 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:

    ID:

    076
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #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:

    145
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #145: Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy

    Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)

    Measure Type
    • Process
    Specifications
    Specialty
    • Diagnostic Radiology
    • Interventional Radiology
    ID:

    374
    NQF:
    eMeasure ID:

    CMS50v6
    High Priority:

    Yes

    #374: Closing the Referral Loop: Receipt of Specialist Report

    Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

    Measure Type
    • Process
    Specifications
    Specialty
    • Allergy/Immunology
    • Cardiology
    • Dermatology
    • Family Medicine
    • Gastroenterology
    • Oncology
    • General Surgery
    • Internal Medicine
    • Interventional Radiology
    • Mental/Behavioral Health
    • Neurology
    • Obstetrics/Gynecology
    • Ophthalmology
    • Orthopedic Surgery
    • Otolaryngology
    • Physical Medicine
    • Preventive Medicine
    • Rheumatology
    • Thoracic Surgery
    • Urology
    • Vascular Surgery
    ID:

    409
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #409: Clinical Outcome Post Endovascular Stroke Treatment

    Percentage of patients with a mRs score of 0 to 2 at 90 days following endovascular stroke intervention

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Interventional Radiology
    • Neurosurgery
    ID:

    413
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #413: Door to Puncture Time for Endovascular Stroke Treatment

    Percentage of patients undergoing endovascular stroke treatment who have a door to puncture time of less than two hours

    Measure Type
    • Intermediate Outcome
    Specifications
    Specialty
    • Interventional Radiology
    • Neurosurgery
    ID:

    420
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #420: Varicose Vein Treatment with Saphenous Ablation: Outcome Survey

    Percentage of patients treated for varicose veins (CEAP C2-S) who are treated with saphenous ablation (with or without adjunctive tributary treatment) that report an improvement on a disease specific patient reported outcome survey instrument after treatment

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Interventional Radiology
    • Vascular Surgery
    ID:

    421
    NQF:
    eMeasure ID:
    High Priority:

    No

    #421: Appropriate Assessment of Retrievable Inferior Vena Cava Filters for Removal

    Percentage of patients in whom a retrievable IVC filter is placed who, within 3 months post-placement, have a documented assessment for the appropriateness of continued filtration, device removal or the inability to contact the patient with at least two attempts

    Measure Type
    • Process
    Specifications
    Specialty
    • Interventional Radiology
    ID:

    437
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #437: Rate of Surgical Conversion from Lower Extremity Endovascular Revascularization Procedure

    Inpatients assigned to endovascular treatment for obstructive arterial disease, the percent of patients who undergo unplanned major amputation or surgical bypass within 48 hours of the index procedure

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Interventional Radiology
    ID:

    465
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #465: Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries

    The percentage of patients with documentation of angiographic endpoints of embolization AND the documentation of embolization strategies in the presence of unilateral or bilateral absent uterine arteries

    Measure Type
    • Process
    Specifications
    Specialty
    • Interventional Radiology
    • *These measures make up the Interventional Radiology Specialty Measures Set.
  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.  There are over 90 possible measures to choose from. The following are suggestions only:

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