- 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 at least 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:
- #39 Screening of Therapy for Osteoporosis for Women Aged 65 Years and Older
- #47 Care Plan * -High Priority
- #48 Assessment of Presence of Absence of Urinary Incontinence in Women Aged 65 Years and Older*
- #50 Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older* -High Priority
- #110 Preventive Care and Screening: Influenza Immunization*
- #112 Breast Cancer Screening*
- #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* -High Priority
- #226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention*
- #236 Controlling High Blood Pressure* - Intermediate Outcome
- #265 Biopsy Follow-up* -High Priority
- #317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented*
- #335 Maternity Care: Elective Delivery or Early Induction Without Medical Indication at ≥ 37 and < 39 Weeks -High Priority
- #336 Maternity Care: Post-Partum Follow-Up and Care Coordination -High Priority
- #374 Closing the Referral Loop: Receipt of Specialist Report *-High Priority
- #402 Tobacco Use and Help with Quitting Among Adolescents*
- #418 Osteoporosis Management in Women Who Had a Fracture*
- #422 Performing Cystoscopy at the Tim of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury *-High Priority
- #428 Pelvic Organ Prolapse:Preoperative Assessment of Occult Stress Urinary Incontinence*
- #429 Pelvic Organ Prolapse:Preoperative Screening for Uterine Malignancy* -High Priority
- #431 Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling*
- #432 Proportion of Patients Sustaining Bladder Injury at the Time of any Pelvic Organ Prolapse Repair*-Outcome
- #433 Proportion of Patients Sustaining A Viscus Injury at the Time of Any Pelvic Organ Prolapse Repair* -Outcome
- #434 Proportion of Patients Sustaining A Ureter Injury at the Time of Any Pelvic Organ Prolapse Repair* -Outcome
- #443 Non-Recommended Cervical Cancer Screening in Adolescent Females*-High Priority
- #447 Chlamydia Screening and Follow Up*
- #448 Appropriate Workup Prior to Endometrial Ablation* -High Priority
- *These 24 measures (plus EHR only measures 309, 310 and 369) represent the Obstetrics/Gynecology 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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