MIPS Measures Relevant to Pathology

  1. Quality - 70% of total score:  Report 6 measures, including one Outcome or one 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:

    249
    NQF:

    1854
    eMeasure ID:
    High Priority:

    No

    #249: Barrett's Esophagus

    Percentage of esophageal biopsy reports that document the presence of Barrett’s mucosa that also include a statement about dysplasia

    Measure Type
    • Process
    Specifications
    Specialty
    • Pathology
    ID:

    250
    NQF:

    1853
    eMeasure ID:
    High Priority:

    No

    #250: Radical Prostatectomy Pathology Reporting

    Percentage of radical prostatectomy pathology reports that include the pT category, the pN category, the Gleason score and a statement about margin status

    Measure Type
    • Process
    Specifications
    Specialty
    • Oncology
    • Pathology
    ID:

    395
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #395: Lung Cancer Reporting (Biopsy/Cytology Specimens)

    Pathology reports based on biopsy and/or cytology specimens with a diagnosis of primary non-small cell lung cancer classified into specific histologic type or classified as NSCLC-NOS with an explanation included in the pathology report

    Measure Type
    • Process
    Specifications
    Specialty
    • Pathology
    ID:

    396
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #396: Lung Cancer Reporting (Resection Specimens)

    Pathology reports based on resection specimens with a diagnosis of primary lung carcinoma that include the pT category, pN category and for non-small cell lung cancer, histologic type

    Measure Type
    • Process
    Specifications
    Specialty
    • Pathology
    ID:

    397
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    #397: Melanoma Reporting

    Pathology reports for primary malignant cutaneous melanoma that include the pT category and a statement on thickness, ulceration and mitotic rate

    Measure Type
    • Process
    Specifications
    Specialty
    • Pathology
    • *These measures make up the Pathology 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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