- Quality - 45% 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:
- #47 Advance Care Plan - High Priority
- #51 Chronic Obstructive Pulmonary Disease Spirometry Evaluation
- #52 Chronic Obstructive Pulmonary Disease Inhaled Brochodilator Therapy
- #110 Influenza Immunization
- #111 Pneumonia Vaccination Status for Older Adults
- #130 Documentation of Current Medications in the Medical Record - High Priority
- #226 Tobacco Use: Screening and Cessation Intervention
- #277 Sleep Apnea: Severity Assessment at Initial Diagnosis
- #279 Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
- #398 Optimal Asthma Control - High Priority
- 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:
- 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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