- 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 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
- #276 Sleep Apnea: Assessment of Sleep Symptoms
- #277 Sleep Apnea: Severity Assessment at Initial Diagnosis
- #278 Sleep Apnea: Positive Airway Pressure Therapy Prescribed
- #279 Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
- #398 Optimal Asthma Control - High Priority
- 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).
