- Quality - 65% of total MIPS score: Report 6 measures, including one Outcome or other High Priority measure for 12 months on at least 70% of eligible encounters to possibly earn more than 3 points on a measure. Note: Small practices (less than 16 in the practice) can earn 3 points on a measure if at least 1 eligible case is reported. Suggestions for your specialty include, but are not limited to, the following:
- IA: Improvement Activities - 15% of total MIPS 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. A group can attest to an activity when at least 50% of the clinicians in the group perform the same activity during any continuous 90-day period (or as specified in the activity description) in the same performance year. There are over 100 possible activities to choose from. The following are some suggestions:
- IA_BE_6 - Collection and follow-up on patient experience and satisfaction data on beneficiary engagement (high weighted).
- IA_BE_12 - Use evidence-based decision aids to support shared decision-making (medium weighted).
- IA_CC_1 - Implementation of use of specialist reports back to referring clinician or group to close referral loop (medium weighted).
- IA_CC_2 - Implementation of improvements that contribute to more timely communication of test results (medium weighted).
- IA_PSPA_1 - Participation in an AHRQ-listed patient safety organization. (medium weighted).
- IA_PSPA_2 - Participation in MOC Part IV. (medium weighted).
- IA_PSPA_16 - Use of decision support and standardized treatment protocols (medium weighted).
- IA_PSPA_19 - Implementation of formal quality improvement methods, practice changes or other practice improvement processes (medium weighted).