2020 MIPS IA_PSPA_8: Use of patient safety tools

Activity ID


Activity Weighting


Subcategory Name

Patient Safety and Practice Assessment

Activity Description

In order to receive credit for this activity, a MIPS eligible clinician must use tools that assist specialty practices in tracking specific measures that are meaningful to their practice. Some examples of tools that could satisfy this activity are: a surgical risk calculator; evidence based protocols, such as Enhanced Recovery After Surgery (ERAS) protocols; the Centers for Disease Control (CDC) Guide for Infection Prevention for Outpatient Settings predictive algorithms; and the opiate risk tool (ORT) or similar tool.


Use of systems, tools and strategies implemented by specialty practices, for tracking specific meaningful patient safety and practice assessment (e.g., ORT or similar tools are permitted).

Suggested Documentation

Documentation of the use of patient safety tools, e.g. surgical risk calculator, evidenced based protocols such as Enhanced Recovery After Surgery (ERAS) protocols and ORT or similar tools are permitted. The CDC Guide for Infection Prevention for Outpatient Settings, or predictive algorithms, that assist specialty practices in tracking specific patient safety measures meaningful to their practice to meet the intent of the IA.

Examples of Additional Activities that Qualify for Attestation

Completing these alternate activities can fulfill the requirements of this Improvement Activity; and Notes

Sub-IA-1: Use of clinical assessment modalities and diagnostic screening tools in specialty medicine (e.g., WHO Fracture Risk Assessment (FRAX) Tool);
Sub-IA-2: Use ACC Surviving MI;
Sub-IA-3: Use ACP Practice Advisor;ACP Quality Connect;
Sub-IA-4: Conduct Disease Activity Measurement to Optimize Treating to Target.;
Sub-IA-5: Improve Informed Consent and Shared Decision-Making with Evidence-Based Risk Stratification Strategies;
Sub-IA-6: Implement AGA Clinical Guidelines Mobile App;
Sub-IA-7: Participate in public health emergency disease outbreak control efforts;
Sub-IA-8: Participate in voluntary surveillance activity;
Sub-IA-9: Conduct population management strategies within a Perioperative Surgical Home (PSH);
Sub-IA-10: Use of AUA Symptom Index (AUA-SI) to increase patient engagement.;
Sub-IA-11: Provide leadership of Infection Prevention and Control Program;
Sub-IA-12: Conduct therapeutic drug monitoring for inflammatory bowel disease patients that are on anti-TNF therapies;
Sub-IA-13: Deploy predictive analytical models to manage chronic disease in patients;
Sub-IA-14: Perform review of Enhanced Recovery after Surgery (ERAS) protocol and implement improvement plan

Register with MDinteractive