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2021 MIPS IA_BE_13: Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms

Activity ID


Activity Weighting


Subcategory Name

Beneficiary Engagement

Activity Description

RRegularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.


Gather feedback from specific populations that have higher risks due to social or health risk factors, thus creating the opportunity to make improvements addressing their unique needs.

Suggested Documentation

Evidence of regular assessments of patient care experience from clinician-identified higher-risk populations. Higher-risk populations should be defined by the eligible clinician based on their patient populations and may, for example, include elderly patients, patients who live alone or speak English with difficulty, or have diabetes or recently had a stroke. Include the following element:

1) Patient experience of care data collection – Documentation (e.g., survey results, advisory council notes and/or other methods) showing regular assessments of patient experience of care for a clinician-defined higher-risk population. Surveys should be administered independently to the extent possible.


• Tools and advisory councils: https://www.ahrq.gov/topics/patient-and-family-engagement.html
• Patient experience surveys: https://www.ahrq.gov/cahps/surveys-guidance/index.html

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