CLOSE

Start your 2018 MIPS Quality Data Collection Today!
MIPSwizard can help you and your practice begin to build your Patient Registry.


MIPSwizard is ready to help you collect data for MIPS measure calculation and performance feedback. If you already have a MIPSwizard account from the 2018 program year, log into your account and register your 2018 MIPS reporting. If you do not have a MIPSwizard account, now's the time to get started!


MIPS Year 2 Eligibility
If you see 200 or more Part B beneficiaries and have $90,000 or more in Part B allowed charges, you may be subject to MIPS and should satisfy requirements to avoid up to a 5% negative payment adjustment. In 2018 the minimum performance threshold rises to 15 points, so developing a MIPS strategy early is key. MIPSwizard guides you through a few simple steps to enter data, select measures, identify areas for improvement, and track progress to meeting 2018 requirements

MIPS Scoring Updates for the 2018 Program Year
In the 2018 Program Year there are higher performance thresholds, now 15 points in the 2nd program year of MIPS whereas the threshold was just 3 points in Reporting Year 2018. Start collecting data now to review and manage your patient registry throughout the calendar year.
Create Your Patient Registry with MIPSwizard
MIPSwizard is now accepting new registrations to begin collecting data for the 2018 MIPS program. Remember, if you already have a 2018 MIPSwizard account, log back into your account and start or resume your 2018 reporting. If you are new to MIPSwizard, use the link below to get started! 

As a 2018 Qualified Registry, MIPSwizard supports all MIPS Quality Measures. Select the product that best fits your practice for satisfying MIPS in 2018.
MIPSwizard Registry Reporting includes the Quality, Promoting Interoperability and Improvement Activities Categories
$325 /per clinician per reporting period


MIPSwizard Volume Payment
Complete payment for multiple individual Eligible Clinicians (EC). Groups of 10+ ECs are eligible for discounted pricing!
PURCHASE ACCOUNTS FOR ELIGIBILE CLINICIANS IN A SINGLE TAX ID

Are you reporting for 50 or more eligible clinicians?
Our enterprise reporting solution may be better for you.
 
LEARN MORE

View MIPS Category Measures and Activities Supported in 2018
Click Here to View Available Measures    


QUALITY MEASURES
PROMOTING INTEROPERABILITY (PI)
IMPROVEMENT ACTIVITIES (IA)
MIPS Quality Measures
Review the measures below and identify the measures you would like to report. After you register, you will be able to confirm your selection to the exact measures you would like to report.
QUALITY ID MEASURE NAME High Priority SPECIALTY MEASURE SET
1 Diabetes: Hemoglobin A1c Poor Control Yes Internal Medicine, General Practice/Family Medicine, Preventive medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
1 Coming Soon Internal Medicine, General Practice/Family Medicine, Preventive medicine
5 Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
5 Coming Soon
6 Coronary Artery Disease (CAD): Antiplatelet Therapy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
6 Coming Soon
7 Coronary Artery Disease (CAD): Beta-Blocker Therapy - Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
7 Coming Soon
8 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
8 Coming Soon
12 Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
12 Coming Soon
14 Age-Related Macular Degeneration (AMD): Dilated Macular Examination No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
14 Coming Soon
19 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
19 Coming Soon
21 Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin Yes Orthopedic Surgery, Thoracic Surgery, Plastic Surgery, Otolaryngology, General Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
21 Coming Soon Orthopedic Surgery, Thoracic Surgery, Plastic Surgery, Otolaryngology, General Surgery
23 Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) Yes Orthopedic Surgery, Thoracic Surgery, Plastic Surgery, Otolaryngology, General Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
23 Coming Soon Orthopedic Surgery, Thoracic Surgery, Plastic Surgery, Otolaryngology, General Surgery
24 Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older Yes Preventive medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
24 Coming Soon Preventive medicine
39 Screening for Osteoporosis for Women Aged 65-85 Years of Age No Preventive medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
39 Coming Soon Preventive medicine
43 Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
43 Coming Soon
44 Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery No Anesthesiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
44 Coming Soon Anesthesiology
46 Medication Reconciliation Post-Discharge Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
46 Coming Soon
47 Care Plan Yes Hospitalists, Obstetrics/Gynecology, Orthopedic Surgery, Mental/Behavioral health, Vascular Surgery, Internal Medicine, Thoracic Surgery, Rheumatology, General Practice/Family Medicine, Emergency medicine, Plastic Surgery, Neurology, Urology, General Oncology, Otolaryngology, Cardiology, General Surgery, Preventive medicine, Physical Medicine, Gastroenterology, Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
47 Coming Soon Hospitalists, Obstetrics/Gynecology, Orthopedic Surgery, Mental/Behavioral health, Vascular Surgery, Internal Medicine, Thoracic Surgery, Rheumatology, General Practice/Family Medicine, Emergency medicine, Plastic Surgery, Neurology, Urology, General Oncology, Otolaryngology, Cardiology, General Surgery, Preventive medicine, Physical Medicine, Gastroenterology, Opthalmalogy
48 Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older No Obstetrics/Gynecology, Urology, Preventive medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
48 Coming Soon Obstetrics/Gynecology, Urology, Preventive medicine
50 Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older Yes Obstetrics/Gynecology, Internal Medicine, General Practice/Family Medicine, Urology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
50 Coming Soon Obstetrics/Gynecology, Internal Medicine, General Practice/Family Medicine, Urology
51 Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
51 Coming Soon
52 Chronic Obstructive Pulmonary Disease (COPD): Inhaled Bronchodilator Therapy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
52 Coming Soon
65 Appropriate Treatment for Children with Upper Respiratory Infection (URI) Yes Pediatrics, General Practice/Family Medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
65 Coming Soon Pediatrics, General Practice/Family Medicine
66 Appropriate Testing for Children with Pharyngitis Yes Pediatrics, General Practice/Family Medicine, Emergency medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
66 Coming Soon Pediatrics, General Practice/Family Medicine, Emergency medicine
67 Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
67 Coming Soon
68 Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
68 Coming Soon
69 Hematology: Multiple Myeloma: Treatment with Bisphosphonates No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
69 Coming Soon
70 Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
70 Coming Soon
76 Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections Yes Hospitalists, Anesthesiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
76 Coming Soon Hospitalists, Anesthesiology
91 Acute Otitis Externa (AOE): Topical Therapy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
91 Coming Soon
93 Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
93 Coming Soon
99 Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade No Pathology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
99 Coming Soon Pathology
100 Colorectal Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade No Pathology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
100 Coming Soon Pathology
102 Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients Yes Urology, Radiation Oncology, General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
102 Coming Soon Urology, Radiation Oncology, General Oncology
104 Prostate Cancer: Adjuvant Hormonal Therapy for High Risk or Very High Risk Prostate Cancer No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
104 Coming Soon
109 Osteoarthritis (OA): Function and Pain Assessment No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
109 Coming Soon
110 Preventive Care and Screening: Influenza Immunization No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
110 Coming Soon
111 Pneumonia Vaccination Status for Older Adults No Allergy/Immunology, Preventive medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
111 Coming Soon Allergy/Immunology, Preventive medicine
112 Breast Cancer Screening No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
112 Coming Soon
113 Colorectal Cancer Screening No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
113 Coming Soon
116 Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis Yes Internal Medicine, General Practice/Family Medicine, Emergency medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
116 Coming Soon Internal Medicine, General Practice/Family Medicine, Emergency medicine
117 Diabetes: Eye Exam No Internal Medicine, General Practice/Family Medicine, Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
117 Coming Soon Internal Medicine, General Practice/Family Medicine, Opthalmalogy
118 Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
118 Coming Soon
119 Diabetes: Medical Attention for Nephropathy No General Practice/Family Medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
119 Coming Soon General Practice/Family Medicine
122 Adult Kidney Disease: Blood Pressure Management No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
122 Coming Soon
126 Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
126 Coming Soon
127 Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
127 Coming Soon
128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
128 Coming Soon
130 Documentation of Current Medications in the Medical Record Yes Hospitalists, Obstetrics/Gynecology, Orthopedic Surgery, Mental/Behavioral health, Vascular Surgery, Internal Medicine, Thoracic Surgery, Allergy/Immunology, Rheumatology, Dermatology, General Practice/Family Medicine, Emergency medicine, Plastic Surgery, Neurology, Urology, Anesthesiology, General Oncology, Otolaryngology, Cardiology, General Surgery, Preventive medicine, Physical Medicine, Gastroenterology, Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
130 Coming Soon Hospitalists, Obstetrics/Gynecology, Orthopedic Surgery, Mental/Behavioral health, Vascular Surgery, Internal Medicine, Thoracic Surgery, Allergy/Immunology, Rheumatology, Dermatology, General Practice/Family Medicine, Emergency medicine, Plastic Surgery, Neurology, Urology, Anesthesiology, General Oncology, Otolaryngology, Cardiology, General Surgery, Preventive medicine, Physical Medicine, Gastroenterology, Opthalmalogy
131 Pain Assessment and Follow-Up No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
131 Coming Soon
134 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
134 Coming Soon
137 Melanoma: Continuity of Care - Recall System No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
137 Coming Soon
138 Melanoma: Coordination of Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
138 Coming Soon
140 Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
140 Coming Soon
141 Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
141 Coming Soon
143 Oncology: Medical and Radiation - Pain Intensity Quantified No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
143 Coming Soon
144 Oncology: Medical and Radiation - Plan of Care for Pain No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
144 Coming Soon
145 Radiology: Exposure Time Reported for Procedures Using Fluoroscopy Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
145 Coming Soon Diagnostic Radiology
146 Radiology: Inappropriate Use of "Probably Benign" Assessment Category in Screening Mammograms Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
146 Coming Soon Diagnostic Radiology
147 Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
147 Coming Soon Diagnostic Radiology
154 Falls: Risk Assessment Yes Internal Medicine, General Practice/Family Medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
154 Coming Soon Internal Medicine, General Practice/Family Medicine
155 Falls: Plan of Care Yes Internal Medicine, General Practice/Family Medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
155 Coming Soon Internal Medicine, General Practice/Family Medicine
156 Oncology: Radiation Dose Limits to Normal Tissues Yes Radiation Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
156 Coming Soon Radiation Oncology
164 Coronary Artery Bypass Graft (CABG): Prolonged Intubation Yes Thoracic Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
164 Coming Soon Thoracic Surgery
165 Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate -National Quality Strategy Domain: Effective Clinical Care Yes Thoracic Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
165 Coming Soon Thoracic Surgery
166 Coronary Artery Bypass Graft (CABG): Stroke- National Quality Strategy Domain: Effective Clinical Care Yes Thoracic Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
166 Coming Soon Thoracic Surgery
167 Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure - National Quality Strategy Domain: Effective Clinical Care Yes Thoracic Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
167 Coming Soon Thoracic Surgery
168 Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration - National Quality Strategy Domain: Effective Clinical Care Yes Thoracic Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
168 Coming Soon Thoracic Surgery
176 Rheumatoid Arthritis (RA): Tuberculosis Screening - National Quality Strategy Domain: Effective Clinical Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
176 Coming Soon
177 Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity - National Quality Strategy Domain: Effective Clinical Care Measure No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
177 Coming Soon
178 Rheumatoid Arthritis (RA): Functional Status Assessment No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
178 Coming Soon
179 Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis - National Quality Strategy Domain: Effective Clinical Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
179 Coming Soon
180 Rheumatoid Arthritis (RA): Glucocorticoid Management No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
180 Coming Soon
181 Elder Maltreatment Screen and Follow-Up Plan No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
181 Coming Soon
182 Functional Outcome Assessment Yes Physical Medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
182 Coming Soon Physical Medicine
185 Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use Yes Gastroenterology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
185 Coming Soon Gastroenterology
187 Stroke and Stroke Rehabilitation: Thrombolytic Therapy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
187 Coming Soon
191 Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Yes Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
191 Coming Soon Opthalmalogy
192 Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures Yes Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
192 Coming Soon Opthalmalogy
195 Radiology: Stenosis Measurement in Carotid Imaging Reports No Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
195 Coming Soon Diagnostic Radiology
204 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic No Internal Medicine, General Practice/Family Medicine, Cardiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
204 Coming Soon Internal Medicine, General Practice/Family Medicine, Cardiology
205 HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis No Pediatrics
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
205 Coming Soon Pediatrics
217 Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Knee Impairments Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
217 Coming Soon
218 Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Hip Impairments Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
218 Coming Soon
219 Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lower Leg, Foot or Ankle Impairments Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
219 Coming Soon
220 Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lumbar Spine Impairments Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
220 Coming Soon
221 Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Shoulder Impairments Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
221 Coming Soon
222 Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Elbow, Wrist or Hand Impairments Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
222 Coming Soon
223 Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Neck, Cranium, Mandible, Thoracic Spine, Ribs, or Other General Orthopedic Impairments Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
223 Coming Soon
224 Melanoma: Overutilization of Imaging Studies in Melanoma No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
224 Coming Soon
225 Radiology: Reminder System for Screening Mammograms Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
225 Coming Soon Diagnostic Radiology
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
226 Coming Soon
236 Controlling High Blood Pressure No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
236 Coming Soon
238 Use of High-Risk Medications in the Elderly No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
238 Coming Soon
243 Cardiac Rehabilitation Patient Referral from an Outpatient Setting No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
243 Coming Soon
249 Barrett's Esophagus No Pathology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
249 Coming Soon Pathology
250 Radical Prostatectomy Pathology Reporting No Pathology, General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
250 Coming Soon Pathology, General Oncology
251 Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients No Pathology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
251 Coming Soon Pathology
254 Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain No Emergency medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
254 Coming Soon Emergency medicine
255 Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure No Emergency medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
255 Coming Soon Emergency medicine
257 Statin Therapy at Discharge after Lower Extremity Bypass (LEB) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
257 Coming Soon
258 Rate of Open Repair of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7) Yes Vascular Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
258 Coming Soon Vascular Surgery
259 Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post Operative Day #2) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
259 Coming Soon
260 Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2) Yes Vascular Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
260 Coming Soon Vascular Surgery
261 Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
261 Coming Soon
262 Image Confirmation of Successful Excision of Image-Localized Breast Lesion Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
262 Coming Soon
263 Preoperative Diagnosis of Breast Cancer No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
263 Coming Soon
264 Sentinel Lymph Node Biopsy for Invasive Breast Cancer No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
264 Coming Soon
265 Biopsy Follow-Up No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
265 Coming Soon
268 Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
268 Coming Soon
271 Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury - Bone Loss Assessment No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
271 Coming Soon
275 Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
275 Coming Soon
276 Sleep Apnea: Assessment of Sleep Symptoms No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
276 Coming Soon
277 Sleep Apnea: Severity Assessment at Initial Diagnosis No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
277 Coming Soon
278 Sleep Apnea: Positive Airway Pressure Therapy Prescribed No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
278 Coming Soon
279 Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
279 Coming Soon
282 Dementia: Functional Status Assessment - National Quality Strategy Domain: Effective Clinical Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
282 Coming Soon
283 Dementia: Neuropsychiatric Symptom Assessment - National Quality Strategy Domain: Effective Clinical Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
283 Coming Soon
286 Dementia: Counseling Regarding Safety Concerns - National Quality Strategy Domain: Patient Safety No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
286 Coming Soon
288 Dementia: Caregiver Education and Support - National Quality Strategy Domain: Communication and Care Coordination No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
288 Coming Soon
290 Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease - National Quality Strategy Domain: Effective Clinical Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
290 Coming Soon
291 Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment - National Quality Strategy Domain: Effective Clinical Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
291 Coming Soon
293 Parkinson's Disease: Rehabilitative Therapy Options - National Quality Strategy Domain: Communication and Care Coordination No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
293 Coming Soon
303 Cataracts: Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery Yes Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
303 Coming Soon Opthalmalogy
304 Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery Yes Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
304 Coming Soon Opthalmalogy
317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
317 Coming Soon
320 Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients Yes Gastroenterology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
320 Coming Soon Gastroenterology
322 Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients Yes Cardiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
322 Coming Soon Cardiology
323 Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI) Yes Cardiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
323 Coming Soon Cardiology
324 Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients Yes Cardiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
324 Coming Soon Cardiology
325 Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Specific Comorbid Conditions No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
325 Coming Soon
326 Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
326 Coming Soon
327 Pediatric Kidney Disease: Adequacy of Volume Management No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
327 Coming Soon
328 Pediatric Kidney Disease: ESRD Patients Receiving Dialysis: Hemoglobin Level < 10 g/dL (NQF 1667) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
328 Coming Soon
329 Adult Kidney Disease: Catheter Use at Initiation of Hemodialysis No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
329 Coming Soon
330 Adult Kidney Disease: Catheter Use for Greater Than or Equal to 90 Days No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
330 Coming Soon
331 Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
331 Coming Soon
332 Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
332 Coming Soon
333 Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
333 Coming Soon
334 Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
334 Coming Soon
335 Maternity Care: Elective Delivery or Early Induction Without Medical Indication at > 37 and < 39 Weeks Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
335 Coming Soon
336 Maternity Care: Post-Partum Follow-Up and Care Coordination Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
336 Coming Soon
337 Tuberculosis Prevention for Psoriasis,Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
337 Coming Soon
338 HIV Viral Load Suppression -- National Quality Strategy Domain:Effective Clinical Care Yes General Practice/Family Medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
338 Coming Soon General Practice/Family Medicine
340 HIV Medical Visit Frequency - National Quality Strategy Domain: Efficiency And Cost Reduction No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
340 Coming Soon
342 Pain Brought Under Control Within 48 Hours Yes General Practice/Family Medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
342 Coming Soon General Practice/Family Medicine
343 Screening Colonoscopy Adenoma Detection Rate No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
343 Coming Soon
344 Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2) Yes Vascular Surgery, Interventional radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
344 Coming Soon Vascular Surgery, Interventional radiology
345 Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Artery Stenting (CAS) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
345 Coming Soon
346 Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Endarterectomy (CEA) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
346 Coming Soon
347 Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) Who Die While in Hospital No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
347 Coming Soon
348 HRS-3 Implantable Cardioverter-Defibrillator (ICD) Complications Rate No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
348 Coming Soon
350 Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy Yes Orthopedic Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
350 Coming Soon Orthopedic Surgery
351 Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation Yes Orthopedic Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
351 Coming Soon Orthopedic Surgery
352 Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet Yes Orthopedic Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
352 Coming Soon Orthopedic Surgery
353 Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report Yes Orthopedic Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
353 Coming Soon Orthopedic Surgery
354 Anastomotic Leak Intervention - National Quality Strategy Domain: Patient Safety Yes General Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
354 Coming Soon General Surgery
355 Unplanned Reoperation within the 30 Day Postoperative Period Yes General Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
355 Coming Soon General Surgery
356 Unplanned Hospital Readmission within 30 Days of Principal Procedure Yes General Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
356 Coming Soon General Surgery
357 Surgical Site Infection (SSI) Yes Vascular Surgery, Plastic Surgery, Otolaryngology, General Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
357 Coming Soon Vascular Surgery, Plastic Surgery, Otolaryngology, General Surgery
358 Patient-centered Surgical Risk Assessment and Communication Yes Orthopedic Surgery, Thoracic Surgery, Plastic Surgery, Urology, Otolaryngology, General Surgery
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
358 Coming Soon Orthopedic Surgery, Thoracic Surgery, Plastic Surgery, Urology, Otolaryngology, General Surgery
359 Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
359 Coming Soon Diagnostic Radiology
360 Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
360 Coming Soon Diagnostic Radiology
361 Optimizing Patient Exposure to Ionizing Radiation: Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
361 Coming Soon Diagnostic Radiology
362 Optimizing Patient Exposure to Ionizing Radiation: Computed Tomography (CT) Images Available for Patient Follow-up and Comparison Purposes Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
362 Coming Soon Diagnostic Radiology
363 Optimizing Patient Exposure to Ionizing Radiation: Search for Prior Computed Tomography (CT) Studies Through a Secure, Authorized, Media-Free, Shared Archive Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
363 Coming Soon Diagnostic Radiology
364 Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines - National Quality Strategy Domain: Communication And Care Coordination Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
364 Coming Soon Diagnostic Radiology
370 Depression Remission at Twelve Months No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
370 Coming Soon
374 Closing the Referral Loop: Receipt of Specialist Report No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
374 Coming Soon
383 Adherence to Antipsychotic Medications for Individuals with Schizophrenia No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
383 Coming Soon
384 Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery Yes Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
384 Coming Soon Opthalmalogy
385 Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery Yes Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
385 Coming Soon Opthalmalogy
386 Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
386 Coming Soon
387 Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
387 Coming Soon
388 Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule Requiring Unplanned Vitrectomy) Yes Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
388 Coming Soon Opthalmalogy
389 Cataract Surgery: Difference Between Planned and Final Refraction Yes Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
389 Coming Soon Opthalmalogy
390 Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options Yes Gastroenterology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
390 Coming Soon Gastroenterology
391 Follow-up After Hospitalization for Mental Illness (FUH) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
391 Coming Soon
392 HRS-12: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
392 Coming Soon
393 HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision Yes Electrophysiology Cardiac Specialist
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
393 Coming Soon Electrophysiology Cardiac Specialist
394 Immunizations for Adolescents No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
394 Coming Soon
395 Lung Cancer Reporting (Biopsy/Cytology Specimens) Yes Pathology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
395 Coming Soon Pathology
396 Lung Cancer Reporting (Resection Specimens) Yes Pathology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
396 Coming Soon Pathology
397 Melanoma Reporting Yes Pathology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
397 Coming Soon Pathology
398 Optimal Asthma Control No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
398 Coming Soon
400 One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
400 Coming Soon
401 Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis No Internal Medicine, General Practice/Family Medicine, Gastroenterology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
401 Coming Soon Internal Medicine, General Practice/Family Medicine, Gastroenterology
402 Tobacco Use and Help with Quitting Among Adolescents No Hospitalists, Obstetrics/Gynecology, Orthopedic Surgery, Mental/Behavioral health, Pediatrics, Vascular Surgery, Internal Medicine, Thoracic Surgery, Allergy/Immunology, Rheumatology, Dermatology, General Practice/Family Medicine, Emergency medicine, Plastic Surgery, Neurology, Urology, General Oncology, Otolaryngology, Cardiology, General Surgery, Preventive medicine, Physical Medicine, Gastroenterology, Opthalmalogy
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
402 Coming Soon Hospitalists, Obstetrics/Gynecology, Orthopedic Surgery, Mental/Behavioral health, Pediatrics, Vascular Surgery, Internal Medicine, Thoracic Surgery, Allergy/Immunology, Rheumatology, Dermatology, General Practice/Family Medicine, Emergency medicine, Plastic Surgery, Neurology, Urology, General Oncology, Otolaryngology, Cardiology, General Surgery, Preventive medicine, Physical Medicine, Gastroenterology, Opthalmalogy
403 Adult Kidney Disease: Referral to Hospice No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
403 Coming Soon
404 Anesthesiology Smoking Abstinence Yes Anesthesiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
404 Coming Soon Anesthesiology
405 Appropriate Follow-up Imaging for Incidental Abdominal Lesions Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
405 Coming Soon Diagnostic Radiology
406 Appropriate Follow-Up Imaging for Incidental Thyroid Nodules in Patients Yes Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
406 Coming Soon Diagnostic Radiology
407 Appropriate Treatment of Meticillin-Sensitive Staphylococcus Aureus (MSSA) Bacteremia Yes Hospitalists
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
407 Coming Soon Hospitalists
408 Opioid Therapy Follow-up Evaluation No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
408 Coming Soon
409 Clinical Outcome Post Endovascular Stroke Treatment Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
409 Coming Soon
410 Psoriasis: Clinical Response to Oral Systemic or Biologic Medications No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
410 Coming Soon
411 Depression Remission at Six Months No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
411 Coming Soon
412 Documentation of Signed Opioid Treatment Agreement No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
412 Coming Soon
413 Door to Puncture Time for Endovascular Stroke Treatment Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
413 Coming Soon
414 Evaluation or Interview for Risk of Opioid Misuse No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
414 Coming Soon
415 Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older Yes Emergency medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
415 Coming Soon Emergency medicine
416 Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 through 17 Years Yes Emergency medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
416 Coming Soon Emergency medicine
417 Rate of Open Repair of Small or Moderate Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged Alive - National Quality Strategy Domain: Patient Safety Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
417 Coming Soon
418 Osteoporosis Management in Women Who Had a Fracture No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
418 Coming Soon
419 Overuse Of Neuroimaging For Patients With Primary Headache And A Normal Neurological Examination No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
419 Coming Soon
420 Varicose Vein Treatment with Saphenous Ablation: Outcome Survey No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
420 Coming Soon
421 Appropriate Assessment of Retrievable Inferior Vena Cava Filters for Removal No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
421 Coming Soon
422 Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury Yes Obstetrics/Gynecology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
422 Coming Soon Obstetrics/Gynecology
423 Perioperative Anti-platelet Therapy for Patients Undergoing Carotid Endarterectomy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
423 Coming Soon
424 Perioperative Temperature Management Yes Anesthesiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
424 Coming Soon Anesthesiology
425 Photodocumentation of Cecal Intubation No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
425 Coming Soon
426 Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) Yes Anesthesiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
426 Coming Soon Anesthesiology
427 Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU) Yes Anesthesiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
427 Coming Soon Anesthesiology
428 Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
428 Coming Soon
429 Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
429 Coming Soon
430 Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy Yes Anesthesiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
430 Coming Soon Anesthesiology
431 Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
431 Coming Soon
432 Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair Yes Obstetrics/Gynecology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
432 Coming Soon Obstetrics/Gynecology
433 Proportion of Patients Sustaining a Major Viscus Injury at the Time of Any Pelvic Organ Prolapse Repair Yes Obstetrics/Gynecology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
433 Coming Soon Obstetrics/Gynecology
434 Proportion of Patients Sustaining A Ureter Injury at the Time of any Pelvic Organ Prolapse Repair Yes Obstetrics/Gynecology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
434 Coming Soon Obstetrics/Gynecology
435 Quality Of Life Assessment For Patients With Primary Headache Disorders No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
435 Coming Soon
436 Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques No Diagnostic Radiology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
436 Coming Soon Diagnostic Radiology
437 Rate of Surgical Conversion from Lower Extremity Endovascular Revascularization Procedure No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
437 Coming Soon
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
438 Coming Soon
439 Age Appropriate Screening Colonoscopy Yes Gastroenterology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
439 Coming Soon Gastroenterology
440 Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma: Biopsy Reporting Time - Pathologist to Clinician - National Quality Strategy Domain: Communication and Care Coordination No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
440 Coming Soon
441 Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
441 Coming Soon
442 Persistence of Beta-Blocker Treatment After a Heart Attack - National Quality Strategy Domain: Effective Clinical Care No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
442 Coming Soon
443 Non-Recommended Cervical Cancer Screening in Adolescent Females - National Quality Strategy Domain: Patient Safety Yes Obstetrics/Gynecology, General Practice/Family Medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
443 Coming Soon Obstetrics/Gynecology, General Practice/Family Medicine
444 Medication Management for People with Asthma - National Quality Strategy Domain: Efficiency and Cost Reduction Yes Pediatrics, Allergy/Immunology, General Practice/Family Medicine
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
444 Coming Soon Pediatrics, Allergy/Immunology, General Practice/Family Medicine
445 Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG) - National Quality Strategy Domain: Effective Clinical Care Yes
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
445 Coming Soon
446 Operative Mortality Stratified by the Five STS-EACTS Mortality Categories No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
446 Coming Soon
447 Chlamydia Screening and Follow Up - National Quality Strategy Domain: Community/Population Health No Obstetrics/Gynecology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
447 Coming Soon Obstetrics/Gynecology
448 Appropriate Workup Prior to Endometrial Ablation- National Quality Strategy Domain: Communication and Care Coordination Yes Obstetrics/Gynecology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
448 Coming Soon Obstetrics/Gynecology
449 HER2 Negative or Undocumented Breast Cancer Patients Spared Treatment with HER2-Targeted Therapies - National Quality Strategy Domain: Efficiency and Cost Reduction Yes General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
449 Coming Soon General Oncology
450 Trastuzumab Received By Patients With AJCC Stage I (T1c) - III And HER2 Positive Breast Cancer Receiving Adjuvant Chemotherapy- National Quality Strategy Domain: Effective Clinical Care Yes General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
450 Coming Soon General Oncology
451 KRAS Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody Therapy No General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
451 Coming Soon General Oncology
452 Patients with Metastatic Colorectal Cancer and KRAS Gene Mutation Spared Treatment with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies Yes General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
452 Coming Soon General Oncology
453 Proportion Receiving Chemotherapy in the Last 14 Days of Life Yes General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
453 Coming Soon General Oncology
454 Proportion of Patients who Died from Cancer with more than One Emergency Department Visit in the Last 30 Days of Life Yes General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
454 Coming Soon General Oncology
455 Proportion Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life Yes General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
455 Coming Soon General Oncology
456 Proportion Not Admitted to Hospice Yes General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
456 Coming Soon General Oncology
457 Proportion Admitted to Hospice for less than 3 days Yes General Oncology
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
457 Coming Soon General Oncology
459 Average Change in Back Pain Following Lumbar Discectomy/Laminotomy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
459 Coming Soon
460 Average Change in Back Pain following Lumbar Fusion No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
460 Coming Soon
461 Average Change in Leg Pain Following Lumbar Discectomy and/or Laminotomy No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
461 Coming Soon
463 Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics) No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
463 Coming Soon
464 Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
464 Coming Soon
465 Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
465 Coming Soon
467 Developmental Screening in the First Three Years of Life No
MEASURE NUMBER NQS DOMAIN SPECIALTY MEASURE SET
467 Coming Soon

Promoting Interoperability (PI) Measures
Review the measures below and identify the measures you would like to report. After you register, you will be able to confirm your selection to the exact measures you would like to report.

Promoting Interoperability (PI)
Objectives and Measures

Promoting Interoperability (PI) Transition Objectives and Measures

MEASURE NAME ID OBJECTIVE NAME REQUIRED FOR BASE SCORE
+
Clinical Data Registry Reporting PI_PHCDRR_5 Clinical Data Registry Reporting Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_PHCDRR_5 Public Health and Clinical Data Registry Reporting Yes Up to 5%
+
Clinical Information Reconciliation PI_HIE_3 Clinical Information Reconciliation Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_HIE_3 Health Information Exchange Yes Up to 10%
+
e-Prescribing PI_EP_1 e-Prescribing Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_EP_1 Electronic Prescribing Yes 0
+
E-Prescribing Exclusion PI_LVPP_1 E-Prescribing Exclusion Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_LVPP_1 Electronic Prescribing Yes 0
+
Electronic Case Reporting PI_PHCDRR_3 Electronic Case Reporting Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_PHCDRR_3 Public Health And Clinical Data Registry Reporting Yes Up to 5%
+
Immunization Registry Reporting PI_PHCDRR_1 Immunization Registry Reporting Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_PHCDRR_1 Public Health and Clinical Data Registry Reporting Yes Up to 10%
+
ONC Direct Review Attestation PI_ONCDIR_1 ONC Direct Review Attestation Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_ONCDIR_1 None Yes 0
+
ONC-ACB Surveillance Attestation (Optional) PI_ONCACB_1 ONC-ACB Surveillance Attestation (Optional) Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_ONCACB_1 None Yes 0
+
Patient-Generated Health Data PI_CCTPE_3 Patient-Generated Health Data Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_CCTPE_3 Coordination of Care Through Patient Engagement Yes Up to 10%
+
Patient-Specific Education PI_PEA_2 Patient-Specific Education Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_PEA_2 Patient Electronic Access Yes Up to 10%
+
PI bonus for submission of eligible Improvement Activities using CEHRT PI_IACEHRT_1 PI bonus for submission of eligible Improvement Activities using CEHRT Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_IACEHRT_1 None Yes Up to 10%
+
Prevention of Information Blocking Attestation PI_INFBLO_1 Prevention of Information Blocking Attestation Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_INFBLO_1 None Yes 0
+
Provide Patient Access PI_PEA_1 Provide Patient Access Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_PEA_1 Patient Electronic Access Yes Up to 10%
+
Public Health Registry Reporting PI_PHCDRR_4 Public Health Registry Reporting Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_PHCDRR_4 Public Health and Clinical Data Registry Reporting Yes 0
+
Request/Accept Summary of Care PI_HIE_2 Request/Accept Summary of Care Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_HIE_2 Health Information Exchange Yes Up to 10%
+
Secure Messaging PI_CCTPE_2 Secure Messaging Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_CCTPE_2 Coordination of Care Through Patient Engagement Yes Up to 10%
+
Security Risk Analysis PI_PPHI_1 Security Risk Analysis Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_PPHI_1 Protect Patient Health Information Yes 0
+
Send a Summary of Care PI_HIE_1 Send a Summary of Care Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_HIE_1 Health Information Exchange Yes Up to 10%
+
Send a Summary of Care Exclusion PI_LVOTC_1 Send a Summary of Care Exclusion Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_LVOTC_1 Health Information Exchange Yes 0
+
Syndromic Surveillance Reporting PI_PHCDRR_2 Syndromic Surveillance Reporting Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_PHCDRR_2 Public Health and Clinical Data Registry Reporting Yes Up to 5%
+
View, Download and Transmit (VDT) PI_CCTPE_1 View, Download and Transmit (VDT) Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT
PI_CCTPE_1 Coordination of Care Through Patient Engagement Yes Up to 10%

MEASURE NAME ID OBJECTIVE NAME REQUIRED FOR BASE SCORE
+
e-Prescribing PI_TRANS_EP_1 e-Prescribing Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_EP_1 Electronic Prescribing Yes 0 2017
+
E-Prescribing Exclusion PI_TRANS_EP_1 E-Prescribing Exclusion Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_EP_1 Electronic Prescribing Yes 0 2017
+
Health Information Exchange PI_TRANS_HIE_1 Health Information Exchange Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_HIE_1 Health Information Exchange Yes Up to 20% 2017
+
Immunization Registry Reporting PI_TRANS_PHCDRR_1 Immunization Registry Reporting Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_PHCDRR_1 Public Health Reporting Yes Up to 10% 2017
+
Medication Reconciliation PI_TRANS_MR_1 Medication Reconciliation Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_MR_1 Medication Reconciliation Yes Up to 10% 2017
+
Patient-Specific Education PI_TRANS_PSE_1 Patient-Specific Education Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_PSE_1 Patient Specific Education Yes Up to 10% 2017
+
Provide Patient Access PI_TRANS_PEA_1 Provide Patient Access Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_PEA_1 Patient Electronic Access Yes Up to 20% 2017
+
Secure Messaging PI_TRANS_SM_1 Secure Messaging Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_SM_1 Secure Messaging Yes Up to 10% 2017
+
Security Risk Analysis PI_TRANS_PPHI_1 Security Risk Analysis Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_PPHI_1 Protect Patient Health Information Yes 0 2017
+
Specialized Registry Reporting PI_TRANS_PHCDRR_3 Specialized Registry Reporting Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_PHCDRR_3 Public Health Reporting Yes Up to 5% 2017
+
Syndromic Surveillance Reporting PI_TRANS_PHCDRR_2 Syndromic Surveillance Reporting Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_PHCDRR_2 Public Health Reporting Yes Up to 5% 2017
+
View, Download, or Transmit (VDT) PI_TRANS_PEA_2 View, Download, or Transmit (VDT) Yes
MEASURE ID OBJECTIVE NAME REQUIRED FOR BASE SCORE PERFORMANCE SCORE WEIGHT TYPE
PI_TRANS_PEA_2 Patient Electronic Access Yes Up to 10% 2017

2018 Promoting Interoperability Transition Measures and Objectives
In this new performance category for 2018, clinicians are rewarded for care focused on care coordination, benificiary engagement, and patient safety.
Most participants:
Attest that you completed up to 4 important activities for a minimum of 90 days.
Groups with fewer than 15 particpants of if you are in a rural or health professional shortage area:
Attest that you completed up to 2 activities for a minimum of 90 days.
ACTIVITY NAME ID SUBCATEGORY WIEGHTING
Provide 24/7 access to eligible clinicians or groups who have real-time access to patient's medical record IA_EPA_1 Expanded Practice Access High
Provide 24/7 access to eligible clinicians or groups who have real-time access to patient's medical record
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_EPA_1 Provide 24/7 access to eligible clinicians or groups who have real-time access to patient's medical record Expanded Practice Access Provide 24/7 access to eligible clinicians or groups who have real-time access to patient's medical record
Use of telehealth services that expand practice access IA_EPA_2 Expanded Practice Access Medium
Use of telehealth services that expand practice access
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_EPA_2 Use of telehealth services that expand practice access Expanded Practice Access Use of telehealth services that expand practice access
Collection and use of patient experience and satisfaction data on access IA_EPA_3 Expanded Practice Access Medium
Collection and use of patient experience and satisfaction data on access
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_EPA_3 Collection and use of patient experience and satisfaction data on access Expanded Practice Access Collection and use of patient experience and satisfaction data on access
Additional improvements in access as a result of QIN/QIO TA IA_EPA_4 Expanded Practice Access Medium
Additional improvements in access as a result of QIN/QIO TA
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_EPA_4 Additional improvements in access as a result of QIN/QIO TA Expanded Practice Access Additional improvements in access as a result of QIN/QIO TA
Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/) IA_EPA_5 Expanded Practice Access Medium
Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/)
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_EPA_5 Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/) Expanded Practice Access Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/)
Participation in an AHRQ-listed patient safety organization. IA_PSPA_1 Patient Safety & Practice Assessment Medium
Participation in an AHRQ-listed patient safety organization.
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_1 Participation in an AHRQ-listed patient safety organization. Patient Safety & Practice Assessment Participation in an AHRQ-listed patient safety organization.
Participation in MOC Part IV IA_PSPA_2 Patient Safety & Practice Assessment Medium
Participation in MOC Part IV
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_2 Participation in MOC Part IV Patient Safety & Practice Assessment Participation in MOC Part IV
Participate in IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS(R) or other similar activity. IA_PSPA_3 Patient Safety & Practice Assessment Medium
Participate in IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS(R) or other similar activity.
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_3 Participate in IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS(R) or other similar activity. Patient Safety & Practice Assessment Participate in IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS(R) or other similar activity.
Administration of the AHRQ Survey of Patient Safety Culture IA_PSPA_4 Patient Safety & Practice Assessment Medium
Administration of the AHRQ Survey of Patient Safety Culture
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_4 Administration of the AHRQ Survey of Patient Safety Culture Patient Safety & Practice Assessment Administration of the AHRQ Survey of Patient Safety Culture
Annual registration in the Prescription Drug Monitoring Program IA_PSPA_5 Patient Safety & Practice Assessment Medium
Annual registration in the Prescription Drug Monitoring Program
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_5 Annual registration in the Prescription Drug Monitoring Program Patient Safety & Practice Assessment Annual registration in the Prescription Drug Monitoring Program
Consultation of the Prescription Drug Monitoring program IA_PSPA_6 Patient Safety & Practice Assessment High
Consultation of the Prescription Drug Monitoring program
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_6 Consultation of the Prescription Drug Monitoring program Patient Safety & Practice Assessment Consultation of the Prescription Drug Monitoring program
Use of QCDR data for ongoing practice assessment and improvements IA_PSPA_7 Patient Safety & Practice Assessment Medium
Use of QCDR data for ongoing practice assessment and improvements
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_7 Use of QCDR data for ongoing practice assessment and improvements Patient Safety & Practice Assessment Use of QCDR data for ongoing practice assessment and improvements
Use of patient safety tools IA_PSPA_8 Patient Safety & Practice Assessment Medium
Use of patient safety tools
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_8 Use of patient safety tools Patient Safety & Practice Assessment Use of patient safety tools
Completion of the AMA STEPS Forward program IA_PSPA_9 Patient Safety & Practice Assessment Medium
Completion of the AMA STEPS Forward program
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_9 Completion of the AMA STEPS Forward program Patient Safety & Practice Assessment Completion of the AMA STEPS Forward program
Completion of training and receipt of approved waiver for provision opioid medication-assisted treatments IA_PSPA_10 Patient Safety & Practice Assessment Medium
Completion of training and receipt of approved waiver for provision opioid medication-assisted treatments
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_10 Completion of training and receipt of approved waiver for provision opioid medication-assisted treatments Patient Safety & Practice Assessment Completion of training and receipt of approved waiver for provision opioid medication-assisted treatments
Participation in CAHPS or other supplemental questionnaire IA_PSPA_11 Patient Safety & Practice Assessment High
Participation in CAHPS or other supplemental questionnaire
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_11 Participation in CAHPS or other supplemental questionnaire Patient Safety & Practice Assessment Participation in CAHPS or other supplemental questionnaire
Participation in private payer CPIA IA_PSPA_12 Patient Safety & Practice Assessment Medium
Participation in private payer CPIA
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_12 Participation in private payer CPIA Patient Safety & Practice Assessment Participation in private payer CPIA
Participation in Joint Commission Evaluation Initiative IA_PSPA_13 Patient Safety & Practice Assessment Medium
Participation in Joint Commission Evaluation Initiative
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_13 Participation in Joint Commission Evaluation Initiative Patient Safety & Practice Assessment Participation in Joint Commission Evaluation Initiative
Participation in Bridges to Excellence or other similar program IA_PSPA_14 Patient Safety & Practice Assessment Medium
Participation in Bridges to Excellence or other similar program
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_14 Participation in Bridges to Excellence or other similar program Patient Safety & Practice Assessment Participation in Bridges to Excellence or other similar program
Measurement and improvement at the practice and panel level IA_PSPA_18 Patient Safety & Practice Assessment Medium
Measurement and improvement at the practice and panel level
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_18 Measurement and improvement at the practice and panel level Patient Safety & Practice Assessment Measurement and improvement at the practice and panel level
Implementation of antibiotic stewardship program IA_PSPA_15 Patient Safety & Practice Assessment Medium
Implementation of antibiotic stewardship program
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_15 Implementation of antibiotic stewardship program Patient Safety & Practice Assessment Implementation of antibiotic stewardship program
Use of decision support and standardized treatment protocols IA_PSPA_16 Patient Safety & Practice Assessment Medium
Use of decision support and standardized treatment protocols
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_16 Use of decision support and standardized treatment protocols Patient Safety & Practice Assessment Use of decision support and standardized treatment protocols
Implementation of analytic capabilities to manage total cost of care for practice population IA_PSPA_17 Patient Safety & Practice Assessment Medium
Implementation of analytic capabilities to manage total cost of care for practice population
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_17 Implementation of analytic capabilities to manage total cost of care for practice population Patient Safety & Practice Assessment Implementation of analytic capabilities to manage total cost of care for practice population
Implementation of formal quality improvement methods, practice changes or other practice improvement processes IA_PSPA_19 Patient Safety & Practice Assessment Medium
Implementation of formal quality improvement methods, practice changes or other practice improvement processes
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_19 Implementation of formal quality improvement methods, practice changes or other practice improvement processes Patient Safety & Practice Assessment Implementation of formal quality improvement methods, practice changes or other practice improvement processes
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes IA_PSPA_20 Patient Safety & Practice Assessment Medium
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_20 Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes Patient Safety & Practice Assessment Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes
Implementation of fall screening and assessment programs IA_PSPA_21 Patient Safety & Practice Assessment Medium
Implementation of fall screening and assessment programs
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_21 Implementation of fall screening and assessment programs Patient Safety & Practice Assessment Implementation of fall screening and assessment programs
CDC Training on CDC's Guideline for Prescribing Opioids for Chronic Pain IA_PSPA_22 Patient Safety & Practice Assessment High
CDC Training on CDC's Guideline for Prescribing Opioids for Chronic Pain
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_22 CDC Training on CDC's Guideline for Prescribing Opioids for Chronic Pain Patient Safety & Practice Assessment CDC Training on CDC's Guideline for Prescribing Opioids for Chronic Pain
Completion of CDC Training on Antibiotic Stewardship IA_PSPA_23 Patient Safety & Practice Assessment High
Completion of CDC Training on Antibiotic Stewardship
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_23 Completion of CDC Training on Antibiotic Stewardship Patient Safety & Practice Assessment Completion of CDC Training on Antibiotic Stewardship
Initiate CDC Training on Antibiotic Stewardship IA_PSPA_24 Patient Safety & Practice Assessment Medium
Initiate CDC Training on Antibiotic Stewardship
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_24 Initiate CDC Training on Antibiotic Stewardship Patient Safety & Practice Assessment Initiate CDC Training on Antibiotic Stewardship
Cost Display for Laboratory and Radiographic Orders IA_PSPA_25 Patient Safety & Practice Assessment Medium
Cost Display for Laboratory and Radiographic Orders
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_25 Cost Display for Laboratory and Radiographic Orders Patient Safety & Practice Assessment Cost Display for Laboratory and Radiographic Orders
Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event IA_PSPA_26 Patient Safety & Practice Assessment Medium
Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_26 Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event Patient Safety & Practice Assessment Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event
Invasive Procedure or Surgery Anticoagulation Medication Management IA_PSPA_27 Patient Safety & Practice Assessment Medium
Invasive Procedure or Surgery Anticoagulation Medication Management
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_27 Invasive Procedure or Surgery Anticoagulation Medication Management Patient Safety & Practice Assessment Invasive Procedure or Surgery Anticoagulation Medication Management
Completion of an Accredited Safety or Quality Improvement Program IA_PSPA_28 Patient Safety & Practice Assessment Medium
Completion of an Accredited Safety or Quality Improvement Program
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_28 Completion of an Accredited Safety or Quality Improvement Program Patient Safety & Practice Assessment Completion of an Accredited Safety or Quality Improvement Program
Consulting Appropriate Use Criteria (AUC) Using Clinical Decision Support when Ordering Advanced Diagnostic Imaging IA_PSPA_29 Patient Safety & Practice Assessment High
Consulting Appropriate Use Criteria (AUC) Using Clinical Decision Support when Ordering Advanced Diagnostic Imaging
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_29 Consulting Appropriate Use Criteria (AUC) Using Clinical Decision Support when Ordering Advanced Diagnostic Imaging Patient Safety & Practice Assessment Consulting Appropriate Use Criteria (AUC) Using Clinical Decision Support when Ordering Advanced Diagnostic Imaging
PCI Bleeding Campaign IA_PSPA_30 Patient Safety & Practice Assessment High
PCI Bleeding Campaign
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_PSPA_30 PCI Bleeding Campaign Patient Safety & Practice Assessment PCI Bleeding Campaign
Implementation of use of specialist reports back to referring clinician or group to close referral loop IA_CC_1 Care Coordination Medium
Implementation of use of specialist reports back to referring clinician or group to close referral loop
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_CC_1 Implementation of use of specialist reports back to referring clinician or group to close referral loop Care Coordination Implementation of use of specialist reports back to referring clinician or group to close referral loop
Implementation of improvements that contribute to more timely communication of test results IA_CC_2 Care Coordination Medium
Implementation of improvements that contribute to more timely communication of test results
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_CC_2 Implementation of improvements that contribute to more timely communication of test results Care Coordination Implementation of improvements that contribute to more timely communication of test results
Implementation of additional activity as a result of TA for improving care coordination IA_CC_3 Care Coordination Medium
Implementation of additional activity as a result of TA for improving care coordination
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_CC_3 Implementation of additional activity as a result of TA for improving care coordination Care Coordination Implementation of additional activity as a result of TA for improving care coordination
TCPI participation IA_CC_4 Care Coordination Medium
TCPI participation
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_CC_4 TCPI participation Care Coordination TCPI participation
CMS partner in Patients Hospital Improvement Innovation Networks IA_CC_5 Care Coordination Medium
CMS partner in Patients Hospital Improvement Innovation Networks
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_CC_5 CMS partner in Patients Hospital Improvement Innovation Networks Care Coordination CMS partner in Patients Hospital Improvement Innovation Networks
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination IA_CC_6 Care Coordination Medium
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_CC_6 Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination Care Coordination Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination
Regular training in care coordination IA_CC_7 Care Coordination Medium
Regular training in care coordination
MEASURE NUMBER DATA SUBMISSION METHOD SPECIALTY MEASURE SET PRIMARY MEASURE STEWARD
IA_CC_7 Regular training in care coordination Care Coordination Regular training in care coordination
Implementation of documentation improvements for practice/process improvements IA_CC_8 Care Coordination Medium