Index

MIPS - Improvement Activities

Quality Measures
Advancing Care Information Measures
Choosing Improvement Activities

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Measure ID Title Description Weight Subcategory ID
IA_BE_7 Participation in a QCDR, that promotes use of patient engagement tools. Participation in a QCDR, that promotes use of patient engagement tools. medium beneficiaryEngagement
IA_BE_8 Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive. Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive. medium beneficiaryEngagement
IA_BE_9 Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement. Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement. medium beneficiaryEngagement
IA_BMH_1 Diabetes screening Diabetes screening for people with schizophrenia or bipolar disease who are using antipsychotic medication. medium behavioralAndMentalHealth
IA_BMH_2 Tobacco use Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence. medium behavioralAndMentalHealth
IA_BMH_3 Unhealthy alcohol use Unhealthy alcohol use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including screening and brief counseling (refer to NQF #2152) for patients with co-occurring conditions of behavioral or mental health conditions. medium behavioralAndMentalHealth
IA_BMH_4 Depression screening Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions. medium behavioralAndMentalHealth
IA_BMH_5 MDD prevention and treatment interventions Major depressive disorder: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including suicide risk assessment (refer to NQF #0104) for mental health patients with co-occurring conditions of behavioral or mental health conditions. medium behavioralAndMentalHealth
IA_BMH_6 Implementation of co-location PCP and MH services Integration facilitation, and promotion of the colocation of mental health services in primary and/or non-primary clinical care settings. high behavioralAndMentalHealth
IA_BMH_7 Implementation of integrated PCBH model Offer integrated behavioral health services to support patients with behavioral health needs, dementia, and poorly controlled chronic conditions that could include one or more of the following: Use evidence-based treatment protocols and treatment to goal where appropriate; Use evidence-based screening and case finding strategies to identify individuals at risk and in need of services; Ensure regular communication and coordinated workflows between eligible clinicians in primary care and behavioral health; Conduct regular case reviews for at-risk or unstable patients and those who are not responding to treatment; Use of a registry or certified health information technology functionality to support active care management and outreach to patients in treatment; and/or Integrate behavioral health and medical care plans and facilitate integration through co-location of services when feasible. high behavioralAndMentalHealth
IA_BMH_8 Electronic Health Record Enhancements for BH data capture Enhancements to an electronic health record to capture additional data on behavioral health (BH) populations and use that data for additional decision-making purposes (e.g., capture of additional BH data results in additional depression screening for at-risk patient not previously identified). medium behavioralAndMentalHealth
IA_CC_1 Implementation of use of specialist reports back to referring clinician or group to close referral loop Performance of regular practices that include providing specialist reports back to the referring MIPS eligible clinician or group to close the referral loop or where the referring MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the certified EHR technology. medium careCoordination

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