MIPS
Choosing Improvement Activities

MIPS - Hints for Choosing Improvement Activities

Improvement Activities Measures
Do you remind patients of missed or overdue services?
IA_PM_13
Do you have a process to identify and care for patients post hospitalization or emergency department (ED) visit?
IA_PM_15 IA_CC_10
Are you involved in any community or international volunteer efforts (e.g. disaster planning, national relief)?
IA_ERP_1 IA_ERP_2
Do you have an established process to prepare for the next day’s visits?
IA_PM_13 IA_BE_22
Do you have an established rooming work flow to optimize provider time, having all staff work to their highest license (e.g. medication reconciliation, review of overdue services)?
IA_PM_13 IA_PM_16 IA_BE_22
Do you utilize the Prescription Monitoring Program prior to dispensing opioids or applied for waiver to treat patients with buprenorphine?
IA_PSPA_6 IA_PSPA_5 IA_PSPA_10
If your patients are assigned a primary provider, do you understand your panel profile and routinely assess (e.g. chronic conditions, payer mix, 3rd next available, etc.)
IA_PM_9 IA_PM_11 IA_PSPA_17 IA_AHE_1
Do you have a standard process for placing and tracking orders (referrals, diagnostics) or notifying patients of results?
IA_CC_1 IA_CC_2 IA_CC_12 IA_CC_13
Do you offer services such as telehealth, chronic disease group visits, peer support groups?
IA_EPA_2 IA_BE_18 IA_BE_19 IA_BE_20 IA_EPA_4
Do you have a process for staff education and assessment?
IA_CC_7 IA_PSPA_4 IA_PSPA_11 IA_PSPA_19 IA_PSPA_20
Do you distribute patient-satisfaction surveys, safety surveys or have a patient Advisory Council?
IA_EPA_3 IA_BE_6 IA_BE_13 IA_BE_14 IA_PSPA_4 IA_PSPA_11
Do you have any ancillary staff embedded in your practice (Care Manager, Social Worker, Dortor of Pharmacy (PharmD), Certified Diabetes Educator, Nutritionist, peer counselor)?
IA_PM_14 IA_PM_15 IA_PM_16 IA_BE_17 IA_BE_23 IA_BMH_6 IA_BMH_7
Have you incorporated behavioral health services and screenings into your practice (e.g. colocation of services, screening efforts for tobacco, diabetes, alcohol, depression)?
IA_BMH_6 IA_BMH_7 IA_BMH_1 IA_BMH_2 IA_BMH_3 IA_BMH_4 IA_BMH_5 IA_BMH_8
Have you incorporated efforts to enhance patient education, self-management and care- planning efforts into your workflow or your Electronic Health Records (EHR)?
IA_PM_14 IA_CC_9 IA_CC_14 IA_BE_12 IA_BE_14 IA_BE_15 IA_BE_16 IA_BE_17 IA_BE_20 IA_BE_21 IA_BE_23
Do you provide longitudinal Case Management for patients?
IA_PM_14 IA_PM_15 IA_CC_8 IA_CC_9 IA_CC_10 IA_CC_11 IA_CC_14 IA_BE_15 IA_BE_16 IA_BE_22 IA_BE_23 IA_PM_13
Does your Electronic Health Records (EHR) offer advanced functionality (i.e. interface with Health Information Exchange (HIE), patient education, decision support, Duable Medical Equipment (DME) interfaces, patient portal, risk tools, order completion, referral loop, registry)?
IA_CC_1 IA_CC_13 IA_BE_1 IA_BE_4 IA_BE_5 IA_BE_12 IA_PSPA_8 IA_PSPA_15 IA_PSPA_16 IA_BMH_7 IA_PM_4 IA_PSPA_21
Have you integrated evidence based performance improvement processes within your office (e.g. identifying high risk patients, Chronic Disease, Diabetes Mellitus, improving patient satisfaction, reducing cost, falls screen, optimizing antibiotic use, anticoagulation, managing medication effectively, shared decision making, risk reduction)?
IA_PM_2 IA_PM_4 IA_PM_11 IA_PM_13 IA_PSPA_8 IA_PSPA_15 IA_PSPA_16 IA_PSPA_17 IA_PSPA_18 IA_PSPA_19 IA_PSPA_20 IA_PSPA_21 IA_PM_1
Do you participate in a Qualified Clinical Data Registry (QCDR)?
IA_PM_4 IA_PM_7 IA_PM_10 IA_CC_6 IA_BE_2 IA_BE_7 IA_BE_8 IA_BE_9 IA_BE_10 IA_BE_11 IA_PSPA_7 IA_AHE_3 IA_AHE_4 IA_AHE_2

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