MIPS - Improvement Activities

Quality Measures
Advancing Care Information Measures
Hints for Choosing Improvement Activities


Measure ID Title Description Weight Subcategory ID
IA_PM_7 Use of QCDR for feedback reports that incorporate population health Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations. High Population Management
IA_PSPA_11 Participation in CAHPS or other supplemental questionnaire Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). High Patient Safety And Practice Assessment
IA_PSPA_6 Consultation of the Prescription Drug Monitoring program Clinicians would attest that, 60 percent for first year, or 75 percent for the second year, of consultation of prescription drug monitoring program prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription that lasts for longer than 3 days. High Patient Safety And Practice Assessment
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 Beneficiary Engagement
IA_BE_5 Enhancements/regular updates to practice websites/tools that also include considerations for patients with cognitive disabilities Enhancements and ongoing regular updates and use of websites/tools that include consideration for compliance with section 508 of the Rehabilitation Act of 1973 or for improved design for patients with cognitive disabilities. Refer to the CMS website on Section 508 of the Rehabilitation Act that requires that institutions receiving federal funds solicit, procure, maintain and use all electronic and information technology (EIT) so that equal or alternate/comparable access is given to members of the public with and without disabilities. For example, this includes designing a patient portal or website that is compliant with section 508 of the Rehabilitation Act of 1973 Medium Beneficiary Engagement
IA_BE_4 Engagement of patients through implementation of improvements in patient portal Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. Medium Beneficiary Engagement
IA_BE_3 Engagement with QIN-QIO to implement self-management training programs Engagement with a Quality Innovation Network-Quality Improvement Organization, which may include participation in self-management training programs such as diabetes. Medium Beneficiary Engagement
IA_BE_23 Integration of patient coaching practices between visits Provide coaching between visits with follow-up on care plan and goals. Medium Beneficiary Engagement
IA_BE_22 Improved practices that engage patients pre-visit Provide a pre-visit development of a shared visit agenda with the patient. Medium Beneficiary Engagement
IA_BE_21 Improved practices that disseminate appropriate self-management materials Provide self-management materials at an appropriate literacy level and in an appropriate language. Medium Beneficiary Engagement
IA_BE_20 Implementation of condition-specific chronic disease self-management support programs Provide condition-specific chronic disease self-management support programs or coaching or link patients to those programs in the community. Medium Beneficiary Engagement
IA_BE_2 Use of QCDR to support clinical decision making Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities. Medium Beneficiary Engagement

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