Index

MIPS - Improvement Activities

Quality Measures
Advancing Care Information Measures
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Measure ID Title Description Weight Subcategory ID
IA_BE_15 Engagement of patients, family and caregivers in developing a plan of care Engage patients, family and caregivers in developing a plan of care and prioritizing their goals for action, documented in the certified EHR technology. Medium Beneficiary Engagement
IA_BE_14 Engage patients and families to guide improvement in the system of care. Engage patients and families to guide improvement in the system of care. Medium Beneficiary Engagement
IA_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. Medium Beneficiary Engagement
IA_BE_12 Use evidence-based decision aids to support shared decision-making. Use evidence-based decision aids to support shared decision-making. Medium Beneficiary Engagement
IA_BE_11 Participation in a QCDR, that promotes use of processes and tools that engage patients for adherence to treatment plan. Participation in a QCDR, that promotes use of processes and tools that engage patients for adherence to treatment plan. Medium Beneficiary Engagement
IA_BE_10 Participation in a QCDR, that promotes implementation of patient self-action plans. Participation in a QCDR, that promotes implementation of patient self-action plans. Medium Beneficiary Engagement
IA_BE_1 Use of certified EHR to capture patient reported outcomes In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review. Medium Beneficiary Engagement
IA_AHE_4 Leveraging a QCDR for use of standard questionnaires Participation in a QCDR, demonstrating performance of activities for use of standard questionnaires for assessing improvements in health disparities related to functional health status (e.g., use of Seattle Angina Questionnaire, MD Anderson Symptom Inventory, and/or SF-12/VR-12 functional health status assessment). Medium Achieving Health Equity
IA_AHE_3 Leveraging a QCDR to promote use of patient-reported outcome tools Participation in a QCDR, demonstrating performance of activities for promoting use of patient-reported outcome (PRO) tools and corresponding collection of PRO data (e.g., use of PQH-2 or PHQ-9 and PROMIS instruments). Medium Achieving Health Equity
IA_AHE_2 Leveraging a QCDR to standardize processes for screening Participation in a QCDR, demonstrating performance of activities for use of standardized processes for screening for social determinants of health such as food security, employment and housing. Use of supporting tools that can be incorporated into the certified EHR technology is also suggested. Medium Achieving Health Equity
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_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 Beneficiary Engagement

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