| Measure ID |
Title |
Description |
Weight |
Subcategory ID |
|
IA_PSPA_3
|
Participate in IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS(R) or other similar activity.
|
For eligible professionals not participating in Maintenance of Certification (MOC) Part IV, new engagement for MOC Part IV, such as IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS(R)
|
Medium |
Patient Safety And Practice Assessment |
|
IA_PSPA_4
|
Administration of the AHRQ Survey of Patient Safety Culture
|
Administration of the AHRQ Survey of Patient Safety Culture and submission of data to the comparative database (refer to AHRQ Survey of Patient Safety Culture website http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/index.html)
|
Medium |
Patient Safety And Practice Assessment |
|
IA_PSPA_5
|
Annual registration in the Prescription Drug Monitoring Program
|
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
|
Medium |
Patient Safety And Practice Assessment |
|
IA_PSPA_7
|
Use of QCDR data for ongoing practice assessment and improvements
|
Use of QCDR data, for ongoing practice assessment and improvements in patient safety.
|
Medium |
Patient Safety And Practice Assessment |
|
IA_PSPA_8
|
Use of patient safety tools
|
Use of tools that assist specialty practices in tracking specific measures that are meaningful to their practice, such as use of the Surgical Risk Calculator.
|
Medium |
Patient Safety And Practice Assessment |
|
IA_PSPA_9
|
Completion of the AMA STEPS Forward program
|
Completion of the American Medical Association's STEPS Forward program.
|
Medium |
Patient Safety And Practice Assessment |
|
IA_ERP_2
|
Participation in a 60-day or greater effort to support domestic or international humanitarian needs.
|
Participation in domestic or international humanitarian volunteer work. Activities that simply involve registration are not sufficient. MIPS eligible clinicians attest to domestic or international humanitarian volunteer work for a period of a continuous 60 days or greater.
|
High |
Emergency Response And Preparedness |
|
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 |
Behavioral And Mental Health |
|
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 |
Behavioral And Mental Health |
|
IA_BE_6
|
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
|
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.
|
High |
Beneficiary Engagement |
|
IA_AHE_1
|
Engagement of new Medicaid patients and follow-up
|
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare.
|
High |
Achieving Health Equity |
|
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 |