Diabetes Mellitus

This measure group may be submitted via registry only.

Includes the following individual measures:

#1Diabetes: Hemoglobin A1c Poor Control

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#110Preventive Care and Screening: Influenza Immunization

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#117Diabetes: Eye Exam

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#119Diabetes: Medical Attention for Nephropathy

Report via: Claim, Registry, EHR, Measure Group

#163Diabetes: Foot Exam

Report via: Claim, Registry, EHR, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

Chronic Kidney Disease (CKD)

This measure group may be submitted via registry only.

Includes the following individual measures:

#47Care Plan

Report via: Claim, Registry, Measure Group

#110Preventive Care and Screening: Influenza Immunization

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#121Adult Kidney Disease: Laboratory Testing (Lipid Profile)

Report via: Registry, Measure Group

#122Adult Kidney Disease: Blood Pressure Management

Report via: Registry, Measure Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

Preventive Care

This measure group may be submitted via registry only.

Includes the following individual measures:

#39Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older

Report via: Claim, Registry, Measure Group

#48Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Report via: Claim, Registry, Measure Group

#110Preventive Care and Screening: Influenza Immunization

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#111Pneumonia Vaccination Status for Older Adults

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#112Breast Cancer Screening

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#113Colorectal Cancer Screening

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#134Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#173Preventive Care and Screening: Unhealthy Alcohol Use - Screening

Report via: Registry, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

Coronary Artery Bypass Graft (CABG)

This measure group may be submitted via registry only.

Includes the following individual measures:

#43Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery

Report via: Registry, Measure Group

#44Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery

Report via: Claim, Registry, Measure Group

#164Coronary Artery Bypass Graft (CABG): Prolonged Intubation

Report via: Registry, Measure Group

#165Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate

Report via: Registry, Measure Group

#166Coronary Artery Bypass Graft (CABG): Stroke

Report via: Registry, Measure Group

#167Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure

Report via: Registry, Measure Group

#168Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration

Report via: Registry, Measure Group

Rheumatoid Arthritis

This measure group may be submitted via registry only.

Includes the following individual measures:

#108Rheumatoid Arthritis (RA): Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy

This measure may be submitted via Measure Group only

#128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#131Pain Assessment and Follow-Up

Report via: Claim, Registry, Measure Group

#176Rheumatoid Arthritis (RA): Tuberculosis Screening

This measure may be submitted via Measure Group only

#177Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity

This measure may be submitted via Measure Group only

#178Rheumatoid Arthritis (RA): Functional Status Assessment

Report via: Registry, Measure Group

#179Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis

This measure may be submitted via Measure Group only

#180Rheumatoid Arthritis (RA): Glucocorticoid Management

This measure may be submitted via Measure Group only

Hepatitis C

This measure group may be submitted via registry only.

Includes the following individual measures:

#84Hepatitis C: Ribonucleic Acid (RNA) Testing Before Initiating Treatment

This measure may be submitted via Measure Group only

#85Hepatitis C: Hepatitis C Virus (HCV) Genotype Testing Prior to Treatment

This measure may be submitted via Measure Group only

#87Hepatitis C: Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Testing Between 4-12 Weeks After Initiation of Treatment

This measure may be submitted via Measure Group only

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#183Hepatitis C: Hepatitis A Vaccination

This measure may be submitted via Measure Group only

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#390Discussion and Shared Decision Making Surrounding Treatment Options

Report via: Registry, Measure Group

#401Screening for Hepatocellular Carcinoma (HCC) in patients with Hepatitis C Cirrhosis

Report via: Registry, Measure Group

Heart Failure (HF)

This measure group may be submitted via registry only.

Includes the following individual measures:

#5Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

Report via: Registry, EHR, Measure Group

#8Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

Report via: Registry, EHR, GPRO/ACO, Measure Group

#47Care Plan

Report via: Claim, Registry, Measure Group

#110Preventive Care and Screening: Influenza Immunization

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

Coronary Artery Disease (CAD)

This measure group may be submitted via registry only.

Includes the following individual measures:

#6Coronary Artery Disease (CAD): Antiplatelet Therapy

Report via: Registry, Measure Group

#7Coronary Artery Disease (CAD): Beta-Blocker Therapy - Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)

Report via: Registry, EHR, Measure Group

#128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#242Coronary Artery Disease (CAD): Symptom Management

Report via: Registry, Measure Group

HIV/AIDS

This measure group may be submitted via registry only.

Includes the following individual measures:

#47Care Plan

Report via: Claim, Registry, Measure Group

#134Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#160HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis

This measure may be submitted via Measure Group only

#205HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis

Report via: Registry, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#338HIV Viral Load Suppression

This measure may be submitted via Measure Group only

#339Prescription of HIV Antiretroviral Therapy

This measure may be submitted via Measure Group only

#340HIV Medical Visit Frequency

This measure may be submitted via Measure Group only

Asthma

This measure group may be submitted via registry only.

Includes the following individual measures:

#53Asthma: Pharmacologic Therapy for Persistent Asthma - Ambulatory Care Setting

Report via: Registry, Measure Group

#110Preventive Care and Screening: Influenza Immunization

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#402Tobacco Use and Help with Quitting Among Adolescents

Report via: Registry, Measure Group

Chronic Obstructive Pulmonary Disease (COPD)

This measure group may be submitted via registry only.

Includes the following individual measures:

#47Care Plan

Report via: Claim, Registry, Measure Group

#51Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation

Report via: Claim, Registry, Measure Group

#52Chronic Obstructive Pulmonary Disease (COPD): Inhaled Bronchodilator Therapy

Report via: Claim, Registry, Measure Group

#110Preventive Care and Screening: Influenza Immunization

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#111Pneumonia Vaccination Status for Older Adults

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

Inflammatory Bowel Disease (IBD)

This measure group may be submitted via registry only.

Includes the following individual measures:

#110Preventive Care and Screening: Influenza Immunization

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#111Pneumonia Vaccination Status for Older Adults

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#270Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Sparing Therapy

Report via: Registry, Measure Group

#271Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury - Bone Loss Assessment

Report via: Registry, Measure Group

#274Inflammatory Bowel Disease (IBD): Testing for Latent Tuberculosis (TB) Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy

Report via: Registry, Measure Group

#275Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy

Report via: Registry, Measure Group

Sleep Apnea

This measure group may be submitted via registry only.

Includes the following individual measures:

#128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#276Sleep Apnea: Assessment of Sleep Symptoms

This measure may be submitted via Measure Group only

#277Sleep Apnea: Severity Assessment at Initial Diagnosis

This measure may be submitted via Measure Group only

#278Sleep Apnea: Positive Airway Pressure Therapy Prescribed

This measure may be submitted via Measure Group only

#279Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy

This measure may be submitted via Measure Group only

Dementia

This measure group may be submitted via registry only.

Includes the following individual measures:

#47Care Plan

Report via: Claim, Registry, Measure Group

#280Dementia: Staging of Dementia

This measure may be submitted via Measure Group only

#281Dementia: Cognitive Assessment

Report via: EHR, Measure Group

#282Dementia: Functional Status Assessment

This measure may be submitted via Measure Group only

#283Dementia: Neuropsychiatric Symptom Assessment

This measure may be submitted via Measure Group only

#284Dementia: Management of Neuropsychiatric Symptoms

This measure may be submitted via Measure Group only

#285Dementia: Screening for Depressive Symptoms

This measure may be submitted via Measure Group only

#286Dementia: Counseling Regarding Safety Concerns

This measure may be submitted via Measure Group only

#287Dementia: Counseling Regarding Risks of Driving

This measure may be submitted via Measure Group only

#288Dementia: Caregiver Education and Support

This measure may be submitted via Measure Group only

Parkinson's Disease

This measure group may be submitted via registry only.

Includes the following individual measures:

#47Care Plan

Report via: Claim, Registry, Measure Group

#289Parkinson’s Disease: Annual Parkinson’s Disease Diagnosis Review

This measure may be submitted via Measure Group only

#290Parkinson’s Disease: Psychiatric Disorders or Disturbances Assessment

This measure may be submitted via Measure Group only

#291Parkinson’s Disease: Cognitive Impairment or Dysfunction Assessment

This measure may be submitted via Measure Group only

#292Parkinson’s Disease: Querying about Sleep Disturbances

This measure may be submitted via Measure Group only

#293Parkinson’s Disease: Rehabilitative Therapy Options

This measure may be submitted via Measure Group only

#294Parkinson’s Disease: Parkinson’s Disease Medical and Surgical Treatment Options Reviewed

This measure may be submitted via Measure Group only

Cataracts

This measure group may be submitted via registry only.

Includes the following individual measures:

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#191Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

Report via: Registry, EHR, Measure Group

#192Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures

Report via: Registry, EHR, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#303Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery

Report via: Registry, Measure Group

#304Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery

Report via: Registry, Measure Group

#388Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule Requiring Unplanned Vsitrectomy)

Report via: Registry, Measure Group

#389Cataract Surgery: Difference Between Planned and Final Refraction

Report via: Registry, Measure Group

Oncology

This measure group may be submitted via registry only.

Includes the following individual measures:

#71Breast Cancer: Hormonal Therapy for Stage IC -IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer

Report via: Claim, Registry, EHR, Measure Group

#72Colon Cancer: Chemotherapy for AJCC Stage III Colon Cancer Patients

Report via: Claim, Registry, EHR, Measure Group

#110Preventive Care and Screening: Influenza Immunization

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#143Oncology: Medical and Radiation - Pain Intensity Quantified

Report via: Registry, EHR, Measure Group

#144Oncology: Medical and Radiation - Plan of Care for Pain

Report via: Registry, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

Total Knee Replacement

This measure group may be submitted via registry only.

Includes the following individual measures:

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#350Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy

This measure may be submitted via Measure Group only

#351Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation

This measure may be submitted via Measure Group only

#352Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet

This measure may be submitted via Measure Group only

#353Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report

This measure may be submitted via Measure Group only

General Surgery

This measure group may be submitted via registry only.

Includes the following individual measures:

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#354Anastomotic Leak Intervention

This measure may be submitted via Measure Group only

#355Unplanned Reoperation within the 30 Day Postoperative Period

This measure may be submitted via Measure Group only

#356Unplanned Hospital Readmission within 30 Days of Principal Procedure

This measure may be submitted via Measure Group only

#357Surgical Site Infection (SSI)

This measure may be submitted via Measure Group only

#358Patient-Centered Surgical Risk Assessment and Communication

Report via: Registry, Measure Group

Optimizing Patient Exposure to Ionizing Radiation

This measure group may be submitted via registry only.

Includes the following individual measures:

#359Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description

This measure may be submitted via Measure Group only

#360Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine Studies

This measure may be submitted via Measure Group only

#361Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry

This measure may be submitted via Measure Group only

#362Optimizing Patient Exposure to Ionizing Radiation: Computed Tomography (CT) Images Available for Patient Follow-up and Comparison Purposes

This measure may be submitted via Measure Group only

#363Optimizing Patient Exposure to Ionizing Radiation: Search for Prior Computed Tomography (CT) Studies Through a Secure, Authorized, Media-Free, Shared Archive

This measure may be submitted via Measure Group only

#364Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines

This measure may be submitted via Measure Group only

Sinusitis

Includes the following individual measures:

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#131Pain Assessment and Follow-Up

Report via: Claim, Registry, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#331Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Appropriate Use)

Report via: Registry, Measure Group

#332Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)

Report via: Registry, Measure Group

#333Adult Sinusitis: Computerized Tomography for Acute Sinusitis (Overuse)

Report via: Registry, Measure Group

Acute Otitis Externa (AOE)

Includes the following individual measures:

#91Acute Otitis Externa (AOE): Topical Therapy

Report via: Claim, Registry, Measure Group

#93Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

Report via: Claim, Registry, Measure Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#131Pain Assessment and Follow-Up

Report via: Claim, Registry, Measure Group

#154Falls: Risk Assessment

Report via: Claim, Registry, Measure Group

#155Falls: Plan of Care

Report via: Claim, Registry, Measure Group

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group

#317Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group