Diabetes Mellitus

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: Registry, EHR, Measure Group

#126Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy ? Neurological Evaluation

Report via: Registry, 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)

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

Includes the following individual measures:

#39Screening for Osteoporosis for Women Aged 65-85 Years of Age

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

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

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

#431Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Report via: Registry, Measure Group

Coronary Artery Bypass Graft (CABG)

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: 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

This measure may be submitted via Measure Group only

#166Coronary Artery Bypass Graft (CABG): Stroke

This measure may be submitted via Measure Group only

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

This measure may be submitted via Measure Group only

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

This measure may be submitted via Measure Group only

Rheumatoid Arthritis

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

#337Tuberculosis Prevention for Psoriasis,Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier

Report via: Registry, Measure Group

Hepatitis C

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

#390Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options

Report via: Registry, Measure Group

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

Report via: Registry, Measure Group

Heart Failure (HF)

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)

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

This measure may be submitted via Measure Group only

HIV/AIDS

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

Report via: EHR, Measure Group

#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

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)

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)

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

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

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

#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

#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

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

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 Vitrectomy

Report via: Registry, Measure Group

#389Cataract Surgery: Difference Between Planned and Final Refraction

Report via: Registry, Measure Group

Oncology

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

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

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

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 (Overuse)

Report via: Registry, Measure Group

#332Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)

Report via: Registry, Measure Group

#333Adult Sinusitis: Computerized Tomography (CT) 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

Cardiovascular Prevention

Includes the following individual measures:

#130Documentation of Current Medications in the Medical Record

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

#204Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

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

#236Controlling High Blood Pressure

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

#438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

Report via: Registry, GPRO/ACO, Measure Group

Diabetic Retinopathy

Includes the following individual measures:

#1Diabetes: Hemoglobin A1c Poor Control

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

#18Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy

Report via: EHR, Measure Group

#19Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

Report via: Claim, Registry, EHR, Measure Group

#117Diabetes: Eye Exam

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

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

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

Multiple Chronic Conditions

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

#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

#131Pain Assessment and Follow-Up

Report via: Claim, Registry, Measure Group

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