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

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group

#2Diabetes: Low Density Lipoprotein (LDL-C) Control (<100 mg/dL)

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group
• Cardiovascular Prevention Group

#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

This measure is can be reported as part of the following groups:
• Heart Failure (HF) Group

#6Coronary Artery Disease (CAD): Antiplatelet Therapy

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Disease (CAD) Group

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

Report via: Registry, EHR

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

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

This measure is can be reported as part of the following groups:
• Heart Failure (HF) Group

#9Anti-depressant Medication Management

Report via: Registry, EHR

#12Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

Report via: Claim, Registry, EHR

Report via: Claim, Registry

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

Report via: Claim, Registry, EHR

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

Report via: Claim, Registry, EHR

#20Perioperative Care: Timing of Prophylactic Parenteral Antibiotic - Ordering Physician

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Perioperative Care Group

#21Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Perioperative Care Group

#22Perioperative Care: Discontinuation of Prophylactic Parenteral Antibiotics (Non-Cardiac Procedures)

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Perioperative Care Group

#23Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Perioperative Care Group

#24Osteoporosis: Communication with the Physician Managing On-going Care Post-Fracture of Hip, Spine or Distal Radius for Men and Women Aged 50 Years and Older

Report via: Claim, Registry

#28Aspirin at Arrival for Acute Myocardial Infarction (AMI)

Report via: Claim, Registry

#30Perioperative Care:Timing of Prophylactic Antiobioticâ€”Administering Physician

Report via: Claim, Registry

#31Stroke and Stroke Rehabilitation: Venous Thromboembolism (VTE) Prophylaxis for Ischemic Stroke or Intracranial Hemorrhage

Report via: Claim, Registry

#32Stroke and Stroke Rehabilitation: Discharged on Antithrombotic Therapy

Report via: Claim, Registry

#33Stroke and Stroke Rehabilitation: Anticoagulant Therapy Prescribed for Atrial Fibrillation (AF) at Discharge

This measure may be submitted via Registry only

#35Stroke and Stroke Rehabilitation: Screening for Dysphagia

Report via: Claim, Registry

#36Stroke and Stroke Rehabilitation: Rehabilitation Services Ordered

Report via: Claim, Registry

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

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group

#40Osteoporosis: Management Following Fracture of Hip, Spine or Distal Radius for Men and Women Aged 50 Years and Older

Report via: Claim, Registry

#41Osteoporosis: Pharmacologic Therapy for Men and Women Aged 50 Years and Older

Report via: Claim, Registry

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

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

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

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#45Perioperative Care: Discontinuation of Prophylactic Parenteral Antibiotics (Cardiac Procedures)

Report via: Claim, Registry

#46Medication Reconciliation

Report via: Claim, Registry, GPRO/ACO

#47Advance Care Plan

Report via: Claim, Registry

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

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group

#49Urinary Incontinence: Characterization of Urinary Incontinence in Women Aged 65 Years and Older

Report via: Claim, Registry

#50Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older

Report via: Claim, Registry

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

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Obstructive Pulmonary Disease (COPD) Group

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

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Obstructive Pulmonary Disease (COPD) Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Asthma Group

#54Emergency Medicine: 12-Lead Electrocardiogram (ECG) Performed for Non-Traumatic Chest Pain

Report via: Claim, Registry

#55Emergency Medicine: 12-Lead Electrocardiogram (ECG) Performed for Syncope

Report via: Claim, Registry

#56Emergency Medicine: Community-Acquired Bacterial Pneumonia (CAP): Vital Signs

Report via: Claim, Registry

#59Emergency Medicine: Community-Acquired Bacterial Pneumonia (CAP): Empiric Antibiotic

Report via: Claim, Registry

#64Asthma: Assessment of Asthma Control - Ambulatory Care Setting

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Asthma Group

#65Appropriate Treatment for Children with Upper Respiratory Infection (URI)

Report via: Registry, EHR

#66Appropriate Testing for Children with Pharyngitis

Report via: Registry, EHR

#67Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow

Report via: Claim, Registry

#68Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy

Report via: Claim, Registry

#69Hematology: Multiple Myeloma: Treatment with Bisphosphonates

Report via: Claim, Registry

#70Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry

Report via: Claim, Registry

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

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Oncology Group

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

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Oncology Group

#76Prevention of Catheter-Related Bloodstream Infections (CRBSI): Central Venous Catheter (CVC) Insertion Protocol

Report via: Claim, Registry

#81Adult Kidney Disease: Hemodialysis Adequacy: Solute

This measure may be submitted via Registry only

#82Adult Kidney Disease: Peritoneal Dialysis Adequacy: Solute

This measure may be submitted via Registry only

#83Hepatitis C: Confirmation of Hepatitis C Viremia

This measure may be submitted via Registry only

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#85Hepatitis C: HCV Genotype Testing Prior to Treatment

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#91Acute Otitis Externa (AOE): Topical Therapy

Report via: Claim, Registry

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

Report via: Claim, Registry

#99Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade

Report via: Claim, Registry

#100Colorectal Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade

Report via: Claim, Registry

#102Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients

Report via: Claim, Registry, EHR

#104Prostate Cancer: Adjuvant Hormonal Therapy for High Risk Prostate Cancer Patients

Report via: Claim, Registry

#106Adult Major Depressive Disorder (MDD): Comprehensive Depression Evaluation: Diagnosis and Severity

Report via: Claim, Registry

#107Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

Report via: Claim, Registry, EHR

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

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#109Osteoarthritis (OA): Function and Pain Assessment

Report via: Claim, Registry

#110Preventive Care and Screening: Influenza Immunization

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

This measure is can be reported as part of the following groups:
• Chronic Kidney Disease (CKD) Group
• Preventive Care Group
• Chronic Obstructive Pulmonary Disease (COPD) Group
• Oncology Group

#111Pneumonia Vaccination Status for Older Adults

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

This measure is can be reported as part of the following groups:
• Preventive Care Group
• Chronic Obstructive Pulmonary Disease (COPD) Group

#112Breast Cancer Screening

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

This measure is can be reported as part of the following groups:
• Preventive Care Group

#113Colorectal Cancer Screening

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

This measure is can be reported as part of the following groups:
• Preventive Care Group

#116Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis

This measure may be submitted via Registry only

#117Diabetes: Eye Exam

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group

#118Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%)

Report via: Registry, GPRO/ACO

#119Diabetes: Medical Attention for Nephropathy

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group

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

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Kidney Disease (CKD) Group

#122Adult Kidney Disease: Blood Pressure Management

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Kidney Disease (CKD) Group

#123Adult Kidney Disease: Patients On Erythropoiesis-Stimulating Agent (ESA) - Hemoglobin Level > 12.0 g/dL

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Kidney Disease (CKD) Group

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

This measure may be submitted via Registry only

#127Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear

This measure may be submitted via Registry only

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

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

This measure is can be reported as part of the following groups:
• Preventive Care Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Oncology Group

#131Pain Assessment and Follow-Up

Report via: Claim, Registry

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

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

#137Melanoma: Continuity of Care - Recall System

This measure may be submitted via Registry only

#138Melanoma: Coordination of Care

This measure may be submitted via Registry only

Report via: Claim, Registry

#141Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

Report via: Claim, Registry

#142Osteoarthritis (OA): Assessment for Use of Anti-Inflammatory or Analgesic Over-the-Counter (OTC) Medications

Report via: Claim, Registry

#143Oncology: Medical and Radiation - Pain Intensity Quantified

Report via: Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Oncology Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Oncology Group

#145Radiology: Exposure Time Reported for Procedures Using Fluoroscopy

Report via: Claim, Registry

#146Radiology: Inappropriate Use of "Probably Benign" Assessment Category in Mammography Screening

Report via: Claim, Registry

#147Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy

Report via: Claim, Registry

#148Back Pain: Initial Visit

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Back Pain Group

#149Back Pain: Physical Exam

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Back Pain Group

#150Back Pain: Advice for Normal Activities

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Back Pain Group

#151Back Pain: Advice Against Bed Rest

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Back Pain Group

#154Falls: Risk Assessment

Report via: Claim, Registry

#155Falls: Plan of Care

Report via: Claim, Registry

#156Oncology: Radiation Dose Limits to Normal Tissues

Report via: Claim, Registry

#157Thoracic Surgery: Recording of Clinical Stage Prior to Lung Cancer or Esophageal Cancer Resection

Report via: Claim, Registry

#159HIV/AIDS: CD4+ Cell Count or CD4+ Percentage Performed

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

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

Report via: Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#163Diabetes: Foot Exam

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#166Coronary Artery Bypass Graft (CABG): Stroke

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#169Coronary Artery Bypass Graft (CABG): Antiplatelet Medications at Discharge

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#170Coronary Artery Bypass Graft (CABG): Beta-Blockers Administered at Discharge

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#171Coronary Artery Bypass Graft (CABG): Anti-Lipid Treatment at Discharge

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#172Hemodialysis Vascular Access Decision-Making by Surgeon to Maximize Placement of Autogenous Arterial Venous (AV) Fistula

Report via: Claim, Registry

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group

#176Rheumatoid Arthritis (RA): Tuberculosis Screening

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#178Rheumatoid Arthritis (RA): Functional Status Assessment

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#180Rheumatoid Arthritis (RA): Glucocorticoid Management

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#181Elder Maltreatment Screen and Follow-Up Plan

Report via: Claim, Registry

#182Functional Outcome Assessment

Report via: Claim, Registry

#183Hepatitis C: Hepatitis A Vaccination in Patients with Hepatitis C Virus (HCV)

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#185Endoscopy /Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use

Report via: Claim, Registry

#187Stroke and Stroke Rehabilitation: Thrombolytic Therapy

This measure may be submitted via Registry only

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

Report via: Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Cataracts Group

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

Report via: Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Cataracts Group

#193Perioperative Temperature Management

Report via: Claim, Registry

#194Oncology: Cancer Stage Documented

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Oncology Group

#195Radiology: Stenosis Measurement in Carotid Imaging Reports

Report via: Claim, Registry

#197Coronary Artery Disease (CAD): Lipid Control

Report via: Registry, GPRO/ACO, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Disease (CAD) Group

#198Heart Failure: Left Ventricular Ejection Fraction (LVEF) Assessment

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Heart Failure (HF) Group

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

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

This measure is can be reported as part of the following groups:
• Ischemic Vascular Disease (IVD) Group
• Cardiovascular Prevention Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#217Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Knee Impairments

This measure may be submitted via Registry only

#218Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Hip Impairments

This measure may be submitted via Registry only

#219Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lower Leg, Foot or Ankle Impairments

This measure may be submitted via Registry only

#220Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lumbar Spine Impairments

This measure may be submitted via Registry only

#221Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Shoulder Impairments

This measure may be submitted via Registry only

#222Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Elbow, Wrist or Hand Impairments

This measure may be submitted via Registry only

#223Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Neck, Cranium, Mandible, Thoracic Spine, Ribs, or Other General Orthopedic Impairments

This measure may be submitted via Registry only

#224Melanoma: Overutilization of Imaging Studies in Melanoma

This measure may be submitted via Registry only

#225Radiology: Reminder System for Mammograms

Report via: Claim, Registry

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

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

This measure is can be reported as part of the following groups:
• Preventive Care Group
• Heart Failure (HF) Group
• Coronary Artery Disease (CAD) Group
• Ischemic Vascular Disease (IVD) Group
• Chronic Obstructive Pulmonary Disease (COPD) Group
• Inflammatory Bowel Disease (IBD) Group
• Cardiovascular Prevention Group
• Oncology Group

#228Heart Failure (HF): Left Ventricular Function (LVF) Testing

This measure may be submitted via Registry only

#231Asthma: Tobacco Use: Screening - Ambulatory Care Setting

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Asthma Group

#232Asthma: Tobacco Use: Intervention - Ambulatory Care Setting

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Asthma Group

#233Thoracic Surgery: Recording of Performance Status Prior to Lung or Esophageal Cancer Resection

This measure may be submitted via Registry only

#234Thoracic Surgery: Pulmonary Function Tests Before Major Anatomic Lung Resection (Pneumonectomy, Lobectomy, or Formal Segmentectomy)

This measure may be submitted via Registry only

#236Controlling High Blood Pressure

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

This measure is can be reported as part of the following groups:
• Ischemic Vascular Disease (IVD) Group
• Cardiovascular Prevention Group

#238Use of High-Risk Medications in the Elderly

This measure may be submitted via EHR only

#239Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

This measure may be submitted via EHR only

#240Childhood Immunization Status

This measure may be submitted via EHR only

#241Ischemic Vascular Disease (IVD): Complete Lipid Profile and LDL-C Control (<100 mg/dL)

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

This measure is can be reported as part of the following groups:
• Ischemic Vascular Disease (IVD) Group
• Cardiovascular Prevention Group

#242Coronary Artery Disease (CAD): Symptom Management

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Disease (CAD) Group

#243Cardiac Rehabilitation Patient Referral from an Outpatient Setting

This measure may be submitted via Registry only

#245Chronic Wound Care: Use of Wound Surface Culture Technique in Patients with Chronic Skin Ulcers (Overuse Measure)

Report via: Claim, Registry

#246Chronic Wound Care: Use of Wet to Dry Dressings in Patients with Chronic Skin Ulcers (Overuse Measure)

Report via: Claim, Registry

#247Substance Use Disorders: Counseling Regarding Psychosocial and Pharmacologic Treatment Options for Alcohol Dependence

Report via: Claim, Registry

#248Substance Use Disorders: Screening for Depression Among Patients with Substance Abuse or Dependence

Report via: Claim, Registry

#249Barrett's Esophagus

Report via: Claim, Registry

#250Radical Prostatectomy Pathology Reporting

Report via: Claim, Registry

#251Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients

Report via: Claim, Registry

#254Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain

Report via: Claim, Registry

#255Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure

Report via: Claim, Registry

#257Statin Therapy at Discharge after Lower Extremity Bypass (LEB)

This measure may be submitted via Registry only

#258Rate of Open Repair of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7)

This measure may be submitted via Registry only

#259Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #2)

This measure may be submitted via Registry only

#260Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2)

This measure may be submitted via Registry only

#261Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness

Report via: Claim, Registry

#262Image Confirmation of Successful Excision of Image-Localized Breast Lesion

Report via: Claim, Registry

#263Preoperative Diagnosis of Breast Cancer

Report via: Claim, Registry

#264Sentinel Lymph Node Biopsy for Invasive Breast Cancer

This measure may be submitted via Registry only

#265Biopsy Follow-Up

This measure may be submitted via Registry only

#266Epilepsy: Seizure Type(s) and Current Seizure Frequency(ies)

Report via: Claim, Registry

#267Epilepsy: Documentation of Etiology of Epilepsy or Epilepsy Syndrome

Report via: Claim, Registry

#268Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy

Report via: Claim, Registry

#269Inflammatory Bowel Disease (IBD): Type, Anatomic Location and Activity All Documented

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#272Inflammatory Bowel Disease (IBD): Preventive Care: Influenza Immunization

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#273Inflammatory Bowel Disease (IBD): Preventive Care: Pneumococcal Immunization

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#276Sleep Apnea: Assessment of Sleep Symptoms

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Sleep Apnea Group

#277Sleep Apnea: Severity Assessment at Initial Diagnosis

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Sleep Apnea Group

#278Sleep Apnea: Positive Airway Pressure Therapy Prescribed

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Sleep Apnea Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Sleep Apnea Group

#280Dementia: Staging of Dementia

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#281Dementia: Cognitive Assessment

Report via: EHR, Measure Group

This measure is can be reported as part of the following groups:
• Dementia Group

#282Dementia: Functional Status Assessment

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#283Dementia: Neuropsychiatric Symptom Assessment

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#284Dementia: Management of Neuropsychiatric Symptoms

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#285Dementia: Screening for Depressive Symptoms

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#286Dementia: Counseling Regarding Safety Concerns

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#287Dementia: Counseling Regarding Risks of Driving

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#288Dementia: Caregiver Education and Support

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

#292Parkinson's Disease: Querying about Sleep Disturbances

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

#293Parkinson's Disease: Rehabilitative Therapy Options

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

#295Hypertension: Use of Aspirin or Other Antithrombotic Therapy

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension (HTN) Group

#296Hypertension: Complete Lipid Profile

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension (HTN) Group

#297Hypertension: Urine Protein Test

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension (HTN) Group

#298Hypertension: Annual Serum Creatinine Test

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension (HTN) Group

#299Hypertension: Diabetes Mellitus Screening Test

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension (HTN) Group

#300Hypertension: Blood Pressure Control

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension (HTN) Group

#301Hypertension: Low Density Lipoprotein (LDL-C) Control

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension (HTN) Group

#302Hypertension: Dietary and Physical Activity Modifications Appropriately Prescribed

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension (HTN) Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Cataracts Group

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

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Cataracts Group

#305Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

This measure may be submitted via EHR only

#309Cervical Cancer Screening

This measure may be submitted via EHR only

#310Chlamydia Screening for Women

This measure may be submitted via EHR only

#311Use of Appropriate Medications for Asthma

This measure may be submitted via EHR only

#312Use of Imaging Studies for Low Back Pain

This measure may be submitted via EHR only

#316Preventive Care and Screening: Cholesterol - Fasting Low Density Lipoprotein (LDL-C) Test Performed: AND Risk-Stratified Fasting LDL-C

This measure may be submitted via EHR only

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

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

This measure is can be reported as part of the following groups:
• Cardiovascular Prevention Group

#318Falls: Screening for Future Fall Risk

Report via: EHR, GPRO/ACO

#319Diabetes Composite: Optimal Diabetes Care

This measure may be submitted via GPRO/ACO only

#320Endoscopy/Polyp Surveillance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients

Report via: Claim, Registry

#321CG-CAHPS Clinician/Group Survey

This measure may be submitted via Certified Survey Vendor only

#322Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients

This measure may be submitted via Registry only

#323Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI)

This measure may be submitted via Registry only

#324Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients

This measure may be submitted via Registry only

#325Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Specific Comorbid Conditions

This measure may be submitted via Registry only

#326Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy

Report via: Claim, Registry

#327Pediatric Kidney Disease: Adequacy of Volume Management

Report via: Claim, Registry

#328Pediatric Kidney Disease: ESRD Patients Receiving Dialysis: Hemoglobin Level < 10g/dL

Report via: Claim, Registry

#329Adult Kidney Disease: Catheter Use at Initiation of Hemodialysis

This measure may be submitted via Registry only

#330Adult Kidney Disease: Catheter Use for Greater Than or Equal to 90 Days

This measure may be submitted via Registry only

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

This measure may be submitted via Registry only

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

This measure may be submitted via Registry only

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

This measure may be submitted via Registry only

#334Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)

This measure may be submitted via Registry only

#335Maternity Care: Elective Delivery or Early Induction Without Medical Indication at â‰¥ 37 and < 39 Weeks

This measure may be submitted via Registry only

#336Maternity Care: Post-Partum Follow-Up and Care Coordination

This measure may be submitted via Registry only

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

This measure may be submitted via Registry only

#338HIV Viral Load Suppression

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#339Prescription of HIV Antiretroviral Therapy

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#340HIV Medical Visit Frequency

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#341Gap in HIV Medical Visits

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#342Pain Brought Under Control within 48 Hours

This measure may be submitted via Registry only

#343Screening Colonoscopy Adenoma Detection Rate

This measure may be submitted via Registry only

#344Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)

This measure may be submitted via Registry only

#345Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Artery Stenting (CAS)

This measure may be submitted via Registry only

#346Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Endarterectomy (CEA)

This measure may be submitted via Registry only

#347Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) Who Die While in Hospital

This measure may be submitted via Registry only

#348HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate

This measure may be submitted via Registry only

#349Optimal Vascular Care Composite

This measure may be submitted via Registry only

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Total Knee Replacement Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Total Knee Replacement Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Total Knee Replacement Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Total Knee Replacement Group

#354Anastomotic Leak Intervention

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• General Surgery Group

#355Unplanned Reoperation within the 30 Day Postoperative Period

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• General Surgery Group

#356Unplanned Hospital Readmission within 30 Days of Principal Procedure

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• General Surgery Group

#357Surgical Site Infection (SSI)

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• General Surgery Group

#358Patient-Centered Surgical Risk Assessment and Communications

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• General Surgery Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Optimizing Patient Exposure to Ionizing Radiation Group

#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

This measure is can be reported as part of the following groups:
• Optimizing Patient Exposure to Ionizing Radiation Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Optimizing Patient Exposure to Ionizing Radiation Group

#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

This measure is can be reported as part of the following groups:
• Optimizing Patient Exposure to Ionizing Radiation Group

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

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Optimizing Patient Exposure to Ionizing Radiation Group

#364Optimizing Patient Exposure to Ionizing Radiation: Appropriateness

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Optimizing Patient Exposure to Ionizing Radiation Group

#365Hemoglobin A1c Test for Pediatric Patients

This measure may be submitted via EHR only

#366ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication

This measure may be submitted via EHR only

#367Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use

This measure may be submitted via EHR only

#368HIV/AIDS: Medical Visit

This measure may be submitted via EHR only

#369Pregnant women that had HBsAg testing

This measure may be submitted via EHR only

#370Depression Remission at Twelve Months

This measure may be submitted via EHR only

#371Depression Utilization of the PHQ-9 Tool

This measure may be submitted via EHR only

#372Maternal Depression Screening

This measure may be submitted via EHR only

#373Hypertension: Improvement in Blood Pressure

This measure may be submitted via EHR only

#374Closing the referral loop: receipt of specialist report

This measure may be submitted via EHR only

#375Functional Status Assessment for Knee Replacement

This measure may be submitted via EHR only

#376Functional Status Assessment for Hip Replacement

This measure may be submitted via EHR only

#377Functional Status Assessment for Complex Chronic Conditions

This measure may be submitted via EHR only

#378Children Who Have Dental Decay or Cavities

This measure may be submitted via EHR only

#379Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

This measure may be submitted via EHR only

#380ADE Prevention and Monitoring: Warfarin Time in Therapeutic Range

This measure may be submitted via EHR only

#381HIV/AIDS: RNA Control for Patients with HIV

This measure may be submitted via EHR only

#382Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment

This measure may be submitted via EHR only