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

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

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

This measure may be submitted via EHR only

#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: 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, Measure Group

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

#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

This measure may be submitted via EHR only

#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: EHR, Measure Group

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

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

Report via: Claim, Registry, EHR, Measure Group

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

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

Report via: Claim, Registry

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

Report via: Claim, Registry

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

Report via: Claim, Registry

#24Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older

Report via: Claim, Registry

#32Stroke and Stroke Rehabilitation: Discharged on Antithrombotic Therapy

Report via: Claim, Registry

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

Report via: Claim, Registry, Measure Group

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

#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: 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: Registry, Measure Group

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

#46Medication Reconciliation Post-Discharge

Report via: Claim, Registry

#47Care Plan

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Kidney Disease (CKD) Group
• Heart Failure (HF) Group
• HIV/AIDS Group
• Chronic Obstructive Pulmonary Disease (COPD) Group
• Dementia Group
• Parkinson's Disease Group
• Multiple Chronic Conditions Group

#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

#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

#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 Leukemia: Baseline Cytogenetic Testing Performed on Bone Marrow

This measure may be submitted via Registry only

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

This measure may be submitted via Registry only

#69Hematology: Multiple Myeloma: Treatment with Bisphosphonates

This measure may be submitted via Registry only

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

This measure may be submitted via Registry only

#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 Central Venous Catheter (CVC)-Related Bloodstream Infections

Report via: Claim, Registry

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

This measure may be submitted via Measure Group only

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

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

This measure may be submitted via Measure Group only

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

This measure may be submitted via Measure Group only

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, Measure Group

This measure is can be reported as part of the following groups:
• Acute Otitis Externa (AOE) Group

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

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Acute Otitis Externa (AOE) Group

#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: Registry, EHR

#104Prostate Cancer: Adjuvant Hormonal Therapy for High Risk or Very High Risk Prostate Cancer

This measure may be submitted via Registry only

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

This measure may be submitted via EHR only

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

This measure may be submitted via Measure Group only

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:
• Diabetes Mellitus Group
• Chronic Kidney Disease (CKD) Group
• Preventive Care Group
• Heart Failure (HF) Group
• Asthma Group
• Chronic Obstructive Pulmonary Disease (COPD) Group
• Inflammatory Bowel Disease (IBD) Group
• Oncology Group
• Multiple Chronic Conditions 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
• Inflammatory Bowel Disease (IBD) 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

#116Antibiotic Treatment for Adults with Acute Bronchitis: Avoidance of Inappropriate Use

This measure may be submitted via Registry only

#117Diabetes: Eye Exam

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

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

Report via: Registry, Measure Group

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

#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 Plan

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

This measure is can be reported as part of the following groups:
• Preventive Care Group
• Rheumatoid Arthritis Group
• Coronary Artery Disease (CAD) Group
• Asthma Group
• Sleep Apnea Group
• Multiple Chronic Conditions Group

#130Documentation of Current Medications in the Medical Record

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
• Hepatitis C Group
• Heart Failure (HF) Group
• Coronary Artery Disease (CAD) Group
• Asthma Group
• Chronic Obstructive Pulmonary Disease (COPD) Group
• Sleep Apnea Group
• Cataracts Group
• Oncology Group
• Total Knee Replacement Group
• General Surgery Group
• Sinusitis Group
• Acute Otitis Externa (AOE) Group
• Cardiovascular Prevention Group
• Diabetic Retinopathy Group
• Multiple Chronic Conditions Group

#131Pain Assessment and Follow-Up

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group
• Sinusitis Group
• Acute Otitis Externa (AOE) Group
• Multiple Chronic Conditions Group

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

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

This measure is can be reported as part of the following groups:
• Preventive Care Group
• HIV/AIDS Group
• Dementia Group
• Multiple Chronic Conditions Group

#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

#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

#154Falls: Risk Assessment

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Acute Otitis Externa (AOE) Group
• Multiple Chronic Conditions Group

#155Falls: Plan of Care

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Acute Otitis Externa (AOE) Group
• Multiple Chronic Conditions Group

#156Oncology: Radiation Dose Limits to Normal Tissues

Report via: Claim, Registry

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

Report via: EHR, Measure Group

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

#163Diabetes: Foot Exam

This measure may be submitted via EHR only

#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

This measure may be submitted via Measure Group only

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

#166Coronary Artery Bypass Graft (CABG): Stroke

This measure may be submitted via Measure Group only

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

This measure may be submitted via Measure Group only

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

This measure may be submitted via Measure Group only

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

#176Rheumatoid Arthritis (RA): Tuberculosis Screening

This measure may be submitted via Measure Group only

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

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

This measure may be submitted via Measure Group only

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

This measure may be submitted via Measure Group only

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

#180Rheumatoid Arthritis (RA): Glucocorticoid Management

This measure may be submitted via Measure Group only

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

This measure may be submitted via Measure Group only

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

#185Colonoscopy 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

#195Radiology: Stenosis Measurement in Carotid Imaging Reports

Report via: Claim, Registry

#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:
• 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 Screening 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:
• Diabetes Mellitus Group
• Chronic Kidney Disease (CKD) Group
• Preventive Care Group
• Hepatitis C Group
• Heart Failure (HF) Group
• Coronary Artery Disease (CAD) Group
• HIV/AIDS Group
• Asthma Group
• Chronic Obstructive Pulmonary Disease (COPD) Group
• Inflammatory Bowel Disease (IBD) Group
• Sleep Apnea Group
• Cataracts Group
• Oncology Group
• Total Knee Replacement Group
• General Surgery Group
• Sinusitis Group
• Acute Otitis Externa (AOE) Group
• Cardiovascular Prevention Group
• Diabetic Retinopathy Group

#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:
• Cardiovascular Prevention Group

#238Use of High-Risk Medications in the Elderly

Report via: Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Multiple Chronic Conditions Group

#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)

This measure may be submitted via EHR only

#242Coronary Artery Disease (CAD): Symptom Management

This measure may be submitted via Measure Group only

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

#249Barrett's Esophagus

Report via: Claim, Registry

#250Radical Prostatectomy Pathology Reporting

Report via: Claim, Registry

#251Quantitative Immunohistochemical (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

This measure may be submitted via Registry only

#263Preoperative Diagnosis of Breast Cancer

This measure may be submitted via Registry only

#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

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

Report via: Claim, Registry

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

Report via: Registry, Measure Group

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

Report via: Registry, Measure Group

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

Report via: Registry, Measure Group

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

Report via: Registry, Measure Group

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

#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

#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:
• Acute Otitis Externa (AOE) Group
• Cardiovascular Prevention Group
• Diabetic Retinopathy Group

#318Falls: Screening for Fall Risk

Report via: EHR, GPRO/ACO

#320Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients

Report via: Claim, Registry

#321CAHPS for PQRS 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:

This measure may be submitted via Registry only

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

This measure may be submitted via Registry only

#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 (Overuse)

Report via: Registry, Measure Group

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

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

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

Report via: Registry, Measure Group

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

#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 >= 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,Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier

Report via: Registry, Measure Group

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

#338HIV Viral Load Suppression

This measure may be submitted via Measure Group only

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

#339Prescription of HIV Antiretroviral Therapy

This measure may be submitted via Measure Group only

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

#340HIV Medical Visit Frequency

This measure may be submitted via Measure Group only

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 Measure

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

#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 Communication

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 Computed 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 Registry

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) 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: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines

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

Report via: Registry, EHR, GPRO/ACO

#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

#383Adherence to Antipsychotic Medications for Individuals with Schizophrenia

This measure may be submitted via Registry only

#384Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery

This measure may be submitted via Registry only

#385Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery

This measure may be submitted via Registry only

#386Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences

This measure may be submitted via Registry only

#387Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users

This measure may be submitted via Registry only

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

Report via: Registry, Measure Group

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

#389Cataract Surgery: Difference Between Planned and Final Refraction

Report via: Registry, Measure Group

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

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

Report via: Registry, Measure Group

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

#391Follow-up After Hospitalization for Mental Illness (FUH)

This measure may be submitted via Registry only

#392HRS-12: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation

This measure may be submitted via Registry only

#393HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision

This measure may be submitted via Registry only

#394Immunizations for Adolescents

This measure may be submitted via Registry only

#395Lung Cancer Reporting (Biopsy/Cytology Specimens)

Report via: Claim, Registry

#396Lung Cancer Reporting (Resection Specimens)

Report via: Claim, Registry

#397Melanoma Reporting

Report via: Claim, Registry

#398Optimal Asthma Control

This measure may be submitted via Registry only

#399Post-Procedural Optimal Medical Therapy Composite (Percutaneous Coronary Intervention)

This measure may be submitted via Registry only

#400One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk

This measure may be submitted via Registry only

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

Report via: Registry, Measure Group

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

#402Tobacco Use and Help with Quitting Among Adolescents

Report via: Registry, Measure Group

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

#403Adult Kidney Disease: Referral to Hospice

This measure may be submitted via Registry only

#404Anesthesiology Smoking Abstinence

This measure may be submitted via Registry only

#405Appropriate Follow-up Imaging for Incidental Abdominal Lesions

Report via: Claim, Registry

#406Appropriate Follow-Up Imaging for Incidental Thyroid Nodules in Patients

Report via: Claim, Registry

#407Appropriate Treatment of Meticillin-Sensitive Staphylococcus Aureus (MSSA) Bacteremia

Report via: Claim, Registry

#408Opioid Therapy Follow-up Evaluation

This measure may be submitted via Registry only

#409Clinical Outcome Post-Endovascular Stroke Treatment

This measure may be submitted via Registry only

#410Psoriasis: Clinical Response to Oral Systemic or Biologic Medications

Report via: Claim, Registry

#411Depression Remission at Six Months

This measure may be submitted via Registry only

#412Documentation of Signed Opioid Treatment Agreement

This measure may be submitted via Registry only

#413Door to Puncture Time for Endovascular Stroke Treatment

This measure may be submitted via Registry only

#414Evaluation or Interview for Risk of Opioid Misuse

This measure may be submitted via Registry only

#415Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older

Report via: Claim, Registry

#416Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 through 17 Years

Report via: Claim, Registry

#417Rate of Open Repair of Ascending Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged Alive

This measure may be submitted via Registry only

#418Osteoporosis Management in Women Who Had a Fracture

Report via: Claim, Registry

#419Overuse Of Neuroimaging For Patients With Primary Headache And A Normal Neurological Examination

Report via: Claim, Registry

#420Varicose Vein Treatment with Saphenous Ablation: Outcome Survey

This measure may be submitted via Registry only

#421Appropriate Assessment of Retrievable Inferior Vena Cava Filters for Removal

This measure may be submitted via Registry only

#422Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury

Report via: Claim, Registry

#423Perioperative Anti-platelet Therapy for Patients Undergoing Carotid Endarterectomy

Report via: Claim, Registry

#424Perioperative Temperature Management

This measure may be submitted via Registry only

#425Photodocumentation of Cecal Intubation

Report via: Claim, Registry

#426Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU):

This measure may be submitted via Registry only

#427Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)

This measure may be submitted via Registry only

#428Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence

This measure may be submitted via Registry only

#429Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy

Report via: Claim, Registry

#430Prevention of Post-Operative Nausea and Vomiting (PONV) ? Combination Therapy

This measure may be submitted via Registry only

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

Report via: Registry, Measure Group

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

#432Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair

This measure may be submitted via Registry only

#433Proportion of Patients Sustaining a Major Viscus Injury at the Time of Any Pelvic Organ Prolapse Repair

This measure may be submitted via Registry only

#434Proportion of Patients Sustaining A Ureter Injury at the Time of any Pelvic Organ Prolapse Repair

This measure may be submitted via Registry only

#435Quality Of Life Assessment For Patients With Primary Headache Disorders

Report via: Claim, Registry

#436Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Report via: Claim, Registry

#437Rate of Surgical Conversion from Lower Extremity Endovascular Revasculatization Procedure

Report via: Claim, Registry

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

Report via: Registry, GPRO/ACO, Measure Group

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

#439Age Appropriate Screening Colonoscopy

This measure may be submitted via Registry only