#	Measure Title	Submission Methods
IA_EPA_1	Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EPA_2	Use of telehealth services that expand practice access
IA_EPA_3	Collection and use of patient experience and satisfaction data on access
IA_EPA_4	Additional improvements in access as a result of QIN/QIO TA
IA_EPA_5	Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/)
IA_PM_2	Anticoagulant Management Improvements
IA_PM_3	RHC, IHS or FQHC quality improvement activities
IA_PM_4	Glycemic management services
IA_PM_5	Engagement of community for health status improvement
IA_PM_6	Use of Toolsets or Other Resources to Close Health and Health Care Inequities Across Communities (Use of toolset or other resources to close healthcare disparities across communities)
IA_PM_11	Regular review practices in place on targeted patient population needs
IA_PM_12	Population empanelment
IA_PM_13	Chronic Care and Preventative Care Management for Empaneled Patients
IA_PM_14	Implementation of methodologies for improvements in longitudinal care management for high risk patients
IA_PM_15	Implementation of episodic care management practice improvements
IA_PM_16	Implementation of medication management practice improvements
IA_PM_17	Participation in Population Health Research
IA_PM_18	Provide Clinical-Community Linkages
IA_PM_19	Glycemic Screening Services
IA_PM_20	Glycemic Referring Services
IA_PM_21	Advance Care Planning
IA_CC_1	Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_CC_2	Implementation of improvements that contribute to more timely communication of test results
IA_CC_7	Regular training in care coordination
IA_CC_8	Implementation of documentation improvements for practice/process improvements
IA_CC_9	Implementation of practices/processes for developing regular individual care plans
IA_CC_10	Care transition documentation practice improvements
IA_CC_11	Care transition standard operational improvements
IA_CC_12	Care coordination agreements that promote improvements in patient tracking across settings
IA_CC_13	Practice Improvements to Align with OpenNotes Principles
IA_CC_15	PSH Care Coordination
IA_CC_16	Primary Care Physician and Behavioral Health Bilateral Electronic Exchange of Information for Shared Patients
IA_CC_17	Patient Navigator Program
IA_CC_18	Relationship-Centered Communication
IA_CC_19	Tracking of clinician’s relationship to and responsibility for a patient by reporting MACRA patient relationship codes.
IA_BE_1	Use of certified EHR to capture patient reported outcomes
IA_BE_3	Engagement with QIN-QIO to implement self-management training programs
IA_BE_4	Engagement of patients through implementation of improvements in patient portal
IA_BE_5	Enhancements/regular updates to practice websites/tools that also include considerations for patients with cognitive disabilities
IA_BE_6	Regularly Assess Patient Experience of Care and Follow Up on Findings
IA_BE_12	Use evidence-based decision aids to support shared decision-making.
IA_BE_14	Engage Patients and Families to Guide Improvement in the System of Care
IA_BE_15	Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
IA_BE_16	Promote Self-management in Usual Care
IA_BE_19	Use group visits for common chronic conditions (e.g., diabetes).
IA_BE_22	Improved Practices that Engage Patients Pre-Visit
IA_BE_23	Integration of patient coaching practices between visits
IA_BE_24	Financial Navigation Program
IA_BE_25	Drug Cost Transparency
IA_PSPA_1	Participation in an AHRQ-listed patient safety organization.
IA_PSPA_2	Participation in MOC Part IV
IA_PSPA_3	Participate in IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS® or Other Similar Activity
IA_PSPA_4	Administration of the AHRQ Survey of Patient Safety Culture
IA_PSPA_7	Use of QCDR data for ongoing practice assessment and improvements
IA_PSPA_8	Use of Patient Safety Tools
IA_PSPA_9	Completion of the AMA STEPS Forward program
IA_PSPA_12	Participation in private payer CPIA
IA_PSPA_13	Participation in Joint Commission Evaluation Initiative
IA_PSPA_15	Implementation of an ASP
IA_PSPA_16	Use of decision support and standardized treatment protocols
IA_PSPA_17	Implementation of analytic capabilities to manage total cost of care for practice population
IA_PSPA_18	Measurement and improvement at the practice and panel level
IA_PSPA_19	Implementation of formal quality improvement methods, practice changes, or other practice improvement processes
IA_PSPA_21	Implementation of fall screening and assessment programs
IA_PSPA_22	CDC Training on CDC’s Guideline for Prescribing Opioids for Chronic Pain
IA_PSPA_23	Completion of CDC Training on Antibiotic Stewardship
IA_PSPA_25	Cost Display for Laboratory and Radiographic Orders
IA_PSPA_26	Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event
IA_PSPA_27	Invasive Procedure or Surgery Anticoagulation Medication Management
IA_PSPA_28	Completion of an Accredited Safety or Quality Improvement Program
IA_PSPA_29	Consulting Appropriate Use Criteria (AUC) Using Clinical Decision Support when Ordering Advanced Diagnostic Imaging
IA_PSPA_31	Patient Medication Risk Education
IA_PSPA_32	Use of CDC Guideline for Clinical Decision Support to Prescribe Opioids for Chronic Pain via Clinical Decision Support
IA_PSPA_33	Application of CDC’s Training for Healthcare Providers on Lyme Disease
IA_AHE_1	Enhance Engagement of Medicaid and Other Underserved Populations
IA_AHE_3	Promote Use of Patient-Reported Outcome Tools
IA_AHE_5	MIPS Eligible Clinician Leadership in Clinical Trials or CBPR
IA_AHE_6	Provide Education Opportunities for New Clinicians
IA_AHE_7	Comprehensive Eye Exams
IA_AHE_8	Create and Implement an Anti-Racism Plan
IA_AHE_9	Implement Food Insecurity and Nutrition Risk Identification and Treatment Protocols
IA_ERP_1	Participation on Disaster Medical Assistance Team, registered for 6 months.
IA_ERP_2	Participation in a 60-day or greater effort to support domestic or international humanitarian needs.
IA_ERP_3	COVID-19 Clinical Data Reporting with or without Clinical Trial
IA_ERP_4	Implementation of a Personal Protective Equipment (PPE) Plan
IA_ERP_5	Implementation of a Laboratory Preparedness Plan
IA_BMH_1	Diabetes screening
IA_BMH_2	Tobacco use
IA_BMH_4	Depression screening
IA_BMH_5	MDD prevention and treatment interventions
IA_BMH_6	Implementation of co-location PCP and MH services
IA_BMH_7	Implementation of Integrated Patient Centered Behavioral Health Model
IA_BMH_8	Electronic Health Record Enhancements for BH data capture
IA_BMH_9	Unhealthy Alcohol Use for Patients with Co-occurring Conditions of Mental Health and Substance Abuse and Ambulatory Care Patients
IA_BMH_10	Completion of Collaborative Care Management Training Program
IA_BMH_11	Implementation of a Trauma-Informed Care (TIC) Approach to Clinical Practice
IA_BMH_12	Promoting Clinician Well-Being
IA_PCMH	Electronic submission of Patient Centered Medical Home accreditation
IA_AHE_10	Adopt Certified Health Information Technology for Security Tags for Electronic Health Record Data
IA_AHE_11	Create and Implement a Plan to Improve Care for Lesbian, Gay, Bisexual, Transgender, and Queer Patients
IA_EPA_6	Create and Implement a Language Access Plan
IA_ERP_6	COVID-19 Vaccine Achievement for Practice Staff
IA_AHE_12	Practice Improvements that Engage Community Resources to Address Drivers of Health
PI_PPHI_1	Security Risk Analysis
PI_PPHI_2	High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides
PI_ONCDIR_1	ONC Direct Review Attestation
PI_INFBLO_1	Actions to Limit or Restrict the Compatibility of CEHRT
PI_EP_1	e-Prescribing
PI_LVPP_1	e-Prescribing Exclusion
PI_EP_2	Query of the Prescription Drug Monitoring Program (PDMP)
PI_HIE_1	Support Electronic Referral Loops By Sending Health Information
PI_LVOTC_1	Support Electronic Referral Loops By Sending Health Information Exclusion
PI_HIE_4	Support Electronic Referral Loops By Receiving and Reconciling Health Information
PI_LVITC_2	Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_HIE_5	Health Information Exchange (HIE) Bi-Directional Exchange
PI_PEA_1	Provide Patients Electronic Access to Their Health Information
PI_PHCDRR_2	Syndromic Surveillance Reporting
PI_PHCDRR_1	Immunization Registry Reporting
PI_PHCDRR_1_EX_1	Immunization Registry Reporting Exclusion
PI_PHCDRR_1_EX_2	Immunization Registry Reporting Exclusion
PI_PHCDRR_1_EX_3	Immunization Registry Reporting Exclusion
PI_PHCDRR_3	Electronic Case Reporting
PI_PHCDRR_3_EX_1	Electronic Case Reporting Exclusion
PI_PHCDRR_3_EX_2	Electronic Case Reporting Exclusion
PI_PHCDRR_3_EX_3	Electronic Case Reporting Exclusion
PI_PHCDRR_4	Public Health Registry Reporting
PI_PHCDRR_5	Clinical Data Registry Reporting
PI_EP_2_EX_1	Query of the Prescription Drug Monitoring Program (PDMP) Exclusion
PI_EP_2_EX_2	Query of the Prescription Drug Monitoring Program (PDMP) Exclusion
PI_EP_2_EX_3	Query of the Prescription Drug Monitoring Program (PDMP) Exclusion
PI_HIE_6	Enabling Exchange Under TEFCA
PI_ONCACB_1	ONC-ACB Surveillance Attestation
PI_PHCDRR_1_PRE	Immunization Registry Reporting Active Engagement Level 1
PI_PHCDRR_1_PROD	Immunization Registry Reporting Active Engagement Level 2
PI_PHCDRR_2_PRE	Syndromic Surveillance Reporting Active Engagement Level 1
PI_PHCDRR_2_PROD	Syndromic Surveillance Reporting Active Engagement Level 2
PI_PHCDRR_3_PRE	Electronic Case Reporting Active Engagement Level 1
PI_PHCDRR_3_PROD	Electronic Case Reporting Active Engagement Level 2
PI_PHCDRR_4_PRE	Public Health Registry Reporting Active Engagement Level 1
PI_PHCDRR_4_PROD	Public Health Registry Reporting Active Engagement Level 2
PI_PHCDRR_5_PRE	Clinical Data Registry Reporting Active Engagement Level 1
PI_PHCDRR_5_PROD	Clinical Data Registry Reporting Active Engagement Level 2
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	Claims, Electronic Health Record, Cms Web Interface, Registry
005	Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
006	Coronary Artery Disease (CAD): Antiplatelet Therapy	Registry
007	Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF ≤ 40%)	Electronic Health Record, Registry
008	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
009	Anti-Depressant Medication Management	Electronic Health Record
012	Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation	Electronic Health Record
014	Age-Related Macular Degeneration (AMD): Dilated Macular Examination	Registry
019	Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care	Electronic Health Record, Registry
024	Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older	Claims, Registry
039	Screening for Osteoporosis for Women Aged 65-85 Years of Age	Claims, Registry
047	Advance Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Registry
052	Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy	Registry
065	Appropriate Treatment for Upper Respiratory Infection (URI)	Electronic Health Record, Registry
066	Appropriate Testing for Pharyngitis	Electronic Health Record, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use	Registry
102	Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	Electronic Health Record, Registry
104	Prostate Cancer: Combination Androgen Deprivation Therapy for High Risk or Very High Risk Prostate Cancer	Registry
107	Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
112	Breast Cancer Screening	Claims, Electronic Health Record, Cms Web Interface, Registry
113	Colorectal Cancer Screening	Claims, Electronic Health Record, Cms Web Interface, Registry
116	Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis	Registry
117	Diabetes: Eye Exam	Registry, Electronic Health Record
118	Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF ≤ 40%)	Registry
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation	Registry
127	Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Registry, Electronic Health Record
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
137	Melanoma: Continuity of Care - Recall System	Registry
138	Melanoma: Coordination of Care	Registry
141	Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care	Claims, Registry
143	Oncology: Medical and Radiation - Pain Intensity Quantified	Electronic Health Record, Registry
144	Oncology: Medical and Radiation - Plan of Care for Pain	Registry
145	Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy	Claims, Registry
147	Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
164	Coronary Artery Bypass Graft (CABG): Prolonged Intubation	Registry
167	Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure	Registry
168	Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration	Registry
176	Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy	Registry
177	Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity	Registry
178	Rheumatoid Arthritis (RA): Functional Status Assessment	Registry
180	Rheumatoid Arthritis (RA): Glucocorticoid Management	Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
182	Functional Outcome Assessment	Registry
185	Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use	Registry
187	Stroke and Stroke Rehabilitation: Thrombolytic Therapy	Registry
191	Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	Electronic Health Record, Registry
205	HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis	Registry
217	Functional Status Change for Patients with Knee Impairments	Registry
218	Functional Status Change for Patients with Hip Impairments	Registry
219	Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments	Registry
220	Functional Status Change for Patients with Low Back Impairments	Registry
221	Functional Status Change for Patients with Shoulder Impairments	Registry
222	Functional Status Change for Patients with Elbow, Wrist or Hand Impairments	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
236	Controlling High Blood Pressure	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
239	Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents	Electronic Health Record
240	Childhood Immunization Status	Electronic Health Record
243	Cardiac Rehabilitation Patient Referral from an Outpatient Setting	Registry
249	Barrett's Esophagus	Claims, Registry
250	Radical Prostatectomy Pathology Reporting	Claims, Registry
254	Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain	Registry
259	Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
260	Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
261	Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness	Claims, Registry
264	Sentinel Lymph Node Biopsy for Invasive Breast Cancer	Registry
268	Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy	Registry
275	Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy	Registry
277	Sleep Apnea: Severity Assessment at Initial Diagnosis	Registry
279	Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy	Registry
281	Dementia: Cognitive Assessment	Electronic Health Record
282	Dementia: Functional Status Assessment	Registry
283	Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management	Registry
286	Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia	Registry
288	Dementia: Education and Support of Caregivers for Patients with Dementia	Registry
290	Assessment of Mood Disorders and Psychosis for Patients with Parkinson's Disease	Registry
291	Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson's Disease	Registry
293	Rehabilitative Therapy Referral for Patients with Parkinson's Disease	Registry
303	Cataracts: Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery	Registry
304	Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery	Registry
305	Initiation and Engagement of Substance Use Disorder Treatment	Electronic Health Record
309	Cervical Cancer Screening	Electronic Health Record
310	Chlamydia Screening for Women	Electronic Health Record
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
318	Falls: Screening for Future Fall Risk	Electronic Health Record, Cms Web Interface
320	Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients	Claims, Registry
321	CAHPS for MIPS Clinician/Group Survey	Certified Survey Vendor
322	Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low-Risk Surgery Patients	Registry
324	Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients	Registry
326	Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy	Registry
331	Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)	Registry
332	Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)	Registry
335	Maternity Care: Elective Delivery (Without Medical Indication) at < 39 Weeks (Overuse)	Registry
336	Maternity Care: Postpartum Follow-up and Care Coordination	Registry
338	HIV Viral Load Suppression	Registry
340	HIV Medical Visit Frequency	Registry
344	Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
350	Total Knee or Hip Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy	Registry
351	Total Knee or Hip Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation	Registry
354	Anastomotic Leak Intervention	Registry
355	Unplanned Reoperation within the 30 Day Postoperative Period	Registry
356	Unplanned Hospital Readmission within 30 Days of Principal Procedure	Registry
357	Surgical Site Infection (SSI)	Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
360	Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine Studies	Registry
364	Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines	Registry
366	Follow-Up Care for Children Prescribed ADHD Medication (ADD)	Electronic Health Record
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
376	Functional Status Assessment for Total Hip Replacement	Electronic Health Record
377	Functional Status Assessments for Heart Failure	Electronic Health Record
378	Children Who Have Dental Decay or Cavities	Electronic Health Record
379	Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	Electronic Health Record
382	Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record
383	Adherence to Antipsychotic Medications For Individuals with Schizophrenia	Registry
384	Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery	Registry
385	Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery	Registry
386	Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences	Registry
387	Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users	Registry
389	Cataract Surgery: Difference Between Planned and Final Refraction	Registry
391	Follow-Up After Hospitalization for Mental Illness (FUH)	Registry
392	Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation	Registry
393	Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision	Registry
394	Immunizations for Adolescents	Registry
395	Lung Cancer Reporting (Biopsy/Cytology Specimens)	Claims, Registry
396	Lung Cancer Reporting (Resection Specimens)	Claims, Registry
397	Melanoma Reporting	Claims, Registry
398	Optimal Asthma Control	Registry
400	One-Time Screening for Hepatitis C Virus (HCV) for all Patients	Registry
401	Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
404	Anesthesiology Smoking Abstinence	Registry
405	Appropriate Follow-up Imaging for Incidental Abdominal Lesions	Claims, Registry
406	Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients	Claims, Registry
409	Clinical Outcome Post Endovascular Stroke Treatment	Registry
410	Psoriasis: Clinical Response to Systemic Medications	Registry
413	Door to Puncture Time for Endovascular Stroke Treatment	Registry
415	Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older	Registry
416	Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years	Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
419	Overuse of Imaging for the Evaluation of Primary Headache	Registry
420	Varicose Vein Treatment with Saphenous Ablation: Outcome Survey	Registry
421	Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal	Registry
422	Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury	Claims, Registry
424	Perioperative Temperature Management	Registry
430	Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
432	Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair	Registry
433	Proportion of Patients Sustaining a Bowel Injury at the time of any Pelvic Organ Prolapse Repair	Registry
436	Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques	Claims, Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry
439	Age Appropriate Screening Colonoscopy	Registry
440	Skin Cancer: Biopsy Reporting Time - Pathologist to Clinician	Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry
443	Non-Recommended Cervical Cancer Screening in Adolescent Females	Registry
445	Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG)	Registry
448	Appropriate Workup Prior to Endometrial Ablation	Registry
450	Appropriate Treatment for Patients with Stage I (T1c) - III HER2 Positive Breast Cancer	Registry
451	RAS (KRAS and NRAS) Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody Therapy	Registry
452	Patients with Metastatic Colorectal Cancer and RAS (KRAS or NRAS) Gene Mutation Spared Treatment with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies	Registry
453	Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score – better)	Registry
457	Percentage of Patients Who Died from Cancer Admitted to Hospice for Less than 3 days (lower score - better)	Registry
459	Back Pain After Lumbar Surgery	Registry
461	Leg Pain After Lumbar Surgery	Registry
462	Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy	Electronic Health Record
463	Prevention of Post-Operative Vomiting (POV) - Combination Therapy (Pediatrics)	Registry
464	Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use	Registry
465	Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries	Registry
468	Continuity of Pharmacotherapy for Opioid Use Disorder (OUD)	Registry
470	Functional Status After Primary Total Knee Replacement	Registry
471	Functional Status After Lumbar Surgery	Registry
472	Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture	Electronic Health Record
475	HIV Screening	Electronic Health Record
476	Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia	Electronic Health Record
477	Multimodal Pain Management	Registry
478	Functional Status Change for Patients with Neck Impairments	Registry
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for the Merit-Based Incentive Payment System (MIPS) Groups	Administrative Claims
480	Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)	Administrative Claims
481	Intravesical Bacillus-Calmette Guerin for Non-muscle Invasive Bladder Cancer	Electronic Health Record
482	Hemodialysis Vascular Access: Practitioner Level Long-term Catheter Rate	Registry
483	Person-Centered Primary Care Measure Patient Reported Outcome Performance Measure (PCPCM PRO-PM)	Registry
485	Psoriasis- Improvement in Patient-Reported Itch Severity	Registry
486	Dermatitis – Improvement in Patient-Reported Itch Severity	Registry
487	Screening for Social Drivers of Health	Registry
488	Kidney Health Evaluation	Registry, Electronic Health Record
489	Adult Kidney Disease: Angiotensin Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy	Registry
490	Appropriate Intervention of Immune-Related Diarrhea and/or Colitis in Patients Treated with Immune Checkpoint Inhibitors	Registry
491	Mismatch Repair (MMR) or Microsatellite Instability (MSI) Biomarker Testing Status in Colorectal Carcinoma, Endometrial, Gastroesophageal, or Small Bowel Carcinoma	Registry
492	Risk-Standardized Acute Cardiovascular-Related Hospital Admission Rates for Patients with Heart Failure under the Merit-based Incentive Payment System	Administrative Claims
493	Adult Immunization Status	Registry
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims
MSPB_1	Medicare Spending Per Beneficiary (MSPB) Clinician	Administrative Claims
TPCC_1	Total Per Capita Cost (TPCC)	Administrative Claims
COST_IOL_1	Routine Cataract Removal with Intraocular Lens (IOL) Implantation	Administrative Claims
COST_IHCI_1	Intracranial Hemorrhage or Cerebral Infarction	Administrative Claims
COST_KA_1	Knee Arthroplasty	Administrative Claims
COST_EOPCI_1	Elective Outpatient Percutaneous Coronary Intervention (PCI)	Administrative Claims
COST_SPH_1	Simple Pneumonia with Hospitalization	Administrative Claims
COST_CCLI_1	Revascularization for Lower Extremity Chronic Critical Limb Ischemia	Administrative Claims
COST_SSC_1	Screening/Surveillance Colonoscopy	Administrative Claims
COST_STEMI_1	ST-Elevation Myocardial Infarction (STEMI) with Percutaneous Coronary Intervention (PCI)	Administrative Claims
COST_AKID_1	Acute Kidney Injury Requiring New Inpatient Dialysis	Administrative Claims
COST_PHA_1	Elective Primary Hip Arthroplasty	Administrative Claims
COST_FIHR_1	Femoral or Inguinal Hernia Repair	Administrative Claims
COST_HAC_1	Hemodialysis Access Creation	Administrative Claims
COST_COPDE_1	Inpatient Chronic Obstructive Pulmonary Disease (COPD) Exacerbation	Administrative Claims
COST_LGH_1	Lower Gastrointestinal Hemorrhage (groups only)	Administrative Claims
COST_LSFDD_1	Lumbar Spine Fusion for Degenerative Disease, 1-3 Levels	Administrative Claims
COST_LPMSM_1	Lumpectomy, Partial Mastectomy, Simple Mastectomy	Administrative Claims
COST_NECABG_1	Non-Emergent Coronary Artery Bypass Graft (CABG)	Administrative Claims
COST_RUSST_1	Renal or Ureteral Stone Surgical Treatment	Administrative Claims
COST_CRR_1	Colon and Rectal Resection	Administrative Claims
COST_MR_1	Melanoma Resection	Administrative Claims
COST_S_1	Sepsis	Administrative Claims
COST_D_1	Diabetes	Administrative Claims
COST_ACOPD_1	Asthma/Chronic Obstructive Pulmonary Disease (COPD)	Administrative Claims
CAHPS_1	CAHPS for MIPS SSM: Getting Timely Care, Appointments, and Information	Certified Survey Vendor
CAHPS_2	CAHPS for MIPS SSM: How Well Providers Communicate	Certified Survey Vendor
CAHPS_3	CAHPS for MIPS SSM: Patient’s Rating of Provider	Certified Survey Vendor
CAHPS_4	CAHPS for MIPS SSM: Access to Specialists	Certified Survey Vendor
CAHPS_5	CAHPS for MIPS SSM: Health Promotion and Education	Certified Survey Vendor
CAHPS_6	CAHPS for MIPS SSM: Shared Decision Making	Certified Survey Vendor
CAHPS_7	CAHPS for MIPS SSM: Health Status and Functional Status	Certified Survey Vendor
CAHPS_8	CAHPS for MIPS SSM: Care Coordination	Certified Survey Vendor
CAHPS_9	CAHPS for MIPS SSM: Courteous and Helpful Office Staff	Certified Survey Vendor
CAHPS_11	CAHPS for MIPS SSM: Stewardship of Patient Resources	Certified Survey Vendor
AJRR9	Risk-Standardized Routine Discharge Rate Following Elective Primary Hip and Knee Arthroplasty	Registry
AJRR8	Physical Health Outcomes in Total Hip and Knee Arthroplasty	Registry
AJRR11	Improvement in Pain Assessment Following Spine Fusion Procedures	Registry
SPINETRACK9	Unplanned Hospital Readmission Following Spinal Fusion Surgery	Registry
REGCLR8	Monitor and Improve Treatment Outcomes in Chronic Wound Healing	Registry
MBHR18	Provision of Feedback Following a Cognitive or Mental Status Assessment with Documentation of Understanding of Test Results and Subsequent Healthcare Plan with Timely Transmission of Results	Registry
AJRR7	Postoperative Ambulation	Registry
AAD18	Avoidance of Opioid Prescriptions for Closure and Reconstruction After Skin Cancer Resection	Registry
AAD17	Continuation of Anticoagulation Therapy in the Office-based Setting for Closure and Reconstruction After Skin Cancer Resection Procedures	Registry
AAD16	Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Procedures	Registry
PIMSH13	Oncology: Mutation Testing for Stage IV Lung Cancer Completed Prior to the Start of Targeted Therapy	Registry
PIMSH15	Antiemetic Therapy for Low- and Minimal-Emetic-Risk Antineoplastic Agents in the Infusion Center - Avoidance of Overuse (Lower Score - Better)	Registry
PIMSH16	Appropriate Antiemetic Therapy for High- and Moderate-Emetic-Risk Antineoplastic Agents in the Infusion Center	Registry
AJRR10	Cement Use for Displaced Femoral Neck Fracture in Older Adults	Registry
UREQA10	Ankylosing Spondylitis: Controlled Disease Or Improved Disease Function	Registry
QMM25	Use of Structured Reporting for Urine Cytology Specimens	Registry
CAP39	High-Risk Human Papillomavirus Status to Inform Patient Prognosis in Oropharyngeal Squamous Cell Carcinoma	Registry
THEPQR2	Discontinuation of Proton Pump Inhibitors for patients who do not meet criteria for long-term utilization.	Registry
QMM23	Low dose cancer screening recommendation for computed tomography (CT) and computed tomography angiography (CTA) of chest with diagnosis of Emphysema.	Registry
THEPQR1	High Intensity Statin Prescribed for Acute and Subacute Ischemic Stroke and Transient Ischemic Attack (TIA)	Registry
QMM24	Acute Rib Fracture Numbering on ED Trauma Patients	Registry
AAD15	Psoriasis – Appropriate Assessment & Treatment of Severe Psoriasis	Registry
ABG44	Low Flow Inhalational General Anesthesia	Registry
ECPR58	Patient-Reported Understanding of Discharge Diagnosis and Plan of Care after Emergency Department Visit	Registry
ACEP63	Avoidance of Acute High-Risk Prescriptions in geriatric patients at discharge	Registry
AAAAI17	Asthma Control: Minimal Important Difference Improvement	Registry
AAAAI18	Penicillin Allergy: Appropriate Removal or Confirmation	Registry
AAAAI2	Asthma: Assessment of Asthma Control – Ambulatory Care Setting	Registry
AAAAI8	Achievement of Projected Effective Dose of Standardized Allergens for Patient Treated With Allergen Immunotherapy for at Least One Year	Registry
AAD11	Skin Cancer Surgery: Post-Operative Complications	Registry
AAD12	Melanoma: – Appropriate Surgical Margins	Registry
AAD14	Melanoma: Tracking and Evaluation of Recurrence	Registry
AAD6	Skin Cancer: Biopsy Reporting Time - Clinician to Patient	Registry
AAD7	Psoriasis: Screening for Psoriatic Arthritis	Registry
AAD8	Chronic Skin Conditions: Patient Reported Quality-of-Life	Registry
AAN22	Quality of Life Outcome for Patients with Neurologic Conditions	Registry
AAN25	Pediatric Medication reconciliation	Registry
AAN26	Activity counseling for back pain	Registry
AAN29	Comprehensive Epilepsy Care Center Referral or Discussion for Patients with Epilepsy	Registry
AAN30	Migraine Preventive Therapy Management	Registry
AAN31	Acute Treatment Prescribed for Cluster Headache	Registry
AAN32	Preventive Treatment Prescribed for Cluster Headache	Registry
AAN34	Patient reported falls and plan of care	Registry
AAN5	Medication Prescribed For Acute Migraine Attack	Registry
AAN8	Exercise and Appropriate Physical Activity Counseling for Patients with MS	Registry
AAN9	Querying and Follow-Up About Symptoms of Autonomic Dysfunction for Patients with Parkinson's Disease	Registry
AAO12	Tympanostomy Tubes: Topical Ear Drop Monotherapy for Acute Otorrhea	Registry
AAO13	Bell's Palsy: Inappropriate Use of Magnetic Resonance Imaging or Computed Tomography Scan	Registry
AAO16	Age-Related Hearing Loss: Comprehensive Audiometric Evaluation	Registry
AAO20	Tympanostomy Tubes: Comprehensive Audiometric Evaluation	Registry
AAO21	Otitis Media with Effusion (OME): Comprehensive Audiometric Evaluation for Chronic OME > or = 3 months	Registry
AAO23	Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines	Registry
AAO32	Standard Benign Positional Paroxysmal Vertigo (BPPV) Management	Registry
AAO34	Dysphonia: Postoperative Laryngeal Examination	Registry
AAO36	Tympanostomy Tubes: Resolution of Otitis Media with Effusion (OME) in Adults and Children	Registry
AASM1	Pediatric OSA: Objective Assessment of Positive Airway Pressure Therapy Adherence	Registry
AASM2	Pediatric OSA: Objective Assessment of OSA Signs and Symptoms in Children with Complex Medical Conditions	Registry
AASM3	Adult OSA: Screening for Adult OSA by Primary Care Physicians	Registry
ABFM12	Measuring the Value-Functions of Primary Care: Physician Level Continuity of Care Measure	Registry
ABG40	Hypotension Prevention After Spinal Placement for Elective Cesarean Section	Registry
ABG41	Upper Extremity Nerve Blockade in Shoulder Surgery	Registry
ABG42	Known or Suspected Difficult Airway Mitigation Strategies	Registry
ABG43	Use of Capnography for non-Operating Room anesthesia Measure	Registry
ACEP19	Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older	Registry
ACEP21	Coagulation Studies in Patients Presenting with Chest Pain with No Coagulopathy or Bleeding	Registry
ACEP22	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	Registry
ACEP25	Tobacco Use: Screening and Cessation Intervention for Patients with Asthma and COPD	Registry
ACEP30	Sepsis Management: Septic Shock: Lactate Clearance Rate of >=10	Registry
ACEP31	Appropriate Foley catheter use in the emergency department	Registry
ACEP48	Sepsis Management: Septic Shock: Lactate Level Measurement, Antibiotics Ordered, and Fluid Resuscitation	Registry
ACEP50	ED Median Time from ED arrival to ED departure for all Adult Patients	Registry
ACEP51	ED Median Time from ED arrival to ED departure for all Pediatric ED Patients	Registry
ACEP52	Appropriate Emergency Department Utilization of Lumbar Spine Imaging for Atraumatic Low Back Pain	Registry
ACEP53	Appropriate Use of Imaging for Recurrent Renal Colic	Registry
ACEP54	Appropriate Utilization of Focused Assessment with Sonography for Trauma (FAST) Exam in the Emergency Department	Registry
ACEP55	Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years	Registry
ACEP56	Follow-Up Care Coordination Documented in Discharge Summary	Registry
ACEP59	Chest Pain – Avoidance of admission for adult patients with low-risk chest pain.	Registry
ACEP60	Syncope – Avoidance of admission for adult patients with low-risk syncope	Registry
ACEP61	Avoidance of Chest X-ray in pediatric patients with Asthma, Bronchiolitis or Croup	Registry
ACEP62	Avoidance of Opioid therapy for dental pain.	Registry
ACQR12	ABCDEF Bundle - Early mobility for ICU patients	Registry
ACQR13	Sepsis: Hour One bundle	Registry
ACQR16	COPD Exacerbation or CHF Exacerbation requiring Hospital Admission: Palliative Care Evaluation	Registry
ACQR3	COPD: Steroids for no more than 5 days in COPD Exacerbation	Registry
ACR10	Hepatitis B Safety Screening	Registry
ACR12	Disease Activity Measurement for Patients with PsA	Registry
ACR14	Gout: Serum Urate Target	Registry
ACR15	Safe Hydroxychloroquine Dosing	Registry
ACR16	Rheumatoid Arthritis Patients with Low Disease Activity or Remission	Registry
ACRAD15	Report Turnaround Time: Radiography	Registry
ACRAD16	Report Turnaround Time: Ultrasound (Excluding Breast US)	Registry
ACRAD17	Report Turnaround Time: MRI	Registry
ACRAD18	Report Turnaround Time: CT	Registry
ACRAD19	Report Turnaround Time: PET	Registry
ACRAD25	Report Turnaround Time: Mammography	Registry
ACRAD34	Multi-strata weighted average for 3 CT Exam Types: Overall Percent of CT exams for which Dose Length Product is at or below the size-specific diagnostic reference level (for CT Abdomen-pelvis with contrast/single phase scan, CT Chest without contrast/single phase scan and CT Head/Brain without contrast/single phase scan)	Registry
ACRAD36	Incidental Coronary Artery Calcification Reported on Chest CT	Registry
ACRAD37	Interpretation of CT Pulmonary Angiography (CTPA) for Pulmonary Embolism	Registry
ACRAD38	Use of Low Dose Cranial CT or MRI Examinations for Patients with Ventricular Shunts	Registry
ACRAD40	Use of Structured Reporting in Prostate MRI	Registry
ACRAD41	Use of Quantitative Criteria for Oncologic FDG PET Imaging	Registry
ACRAD42	Surveillance Imaging for Liver Nodules less than 10mm in Patients at Risk for Hepatocellular Carcinoma (HCC)	Registry
AQI18	Coronary Artery Bypass Graft (CABG): Prolonged Intubation – Inverse Measure	Registry
AQI48	Patient-Reported Experience with Anesthesia	Registry
AQI49	Adherence to Blood Conservation Guidelines for Cardiac Operations using Cardiopulmonary Bypass (CPB) – Composite	Registry
AQI56	Use of Neuraxial Techniques and/or Peripheral Nerve Blocks for Total Knee Arthroplasty (TKA)	Registry
AQI65	Avoidance of Cerebral Hyperthermia for Procedures Involving Cardiopulmonary Bypass	Registry
AQI67	Consultation for Frail Patients	Registry
AQI68	Obstructive Sleep Apnea: Mitigation Strategies	Registry
AQI69	Intraoperative Antibiotic Redosing	Registry
AQI71	Ambulatory Glucose Management	Registry
AQI72	Perioperative Anemia Management	Registry
AQI73	Prevention of Arterial Line-Related Bloodstream Infections	Registry
AQUA14	Stones: Repeat Shock Wave Lithotripsy (SWL) Within 6 Months of Initial Treatment	Registry
AQUA15	Stones: Urinalysis Performed Before Surgical Stone Procedures	Registry
AQUA16	Non-Muscle Invasive Bladder Cancer: Repeat Transurethral Resection of Bladder Tumor (TURBT) for T1 disease	Registry
AQUA18	Non-Muscle Invasive Bladder Cancer: Early Surveillance Cystoscopy for Non-Muscle Invasive Bladder Cancer	Registry
AQUA26	Benign Prostate Hyperplasia (BPH): Inappropriate Lab & Imaging Services for Patients with BPH	Registry
AQUA8	Hospital admissions or infectious complications within 30 days of prostate biopsy	Registry
CAP22	Turnaround Time (TAT) - Biopsies	Registry
CAP28	Helicobacter pylori Status and Turnaround Time	Registry
CAP30	Urinary Bladder Biopsy Diagnostic Requirements For Appropriate Patient Management	Registry
CAP34	Biomarker Status to Inform Clinical Management and Treatment Decisions in Patients with Non-small Cell Lung Cancer	Registry
CAP38	Prostate Cancer Reporting Best Practices	Registry
CCOME7	Patient-Reported Pain and/or Function Improvement after Total Hip Arthroplasty	Registry
CCOME8	Patient-Reported Pain and/or Function Improvement after Total Shoulder Arthroplasty	Registry
CDR2	Diabetic Foot Ulcer (DFU) Healing or Closure	Registry
CDR6	Venous Leg Ulcer (VLU) Healing or Closure	Registry
CDR8	Appropriate Use of hyperbaric oxygen therapy for patients with diabetic foot ulcers	Registry
ECPR39	Avoid Head CT for Patients with Uncomplicated Syncope	Registry
ECPR46	Avoidance of Opiates for Low Back Pain or Migraines	Registry
ECPR50	Door to Diagnostic Evaluation by a Provider Within 30 Minutes – Urgent Care Patients	Registry
ECPR51	Discharge Prescription of Naloxone after Opioid Poisoning or Overdose	Registry
ECPR52	Appropriate Treatment of Psychosis and Agitation in the Emergency Department	Registry
ECPR55	Avoidance of Long-Acting (LA) or Extended-Release (ER) Opiate Prescriptions and Opiate Prescriptions for Greater Than 3 Days Duration for Acute Pain	Registry
ECPR56	Opioid Withdrawal: Initiation of Medication-Assisted Treatment (MAT) and Referral to Outpatient Opioid Treatment	Registry
EPREOP30	Ultrasound Guidance for Peripheral Nerve Block with Patient Experience	Registry
EPREOP31	Intraoperative Hypotension among Non-Emergent Noncardiac Surgical Cases	Registry
FOTO4	Functional Status Change for Patients with Upper or Lower Quadrant Edema	Registry
FOTO5	Functional Status Change in Balance Confidence	Registry
FOTO6	Functional Status Change in Dizziness	Registry
FOTO7	Functional Status Change for Patients Post Stroke	Registry
GIQIC10	Appropriate management of anticoagulation in the peri-procedural period rate – EGD	Registry
GIQIC23	Appropriate follow-up interval based on pathology findings in screening colonoscopy	Registry
GIQIC24	Screening Colonoscopy Adenoma Detection Rate - Male	Registry
GIQIC25	Screening Colonoscopy Adenoma Detection Rate - Female	Registry
HCPR16	Physician’s Orders for Life-Sustaining Treatment (POLST) Form	Registry
HCPR17	Pressure Ulcers – Risk Assessment and Plan of Care	Registry
HCPR20	Clostridium Difficile – Risk Assessment and Plan of Care	Registry
HCPR23	Avoidance of Echocardiogram and Carotid Ultrasound for Syncope	Registry
HCPR24	Appropriate Utilization of Vancomycin for Cellulitis	Registry
HM7	Functional Status Change for Patients with Vestibular Dysfunction	Registry
IRIS1	Endothelial Keratoplasty - Post-operative improvement in best corrected visual acuity to 20/40 or better	Registry
IRIS13	Diabetic Macular Edema - Loss of Visual Acuity	Registry
IRIS17	Acute Anterior Uveitis: Post-treatment Grade 0 anterior chamber cells	Registry
IRIS2	Glaucoma – Intraocular Pressure Reduction	Registry
IRIS23	Refractive Surgery: Patients with a postoperative uncorrected visual acuity (UCVA) of 20/20 or better within 30 days	Registry
IRIS24	Refractive Surgery: Patients with a postoperative correction within + or - 0.5 Diopter (D) of the intended correction	Registry
IRIS35	Improvement of Macular Edema in Patients with Uveitis	Registry
IRIS38	Endothelial Keratoplasty – Dislocation Requiring Surgical Intervention	Registry
IRIS39	Intraocular Pressure Reduction Following Trabeculectomy or an Aqueous Shunt Procedure	Registry
IRIS41	Improved visual acuity after epiretinal membrane treatment within 120 days	Registry
IRIS43	Intraocular Pressure Reduction Following Laser Trabeculoplasty	Registry
IRIS44	Visual Field Progression in Glaucoma	Registry
IRIS46	Evidence of anatomic closure of macular hole within 90 days after surgery as documented by OCT	Registry
IRIS48	Adult Surgical Esotropia: Postoperative alignment	Registry
IRIS49	Surgical Pediatric Esotropia: Postoperative alignment	Registry
IRIS50	Amblyopia: Interocular visual acuity	Registry
IRIS51	Acute Anterior Uveitis: Post-treatment visual acuity	Registry
IRIS53	Chronic Anterior Uveitis - Post-treatment visual acuity	Registry
IRIS54	Complications After Cataract Surgery	Registry
IRIS55	Visual Acuity Improvement Following Cataract Surgery and Minimally Invasive Glaucoma Surgery	Registry
IRIS56	Adult Diplopia: Improvement of ocular deviation or absence of diplopia or functional improvement	Registry
IRIS57	Idiopathic Intracranial Hypertension: Improvement of mean deviation or stability of mean deviation	Registry
IRIS58	Improved Visual Acuity after Vitrectomy for Complications of Diabetic Retinopathy within 120 Days	Registry
IRIS59	Regaining Vision After Cataract Surgery	Registry
IRIS6	Acquired Involutional Entropion: Normalized lid position after surgical repair	Registry
IRIS60	Visual Acuity Improvement Following Cataract Surgery Combined with a Trabeculectomy or an Aqueous Shunt Procedure	Registry
IROMS11	Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in knee rehabilitation of patients with knee injury measured via their validated Knee Outcome Survey (KOS) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID.	Registry
IROMS12	Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with knee injury pain.	Registry
IROMS13	Failure to Progress (FTP): Proportion of patients not achieving a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with hip, leg or ankle injuries using the validated Lower Extremity Function Scale (LEFS) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID.	Registry
IROMS14	Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with hip, leg or ankle (lower extremity except knee) injury.	Registry
IROMS16	Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with neck pain/injury.	Registry
IROMS17	Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation patients with low back pain measured via the validated Modified Low Back Pain Disability Questionnaire (MDQ) score.	Registry
IROMS18	Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with low back pain.	Registry
IROMS19	Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with arm, shoulder, and hand injury measured via the validated Disability of Arm Shoulder and Hand (DASH) score, Quick Disability of Arm Shoulder and Hand (QDASH) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID.	Registry
IROMS20	Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with arm, shoulder, or hand injury.	Registry
KEET01	Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with neck pain/injury measured via the validated Neck Disability Index (NDI).	Registry
LMBR1	Patients Suffering From a Knee Injury who Improve Physical Function	Registry
LMBR10	Patients Suffering From a Upper Extremity Injury who Demonstrate Improved Pain	Registry
LMBR2	Patients Suffering From a Lumbar Spine (Low Back) Injury who Improve Physical Function	Registry
LMBR3	Patients Suffering From a Cervical Spine (Neck) Injury who Improve Physical Function	Registry
LMBR4	Patients Suffering From a Lower Extremity Injury who Improve Physical Function	Registry
LMBR5	Patients Suffering From a Upper Extremity Injury who Improve Physical Function	Registry
LMBR6	Patients Suffering From a Knee Injury who Demonstrate Improved Pain	Registry
LMBR7	Patients Suffering From a Lumbar Spine (Low Back) Injury who Demonstrate Improved Pain	Registry
LMBR8	Patients Suffering From a Cervical Spine (Neck) Injury who Demonstrate Improved Pain	Registry
LMBR9	Patients Suffering From a Lower Extremity Injury who Demonstrate Improved Pain	Registry
MBHR1	Use of Anxiety Severity Measure	Registry
MBHR10	Symptom Improvement in adults with ADHD	Registry
MBHR11	Cognitive Assessment with Counseling on Safety and Potential Risk	Registry
MBHR13	Social Role Functioning Assessment utilizing PROMIS Adult Ability to Participate in Social Roles and Activities	Registry
MBHR14	Sleep Quality Response at 3-months	Registry
MBHR15	Consideration of Cultural-Linguistic and Demographic Factors in Cognitive Assessment	Registry
MBHR16	Comprehensive Cognitive Assessment Assists with Differential Diagnosis	Registry
MBHR2	Anxiety Response at 6-months	Registry
MBHR3	Pain Interference Response utilizing PROMIS	Registry
MBHR5	Monitoring for psychosocial problems among children and youth	Registry
MBHR7	Posttraumatic Stress Disorder (PTSD) Outcome Assessment for Adults and Children	Registry
MBHR8	Alcohol Use Disorder Outcome Response	Registry
MBHR9	Outcome monitoring of ADHD functional impairment in children and youth	Registry
MEDNAX54	Labor Epidural Failure when Converting from Labor Analgesia to Cesarean Section Anesthesia	Registry
MEDNAX55	Use of ASPECTS (Alberta Stroke Program Early CT Score) for non-contrast CT Head performed for suspected acute stroke.	Registry
MEDNAX56	Use of a “PEG Test” to Manage Patients Receiving Opioids	Registry
MEX5	Hammer Toe Outcome	Registry
MSN13	Screening Coronary Calcium Scoring for Cardiovascular Risk Assessment Including Coronary Artery Calcification Regional Distribution Scoring	Registry
MSN15	Use of Thyroid Imaging Reporting & Data System (TI-RADS) in Final Report to Stratify Thyroid Nodule Risk	Registry
MSN16	Screening Abdominal Aortic Aneurysm Reporting with Recommendations	Registry
MUSIC4	Prostate Cancer: Active Surveillance/Watchful Waiting for Newly-Diagnosed Low Risk Prostate Cancer Patients	Registry
NHCR4	Repeat screening or surveillance colonoscopy recommended within one year due to inadequate/poor bowel preparation	Registry
NHII1	Screening and Referral for Transportation Insecurity	Registry
OEIS6	Appropriate non-invasive arterial testing for patients with intermittent claudication who are undergoing a LE peripheral vascular intervention	Registry
OEIS7	Structured Walking Program Prior to Intervention for Claudication	Registry
OEIS8	Use of ultrasound guidance for vascular access	Registry
PIMSH1	Oncology: Advance Care Planning in Metastatic Cancer Patients	Registry
PIMSH10	Oncology: Hepatitis B Serology Testing and Prophylactic Treatment Prior to Receiving Anti-CD20 Targeting Drugs	Registry
PIMSH2	Oncology: Utilization of GCSF in Metastatic Colorectal Cancer	Registry
PIMSH4	Oncology: Patient-Reported Pain Improvement	Registry
PIMSH9	Oncology: Supportive Care Drug Utilization in Last 14 Days of Life	Registry
PP10	Measurement-based Care Processes: Index Assessment, Monitoring, and Care Plan Review	Registry
PP11	Improvement Or Maintenance In Recovery For All Individuals Seen For Mental Health And/Or Substance Use Care	Registry
PP12	Initiation, Review, And/Or Update To Suicide Safety Plan For Individuals With Suicidal Thoughts, Behavior, Or Suicide Risk	Registry
PP13	Reduction in Suicidal Ideation or Behavior Symptoms	Registry
PQRANES1	Use of Peripheral Nerve Block within the Emergency Department in Patients Admitted with Low Energy Hip Fracture	Registry
QMM16	IVC Filter Management Confirmation	Registry
QMM17	Appropriate Follow-up Recommendations for Ovarian-Adnexal Lesions using the Ovarian-Adnexal Reporting and Data System (O-RADS)	Registry
QMM18	Use of Breast Cancer Risk Score on Mammography	Registry
QMM19	DEXA/DXA and Fracture Risk Assessment for Patients with Osteopenia	Registry
QMM20	Opening Pressure in Lumbar Puncture	Registry
QMM21	Incorporating results of concurrent studies into Final Reports for Bone Marrow Aspirate of patients with Leukemia, Myelodysplastic syndrome, or Chronic Anemia	Registry
QMM22	Molecular Testing Recommended on Fine Needle Aspirations (FNA) of Thyroid Nodule(s) with Bethesda Category 3 or 4 Cytology Diagnosis	Registry
RCOIR10	Upper Extremity Edema Improvement	Registry
RCOIR12	Tunneled Hemodialysis Catheter Success	Registry
RCOIR13	Percutaneous Arteriovenous Fistula for Dialysis - Clinical Success Rate	Registry
RCOIR7	Improved Access Site Bleeding	Registry
REGCLR1	Heel Pain Treatment Outcomes for Adults	Registry
REGCLR2	Tendinitis/ Enthesopathy- Injection Treatment Outcomes for Adults	Registry
REGCLR3	Bunion Outcome - Adult and Adolescent	Registry
REGCLR4	Heel Pain Treatment Outcomes for Pediatric Patients	Registry
REGCLR5	Offloading with Remote Monitoring	Registry
REGCLR7	Use of Ankle Foot Orthotics to improve patient function	Registry
RPAQIR14	Arteriovenous Graft Thrombectomy Success Rate	Registry
RPAQIR15	Arteriovenous Fistulae Thrombectomy Success Rate	Registry
UREQA2	Ankylosing Spondylitis: Appropriate Pharmacologic Therapy	Registry
UREQA8	Vitamin D level: Effective Control of Low Bone Mass/Osteopenia and Osteoporosis: Therapeutic Level Of 25 OH Vitamin D Level Achieved	Registry
UREQA9	Screening for Osteoporosis for Men Aged 70 Years and Older	Registry
USWR22	Patient Reported Nutritional Assessment and Intervention Plan in patients with Wounds and Ulcers	Registry
USWR26	Patient Reported Outcome of late effects of radiation symptoms following treatment with Hyperbaric Oxygen Therapy (HBOT)	Registry
USWR29	Adequate Off-loading of Diabetic Foot Ulcers performed at each visit, appropriate to location of ulcer	Registry
USWR30	Non-Invasive Arterial Assessment of patients with lower extremity wounds or ulcers for determination of healing potential at the initial visit	Registry
USWR31	Pressure Ulcer* (PU) Healing or Closure (not on the lower extremity )	Registry
USWR32	Adequate Compression at each visit for Patients with Venous Leg Ulcers (VLUs) appropriate to arterial supply	Registry