Allergy Immunology (11)

Includes the following individual measures:

#	Measure Title	Submission Methods
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, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
160	HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis	Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in the Elderly	Electronic Health Record, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
338	HIV Viral Load Suppression	Registry
340	HIV Medical Visit Frequency	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry

Anesthesiology (8)

Includes the following individual measures:

#	Measure Title	Submission Methods
044	Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery	Registry
076	Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections	Claims, Registry
404	Anesthesiology Smoking Abstinence	Registry
424	Perioperative Temperature Management	Registry
426	Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)	Registry
427	Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)	Registry
430	Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy	Registry
463	Prevention of Post-Operative Vomiting (POV) - Combination Therapy (Pediatrics)	Registry

Cardiology (27)

Includes the following individual measures:

#	Measure Title	Submission Methods
005	Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) 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
047	Care Plan	Claims, Registry
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
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
204	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet	Claims, Electronic Health Record, Cms Web Interface, 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 the Elderly	Electronic Health Record, Registry
243	Cardiac Rehabilitation Patient Referral from an Outpatient Setting	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
322	Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients	Registry
323	Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI)	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	Claims, Registry
344	Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
345	Rate of Asymptomatic Patients Undergoing Carotid Artery Stenting (CAS) Who Are Stroke Free or Discharged Alive	Registry
373	Hypertension: Improvement in Blood Pressure	Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry
442	Persistence of Beta-Blocker Treatment After a Heart Attack	Registry

Dentistry (2)

Includes the following individual measures:

#	Measure Title	Submission Methods
378	Children Who Have Dental Decay or Cavities	Electronic Health Record, Registry
379	Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	Electronic Health Record, Registry

Dermatology (12)

Includes the following individual measures:

#	Measure Title	Submission Methods
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
137	Melanoma: Continuity of Care - Recall System	Registry
138	Melanoma: Coordination of Care	Registry
224	Melanoma: Overutilization of Imaging Studies in Melanoma	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
265	Biopsy Follow-Up	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
337	Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
410	Psoriasis: Clinical Response to Oral Systemic or Biologic Medications	Registry
440	Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time - Pathologist to Clinician	Registry

Diagnostic Radiology (14)

Includes the following individual measures:

#	Measure Title	Submission Methods
145	Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy	Claims, Registry
146	Radiology: Inappropriate Use of "Probably Benign" Assessment Category in Screening Mammograms	Claims, Registry
147	Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy	Claims, Registry
195	Radiology: Stenosis Measurement in Carotid Imaging Reports	Claims, Registry
225	Radiology: Reminder System for Screening Mammograms	Claims, Registry
359	Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description	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
361	Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry	Registry
362	Optimizing Patient Exposure to Ionizing Radiation: Computed Tomography (CT) Images Available for Patient Follow-up and Comparison	Registry
363	Optimizing Patient Exposure to Ionizing Radiation: Search for Prior Computed Tomography (CT) Studies Through a Secure, Authorized, Media-Free, Shared Archive	Registry
364	Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines	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
436	Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques	Claims, Registry

Electrophysiology Cardiac Specialist (3)

Includes the following individual measures:

#	Measure Title	Submission Methods
348	HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate	Registry
392	HRS-12: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation	Registry
393	HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision	Registry

Emergency Medicine (14)

Includes the following individual measures:

#	Measure Title	Submission Methods
066	Appropriate Testing for Children with Pharyngitis	Electronic Health Record, Registry
091	Acute Otitis Externa (AOE): Topical Therapy	Claims, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use	Claims, Registry
107	Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record, Registry
116	Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis	Registry
187	Stroke and Stroke Rehabilitation: Thrombolytic Therapy	Registry
254	Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain	Claims, Registry
255	Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure	Claims, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, 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
333	Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)	Registry
415	Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older	Claims, Registry
416	Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years	Claims, Registry

Gastroenterology (17)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Care Plan	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
185	Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
271	Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury - Bone Loss Assessment	Registry
275	Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
320	Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients	Claims, Registry
343	Screening Colonoscopy Adenoma Detection Rate	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
390	Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options	Registry
401	Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
425	Photodocumentation of Cecal Intubation	Claims, Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
439	Age Appropriate Screening Colonoscopy	Registry

General Oncology (21)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Care Plan	Claims, Registry
102	Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
143	Oncology: Medical and Radiation - Pain Intensity Quantified	Electronic Health Record, Registry
144	Oncology: Medical and Radiation - Plan of Care for Pain	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
250	Radical Prostatectomy Pathology Reporting	Claims, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
449	HER2 Negative or Undocumented Breast Cancer Patients Spared Treatment with HER2-Targeted Therapies	Registry
450	Trastuzumab Received By Patients With AJCC Stage I (T1c) - III And HER2 Positive Breast Cancer Receiving Adjuvant Chemotherapy	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) 4 with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies	Registry
453	Proportion Receiving Chemotherapy in the Last 14 Days of Life	Registry
454	Proportion of Patients who Died from Cancer with more than One Emergency Department Visit in the Last 30 Days of Life	Registry
455	Proportion Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life	Registry
456	Proportion Not Admitted To Hospice	Registry
457	Proportion Admitted to Hospice for less than 3 days	Registry
462	Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy	Electronic Health Record, Registry

General Practice Family Medicine (91)

Includes the following individual measures:

#	Measure Title	Submission Methods
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) 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, 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	Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
065	Appropriate Treatment for Children with Upper Respiratory Infection (URI)	Electronic Health Record, Registry
066	Appropriate Testing for Children with Pharyngitis	Electronic Health Record, Registry
091	Acute Otitis Externa (AOE): Topical Therapy	Claims, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use	Claims, Registry
107	Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record, Registry
109	Osteoarthritis (OA): Function and Pain Assessment	Claims, Registry
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, Cms Web Interface, 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 in Adults With Acute Bronchitis	Registry
117	Diabetes: Eye Exam	Claims, Electronic Health Record, Cms Web Interface, Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
163	Diabetes: Foot Exam	Electronic Health Record, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
204	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet	Claims, Electronic Health Record, Cms Web Interface, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in the Elderly	Electronic Health Record, Registry
243	Cardiac Rehabilitation Patient Referral from an Outpatient Setting	Registry
305	Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	Electronic Health Record, Registry
309	Cervical Cancer Screening	Electronic Health Record, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
321	CAHPS for MIPs Clinician/Group Survey	Certified Survey Vendor
326	Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy	Claims, 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
333	Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)	Registry
334	Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)	Registry
337	Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier	Registry
338	HIV Viral Load Suppression	Registry
342	Pain Brought Under Control Within 48 Hours	Registry
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
371	Depression Utilization of the PHQ-9 Tool	Electronic Health Record, Registry
373	Hypertension: Improvement in Blood Pressure	Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
377	Functional Status Assessments for Congestive Heart Failure	Electronic Health Record, Registry
383	Adherence to Antipsychotic Medications For Individuals with Schizophrenia	Registry
387	Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users	Registry
394	Immunizations for Adolescents	Registry
398	Optimal Asthma Control	Registry
400	One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk	Registry
401	Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
408	Opioid Therapy Follow-up Evaluation	Registry
412	Documentation of Signed Opioid Treatment Agreement	Registry
414	Evaluation or Interview for Risk of Opioid Misuse	Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry
442	Persistence of Beta-Blocker Treatment After a Heart Attack	Registry
443	Non-Recommended Cervical Cancer Screening in Adolescent Females	Registry
444	Medication Management for People with Asthma	Registry
447	Chlamydia Screening and Follow Up	Registry
464	Otitis Media with Effusion (OME): Systemic Antimicrobials- Avoidance of Inappropriate Use	Registry
CAHPS_1	CAHPS for MIPS SSM: Getting Timely Care, Appointments and Information	Certified Survey Vendor
CAHPS_ACO_1	CAHPS for ACO SSM: Getting Timely Care, Appointments and Information	Certified Survey Vendor
CAHPS_2	CAHPS for MIPS SSM: How Well Providers Communicate	Certified Survey Vendor
CAHPS_ACO_2	CAHPS for ACO SSM: How Well Providers Communicate	Certified Survey Vendor
CAHPS_3	CAHPS for MIPS SSM: Patient’s Rating of Provider	Certified Survey Vendor
CAHPS_ACO_3	CAHPS for ACO SSM: Patient’s Rating of Provider	Certified Survey Vendor
CAHPS_4	CAHPS for MIPS SSM: Access to Specialists	Certified Survey Vendor
CAHPS_ACO_4	CAHPS for ACO SSM: Access to Specialists	Certified Survey Vendor
CAHPS_5	CAHPS for MIPS SSM: Health Promotion and Education	Certified Survey Vendor
CAHPS_ACO_5	CAHPS for ACO SSM: Health Promotion and Education	Certified Survey Vendor
CAHPS_6	CAHPS for MIPS SSM: Shared Decision-Making	Certified Survey Vendor
CAHPS_ACO_6	CAHPS for ACO SSM: Shared Decision-Making	Certified Survey Vendor
CAHPS_7	CAHPS for MIPS SSM: Health Status and Functional Status	Certified Survey Vendor
CAHPS_ACO_7	CAHPS for ACO 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
CAHPS_ACO_34	CAHPS for ACO SSM: Stewardship of Patient Resources	Certified Survey Vendor
ACO321	CAHPS for ACOs Clinician/Group Survey	Certified Survey Vendor

General Surgery (14)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
046	Medication Reconciliation Post-Discharge	Claims, Cms Web Interface, Registry
047	Care Plan	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, 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
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry

Hospitalists (6)

Includes the following individual measures:

#	Measure Title	Submission Methods
005	Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
008	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
047	Care Plan	Claims, Registry
076	Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
407	Appropriate Treatment of Methicillin-Sensitive Staphylococcus Aureus (MSSA) Bacteremia	Claims, Registry

Infectious Disease (28)

Includes the following individual measures:

#	Measure Title	Submission Methods
065	Appropriate Treatment for Children with Upper Respiratory Infection (URI)	Electronic Health Record, Registry
066	Appropriate Testing for Children with Pharyngitis	Electronic Health Record, Registry
091	Acute Otitis Externa (AOE): Topical Therapy	Claims, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use	Claims, Registry
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, Cms Web Interface, Registry
116	Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
176	Rheumatoid Arthritis (RA): Tuberculosis Screening	Registry
205	HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
275	Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) 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
333	Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)	Registry
334	Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)	Registry
337	Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier	Registry
338	HIV Viral Load Suppression	Registry
340	HIV Medical Visit Frequency	Registry
387	Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users	Registry
390	Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options	Registry
394	Immunizations for Adolescents	Registry
400	One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk	Registry
401	Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis	Registry
407	Appropriate Treatment of Methicillin-Sensitive Staphylococcus Aureus (MSSA) Bacteremia	Claims, Registry
447	Chlamydia Screening and Follow Up	Registry
464	Otitis Media with Effusion (OME): Systemic Antimicrobials- Avoidance of Inappropriate Use	Registry

Internal Medicine (62)

Includes the following individual measures:

#	Measure Title	Submission Methods
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) 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, 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	Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
091	Acute Otitis Externa (AOE): Topical Therapy	Claims, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use	Claims, Registry
117	Diabetes: Eye Exam	Claims, Electronic Health Record, Cms Web Interface, Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
163	Diabetes: Foot Exam	Electronic Health Record, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
204	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet	Claims, Electronic Health Record, Cms Web Interface, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in the Elderly	Electronic Health Record, Registry
243	Cardiac Rehabilitation Patient Referral from an Outpatient Setting	Registry
305	Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	Electronic Health Record, Registry
309	Cervical Cancer Screening	Electronic Health Record, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
321	CAHPS for MIPs Clinician/Group Survey	Certified Survey Vendor
326	Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy	Claims, 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
333	Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)	Registry
334	Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)	Registry
337	Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier	Registry
338	HIV Viral Load Suppression	Registry
342	Pain Brought Under Control Within 48 Hours	Registry
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
371	Depression Utilization of the PHQ-9 Tool	Electronic Health Record, Registry
373	Hypertension: Improvement in Blood Pressure	Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
377	Functional Status Assessments for Congestive Heart Failure	Electronic Health Record, Registry
383	Adherence to Antipsychotic Medications For Individuals with Schizophrenia	Registry
387	Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users	Registry
398	Optimal Asthma Control	Registry
400	One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk	Registry
401	Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
408	Opioid Therapy Follow-up Evaluation	Registry
412	Documentation of Signed Opioid Treatment Agreement	Registry
414	Evaluation or Interview for Risk of Opioid Misuse	Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry
442	Persistence of Beta-Blocker Treatment After a Heart Attack	Registry
443	Non-Recommended Cervical Cancer Screening in Adolescent Females	Registry
444	Medication Management for People with Asthma	Registry
447	Chlamydia Screening and Follow Up	Registry
ACO321	CAHPS for ACOs Clinician/Group Survey	Certified Survey Vendor

Interventional Radiology (9)

Includes the following individual measures:

#	Measure Title	Submission Methods
076	Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections	Claims, Registry
145	Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy	Claims, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
409	Clinical Outcome Post Endovascular Stroke Treatment	Registry
413	Door to Puncture Time for Endovascular Stroke Treatment	Registry
420	Varicose Vein Treatment with Saphenous Ablation: Outcome Survey	Registry
421	Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal	Registry
437	Rate of Surgical Conversion from Lower Extremity Endovascular Revascularization Procedure	Claims, Registry
465	Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries	Registry

Mental Behavioral Health (25)

Includes the following individual measures:

#	Measure Title	Submission Methods
009	Anti-Depressant Medication Management	Electronic Health Record, Registry
107	Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
281	Dementia: Cognitive Assessment	Electronic Health Record, Registry
282	Dementia: Functional Status Assessment	Registry
283	Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management	Registry
286	Dementia: Safety Concerns Screening and Mitigation Recommendations or Referral for Patients with Dementia	Registry
288	Dementia: Caregiver Education and Support	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
325	Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Specific Comorbid Conditions	Registry
366	Follow-Up Care for Children Prescribed ADHD Medication (ADD)	Electronic Health Record, Registry
367	Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use	Electronic Health Record, Registry
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
371	Depression Utilization of the PHQ-9 Tool	Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
382	Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record, Registry
383	Adherence to Antipsychotic Medications For Individuals with Schizophrenia	Registry
391	Follow-Up After Hospitalization for Mental Illness (FUH)	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
411	Depression Remission at Six Months	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry

Nephrology (16)

Includes the following individual measures:

#	Measure Title	Submission Methods
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	Claims, Electronic Health Record, Cms Web Interface, Registry
046	Medication Reconciliation Post-Discharge	Claims, Cms Web Interface, Registry
047	Care Plan	Claims, Registry
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, Cms Web Interface, Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
122	Adult Kidney Disease: Blood Pressure Management	Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
182	Functional Outcome Assessment	Claims, Registry
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, Registry
327	Pediatric Kidney Disease: Adequacy of Volume Management	Registry
328	Pediatric Kidney Disease: ESRD Patients Receiving Dialysis: Hemoglobin Level < 10g/dL	Registry
330	Adult Kidney Disease: Catheter Use for Greater Than or Equal to 90 Days	Registry
400	One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk	Registry
403	Adult Kidney Disease: Referral to Hospice	Registry

Neurology (24)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Care Plan	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
268	Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy	Claims, Registry
281	Dementia: Cognitive Assessment	Electronic Health Record, Registry
282	Dementia: Functional Status Assessment	Registry
283	Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management	Registry
286	Dementia: Safety Concerns Screening and Mitigation Recommendations or Referral for Patients with Dementia	Registry
288	Dementia: Caregiver Education and Support	Registry
290	Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease	Registry
291	Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment	Registry
293	Parkinson's Disease: Rehabilitative Therapy Options	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
386	Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
408	Opioid Therapy Follow-up Evaluation	Registry
412	Documentation of Signed Opioid Treatment Agreement	Registry
414	Evaluation or Interview for Risk of Opioid Misuse	Registry
419	Overuse Of Neuroimaging For Patients With Primary Headache And A Normal Neurological Examination	Claims, Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
435	Quality of Life Assessment For Patients With Primary Headache Disorders	Claims, Registry

Neurosurgical (12)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
187	Stroke and Stroke Rehabilitation: Thrombolytic Therapy	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
345	Rate of Asymptomatic Patients Undergoing Carotid Artery Stenting (CAS) Who Are Stroke Free or Discharged Alive	Registry
346	Rate of Asymptomatic Patients Undergoing Carotid Endarterectomy (CEA) Who Are Stroke Free or Discharged Alive	Registry
409	Clinical Outcome Post Endovascular Stroke Treatment	Registry
413	Door to Puncture Time for Endovascular Stroke Treatment	Registry
459	Average Change in Back Pain following Lumbar Discectomy / Laminotomy	Registry
460	Average Change in Back Pain following Lumbar Fusion	Registry
461	Average Change in Leg Pain following Lumbar Discectomy and/or Laminotomy	Registry

Obstetrics Gynecology (27)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
112	Breast Cancer Screening	Claims, Electronic Health Record, Cms Web Interface, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, 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
265	Biopsy Follow-Up	Registry
309	Cervical Cancer Screening	Electronic Health Record, Registry
310	Chlamydia Screening for Women	Electronic Health Record, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
369	Pregnant women that had HBsAg testing	Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
422	Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury	Claims, Registry
428	Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence	Registry
429	Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy	Claims, 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
434	Proportion of Patients Sustaining a Ureter Injury at the Time of any Pelvic Organ Prolapse Repair	Registry
443	Non-Recommended Cervical Cancer Screening in Adolescent Females	Registry
447	Chlamydia Screening and Follow Up	Registry
448	Appropriate Work Up Prior to Endometrial Ablation	Registry

Ophthalmology (17)

Includes the following individual measures:

#	Measure Title	Submission Methods
012	Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation	Claims, Electronic Health Record, Registry
014	Age-Related Macular Degeneration (AMD): Dilated Macular Examination	Claims, Registry
018	Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy	Electronic Health Record, Registry
019	Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care	Claims, Electronic Health Record, Registry
117	Diabetes: Eye Exam	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
140	Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement	Claims, Registry
141	Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care	Claims, Registry
191	Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	Electronic Health Record, Registry
192	Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures	Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
303	Cataracts: Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, 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
388	Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule Requiring Unplanned Vitrectomy)	Registry
389	Cataract Surgery: Difference Between Planned and Final Refraction	Registry

Orthopedic Surgery (34)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, 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
046	Medication Reconciliation Post-Discharge	Claims, Cms Web Interface, Registry
047	Care Plan	Claims, Registry
109	Osteoarthritis (OA): Function and Pain Assessment	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
131	Pain Assessment and Follow-Up	Claims, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
178	Rheumatoid Arthritis (RA): Functional Status Assessment	Registry
179	Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis	Registry
180	Rheumatoid Arthritis (RA): Glucocorticoid Management	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
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, Registry
350	Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy	Registry
351	Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation	Registry
352	Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet	Registry
353	Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report	Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
375	Functional Status Assessment for Total Knee Replacement	Electronic Health Record, Registry
376	Functional Status Assessment for Total Hip Replacement	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
408	Opioid Therapy Follow-up Evaluation	Registry
412	Documentation of Signed Opioid Treatment Agreement	Registry
414	Evaluation or Interview for Risk of Opioid Misuse	Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
459	Average Change in Back Pain following Lumbar Discectomy / Laminotomy	Registry
460	Average Change in Back Pain following Lumbar Fusion	Registry
461	Average Change in Leg Pain following Lumbar Discectomy and/or Laminotomy	Registry

Otolaryngology (30)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
047	Care Plan	Claims, Registry
065	Appropriate Treatment for Children with Upper Respiratory Infection (URI)	Electronic Health Record, Registry
091	Acute Otitis Externa (AOE): Topical Therapy	Claims, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use	Claims, Registry
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, Cms Web Interface, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
265	Biopsy Follow-Up	Registry
276	Sleep Apnea: Assessment of Sleep Symptoms	Registry
277	Sleep Apnea: Severity Assessment at Initial Diagnosis	Registry
278	Sleep Apnea: Positive Airway Pressure Therapy Prescribed	Registry
279	Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, 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
333	Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)	Registry
334	Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)	Registry
357	Surgical Site Infection (SSI)	Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
398	Optimal Asthma Control	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
464	Otitis Media with Effusion (OME): Systemic Antimicrobials- Avoidance of Inappropriate Use	Registry

Pathology (8)

Includes the following individual measures:

#	Measure Title	Submission Methods
099	Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade	Claims, Registry
100	Colorectal Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade	Claims, Registry
249	Barrett's Esophagus	Claims, Registry
250	Radical Prostatectomy Pathology Reporting	Claims, Registry
251	Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients	Claims, Registry
395	Lung Cancer Reporting (Biopsy/Cytology Specimens)	Claims, Registry
396	Lung Cancer Reporting (Resection Specimens)	Claims, Registry
397	Melanoma Reporting	Claims, Registry

Pediatrics (23)

Includes the following individual measures:

#	Measure Title	Submission Methods
065	Appropriate Treatment for Children with Upper Respiratory Infection (URI)	Electronic Health Record, Registry
066	Appropriate Testing for Children with Pharyngitis	Electronic Health Record, Registry
091	Acute Otitis Externa (AOE): Topical Therapy	Claims, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
160	HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis	Electronic Health Record, Registry
205	HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis	Registry
239	Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents	Electronic Health Record, Registry
240	Childhood Immunization Status	Electronic Health Record, Registry
305	Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	Electronic Health Record, Registry
310	Chlamydia Screening for Women	Electronic Health Record, Registry
366	Follow-Up Care for Children Prescribed ADHD Medication (ADD)	Electronic Health Record, Registry
379	Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	Electronic Health Record, Registry
382	Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record, Registry
391	Follow-Up After Hospitalization for Mental Illness (FUH)	Registry
394	Immunizations for Adolescents	Registry
398	Optimal Asthma Control	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
444	Medication Management for People with Asthma	Registry
447	Chlamydia Screening and Follow Up	Registry
464	Otitis Media with Effusion (OME): Systemic Antimicrobials- Avoidance of Inappropriate Use	Registry
467	Developmental Screening in the First Three Years of Life	Registry

Physical Medicine (16)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Care Plan	Claims, Registry
109	Osteoarthritis (OA): Function and Pain Assessment	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
131	Pain Assessment and Follow-Up	Claims, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
182	Functional Outcome Assessment	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
408	Opioid Therapy Follow-up Evaluation	Registry
412	Documentation of Signed Opioid Treatment Agreement	Registry
414	Evaluation or Interview for Risk of Opioid Misuse	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry

Plastic Surgery (9)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, 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

Podiatry (6)

Includes the following individual measures:

#	Measure Title	Submission Methods
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, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry

Preventive Medicine (24)

Includes the following individual measures:

#	Measure Title	Submission Methods
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	Claims, Electronic Health Record, Cms Web Interface, 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	Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
109	Osteoarthritis (OA): Function and Pain Assessment	Claims, Registry
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, Cms Web Interface, 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 in Adults With Acute Bronchitis	Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry

Radiation Oncology (4)

Includes the following individual measures:

#	Measure Title	Submission Methods
102	Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	Electronic Health Record, Registry
143	Oncology: Medical and Radiation - Pain Intensity Quantified	Electronic Health Record, Registry
144	Oncology: Medical and Radiation - Plan of Care for Pain	Registry
156	Oncology: Radiation Dose Limits to Normal Tissues	Claims, Registry

Rheumatology (19)

Includes the following individual measures:

#	Measure Title	Submission Methods
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	Care Plan	Claims, Registry
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, Cms Web Interface, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
131	Pain Assessment and Follow-Up	Claims, Registry
176	Rheumatoid Arthritis (RA): Tuberculosis Screening	Registry
177	Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity	Registry
178	Rheumatoid Arthritis (RA): Functional Status Assessment	Registry
179	Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis	Registry
180	Rheumatoid Arthritis (RA): Glucocorticoid Management	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 the Elderly	Electronic Health Record, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry

Thoracic Surgery (18)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
043	Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery	Registry
047	Care Plan	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
164	Coronary Artery Bypass Graft (CABG): Prolonged Intubation	Registry
165	Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate	Registry
166	Coronary Artery Bypass Graft (CABG): Stroke	Registry
167	Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure	Registry
168	Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration	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
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry
445	Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG)	Registry

Transition (16)

Includes the following individual measures:

#	Measure Title	Submission Methods
PI_TRANS_LVPP_1	E-Prescribing Exclusion
PI_TRANS_LVOTC_1	Health Information Exchange Exclusion
PI_TRANS_EP_1	e-Prescribing
PI_TRANS_HIE_1	Health Information Exchange
PI_TRANS_PHCDRR_1	Immunization Registry Reporting
PI_TRANS_PHCDRR_1_MULTI	Immunization Registry Reporting for Multiple Registry Engagement
PI_TRANS_MR_1	Medication Reconciliation
PI_TRANS_PSE_1	Patient-Specific Education
PI_TRANS_PEA_1	Provide Patient Access
PI_TRANS_SM_1	Secure Messaging
PI_TRANS_PPHI_1	Security Risk Analysis
PI_TRANS_PHCDRR_3	Specialized Registry Reporting
PI_TRANS_PHCDRR_3_MULTI	Specialized Registry Reporting for Multiple Registry Engagement
PI_TRANS_PHCDRR_2	Syndromic Surveillance Reporting
PI_TRANS_PHCDRR_2_MULTI	Syndromic Surveillance Reporting for Multiple Registry Engagement
PI_TRANS_PEA_2	View, Download, or Transmit (VDT)

Urology (22)

Includes the following individual measures:

#	Measure Title	Submission Methods
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
047	Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Claims, 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
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
131	Pain Assessment and Follow-Up	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
265	Biopsy Follow-Up	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
428	Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence	Registry
429	Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy	Claims, 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
434	Proportion of Patients Sustaining a Ureter Injury at the Time of any Pelvic Organ Prolapse Repair	Registry
462	Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy	Electronic Health Record, Registry

Vascular Surgery (24)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
047	Care Plan	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, 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
257	Statin Therapy at Discharge after Lower Extremity Bypass (LEB)	Registry
258	Rate of Open Repair of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7)	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
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
344	Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
345	Rate of Asymptomatic Patients Undergoing Carotid Artery Stenting (CAS) Who Are Stroke Free or Discharged Alive	Registry
346	Rate of Asymptomatic Patients Undergoing Carotid Endarterectomy (CEA) Who Are Stroke Free or Discharged Alive	Registry
347	Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) Who Are Discharged Alive	Registry
357	Surgical Site Infection (SSI)	Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
417	Rate of Open Repair of Small or Moderate Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged Alive	Registry
420	Varicose Vein Treatment with Saphenous Ablation: Outcome Survey	Registry
423	Perioperative Anti-platelet Therapy for Patients Undergoing Carotid Endarterectomy	Claims, Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry