Allergy Immunology (13)
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, 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 |
238 | Use of High-Risk Medications in Older Adults | Electronic Health Record, 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 |
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 |
398 | Optimal Asthma Control | Registry |
402 | Tobacco Use and Help with Quitting Among Adolescents | Registry |
Anesthesiology (6)
Includes the following individual measures:
Audiology (8)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
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 |
155 | Falls: Plan of Care | Claims, Registry |
181 | Elder Maltreatment Screen and Follow-Up Plan | Claims, Registry |
182 | Functional Outcome Assessment | Registry |
226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | Claims, Electronic Health Record, Cms Web Interface, Registry |
261 | Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness | Claims, Registry |
318 | Falls: Screening for Future Fall Risk | Electronic Health Record, Cms Web Interface |
Cardiology (25)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
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 |
047 | Advance 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, 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, 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 |
238 | Use of High-Risk Medications in Older Adults | 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 | Registry |
344 | Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2) | 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 |
Certified Nurse Midwife (8)
Includes the following individual measures:
Chiropractic Medicine (8)
Includes the following individual measures:
Clinical Social Work (15)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
047 | Advance Care Plan | Claims, 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 |
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 |
370 | Depression Remission at Twelve Months | Electronic Health Record, Cms Web Interface, Registry |
382 | Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment | Electronic Health Record |
383 | Adherence to Antipsychotic Medications For Individuals with Schizophrenia | Registry |
402 | Tobacco Use and Help with Quitting Among Adolescents | Registry |
431 | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | Registry |
Dentistry (2)
Includes the following individual measures:
Dermatology (11)
Includes the following individual measures:
Diagnostic Radiology (7)
Includes the following individual measures:
Electrophysiology Cardiac Specialist (2)
Includes the following individual measures:
Emergency Medicine (11)
Includes the following individual measures:
Endocrinology (17)
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 |
039 | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 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, Registry |
117 | Diabetes: Eye Exam | Claims, Electronic Health Record, 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 |
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, 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 |
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 |
374 | Closing the Referral Loop: Receipt of Specialist Report | Electronic Health Record, Registry |
418 | Osteoporosis Management in Women Who Had a Fracture | Claims, Registry |
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | Electronic Health Record, Cms Web Interface, Registry |
462 | Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy | Electronic Health Record |
Family 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) 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 |
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 |
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 |
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 | Claims, Electronic Health Record, 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, 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 |
155 | Falls: Plan of Care | Claims, Registry |
181 | Elder Maltreatment Screen and Follow-Up Plan | Claims, Registry |
182 | Functional Outcome Assessment | 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 |
243 | Cardiac Rehabilitation Patient Referral from an Outpatient Setting | Registry |
305 | Initiation and Engagement of Alcohol and Other Drug Dependence Treatment | Electronic Health Record |
309 | Cervical Cancer Screening | 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 |
321 | CAHPS for MIPS Clinician/Group Survey | Certified Survey Vendor |
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 |
338 | HIV Viral Load Suppression | Registry |
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 |
377 | Functional Status Assessments for Heart Failure | Electronic Health Record |
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 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 |
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 |
443 | Non-Recommended Cervical Cancer Screening in Adolescent Females | Registry |
464 | Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use | Registry |
468 | Continuity of Pharmacotherapy for Opioid Use Disorder (OUD) | 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 |
483 | Person-Centered Primary Care Measure Patient Reported Outcome Performance Measure (PCPCM PRO-PM) | Registry |
Gastroenterology (14)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
047 | Advance Care Plan | Claims, 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 | Claims, Electronic Health Record, Registry |
185 | Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use | 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 |
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 |
374 | Closing the Referral Loop: Receipt of Specialist Report | Electronic Health Record, 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 | Registry |
431 | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | Registry |
439 | Age Appropriate Screening Colonoscopy | Registry |
General Practice Family Medicine (10)
Includes the following individual measures:
General Surgery (13)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
047 | Advance Care Plan | Claims, 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 | Claims, Electronic Health Record, Registry |
226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | Claims, Electronic Health Record, Cms Web Interface, Registry |
264 | Sentinel Lymph Node Biopsy for Invasive Breast Cancer | Registry |
317 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | Claims, Electronic Health Record, 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 |
374 | Closing the Referral Loop: Receipt of Specialist Report | Electronic Health Record, Registry |
402 | Tobacco Use and Help with Quitting Among Adolescents | Registry |
Geriatrics (18)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
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 |
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 |
130 | Documentation of Current Medications in the Medical Record | Claims, Electronic Health Record, Registry |
155 | Falls: Plan of Care | Claims, Registry |
181 | Elder Maltreatment Screen and Follow-Up Plan | Claims, Registry |
238 | Use of High-Risk Medications in Older Adults | Electronic Health Record, 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 |
370 | Depression Remission at Twelve Months | Electronic Health Record, Cms Web Interface, Registry |
455 | Percentage of Patients Who Died from Cancer Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life (lower score - better) | Registry |
476 | Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia | Electronic Health Record |
Hospitalists (5)
Includes the following individual measures:
Infectious Disease (7)
Includes the following individual measures:
Internal Medicine (58)
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) 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 |
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 |
093 | Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use | 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 |
116 | Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis | Registry |
117 | Diabetes: Eye Exam | Claims, Electronic Health Record, 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, 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 |
155 | Falls: Plan of Care | Claims, 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 |
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 |
243 | Cardiac Rehabilitation Patient Referral from an Outpatient Setting | Registry |
277 | Sleep Apnea: Severity Assessment at Initial Diagnosis | Registry |
279 | Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy | Registry |
305 | Initiation and Engagement of Alcohol and Other Drug Dependence Treatment | Electronic Health Record |
309 | Cervical Cancer Screening | 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 |
321 | CAHPS for MIPS Clinician/Group Survey | Certified Survey Vendor |
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 |
338 | HIV Viral Load Suppression | Registry |
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 |
377 | Functional Status Assessments for Heart Failure | Electronic Health Record |
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 |
391 | Follow-Up After Hospitalization for Mental Illness (FUH) | 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 |
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 |
443 | Non-Recommended Cervical Cancer Screening in Adolescent Females | Registry |
468 | Continuity of Pharmacotherapy for Opioid Use Disorder (OUD) | 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 |
483 | Person-Centered Primary Care Measure Patient Reported Outcome Performance Measure (PCPCM PRO-PM) | Registry |
Interventional Radiology (8)
Includes the following individual measures:
Mental Behavioral Health (21)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
009 | Anti-Depressant Medication Management | Electronic Health Record |
107 | Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | Electronic Health Record |
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 | 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 |
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 |
317 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | Claims, Electronic Health Record, 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 |
382 | Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment | Electronic Health Record |
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 |
431 | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | Registry |
468 | Continuity of Pharmacotherapy for Opioid Use Disorder (OUD) | Registry |
Nephrology (11)
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 |
047 | Advance 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, Registry |
119 | Diabetes: Medical Attention for Nephropathy | Electronic Health Record, Registry |
130 | Documentation of Current Medications in the Medical Record | Claims, Electronic Health Record, Registry |
182 | Functional Outcome Assessment | 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 |
400 | One-Time Screening for Hepatitis C Virus (HCV) for all Patients | Registry |
482 | Hemodialysis Vascular Access: Practitioner Level Long-term Catheter Rate | Registry |
Neurology (23)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
047 | Advance Care Plan | Claims, 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 |
155 | Falls: Plan of Care | Claims, 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 |
268 | Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy | 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 |
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 |
419 | Overuse of Imaging for the Evaluation of Primary Headache | Registry |
431 | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | Registry |
Neurosurgical (13)
Includes the following individual measures:
Nutrition Dietician (7)
Includes the following individual measures:
Obstetrics Gynecology (27)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
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 |
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 |
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 | 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 |
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 |
335 | Maternity Care: Elective Delivery (Without Medical Indication) at < 39 Weeks (Overuse) | Registry |
336 | Maternity Care: Postpartum Follow-up and Care Coordination | 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 |
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 |
443 | Non-Recommended Cervical Cancer Screening in Adolescent Females | Registry |
448 | Appropriate Workup Prior to Endometrial Ablation | 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 |
Oncology (20)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
047 | Advance Care Plan | Claims, Registry |
102 | Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients | Electronic Health Record, 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, 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 |
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 Chemotherapy in the Last 14 Days of Life (lower score - better) | Registry |
455 | Percentage of Patients Who Died from Cancer Admitted to the Intensive Care Unit (ICU) in the Last 30 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 |
462 | Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy | Electronic Health Record |
Ophthalmology (15)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
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 |
117 | Diabetes: Eye Exam | Claims, Electronic Health Record, Registry |
130 | Documentation of Current Medications in the Medical Record | Claims, Electronic Health Record, 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 |
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 Older Adults | Electronic Health Record, 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 |
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 |
389 | Cataract Surgery: Difference Between Planned and Final Refraction | Registry |
Orthopedic Surgery (34)
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 |
047 | Advance Care Plan | Claims, 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 | 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 |
155 | Falls: Plan of Care | Claims, Registry |
178 | Rheumatoid Arthritis (RA): Functional Status Assessment | Registry |
180 | Rheumatoid Arthritis (RA): Glucocorticoid Management | Registry |
182 | Functional Outcome Assessment | 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 |
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 |
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 |
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 |
376 | Functional Status Assessment for Total Hip Replacement | Electronic Health Record |
402 | Tobacco Use and Help with Quitting Among Adolescents | Registry |
418 | Osteoporosis Management in Women Who Had a Fracture | Claims, Registry |
459 | Back Pain After Lumbar Discectomy/Laminectomy | Registry |
460 | Back Pain After Lumbar Fusion | Registry |
461 | Leg Pain After Lumbar Discectomy/Laminectomy | Registry |
469 | Functional Status After Lumbar Fusion | Registry |
470 | Functional Status After Primary Total Knee Replacement | Registry |
471 | Functional Status After Lumbar Discectomy/Laminectomy | Registry |
473 | Leg Pain After Lumbar Fusion | Registry |
478 | Functional Status Change for Patients with Neck Impairments | Registry |
Otolaryngology (23)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
047 | Advance Care Plan | Claims, Registry |
065 | Appropriate Treatment for Upper Respiratory Infection (URI) | Electronic Health Record, Registry |
093 | Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use | 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, 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 | Claims, Electronic Health Record, 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 |
277 | Sleep Apnea: Severity Assessment at Initial Diagnosis | 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 |
318 | Falls: Screening for Future Fall Risk | Electronic Health Record, Cms Web Interface |
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 |
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: Systemic Antimicrobials - Avoidance of Inappropriate Use | Registry |
Pathology (6)
Includes the following individual measures:
Pediatrics (20)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
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 |
110 | Preventive Care and Screening: Influenza Immunization | Claims, Electronic Health Record, Cms Web Interface, Registry |
116 | Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis | Registry |
134 | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | Claims, Electronic Health Record, Cms Web Interface, 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/Adolescents | Electronic Health Record |
240 | Childhood Immunization Status | Electronic Health Record |
305 | Initiation and Engagement of Alcohol and Other Drug Dependence Treatment | Electronic Health Record |
310 | Chlamydia Screening for Women | Electronic Health Record |
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 |
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 |
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 |
464 | Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use | Registry |
Physical Medicine (11)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
047 | Advance Care Plan | Claims, 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 | Claims, Electronic Health Record, Registry |
155 | Falls: Plan of Care | Claims, Registry |
182 | Functional Outcome Assessment | 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 |
468 | Continuity of Pharmacotherapy for Opioid Use Disorder (OUD) | Registry |
Physical Therapy Occupational Therapy (22)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
050 | Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older | 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 | 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 |
155 | Falls: Plan of Care | Claims, Registry |
181 | Elder Maltreatment Screen and Follow-Up Plan | Claims, Registry |
182 | Functional Outcome Assessment | 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 |
281 | Dementia: Cognitive Assessment | Electronic Health Record |
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 |
318 | Falls: Screening for Future Fall Risk | Electronic Health Record, Cms Web Interface |
478 | Functional Status Change for Patients with Neck Impairments | Registry |
Plastic Surgery (8)
Includes the following individual measures:
Podiatry (6)
Includes the following individual measures:
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 | Advance Care Plan | Claims, Registry |
048 | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 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, 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 |
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, 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 |
155 | Falls: Plan of Care | Claims, Registry |
182 | Functional Outcome Assessment | 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 |
475 | HIV Screening | Electronic Health Record |
Pulmonology (14)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
047 | Advance Care Plan | Claims, Registry |
052 | Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy | 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, 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 | 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 |
238 | Use of High-Risk Medications in Older Adults | Electronic Health Record, Registry |
277 | Sleep Apnea: Severity Assessment at Initial Diagnosis | Registry |
279 | Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy | Registry |
374 | Closing the Referral Loop: Receipt of Specialist Report | Electronic Health Record, Registry |
398 | Optimal Asthma Control | Registry |
431 | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | Registry |
Radiation Oncology (3)
Includes the following individual measures:
Rheumatology (17)
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 | Advance 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, 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 | Claims, Electronic Health Record, Registry |
176 | Tuberculosis Screening Prior to First Course Biologic 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 |
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 |
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 |
Skilled Nursing Facility (12)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
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 | Advance 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, 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 |
155 | Falls: Plan of Care | Claims, Registry |
181 | Elder Maltreatment Screen and Follow-Up Plan | Claims, Registry |
238 | Use of High-Risk Medications in Older Adults | Electronic Health Record, Registry |
317 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | Claims, Electronic Health Record, Registry |
326 | Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy | Registry |
Speech Language Pathology (5)
Includes the following individual measures:
Thoracic Surgery (10)
Includes the following individual measures:
Urgent Care (12)
Includes the following individual measures:
Urology (19)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
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 |
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, 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 |
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 |
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 |
462 | Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy | Electronic Health Record |
476 | Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia | Electronic Health Record |
481 | Intravesical Bacillus-Calmette Guerin for Non-muscle Invasive Bladder Cancer | Electronic Health Record |
Vascular Surgery (16)
Includes the following individual measures:
# | Measure Title | Submission Methods |
---|
047 | Advance Care Plan | Claims, 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 | 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 |
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 |
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 |
420 | Varicose Vein Treatment with Saphenous Ablation: Outcome Survey | Registry |
441 | Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control) | Registry |