Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure Sets

Family Medicine

Includes the following individual measures:
#Measure TitleSubmission Methods
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)Claims, Electronic Health Record, Cms Web Interface, Registry
005Heart 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
006Coronary Artery Disease (CAD): Antiplatelet TherapyRegistry
007Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)Electronic Health Record, Registry
008Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)Electronic Health Record, Registry
009Anti-Depressant Medication ManagementElectronic Health Record
024Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and OlderClaims, Registry
039Screening for Osteoporosis for Women Aged 65-85 Years of AgeClaims, Registry
047Advance Care PlanClaims, Registry
048Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and OlderRegistry
050Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and OlderClaims, Registry
065Appropriate Treatment for Upper Respiratory Infection (URI)Electronic Health Record, Registry
066Appropriate Testing for PharyngitisElectronic Health Record, Registry
093Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate UseClaims, Registry
107Adult Major Depressive Disorder (MDD): Suicide Risk AssessmentElectronic Health Record
110Preventive Care and Screening: Influenza ImmunizationClaims, Electronic Health Record, Cms Web Interface, Registry
111Pneumococcal Vaccination Status for Older AdultsClaims, Electronic Health Record, Registry
112Breast Cancer ScreeningClaims, Electronic Health Record, Cms Web Interface, Registry
113Colorectal Cancer ScreeningClaims, Electronic Health Record, Cms Web Interface, Registry
116Avoidance of Antibiotic Treatment for Acute Bronchitis/BronchiolitisRegistry
117Diabetes: Eye ExamClaims, Electronic Health Record, Registry
119Diabetes: Medical Attention for NephropathyElectronic Health Record, Registry
126Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological EvaluationRegistry
128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up PlanClaims, Electronic Health Record, Registry
130Documentation of Current Medications in the Medical RecordClaims, Electronic Health Record, Registry
134Preventive Care and Screening: Screening for Depression and Follow-Up PlanClaims, Electronic Health Record, Cms Web Interface, Registry
154Falls: Risk AssessmentClaims, Registry
155Falls: Plan of CareClaims, Registry
181Elder Maltreatment Screen and Follow-Up PlanClaims, Registry
182Functional Outcome AssessmentClaims, Registry
226Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionClaims, Electronic Health Record, Cms Web Interface, Registry
236Controlling High Blood PressureClaims, Electronic Health Record, Cms Web Interface, Registry
238Use of High-Risk Medications in Older AdultsElectronic Health Record, Registry
243Cardiac Rehabilitation Patient Referral from an Outpatient SettingRegistry
305Initiation and Engagement of Alcohol and Other Drug Dependence TreatmentElectronic Health Record
309Cervical Cancer ScreeningElectronic Health Record
317Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedClaims, Electronic Health Record, Registry
318Falls: Screening for Future Fall RiskElectronic Health Record, Cms Web Interface
321CAHPS for MIPs Clinician/Group SurveyCertified Survey Vendor
326Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation TherapyClaims, Registry
331Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)Registry
332Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)Registry
337Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis on a Biological Immune Response ModifierRegistry
338HIV Viral Load SuppressionRegistry
342Pain Brought Under Control Within 48 HoursRegistry
370Depression Remission at Twelve MonthsElectronic Health Record, Cms Web Interface, Registry
374Closing the Referral Loop: Receipt of Specialist ReportElectronic Health Record, Registry
377Functional Status Assessments for Congestive Heart FailureElectronic Health Record
383Adherence to Antipsychotic Medications For Individuals with SchizophreniaRegistry
387Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug UsersRegistry
394Immunizations for AdolescentsRegistry
398Optimal Asthma ControlRegistry
400One-Time Screening for Hepatitis C Virus (HCV) for Patients at RiskRegistry
401Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with CirrhosisRegistry
402Tobacco Use and Help with Quitting Among AdolescentsRegistry
418Osteoporosis Management in Women Who Had a FractureClaims, Registry
431Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief CounselingRegistry
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseElectronic Health Record, Cms Web Interface, Registry
441Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)Registry
443Non-Recommended Cervical Cancer Screening in Adolescent FemalesRegistry
444Medication Management for People with AsthmaRegistry
464Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate UseRegistry
468Continuity of Pharmacotherapy for Opioid Use Disorder (OUD)Registry
472Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic FractureElectronic Health Record
475HIV ScreeningElectronic Health Record
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