Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure Sets

General Practice 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) 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, Registry
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
047Care PlanClaims, Registry
048Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and OlderClaims, Registry
050Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and OlderClaims, Registry
065Appropriate Treatment for Children with Upper Respiratory Infection (URI)Electronic Health Record, Registry
066Appropriate Testing for Children with PharyngitisElectronic Health Record, Registry
091Acute Otitis Externa (AOE): Topical TherapyClaims, Registry
093Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate UseClaims, Registry
107Adult Major Depressive Disorder (MDD): Suicide Risk AssessmentElectronic Health Record, Registry
109Osteoarthritis (OA): Function and Pain AssessmentClaims, Registry
110Preventive Care and Screening: Influenza ImmunizationClaims, Electronic Health Record, Cms Web Interface, Registry
111Pneumococcal Vaccination Status for Older AdultsClaims, Electronic Health Record, Cms Web Interface, 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 in Adults With Acute BronchitisRegistry
117Diabetes: Eye ExamClaims, Electronic Health Record, Cms Web Interface, 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, Cms Web Interface, 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
163Diabetes: Foot ExamElectronic Health Record, Registry
181Elder Maltreatment Screen and Follow-Up PlanClaims, Registry
204Ischemic Vascular Disease (IVD): Use of Aspirin or Another AntiplateletClaims, Electronic Health Record, Cms Web Interface, Registry
226Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionClaims, Electronic Health Record, Cms Web Interface, Registry
238Use of High-Risk Medications in the ElderlyElectronic Health Record, Registry
243Cardiac Rehabilitation Patient Referral from an Outpatient SettingRegistry
305Initiation and Engagement of Alcohol and Other Drug Dependence TreatmentElectronic Health Record, Registry
309Cervical Cancer ScreeningElectronic Health Record, Registry
317Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedClaims, Electronic Health Record, Registry
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
333Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)Registry
334Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)Registry
337Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients 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
371Depression Utilization of the PHQ-9 ToolElectronic Health Record, Registry
373Hypertension: Improvement in Blood PressureElectronic Health Record, Registry
374Closing the Referral Loop: Receipt of Specialist ReportElectronic Health Record, Registry
377Functional Status Assessments for Congestive Heart FailureElectronic Health Record, Registry
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
408Opioid Therapy Follow-up EvaluationRegistry
412Documentation of Signed Opioid Treatment AgreementRegistry
414Evaluation or Interview for Risk of Opioid MisuseRegistry
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
442Persistence of Beta-Blocker Treatment After a Heart AttackRegistry
443Non-Recommended Cervical Cancer Screening in Adolescent FemalesRegistry
444Medication Management for People with AsthmaRegistry
447Chlamydia Screening and Follow UpRegistry
464Otitis Media with Effusion (OME): Systemic Antimicrobials- Avoidance of Inappropriate UseRegistry
CAHPS_1CAHPS for MIPS SSM: Getting Timely Care, Appointments and InformationCertified Survey Vendor
CAHPS_ACO_1CAHPS for ACO SSM: Getting Timely Care, Appointments and InformationCertified Survey Vendor
CAHPS_2CAHPS for MIPS SSM: How Well Providers CommunicateCertified Survey Vendor
CAHPS_ACO_2CAHPS for ACO SSM: How Well Providers CommunicateCertified Survey Vendor
CAHPS_3CAHPS for MIPS SSM: Patient’s Rating of ProviderCertified Survey Vendor
CAHPS_ACO_3CAHPS for ACO SSM: Patient’s Rating of ProviderCertified Survey Vendor
CAHPS_4CAHPS for MIPS SSM: Access to SpecialistsCertified Survey Vendor
CAHPS_ACO_4CAHPS for ACO SSM: Access to SpecialistsCertified Survey Vendor
CAHPS_5CAHPS for MIPS SSM: Health Promotion and EducationCertified Survey Vendor
CAHPS_ACO_5CAHPS for ACO SSM: Health Promotion and EducationCertified Survey Vendor
CAHPS_6CAHPS for MIPS SSM: Shared Decision-MakingCertified Survey Vendor
CAHPS_ACO_6CAHPS for ACO SSM: Shared Decision-MakingCertified Survey Vendor
CAHPS_7CAHPS for MIPS SSM: Health Status and Functional StatusCertified Survey Vendor
CAHPS_ACO_7CAHPS for ACO SSM: Health Status and Functional StatusCertified Survey Vendor
CAHPS_8CAHPS for MIPS SSM: Care CoordinationCertified Survey Vendor
CAHPS_9CAHPS for MIPS SSM: Courteous and Helpful Office StaffCertified Survey Vendor
CAHPS_11CAHPS for MIPS SSM: Stewardship of Patient ResourcesCertified Survey Vendor
CAHPS_ACO_34CAHPS for ACO SSM: Stewardship of Patient ResourcesCertified Survey Vendor
ACO321CAHPS for ACOs Clinician/Group SurveyCertified Survey Vendor
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