Federal Register / Vol. 79, No. 219 / Thursday, November 13, 2014 / Rules and Regulations

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1 Federal Register / Vol. 79, No. 219 / Thrsday, November 13, 214 / Rles and Reglatis ' z N/A /42 N/A 4 97 /46 TABLE 52: ndividal Qality Cross-Ctting Measres for the PQRS to Be Available for Satisfactory Reporting Via Claims, Registry, and EHR Beginning in 215 "' Q,.Q = = /)J)r,tj Q,l Q,l"CC Q,l,., c. lo; lo; lo; ;J Measre Title and Descripti =.5 >... "' " ] lo; - = e ot: Q,l c;.!).... Domain.s "61J "' "' c lo; Q,l Q,l lo; f,;il lo; Q,l Q,l lo; =... = "' = ;9=... N/ A N/ A N/ A c;,!)'"' f,;il Q,l y/poplati Effective Clinical Commni Mcastcs hnaltzcd as l'toposcd or 11 tth f\locltlicatts Tobacco Use and Help with Qitting Amg Adolescents: The percentage of adolescents 12 to 2 years of age with a primary care visit dring the measrement year for whom tobacco se stats was docmented and received help with qitting if identified as a tobacco ser Hepatitis C: One-Time Screening for Hepatitis C Virs (HCV) for Patients at Risk: Percentage of patients aged 18 years and older with e or more of the following: a history of injecti drg se, receipt of a blood transfsi prior to 1992, receiving maintenance hemodialysis OR birthdate in the years who received a e-time screening for HCV infecti Medicati Recciliati: Percentage of patients aged 18 years and older discharged from any inpatient facility (for example, hospital, skilled nrsing facility, or rehabilitati facility) and seen within 3 days following discharge in the office by the physician, prescribing practitier, registered nrse, or clinical pharmacist providing -going care who had a recciliati of the discharge medicatis with the crrent medicati list in the otpatient medical record docmented NCQA/ NCQM AGA/ AASLD/ AMA- PCP X X NCQA/ AMA- X X PCP X 1-;Q, This measre is reported as two rates stratified by age grop: VerDate Sep<11>214 2:15 Nov 12, 214 Jkt 2351 PO Frm 255 Fmt 471 Sfmt 4725 E:\FR\FM\13NOR2.SGM 13NOR2 ER13NO14.68</GPH>

2 6782 Federal Register / Vol. 79, No. 219 / Thrsday, November 13, 214 / Rles and Reglatis "' c.. ;;....Q "'-=...._ = :::: OJ:) r:j -.oo - -- "' " - - =a r.-. Measre Title and Descripti = "' a > C!l - '-' oo ; t: "' "' "' Cl= z Domain.... "Sii.. - c..oj) = "' ;t fioil - C!l""' "' =.... = fioil.. Reporting Age Criteria 1: years of age Reporting Age Criteria 2: 65 years and older. 326 N/ /47 A Commni Commenters spported the inclsi of this measre as cross ctting "de to its focs critical care coordinati transitis between hospitals and amblatory care providers." As sch, CMS is finalizing its proposal to make this measre reportable as a cross-ctting measre for 215 We note that while the proposed rle limited the applicability of this measre to patients 65 years and older, the range of this mesare was changed to inclde patients years of age by the measre steward. This measre pdate is endorsed bynqf. Plan: Percentage of patients aged 65 years and older who have an advance care plan or srrogate decisi maker docmented in the medical record or docmentati in the medical record that an advance care plan was discssed bt the patient did not wish or was not able to name a srrogate decisi maker or provide an advance care plan Preventive and Screening: nflenza mmnizati: Percentage of patients aged 6 mths and older seen for a visit between October 1 and March 31 who received an inflenza immnizati OR who reported previos receipt of an inflenza immnizati NCQA/ AMA- X X X PCP AMA- y/poplati X X X X X /11 v4 PCP Pnemia Vaccinati Stats for /111 v3 Older Adlts: Percentage of patients 65 y/poplati years of age and older who have ever NCQA X X X X X received a pnemococcal vaccine VerDate Sep<11>214 2:15 Nov 12, 214 Jkt 2351 PO Frm 256 Fmt 471 Sfmt 4725 E:\FR\FM\13NOR2.SGM 13NOR2 ER13NO14.69</GPH>

3 Federal Register / Vol. 79, No. 219 / Thrsday, November 13, 214 / Rles and Reglatis 6783 "' c.. ;;....Q "'-=...._ = :::: OJ:) r:j -.oo - -- "' " - - =a r.-. Measre Title and Descripti = "' a > C!l - '-' oo ; t: "' "' "' Cl= z Domain.....Sii.. - c..oj) = "' ;t fioil - C!l""' "' =.... = fioil v Preventive and Screening: Body Mass ndex (BM) Screening and Follow-Up Plan: Percentage of patients aged 18 years and older with a BM docmented dring the crrent encter or dring the previos six mths AND with a BM otside of normal parameters, a follow-p plan is docmented dring the encter or dring the previos six mths of the crrent encter y/poplati CMS/QP X X X X X Normal Parameters: Age 65 years and older BM 2:23 and< 3 kg/m 2 ; Age years BM 2: 18.5 and< 25 kg/m 2.. Docmentati of Crrent Medicatis in the Medical Record: Percentage of visits for patients aged 18 years and older for which the eligible professial attests to docmenting a list of crrent medicatis sing all immediate resorces available the date of the encter. This list mst inclde ALL known prescriptis, over-the-cters, v Patient herbals, and vitamin/mineral/dietary CMS/QP X X X X X /13 4 Safety (ntritial) spplements AND mst ctain the medicatis' name, dosage, freqency and rote of administrati 42 N/ /131 A Commni Pain Assessment and Follow-Up: Percentage of visits for patients aged 18 years and older with docmentati of a pain assessment sing a standardized tool( s) each visit AND docmentati of a follow-p plan when pain is present CMS/QP X X X VerDate Sep<11>214 2:15 Nov 12, 214 Jkt 2351 PO Frm 257 Fmt 471 Sfmt 4725 E:\FR\FM\13NOR2.SGM 13NOR2 ER13NO14.7</GPH>

4 6784 Federal Register / Vol. 79, No. 219 / Thrsday, November 13, 214 / Rles and Reglatis!:1. "'.c Q; Q;-= Q;,-.._ c = = /)J)riJ.. "' "' "' "' E-] "' - = e el Measre Title and Descripti"' = =.5 >... c;.!)... "' "' ot:= z Domain Q; Q;. s "61J Q; "' c "'!:. "' Q; Q; "' = "' =.; c;,!)""' = Q; No comments were received regarding this measre being classified as crossctting. CMS is fmalizing its proposal to make this measre reportable as a crossctting measre for /134 Preventive and Screening: Screening for Clinical Depressi and Follow-Up Plan: Percentage of patients aged 12 years and older screened for clinical depressi the date of the encter sing an age appropriate standardized depressi screening tool AND if positive, a follow-p plan is 2v4 y/poplati docmented the date ofthe positive CMS/QP X X X X X screen Fnctial Otcome Assessment: Percentage of visits for patients aged 18 years and older with docmentati of a crrent fnctial otcome assessment sing a standardized fnctial otcome assessment tool the date of encter Commni AND docmentati of a care plan based N/A N/ identified fnctial otcome /182 A deficiencies the date ofthe identified deficiencies /226 v3 y/poplati No comments were received regarding this measre being classified as crossctting. CMS is finalizing its proposal to make this measre reportable as a crossctting measre for 215 Preventive and Screening: Tobacco Use: Screening and Cessati nterventi: Percentage of patients aged 18 years and older who were screened for tobacco se e or more times within 24 mths AND who received cessati cseling interventi if identified as a tobacco ser CMS/QP X X AMA- PCP X X X X X VerDate Sep<11>214 2:15 Nov 12, 214 Jkt 2351 PO Frm 258 Fmt 471 Sfmt 4725 E:\FR\FM\13NOR2.SGM 13NOR2 Milli Hearts ER13NO14.71</GPH>

5 Federal Register / Vol. 79, No. 219 / Thrsday, November 13, 214 / Rles and Reglatis 6785!:1. "'.c Q; Q;-= Q;,-.._ c = = /)J)riJ.. "' "' "' "' E-] "' - = e el Measre Title and Descripti"' = =.5 >... c;.!)... "' "' ot:= z Domain Q; Q;. s "61J Q; "' c "'!:. "' Q; Q; "' = "' =.; c;,!)""' = Q; Ctrolling High Blood Pressre: Percentage of patients years of age who had a diagnosis of hypertensi and whose blood pressre was adeqately ctrolled (<14/9 mmhg) dring the measrement period /236 v /24 v3 Effective Clinical y/poplati This measre was part of the cardiovasclar preventi and ischemic vasclar disease measres grop. Therefore, the details and ratiale regarding the changes we are making to this measre can be fd in or discssi of the cardiovasclar preventi and ischemic vasclar disease measres grop in secti.k.5.d ofthis final rle. Childhood mmnizati Stats: Percentage of children 2 years of age who had for diphtheria, tetans and acelllar pertssis (DTaP); three polio (PV), e measles, mmps and rbella (MMR); three H inflenza type B (HiB); three hepatitis B (Hep B); e chicken pox (VZV); for pnemococcal cjgate (PCV); e hepatitis A (Hep A); two or three rotavirs (RV); and two inflenza (fl) vaccines by their secd birthday NCQA X X X X Milli Hearts NCQA X VerDate Sep<11>214 2:15 Nov 12, 214 Jkt 2351 PO Frm 259 Fmt 471 Sfmt 4725 E:\FR\FM\13NOR2.SGM 13NOR2 ER13NO14.72</GPH>

6 6786 Federal Register / Vol. 79, No. 219 / Thrsday, November 13, 214 / Rles and Reglatis "'!:1..c Q; Q;-= Q;,-.._ c = = /)J)riJ.. "' "' "' "' E-] "' - = e el Measre Title and Descripti"' = =.5 >... c;.!).... "' "' ot:= z Domain Q; Q; s "61J Q; "' c "'!:. "' Q; Q; "' = "' =.; c;,!)""' = Q; Preventive and Screening: Screening for High Blood Pressre and Follow-Up Docmented: Percentage of patients aged 18 years and older seen dring the reporting period who were screened for high blood pressre (BP) AND a recommended follow-p plan is N/A 22v docmented based the crrent blood y/poplati CMS/QP X X X X X /317 3 pressre reading as indicated Milli Hearts Falls: Screening for Fall Risk: Percentage of patients 65 years of age and older who were screened for ftre fall risk at least ce dring the measrement period Patient NCQA X X /318 v3 Safety CAHPS for PQRS Clinician/Grop Srvey: Getting timely care, appointments, and informati; How well providers Commnicate; Patient's Rating of Provider; Access to Specialists; Health Promoti & Edcati; Pers Shared Decisi Making; 5 and Health Stats/Fnctial Stats; & N/ giver Corteos and Helpfl Office Staff; 6 A Experienc ; AHRQ X /321 eand Between Visit Commnicati; Otcomes Helping Yor to Take Medicati as Directed; and Stewardship of Patient Resorces No comments were received regarding this measre being classified as crossctting. CMS is finalizing its proposal to make this measre reportable as a crossctting measre for 215 VerDate Sep<11>214 2:15 Nov 12, 214 Jkt 2351 PO Frm 26 Fmt 471 Sfmt 4725 E:\FR\FM\13NOR2.SGM 13NOR2 ER13NO14.73</GPH>

7 Federal Register / Vol. 79, No. 219 / Thrsday, November 13, 214 / Rles and Reglatis 6787 c. New PQRS Measres Available for Reporting for 215 and Beyd Table 22 in the CY 215 PFS proposed rle (79 FR 441) ctained the additial measres we proposed to inclde in the PQRS measre set for CY 215 and beyd. n Table 53, we provide or respse to the comments we received these measres as well as or final decisis these proposed measres. We have also indicated the PQRS reporting mechanism or mechanisms throgh which each measre cold be sbmitted. As stated VerDate Sep<11>214 2:15 Nov 12, 214 Jkt 2351 PO Frm 261 Fmt 471 Sfmt 47 E:\FR\FM\13NOR2.SGM 13NOR2 above, please note that the following tables may also ctain discssis of comments we received related to proposed changes to the measres inclded in the qality performance standard nder the Shared Savings Program. ER13NO14.74</GPH>