2016 PQRS Recommended Measures for: General/Family Practice
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1 Measures Groups Choose 1 Measures Group Report on a minimum of 20 eligible patients (at least 11 must be Medicare Part B FFS patients) #130: Documentation of Current Medications in the Medical Record #204: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic #236: Controlling High Blood Pressure Cardiovascular Prevention Measures Group #317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented #438: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease #39: Screening for Osteoporosis for Women Aged Years of Age #48: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older #110: Preventive Care and Screening: Influenza Immunization #111: Pneumonia Vaccination Status for Older Adults #112: Breast Cancer Screening #113: Colorectal Cancer Screening Preventive Care Measures Group #128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan #134: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan #431: Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
2 #84: Hepatitis C: Ribonucleic Acid (RNA) Testing Before Initiating Treatment #85: Hepatitis C: HCV Genotype Testing Prior to Treatment #87: Hepatitis C: Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Testing Between 4-12 Weeks After Initiation of Treatment #130: Documentation of Current Medications in the Medical Record #183: Hepatitis C: Hepatitis A Vaccination Hepatitis C Measures Group #390: Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options #401: Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis Inflammatory Bowel Disease (IBD) Measures Group #110: Preventive Care and Screening: Influenza Immunization #111: Pneumonia Vaccination Status for Older Adults #270: Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Sparing Therapy #271: Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury Bone Loss Assessment #274: Inflammatory Bowel Disease (IBD): Testing for Latent Tuberculosis (TB) Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy #275: Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy Individual Measures Report on 9 measures across 3 NQS domains OR Report on at least 1 MAV Cluster if less than 9 measures across 3 NQS domains apply Report on at least 50% of the eligible Medicare Part B FFS patients for each measure Included at least 1 cross-cutting measure CC
3 Measures by NQS Domain: #1: Diabetes: Hemoglobin A1c Poor Control CC #5: Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) #41: Osteoporosis: Pharmacologic Therapy for Men and Women Aged 50 Years and Older #112: Breast Cancer Screening CC #113: Colorectal Cancer Screening #117: Diabetes: Eye Exam #204: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic #236: Controlling High Blood Pressure CC #326: Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy #337: Tuberculosis Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients On a Biological Immune Response Modifier #343: Screening Colonoscopy Adenoma Detection Rate Measure #387: Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users #398: Optimal Asthma Control Effective Clinical Care #400: One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk CC #418: Osteoporosis Management in Women Who Had a Fracture #438: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease #155: Falls: Plan of Care CC Communication and Care Coordination #391: Follow-up After Hospitalization for Mental Illness (FUH) Efficiency and Cost Reduction #65: Appropriate Treatment for Children with Upper Respiratory Infection (URI) #66: Appropriate Testing for Children with Pharyngitis #93: Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy Avoidance of Inappropriate Use
4 #116: Antibiotic Treatment for Adults with Acute Bronchitis: Avoidance of Inappropriate Use #331: Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) #332: Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use) #333: Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) #334: Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse) Person and Caregiver-Centered Experience and Outcomes #50: Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older #342: Pain Brought Under Control Within 48 Hours #390: Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options Patient Safety #154: Falls: Risk Assessment CC #181: Elder Maltreatment Screen and Follow-Up Plan #383: Adherence to Antipsychotic Medications for Individuals with Schizophrenia #317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented CC #394: Immunizations for Adolescents Community/Population Health #402: Tobacco Use and Help with Quitting Among Adolescents CC
5 MAV Clusters: Cluster 41: General Care #130: Documentation of Current Medications in the Medical Record CC #134: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan CC CC Cluster 43: Immunization Care #110: Preventive Care and Screening: Influenza Immunization CC #111: Pneumonia Vaccination Status for Older Adults CC Note: If you report less than 9 measures across 3 domains, you will be subjected to the Measure Applicability Validation (MAV) process to determine if any additional clinically related measures should have been reported.
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