2016 Physician Quality Reporting System (PQRS) GPRO Web Interface Measures List 12/18/2015

Size: px
Start display at page:

Download "2016 Physician Quality Reporting System (PQRS) GPRO Web Interface Measures List 12/18/2015"

Transcription

1 2016 Physician Quality Reporting System (PQRS) Web Interface 12/18/2015

2 NQF, ) Care Coordination/Patient Safety (CARE) s (2 s Individually Sampled) CARE-2 Falls: Screening for Future Fall Risk Only #318 ACO 13 NQF v4 CARE-3 Documentation of Current Medications in the Medical Record Claims/Registry #130 ACO 39 NQF v5 Coronary Artery Disease (CAD) Disease Module (1 ) CAD-7 Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%) Registry Only #118 ACO 33 NQF 0066 Diabetes Composite (2 Components of 1 Composite ) Composite: (All or Nothing Scoring) DM-2 Composite (All or Nothing Scoring): Diabetes: Hemoglobin A1c Poor Control Claims/Registry #1 ACO 27 NQF v4 DM-7 Composite (All or Nothing Scoring): Diabetes: Eye Exam Claims/Registry #117 ACO 41 NQF v4 AMA- PCPI/ AMA-PCPI/ ACCF/AHA -created Composite Version 7.0 Page 2 of 5 12/18/2015

3 NQF, ) Heart Failure (HF) Disease Module (1 ) HF-6 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Registry Only #8 ACO 31 NQF v4 Hypertension (HTN) Disease Module (1 ) HTN-2 Controlling High Blood Pressure Claims/Registry #236 ACO 28 NQF v4 Ischemic Vascular Disease (IVD) Disease Module (1 ) IVD-2 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Claims/Registry #204 ACO 30 NQF v4 Mental Health (MH) Disease Module (1 ) MH-1 Depression Remission at Twelve Months Registry Only #370 ACO 40 NQF v4 Preventive (PREV) Care s (9 s Individually Sampled) PREV-5 Breast Cancer Screening Claims/Registry #112 ACO 20 NQF v4 AMA-PCPI/ ACCF/AHA MNCM Version 7.0 Page 3 of 5 12/18/2015

4 NQF, ) PREV-6 Colorectal Cancer Screening Claims/Registry #113 ACO 19 NQF v4 PREV-7 Preventive Care and Screening: Influenza Immunization Claims/Registry #110 ACO 14 NQF v5 PREV-8 Pneumonia Vaccination Status for Older Adults Claims/Registry #111 ACO 15 NQF v4 PREV-9 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan Claims/Registry #128 ACO 16 NQF v4 PREV-10 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Claims/Registry #226 ACO 17 NQF 0028 PREV-11 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 138v4 Claims/Registry #317 ACO 21 22v4 PREV-12 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan Claims/Registry #134 ACO 18 NQF v5 PREV-13 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Registry #438 ACO 42 AMA-PCPI AMA-PCPI *Alternative measure numbers are for reference only and are not to be used for reporting via the Web Interface reporting mechanism. Version 7.0 Page 4 of 5 12/18/2015

5 Information 2016 Group Practice Reporting Option () Web Interface Acronym Full Name Contact AMA-PCPI American Medical Association-Convened Physician Consortium for questions and comments to the PCPI at Performance Improvement MNCM Centers for Medicare & Medicaid Services Minnesota Community ment National Committee for Quality Assurance questions and comments to questions and comments to National Committee for Quality Assurance and click on Contact Us The symbols provided in this list denote the measure developer responsible for the 2016 Physician Quality Reporting System (Physician Reporting) quality measure. Copyright detail for each measure developer is included in this list and in the 2016 Physician Reporting Narrative Specifications. Contact the QualityNet Help Desk with questions. They can be reached at or from 7:00 a.m. 7:00 p.m. Central Time. Version 7.0 Page 5 of 5 12/18/2015

HEALTHCARE REFORM. September 2012

HEALTHCARE REFORM. September 2012 HEALTHCARE REFORM Accountable Care Organizations: ACOs 101 September 2012 The enclosed slides are intended to provide you with a general overview of accountable care organizations (ACOs), created within

More information

ACO Name and Location. ACO Primary Contact. Michele Muldoon. Organizational Information. Primary Contact Name

ACO Name and Location. ACO Primary Contact. Michele Muldoon. Organizational Information. Primary Contact Name ACO Name and Location Healthy Communities ACO, LLC 255 Lafayette Ave. Suffern, New York 10901 ACO Primary Contact Primary Contact Name Michele Muldoon Primary Contact Phone Number (845) 368-5083 Primary

More information

Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years

Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years Introduction This document describes methods for calculating the quality performance benchmarks for Accountable

More information

ACO Primary Contact. Organizational Information

ACO Primary Contact. Organizational Information Piedmont Community Health Collaborative, LLC 557 Brookdale Drive Statesville, North Carolina 28677 ACO Primary Contact Primary Contact Name Tyler Wilson Primary Contact Phone Number 704-874-4277 Primary

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO Name and Location Pinehurst Accountable Care Network, Inc. 5 First Village Drive Pinehurst, North Carolina 28374 ACO Primary Contact Primary Contact Name Jim Faircloth Primary Contact Phone Number

More information

Clinical Quality Measures

Clinical Quality Measures Title Medicare Shared Savings Program Blue Cross Blue Shield Other CI Measures Clinical Quality Measures 2016 Reference Toolkit Version Date: 6/13/2016 Title Page 2016 Measures: Quality Codes Page 1 of

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Meritus Health ACO, LLC 11116 Campus Road 3 Link, Suite 3945 Hagerstown, Maryland 21742 ACO Primary Contact Primary Contact ame Andrea Horton, R, BS, ACM-R Primary Contact Phone umber

More information

ACO Name and Location. ACO Primary Contact. Organizational Information N N N N N N

ACO Name and Location. ACO Primary Contact. Organizational Information N N N N N N ACO ame and Location CHI Continuum LLC dba CaroMont ACO 2525 Court Drive Gastonia, orth Carolina 28054 ACO Primary Contact Primary Contact ame Betty J. Herbert Primary Contact Phone umber 704-834-4532

More information

Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings

Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings CMS-1345-P 174 Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings AIM: Better Care for Individuals 1. Patient/Care Giver Experience

More information

NQF Measure Number & PQRI Implementation Number

NQF Measure Number & PQRI Implementation Number Title NQF Steward s Adult Weight Screening and Follow-Up Hypertension: Blood Pressure ment Preventive Care and Screening Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention with a calculated

More information

RCCO Quality Indicators Crosswalk

RCCO Quality Indicators Crosswalk Aim: Better Care for Individuals (patient s perspective) RCCO Quality Indicators Crosswalk Quality Number 1. Access: timely care, appointments & info Denominator& Numerator ACO patients 18+ Data collection

More information

Physician Organization of Michigan ACO. Presented by Jeni Hughes Oakland Southfield Physicians, PC

Physician Organization of Michigan ACO. Presented by Jeni Hughes Oakland Southfield Physicians, PC Physician Organization of Michigan ACO Presented by Jeni Hughes Oakland Southfield Physicians, PC 1 Topics To Cover Background Principles & Structure Quality Measure Requirements & Support Population Management

More information

2014 ACO GPRO Audit What this means for your practice. Sheree M. Arnold ACO Clinical Transformation Specialist

2014 ACO GPRO Audit What this means for your practice. Sheree M. Arnold ACO Clinical Transformation Specialist 2014 ACO GPRO Audit What this means for your practice Sheree M. Arnold ACO Clinical Transformation Specialist Agenda Catholic Medical Partners ACO overview Attribution and sampling of patients ACO quality

More information

2017 CMS Web Interface Reporting

2017 CMS Web Interface Reporting 2017 CMS Web Interface Reporting Measure Specification Review May 18, 2017 Sherry Grund, Telligen Mary Schrader, Telligen Medicare Shared Savings Program and Next Generation ACO Model DISCLAIMER This presentation

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Ascension Care Management Health Partners Evansville, LLC Previous Legal Business Entity ame: MissionPoint Evansville, LLC 523 Mainstream Dr ashville, Tennessee 37228-1238 ACO Primary

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Scott Berkowitz, MD, MBA

ACO Name and Location. ACO Primary Contact. Organizational Information. Scott Berkowitz, MD, MBA ACO Name and Location Medicine Alliance for Patients, LLC 6704 Curtis Court Glen Burnie, Maryland 21060 ACO Primary Contact Primary Contact Name Primary Contact Phone Number 443-287-4519 Scott Berkowitz,

More information

2016 Internal Medicine Preferred Specialty Measure Set

2016 Internal Medicine Preferred Specialty Measure Set 1 0059 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%): Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period 5 0081 Registry, EHR, 9 0105

More information

Clinical Quality Measures for Submission by Medicare or Medicaid EP/s for the 2011 and 2012 Payment Year

Clinical Quality Measures for Submission by Medicare or Medicaid EP/s for the 2011 and 2012 Payment Year 1 NQF 0059 1 NQF 0064 2 NQF 0061 3 Title: Diabetes: Hemoglobin A1c Poor Control Description: Percentage of patients 18-75 years of age with diabetes (type 1 or type 2) who had hemoglobin A1c > 9.0%. Title:

More information

Measure Owner Designation. AMA-PCPI is the measure owner. NCQA is the measure owner. QIP/CMS is the measure owner. AMA-NCQA is the measure owner

Measure Owner Designation. AMA-PCPI is the measure owner. NCQA is the measure owner. QIP/CMS is the measure owner. AMA-NCQA is the measure owner 2011 EHR Measure Specifications The specifications listed in this document have been updated to reflect clinical practice guidelines and applicable health informatics standards that are the most current

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Ascension Care Management Health Partners Evansville, LLC Previous Legal Business Entity ame: MissionPoint Evansville, LLC 523 Mainstream Dr ashville, Tennessee 37228-1238 ACO Primary

More information

For Electronic Measure Specification Information go to:

For Electronic Measure Specification Information go to: Diabetes Recognition NQF 0421 PQRI 128 Title: Adult Weight Screening and Follow-Up Description: Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Central US ACO, LLC 2405 Aspen Rd Highlandville, Missouri 65669 ACO Primary Contact Primary Contact ame Greg Shockey Primary Contact Phone umber 417-224-8166 Primary Contact Email

More information

2018 MIPS Reporting Family Medicine

2018 MIPS Reporting Family Medicine 2018 MIPS Reporting Family Medicine Quality Reporting Requirements: Report on 6 quality measures or a specialty measure set Include at least ONE outcome or high-priority measure Report on patients of All-Payers

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Care4Texans, LLC 6901 Medical Parkway Waco, Texas 76712 ACO Primary Contact Primary Contact ame Katrina George Primary Contact Phone umber 254-751-4754 Primary Contact Email Address

More information

Comprehensive ESRD Care (CEC) Model Proposed Quality Measures for Public Comment. Table of Contents

Comprehensive ESRD Care (CEC) Model Proposed Quality Measures for Public Comment. Table of Contents Comprehensive ESRD Care (CEC) Model Proposed Quality s for Public Comment Table of Contents Page # Introduction 3 Summaries by Domain Technical Expert Panel Recommended CEC Quality s 4 s that were recommended

More information

2016 PQRS Recommended Measures for: General/Family Practice

2016 PQRS Recommended Measures for: General/Family Practice 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:

More information

Paul P. Hinchey, President and CEO

Paul P. Hinchey, President and CEO ACO Name and Location St Joseph's/Candler Advocate Health Network, LLC 5353 Reynolds Street Savannah, Georgia 31405 ACO Primary Contact Primary Contact Name Primary Contact Phone Number 912-819-6901 Paul

More information

Quality Payment Program: Cardiology Specialty Measure Set

Quality Payment Program: Cardiology Specialty Measure Set Measure Title * Reportable via PINNACLE α Reportable via Diabetes Collaborative CQMC v1.0 Measure High Priority Measure Cross Cutting Measure Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor

More information

Shared Savings Program ACO Public Reporting

Shared Savings Program ACO Public Reporting ACO Name and Location Shared Savings Program ACO Public Reporting 2.5.18 Keystone Accountable Care Organization, LLC 601 Park Street Office of the CEO Honesdale, Pennsylvania 18431 ACO Primary Contact

More information

Consensus Core Set: Cardiovascular Measures Version 1.0

Consensus Core Set: Cardiovascular Measures Version 1.0 Consensus Core Set: Cardiovascular s NQF 0330 Hospital 30-day, all-cause, riskstandardized readmission rate (RSRR) following heart failure hospitalization 0229 Hospital 30-day, all-cause, riskstandardized

More information

Provider Perspective of Quality Measurement

Provider Perspective of Quality Measurement Provider Perspective of Quality Measurement The American Medical Group Association supports its members in enhancing population health and care for patients through integrated systems of care Improve

More information

Certified Health IT Transparency and Disclosure Information 2014 Edition

Certified Health IT Transparency and Disclosure Information 2014 Edition Certified Health IT Transparency and Disclosure Information 2014 Edition 2015 Edition Certified Health IT Transparency and Disclosure Information I. Disclaimer This Complete EHR is 2014 Edition compliant

More information

Meaningful Use Clinical Quality Measures for Eligible Professionals

Meaningful Use Clinical Quality Measures for Eligible Professionals Meaningful Use Clinical Quality Measures for Eligible Professionals Measure Type NQF ID CMS ID Description Title: Adult Weight Screening and Follow-Up 1 NQF 0421 PQRI 128 calculated BMI in the past six

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6 ACO ame and Location Chrysalis Medical Services, LLC 4888 Loop Central Drive Suite 700 Houston, Texas 77081 ACO Primary Contact Primary Contact ame Jeff Spight Primary Contact Phone umber 914-597-2073

More information

The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO

The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO ACO-1 ACO-2 Getting Timely Care, Appointments, and Information How Well Your Providers

More information

Modified Stage 2 Meaningful Use: Clinical Quality Measures (CQMs) Massachusetts Medicaid EHR Incentive Payment Program

Modified Stage 2 Meaningful Use: Clinical Quality Measures (CQMs) Massachusetts Medicaid EHR Incentive Payment Program Modified Stage 2 Meaningful Use: Clinical Quality Measures (CQMs) Massachusetts Medicaid EHR Incentive Payment Program July 21, 2016 Today s presenter: Al Wroblewski, PCMH CCE, Client Services Relationship

More information

2014 Clinical Quality Measures: Changes for the Medicaid EHR Incentive Program. Tracy McDonald Medicaid EHR Incentive Program Coordinator

2014 Clinical Quality Measures: Changes for the Medicaid EHR Incentive Program. Tracy McDonald Medicaid EHR Incentive Program Coordinator 2014 Clinical Quality Measures: Changes for the Medicaid EHR Incentive Program Tracy McDonald Medicaid EHR Incentive Program Coordinator Agenda Why are Clinical Quality Measures important? Clinical Quality

More information

Clinical Integration Quality Measures

Clinical Integration Quality Measures Clinical Integration Quality Measures Valley Integrated Care Network (VIPN) is physician-driven, with physicians determining which quality measures will be used to improve overall quality of care. Purpose:

More information

proposed set to a required subset of 3 to 5 measures based on the availability of electronic

proposed set to a required subset of 3 to 5 measures based on the availability of electronic CMS-0033-P 143 proposed set to a required subset of 3 to 5 measures based on the availability of electronic measure specifications and comments received. We propose to require for 2011 and 2012 that EP's

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Adirondacks ACO, LLC 75 Beekman Street Plattsburgh, ew York 12901 ACO Primary Contact Primary Contact ame Karen L. Ashline Primary Contact Phone umber 518-314-3663 Primary Contact

More information

Measurement Name Beta-Blocker Therapy Prior Myocardial Infarction (MI)

Measurement Name Beta-Blocker Therapy Prior Myocardial Infarction (MI) Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for Artery, Atrial Fibrillation, Hypertension

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name ame and Location Accountable Care Organization, LLC 750 Brunswick Avenue Trenton, ew Jersey 08638 Primary Contact Primary Contact ame Robert Remstein DO Primary Contact Phone umber 609-537-6081 Primary

More information

CLINICAL QUALITY MEASURES Stage 1 Meaningful Use

CLINICAL QUALITY MEASURES Stage 1 Meaningful Use CLINICAL QUALITY MEASURES Stage 1 Meaningful Use * Eligible professionals (EPs) must report on 3 required core clinical quality measures (CQMs). If the denominator of 1 or more of the required core measures

More information

Quality Measures MIPS CV Specific

Quality Measures MIPS CV Specific Quality Measures MIPS CV Specific MEASURE NAME Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy CAHPS for MIPS Clinician/Group Survey Cardiac Rehabilitation Patient Referral from

More information

Improving Quality of Care for Medicare Patients: Accountable Care Organizations

Improving Quality of Care for Medicare Patients: Accountable Care Organizations DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE

More information

THERE ARE TWO SUBMISSION CRITERIA FOR THIS MEASURE: 1) Patients who are 18 years and older with a diagnosis of CAD with LVEF < 40%

THERE ARE TWO SUBMISSION CRITERIA FOR THIS MEASURE: 1) Patients who are 18 years and older with a diagnosis of CAD with LVEF < 40% Quality ID #118 (NQF 0066): Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction

More information

Clinical Quality Measures

Clinical Quality Measures Core Measures Preventive Care and Screening Measure Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention. Percentage of patients aged 18 years and older who have been seen for at least 2

More information

Validating and Reporting the 2017 ACO Clinical Measures (Version 1)

Validating and Reporting the 2017 ACO Clinical Measures (Version 1) Validating and Reporting the 2017 ACO Clinical Measures Author: Ben Fouts, Informatics Redwood Community Health Coalition 1310 Redwood Way Petaluma, California 94954 support@rchc.net Document Last Updated:

More information

The CSAC will review recommendations from the Cardiovascular 2015 project during its January 12, 2016 conference call.

The CSAC will review recommendations from the Cardiovascular 2015 project during its January 12, 2016 conference call. TO: FR: RE: Consensus Standards Approval Committee (CSAC) Melissa Marinelarena, Leslie Vicale, Donna Herring Cardiovascular 2015 Member Voting Results DA: January 12, 2016 The CSAC will review recommendations

More information

Quality Payment Program: Cardiology Specialty Measure Set

Quality Payment Program: Cardiology Specialty Measure Set Quality Payment Program: Cardiology Specialty Set Title Number CMS Reporting Method(s) Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for

More information

The Role of Health Information Technology in Implementing Disease Management Programs

The Role of Health Information Technology in Implementing Disease Management Programs The Role of Health Information Technology in Implementing Disease Management Programs Donald F. Wilson, MD Medical Director Quality Insights of Pennsylvania May 11, 2006 Statewide Combined Topic Average

More information

Meaningful Use Simple Guide

Meaningful Use Simple Guide Meaningful Use Simple Guide 2011-2012 CORE Measures 1. CPOE for Medication Orders 2. Drug Interaction Checks * 3. Maintain Problem & Diagnosis List 4. eprescribing (erx) escripts 5. Active Medication List

More information

Consensus Core Set: ACO and PCMH / Primary Care Measures Version 1.0

Consensus Core Set: ACO and PCMH / Primary Care Measures Version 1.0 Consensus Core Set: ACO and PCMH / Primary Care s 0018 Controlling High Blood Pressure patients 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately

More information

OCHSNER PHYSICIAN PARTNERS. PQRS Measures by Specialty (FINAL)

OCHSNER PHYSICIAN PARTNERS. PQRS Measures by Specialty (FINAL) OCHSNER PHYSICIAN PARTNERS PQRS Measures by Specialty (FINAL) Allergy and Immunology 2. Asthma: Pharmacologic Therapy for Persistent Asthma - Ambulatory Care Setting (PQRS 53) 3. Patients aged 18 years

More information

Meaningful Use for Eligible Providers

Meaningful Use for Eligible Providers Meaningful Use for Eligible Providers Summary of Core and Menu objectives and Clinical Quality s Healthcare Technical Assistance Program, March 11, 2011 V.1.0Copyright 2011, Purdue Research Foundation

More information

New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0.

New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0. New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0. Measure Steward Measure Name Measure Description Rationale for Adding

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6. Jim Carlough. Primary Contact Name (775)

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6. Jim Carlough. Primary Contact Name (775) ACO ame and Location Renown Accountable Care, LLC Previous Legal Business Entity ame: R TotalHealth, LLC 1155 Mill Street 14 Reno, evada 89502 ACO Primary Contact Primary Contact ame Primary Contact Phone

More information

ACO Name and Location. Organizational Information. ACO Primary Contact

ACO Name and Location. Organizational Information. ACO Primary Contact ACO ame and Location The Premier HealthCare etwork LLC Post Office Box 54157 Atlanta, Georgia 30308 ACO Primary Contact Primary Contact ame Laverne W. Poindexter Primary Contact Phone umber 770-270-5229

More information

Measure Owner Designation. AMA-PCPI/NCQA (contract) is the measure owner. AMA-PCPI is the measure owner. AMA-PCPI/ASCO/NCCN is the measure owner

Measure Owner Designation. AMA-PCPI/NCQA (contract) is the measure owner. AMA-PCPI is the measure owner. AMA-PCPI/ASCO/NCCN is the measure owner 2012 EHR Measure Specifications The specifications listed in this document have been updated to reflect clinical practice guidelines and applicable health informatics standards that are the most current

More information

2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual

2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual 2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual 12/19/2012 CPT only copyright 2012 American Medical Association. All rights reserved. CPT is a registered trademark

More information

The Future of Cardiac Care: Managing Our Patients Together

The Future of Cardiac Care: Managing Our Patients Together The Future of Cardiac Care: Managing Our Patients Together Charles R. Caldwell, MD, FACC Disclosures: iheartdoc,inc. Telemedicine 1 MACRA Medicare Access and CHIP Reauthorization Act of 2015 Repealed the

More information

Meaningful Use & Million Hearts. Improving Cardiovascular Disease & Stroke Through Quality Measurements

Meaningful Use & Million Hearts. Improving Cardiovascular Disease & Stroke Through Quality Measurements Meaningful Use & Million Hearts Improving Cardiovascular Disease & Stroke Through Quality Measurements Phone lines are now muted Find this or any previous webinar, go to http://www.ehrhelp.missouri.edu

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Don Franke. Primary Contact Name. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Don Franke. Primary Contact Name. Primary Contact Phone Number ACO ame and Location Accountable Care Organization, LLC Previous Legal Business Entity ame: Alexian Brothers Accountable Care Organization, LLC 3040 Salt Creek Lane Arlington Heights, Illinois 60005 ACO

More information

2016 General Practice/Family Practice Preferred Specialty Measure Set

2016 General Practice/Family Practice Preferred Specialty Measure Set 1 0059 5 0081 41 N/A 50 N/A 65 0069, EHR 66 0002, EHR Effective Clinical Care Effective Clinical Care Effective Clinical Care Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%): Percentage of patients

More information

Performance and Quality Measures 1. NQF Measure Number. Coronary Artery Disease Measure Set

Performance and Quality Measures 1. NQF Measure Number. Coronary Artery Disease Measure Set Unless indicated, the PINNACLE Registry measures are endorsed by the American College of Cardiology Foundation and the American Heart Association and may be used for purposes of health care insurance payer

More information

MACRA Quality Payment Program Guide. Sample page. Simplifying Medicare MIPS & APM reporting for practitioners. Power up your coding optum360coding.

MACRA Quality Payment Program Guide. Sample page. Simplifying Medicare MIPS & APM reporting for practitioners. Power up your coding optum360coding. 2019 MACRA Quality Payment Program Guide Simplifying Medicare MIPS & APM reporting for practitioners Power up your coding optum360coding.com Contents Chapter 1. MACRA and the Quality Payment Program...

More information

2017 CMS Web Interface Reporting

2017 CMS Web Interface Reporting 2017 CMS Web Interface Reporting Keys to Successful Reporting Part 2 Measures Refresher November 27, 2017 1:30 3:00 p.m. ET Sherry Grund, Telligen Mary Schrader, Telligen Medicare Shared Savings Program

More information

2014 Group Practice Reporting Option (GPRO)

2014 Group Practice Reporting Option (GPRO) 2014 Group Practice Reporting Option (GPRO) Web Interface Narrative Measure Specifications GPRO Version 5.0 Page 1 of 60 12/13/2013 2014 GPRO Web Interface Narrative Measure Specifications Table of Contents

More information

ADDITIONAL INFORMATION REGARDING EP CLINICAL QUALITY MEASURES FOR 2014 EHR INCENTIVE PROGRAMS

ADDITIONAL INFORMATION REGARDING EP CLINICAL QUALITY MEASURES FOR 2014 EHR INCENTIVE PROGRAMS ADDITIONAL INFORMATION REGARDING EP CLINICAL QUALITY MEASURES FOR 2014 EHR INCENTIVE PROGRAMS The table below entitled Clinical s for 2014 CMS EHR Incentive Programs for Eligible Professionals contains

More information

Performance Measurement

Performance Measurement Performance Measurement April 8, 2013 Kavita Patel MD, MS Fellow and Managing Director, The Brookings Institution kpatel@brookings.edu The Engelberg Center for Health Care Reform at Brookings The Dartmouth

More information

GE Healthcare. Delivering the capabilities you need for Stage 2 in the Ambulatory Setting

GE Healthcare. Delivering the capabilities you need for Stage 2 in the Ambulatory Setting GE Healthcare Delivering the capabilities you need for Stage 2 in the Ambulatory Setting March 12, 2013 Topics Certification Criteria Attestation Requirements Functional Measures Clinical Quality Measures

More information

American College of Physicians Genesis Registry

American College of Physicians Genesis Registry Powered by Premier American College of Physicians Genesis Registry This registry has been approved by CMS as a Qualified Clinical Data Registry (QCDR) for Eligible Clinicians and group practices for the

More information

Meaningful Use Criteria for Pediatric Providers

Meaningful Use Criteria for Pediatric Providers SET OF CRITERIA - 15 REQUIRED These 15 core criteria are called the core set and are required elements for demonstrating meaningful use. This document was prepared for pediatric providers so language pertaining

More information

Value-Based Physician Compensation and Dashboards

Value-Based Physician Compensation and Dashboards MGMA 2017 ANNUAL CONFERENCE OCT. 8-11 ANAHEIM, CA Value-Based Physician Compensation and Dashboards Kameron McQuay, CPA/ABV, CVA Director, Blue and Co. LLC Indianapolis, Ind. MGMA has determined that Kameron

More information

Program Metrics. New Unique ID. Old Unique ID. Metric Set Metric Name Description. Old Metric Name

Program Metrics. New Unique ID. Old Unique ID. Metric Set Metric Name Description. Old Metric Name Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for, Atrial Fibrillation, Hypertension and.

More information

2012 Core Measures. Acute Myocardial Infarction (AMI)

2012 Core Measures. Acute Myocardial Infarction (AMI) 2012 Core Measures Acute Myocardial Infarction (AMI) Aspirin at Arrival Aspirin Prescribed at Discharge Angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) for left ventricular

More information

2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Disease (CAD) (for patients aged 18 and older)

2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Disease (CAD) (for patients aged 18 and older) 2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Disease (CAD) (for patients aged 18 and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse measures)

More information

*NOTE: When submitting CPT code and 99239, it is recommended the measure be submitted each time the code is submitted for hospital discharge.

*NOTE: When submitting CPT code and 99239, it is recommended the measure be submitted each time the code is submitted for hospital discharge. Quality ID #5 (NQF 0081): Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) National Quality

More information

Practice-Level Executive Summary Report

Practice-Level Executive Summary Report PINNACLE Registry Metrics 0003, Test Practice_NextGen [Rolling: 1st April 2015 to 31st March 2016 ] Generated on 5/11/2016 11:37:35 AM American College of Cardiology Foundation National Cardiovascular

More information

MSSP Quality Measure Performance Improvement Comparison EOY 2016 Present Discrete Fields from EHR Medicare Population

MSSP Quality Measure Performance Improvement Comparison EOY 2016 Present Discrete Fields from EHR Medicare Population MSSP Quality Measure Performance Improvement Comparison EOY 2016 Present Discrete Fields from EHR Medicare Population 1 Practice Performance Comparison: Preventive Health *Medicare Population using Discrete

More information

2015 PQRS Registry. Source Measure Title Measure Description CITIUS1

2015 PQRS Registry. Source Measure Title Measure Description CITIUS1 1 CQ-IQ covers 65 CMS defined measures that Eligible Providers (EPs) have to report on to assess quality of care provided to the patients. Version Supported: PQRS Registry 2015 65 measures Reporting Period:

More information

NH State Medicaid HIT Plan

NH State Medicaid HIT Plan INFORMATION ON INTERNAL PROVIDER AUDITING PROCEDURES AND PROCESSES HAVE BEEN REMOVED FROM THIS DOCUMENT. NH State Medicaid HIT Plan June 30 2014 Describes how the New Hampshire Department of Health and

More information

Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists

Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists Measure Name Measure Domain Measure Focus Comment/Explanation CMS Value-based Purchasing Program (CMS VBP) AMI 30-day

More information

American College of Physicians Genesis Registry

American College of Physicians Genesis Registry Powered by Premier American College of Physicians Genesis Registry This registry has been approved by CMS as a Qualified Clinical Data Registry (QCDR) for Eligible Clinicians and group practices for the

More information

2017 MSSP Clinical Quality Measures

2017 MSSP Clinical Quality Measures *The information contained in this document relies heavily on information supplied by CMS. GPRO CARE-1 (NQF 0097): Medication Reconciliation Post-Discharge DESCRIPTION: Percentage of discharges from any

More information

Disclosure. From the London Times... What Is Meaningful Use? 11/7/2011. Overview. The Road to Meaningful Use and Beyond

Disclosure. From the London Times... What Is Meaningful Use? 11/7/2011. Overview. The Road to Meaningful Use and Beyond Disclosure The Road to and Beyond A Simple Overview of a Complex Topic I have no relevant financial relationships to disclose. HIT Subcommittee Dr. Charles King II, Chair Dr. Robert Warren Itara Barnes,

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number (406)

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number (406) ACO Name and Location Previous Names: N/A 2800 Tenth Avenue North PO Box 37000 Billings, MT 59107 ACO Primary Contact Primary Contact Name Jan Bechtold Primary Contact Phone Number (406) 255-8468 Primary

More information

MIPS: Quality Direct EHR Manual for Aprima Users

MIPS: Quality Direct EHR Manual for Aprima Users MIPS: Quality Direct EHR Manual for Aprima Users CONTENTS QUALITY INTRODUCTION... 5 CMS 2: SCREENING FOR CLINICAL DEPRESSION AND FOLLOWUP PLAN....6 CMS 22: SCREENING FOR HIGH BLOOD PRESSURE AND FOLLOWUP

More information

NEW JERSEY 2011 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES

NEW JERSEY 2011 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES NEW JERSEY 2011 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health and Senior Services Health Care Quality Assessment

More information

Writing Committee. ACP Performance Measurement Committee Members*

Writing Committee. ACP Performance Measurement Committee Members* Performance Measurement Management of Coronary Artery Disease: Review of the Performance Measures by the Performance Measurement Committee of the American College of Physicians Writing Committee Amir Qaseem,

More information

Meaningful Use Overview

Meaningful Use Overview Eligibility Providers may be eligible for incentives from either Medicare or Medicaid, but not both. In addition, providers may not be hospital based. Medicare: A Medicare Eligible Professional (EP) is

More information

2010 Physician Quality Reporting Initiative Measures Groups Specifications Manual

2010 Physician Quality Reporting Initiative Measures Groups Specifications Manual 2010 Physician Quality Reporting Initiative Measures Groups Specifications Manual This manual contains specific guidance for reporting 2010 Physician Quality Reporting Initiative (PQRI) Measures Groups.

More information

Atrius Health Pioneer ACO: Structure, Activities and Results

Atrius Health Pioneer ACO: Structure, Activities and Results Atrius Health Pioneer ACO: Structure, Activities and Results Emily Brower Executive Director Accountable Care Programs Emily_Brower@AtriusHealth.org March 2014 1 Atrius Health. 2 Atrius Health Structure

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number ACO Name and Location Next ACO LLC Previous Names: N/A 3535 Little Rd Trinity, FL 34655 ACO Primary Contact Primary Contact Name Jayadeva Chowdappa, MD Primary Contact Phone Number 727-474-9030 Primary

More information

Management of Heart Failure: Review of the Performance Measures by the Performance Measurement Committee of the American College of Physicians

Management of Heart Failure: Review of the Performance Measures by the Performance Measurement Committee of the American College of Physicians Performance Measurement Management of Heart Failure: Review of the Performance Measures by the Performance Measurement Committee of the American College of Physicians Writing Committee Amir Qaseem, MD,

More information

2) Patients who are 18 years and older with a diagnosis of CAD or history of cardiac surgery who have a prior myocardial infarction

2) Patients who are 18 years and older with a diagnosis of CAD or history of cardiac surgery who have a prior myocardial infarction Measure #7 (NQF 0070): Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) National Quality Strategy Domain: Effective

More information

Accountable Care Organizations (ACO)

Accountable Care Organizations (ACO) s At A Glance Updated: 01/08/2019 2019 Page 1 of 5 Mandatory s (4) Note: Mandatory measures are those measures that are a requirement of accreditation and must be reported to on an annual basis. # Description

More information

Quality Reporting for CAHs and Rural PPS Hospitals: The Potential Impact of Composite Measures

Quality Reporting for CAHs and Rural PPS Hospitals: The Potential Impact of Composite Measures UpperMidwest Rural Health Research Center www.uppermidwestrhrc.org July 202 Policy Brief Quality Reporting for CAHs and Rural PPS Hospitals: The Potential Impact of Composite Measures Michelle Casey MS,

More information

April 18, Dear Mr. Blum and Dr. Conway:

April 18, Dear Mr. Blum and Dr. Conway: April 18, 2014 Dear Mr. Blum and Dr. Conway: On behalf of the undersigned patient and health professional organizations, thank you for meeting with us Wednesday, September 18, 2013. Our organizations were

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name ame and Location Integrated Health Collaborative, LLC c/o Aultman Health Foundation 2600 Sixth Street SW Canton, Ohio 44710 Primary Contact Primary Contact ame Matt Ritzert Primary Contact Phone umber

More information