2016 PQRS Recommended Measures for: Ophthalmology
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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 #226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention #303: Cataracts: Improvement in Patient s Visual Function within 90 Days Following Cataract Surgery Capsule Requiring Unplanned Vitrectomy) #1: Diabetes: Hemoglobin A1c Poor Control #110: Preventive Care and Screening: Influenza Immunization #117: Diabetes: Eye Exam Cataracts Measures Group Diabetes Measures Group #119: Diabetes: Medical Attention for Nephropathy #126: Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy Neurological Evaluation #226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
2 Individual Measures OR Report on 9 measures across 3 NQS domains 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 Measures by NQS Domain: #19: Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care #131: Pain Assessment and Follow-Up CC #137: Melanoma: Continuity of Care Recall System #138: Melanoma: Coordination of Care #141: Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care #265: Biopsy Follow-Up #397: Melanoma Reporting Communication and Care Coordination Community / Population Health #110: Preventive Care and Screening: Influenza Immunization CC #111: Pneumonia Vaccination Status for Older Adults CC #226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CC #317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented CC #402: Tobacco Use and Help with Quitting Among Adolescents CC Effective Clinical Control #1: Diabetes: Hemoglobin A1c Poor Control CC #12: Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation #14: Age-Related Macular Degeneration (AMD): Dilated Macular Examination
3 #117: Diabetes: Eye Exam #140: Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement #236: Controlling High Blood Pressure CC #384: Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery #385: Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery Efficiency and Cost Reduction #224: Melanoma: Overutilization of Imaging Studies in Melanoma Patient Safety #130: Documentation of Current Medications in the Medical Record CC #238: Use of High-Risk Medications in the Elderly Capsule Requiring Unplanned Vitrectomy Person and Caregiver-Centered Experience Outcomes
4 MAV Clusters: Cluster 13: Primary Open-Angle Glaucoma #12: Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation #141: Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care Cluster 14: Age-Related Macular Degeneration #14: Age-Related Macular Degeneration (AMD): Dilated Macular Examination #140: Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement Cluster 15: Cataract Care Capsule Requiring Unplanned Vitrectomy 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 #226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CC Cluster 43: Immunization Care #110: Preventive Care and Screening: Influenza Immunization CC #111: Pneumonia Vaccination Status for Older Adults CC
5 Cluster 44: Cataract Survey Cluster #303: Cataracts: Improvement in Patient s Visual Function within 90 Days Following Cataract Surgery 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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