MEASURE TYPE QUALITY (QPP) ID # Endorsement Status November 2, Endorsed. Endorsed. Endorsed. Endorsed

Transcription

1 MEASURE TYPE NQF # QUALITY (QPP) ID # MEASURE TITLE NQF QPS; Endorsement Status November 2, 2017 Intermediate Outcome Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) Process Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) Process Coronary Artery Disease (CAD): Antiplatelet Therapy Process Coronary Artery Disease (CAD): Beta-Blocker Therapy- Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)

2 Process Heart Failure (HF): Beta- Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Process Anti-Depressant Medication Management Process Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation Process Age-Related Macular Degeneration (AMD): Dilated Macular Examination Process Diabetic Retinopathy: Documentation of Presence Process Diabetic Retinopathy: n with the Physician Managing Ongoing Diabetes Care Process Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second

3 Process Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) Process Process 0045 None 24 n with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older 32 Stroke and Stroke Rehabilitation: Discharged on Antithrombotic Therapy Process Screening for Osteoporosis for Women Aged Years of Age Process Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery Process Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery Process Medication Reconciliation Post-Discharge Process Care Plan Process None 48 Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

4 Process None 50 Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older Process Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation Process Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy Process Appropriate Treatment for Children with Upper Respiratory Infection (URI) Process None 66 Appropriate Testing for Children with Pharyngitis Process Hematology: Myelodysplastic Syndrome (MDS) and Acute Process Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy Process Hematology: Multiple Myeloma: Treatment with Bisphosphonates Process Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry Process None 76 Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections Process Acute Otitis Externa (AOE): Topical Therapy

5 Process Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use Process Breast Cancer Resection Pathology Reporting: pt Category (Primary Tumor) and pn Category (Regional Process Colorectal Cancer Resection Pathology Reporting: pt Category (Primary Tumor) Process Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients Process Prostate Cancer: Adjuvant Hormonal Therapy for High Risk or Very High Risk Prostate Cancer Process Adult Major Depressive Disorder (MDD): Suicide Risk Process None 109 Osteoarthritis (OA): Function and Pain Assessment Process Preventive Care and Screening: Influenza Immunization Process Pneumococcal Vaccination Status for Older Adults Process Breast Cancer Screening Process Colorectal Cancer Screening Process Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis Process Diabetes: Eye Exam

6 Process Process Coronary Artery Disease (CAD): Angiotensin- Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%) 119 Diabetes: Medical Attention for Nephropathy Intermediate Outcome None 122 Adult Kidney Disease: Blood Pressure Management Process Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation Process Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear Process Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow- Up Plan Process Documentation of Current Medications in the Medical Record Process Pain Assessment and Follow- Up Process Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

7 Structure Melanoma: Continuity of Care - Recall System Process None 138 Melanoma: of Care Process Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement Outcome Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care Process Oncology: Medical and Radiation - Pain Intensity Quantified Process Oncology: Medical and Radiation - Plan of Care for Pain

8 Process None 145 Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy Process Radiology: Inappropriate Use of "Probably Benign" Assessment Category in Screening Mammograms Process None 147 Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy Process Falls: Risk Assessment Process Falls: Plan of Care Process Oncology: Radiation Dose Limits to Normal Tissues Process HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis Process Diabetes: Foot Exam Outcome Coronary Artery Bypass Graft (CABG): Prolonged Intubation Outcome Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate Outcome Coronary Artery Bypass Graft (CABG): Stroke Outcome Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure

9 Outcome Coronary Artery Bypass Graft (CABG): Surgical Re- Exploration Process None 176 Rheumatoid Arthritis (RA): Tuberculosis Screening Process None 177 Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity Process None 178 Rheumatoid Arthritis (RA): Functional Status Assessment Process None 179 Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis Process None 180 Rheumatoid Arthritis (RA): Glucocorticoid Management Process None 181 Elder Maltreatment Screen and Follow-Up Plan Process Functional Outcome Assessment Process Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use

10 Process None 187 Stroke and Stroke Rehabilitation: Thrombolytic Therapy Outcome Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Outcome Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures Process Radiology: Stenosis Measurement in Carotid Imaging Reports Process Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet Process HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis Outcome Functional Status Change for Patients with Knee Impairments Outcome Functional Status Change for Patients with Hip Impairments Outcome Functional Status Change for Patients with Foot or Ankle Impairments Outcome Functional Status Change for Patients with Lumbar Impairments Outcome Functional Status Change for Patients with Shoulder Impairments Outcome Functional Status Change for Patients with Elbow, Wrist or Hand Impairments Outcome Functional Status Change for Patients with General Orthopaedic Impairments

11 Process Melanoma: Overutilization of Imaging Studies in Melanoma Structure Radiology: Reminder System for Screening Mammograms Process Preventive Care and Screening: Tobacco Use: Intermediate Controlling High Blood Outcome Pressure Process Use of High-Risk Medications in the Elderly Process Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Process Childhood Immunization Status Process Cardiac Rehabilitation Patient Referral from an Outpatient Setting Process Barrett's Esophagus Process Radical Prostatectomy Pathology Reporting Structure Quantitative Immunohistochemical (IHC) Evaluation of Human Process Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain Process None 255 Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure Process Statin Therapy at Discharge after Lower Extremity Bypass (LEB) Outcome None 258 Rate of Open Repair of Small or Moderate Non- Ruptured Infrarenal

12 Outcome Outcome None None 259 Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non- Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without 260 Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged Process None 261 Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness Process None 262 Image Confirmation of Successful Excision of Image- Localized Breast Lesion Process None 263 Preoperative Diagnosis of Breast Cancer Process None 264 Sentinel Lymph Node Biopsy for Invasive Breast Cancer Process None 265 Biopsy Follow-Up Process Epilepsy: Counseling for Women of Childbearing Process None 271 Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury - Bone Loss Assessment Process None 275 Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Process None 276 Sleep Apnea: Assessment of Sleep Symptoms Process None 277 Sleep Apnea: Severity Assessment at Initial

13 Process None 278 Sleep Apnea: Positive Airway Pressure Therapy Prescribed Process None 279 Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy Process None 281 Dementia: Cognitive Assessment Process None 282 Dementia: Functional Status Assessment Process None 283 Dementia: Neuropsychiatric Symptom Assessment Process None 284 Dementia: Management of Neuropsychiatric Symptoms Process None 286 Dementia: Counseling Regarding Safety Concerns Process None 288 Dementia: Caregiver Education and Support Process None 290 Parkinson's Disease: Psychiatric Symptoms Assessment for Patients Process None 291 Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment Process None 293 Parkinson's Disease: Rehabilitative Therapy Options Process None 294 Parkinson's Disease: Parkinson's Disease Medical and Surgical Treatment Options Reviewed Outcome Cataracts: Improvement in Patient's Visual Function Outcome None 304 Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery Process Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Process Cervical Cancer Screening

14 Process Chlamydia Screening for Women Process Use of Imaging Studies for Low Back Pain Process None 317 Preventive Care and Screening: Screening for Process Falls: Screening for Future Fall Risk Process Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients Patient Engagement Experience 0006 & CAHPS for MIPS Clinician/Group Survey Efficiency Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients Efficiency Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI) Efficiency Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients Process None 325 Adult Major Depressive Disorder (MDD): of Care of Patients with Specific Comorbid Conditions Process Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy

15 Process None 327 Pediatric Kidney Disease: Adequacy of Volume Management Intermediate Pediatric Kidney Disease: Outcome ESRD Patients Receiving Outcome None 329 Adult Kidney Disease: Catheter Use at Initiation of Outcome None 330 Adult Kidney Disease: Catheter Use for Greater Than or Equal to 90 Days Process None 331 Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) Process None 332 Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Efficiency None 333 Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) Efficiency None 334 Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse) Outcome None 335 Maternity Care: Elective Delivery or Early Induction Without Medical Indication at >= 37 and < 39 Weeks Process None 336 Maternity Care: Post- Partum Follow-Up and Care Process None 337 Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Outcome HIV Viral Load Suppression Process HIV Medical Visit Frequency

16 Outcome None 342 Pain Brought Under Control Within 48 Hours Outcome None 343 Screening Colonoscopy Adenoma Detection Rate Outcome Outcome None Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2) 345 Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Artery Outcome Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Outcome Rate of Endovascular Aneurysm Repair (EVAR) of Outcome None 348 HRS-3: Implantable Cardioverter-Defibrillator Process None 350 Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-

17 Process None 351 Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation Process None 352 Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Process None 353 Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report Outcome None 354 Anastomotic Leak Intervention Outcome None 355 Unplanned Reoperation within the 30 Day Postoperative Period Outcome None 356 Unplanned Hospital Readmission within 30 Days of Principal Procedure Outcome None 357 Surgical Site Infection (SSI) Process None 358 Patient-Centered Surgical Risk Assessment and n Process None 359 Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized

18 Process Structure None None 360 Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear 361 Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry Structure None 362 Optimizing Patient Exposure Structure None to Ionizing Radiation: Computed Tomography (CT) Images Available for Patient Follow-up and Comparison Purposes 363 Optimizing Patient Exposure Process None to Ionizing Radiation: Search for Prior Computed Tomography (CT) Studies Through a Secure, Authorized Media-Free 364 Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up Process ADHD: Follow-Up Care for Children Prescribed Attention- Process None 367 Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical Process None 369 Pregnant women that had HBsAg testing Outcome Depression Remission at Twelve Months Process Depression Utilization of the PHQ-9 Tool Process None 372 Maternal Depression Screening

19 Intermediate Outcome None 373 Hypertension: Improvement in Blood Pressure Process None 374 Closing the Referral Loop: Receipt of Specialist Report Process None 375 Functional Status Assessment for Total Knee Replacement Process None 376 Functional Status Assessment for Total Hip Replacement Process None 377 Functional Status Assessments for Congestive Heart Failure Outcome None 378 Children Who Have Dental Decay or Cavities Process None 379 Primary Caries Prevention Intervention as Offered by Process Child and Adolescent Major Depressive Disorder (MDD): Intermediate Adherence to Antipsychotic Outcome Medications For Individuals with Schizophrenia Outcome None 384 Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Outcome None 385 Adult Primary Rhegmatogenous Retinal Process None 386 Amyotrophic Lateral Sclerosis (ALS) Patient Care Process None 387 Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users Outcome None 388 Cataract Surgery with Intra- Operative Complications (Unplanned Rupture of Posterior Capsule Requiring Unplanned Vitrectomy)

20 Outcome None 389 Cataract Surgery: Difference Between Planned and Final Refraction Process None 390 Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options Process Follow-Up After Hospitalization for Mental Illness (FUH) Outcome HRS-12: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation Outcome None 393 HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision Process Immunizations for Adolescents Outcome None 395 Lung Cancer Reporting (Biopsy/Cytology Specimens) Outcome None 396 Lung Cancer Reporting (Resection Specimens)

21 Outcome None 397 Melanoma Reporting Outcome None 398 Optimal Asthma Control Process None 400 One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk Process None 401 Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Process None 402 Tobacco Use and Help with Quitting Among Adolescents Process None 403 Adult Kidney Disease: Referral to Hospice Intermediate Outcome None 404 Anesthesiology Smoking Abstinence Process None 405 Appropriate Follow-up Imaging for Incidental Abdominal Lesions Process None 406 Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients Process None 407 Appropriate Treatment of Methicillin-Sensitive Staphylococcus Aureus Process None 408 Opioid Therapy Follow-up Evaluation

22 Outcome None 409 Clinical Outcome Post Endovascular Stroke Treatment Outcome None 410 Psoriasis: Clinical Response to Oral Systemic or Biologic Medications Outcome Depression Remission at Six Months Process None 412 Documentation of Signed Opioid Treatment Agreement Intermediate Outcome None 413 Door to Puncture Time for Endovascular Stroke Process None 414 Evaluation or Interview for Risk of Opioid Misuse Efficiency None 415 Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Efficiency None 416 Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for

23 Outcome Rate of Open Repair of Small or Moderate Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged Alive Process Osteoporosis Management in Women Who Had a Fracture Efficiency None 419 Overuse Of Neuroimaging For Patients With Primary Headache And A Normal Neurological Examination Outcome None 420 Varicose Vein Treatment with Saphenous Ablation: Outcome Survey Process None 421 Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal Process Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract

24 Process Perioperative Anti-platelet Therapy for Patients Undergoing Carotid Endarterectomy Outcome Perioperative Temperature Management Process None 425 Photodocumentation of Cecal Intubation Process None 426 Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) Process None 427 Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU) Process None 428 Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence Process None 429 Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy Process None 430 Prevention of Post- Operative Nausea and Vomiting (PONV) - Combination Therapy Process Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

25 Outcome None 432 Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair Outcome None 433 Proportion of Patients Sustaining a Bowel Injury at the time of any Pelvic Organ Prolapse Repair Outcome None 434 Proportion of Patients Sustaining a Ureter Injury at the Time of any Pelvic Organ Outcome None 435 Quality of Life Assessment For Patients With Primary Headache Disorders Process None 436 Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques Outcome None 437 Rate of Surgical Conversion from Lower Extremity Endovascular Process None 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Efficiency None 439 Age Appropriate Screening Colonoscopy Process None 440 Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma: Biopsy Intermediate None 441 Ischemic Vascular Disease Outcome (IVD) All or None Outcome Process Persistence of Beta-Blocker Treatment After a Heart Attack Process None 443 Non-Recommended Cervical Cancer Screening in Adolescent Females Process Medication Management for People with Asthma Outcome Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG) Outcome Operative Mortality Stratified by the Five STS- EACTS Mortality Categories Process None 447 Chlamydia Screening and Follow Up

26 Process Appropriate Workup Prior to Endometrial Ablation Process HER2 Negative or Undocumented Breast Cancer Patients Spared Treatment with HER2- Process Trastuzumab Received By Patients With AJCC Stage I (T1c) - III And HER2 Positive Breast Cancer Receiving Process KRAS Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who Process Patients with Metastatic Colorectal Cancer and KRAS Gene Mutation Spared Treatment with Anti- Process Proportion Receiving Chemotherapy in the Last 14 Days of Life

27 Outcome Proportion of Patients who Died from Cancer with more than One Emergency Department Visit in the Last Outcome Proportion Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life Process Proportion Not Admitted To Hospice Outcome Proportion Admitted to Hospice for less than 3 days Outcome All-cause Hospital Readmission

28 MIPS DOMAIN SPECIALTY MEASURE SET (unhide Columns I to AL for detailed breakdown) PRIMARY MEASURE STEWARD Internal Medicine,Preventive Medicine,General Practice/Family Medicine Internal Medicine,Cardiology,Hospitalists,General Practice/Family Medicine Physician Consortium for Performance Improvement Cardiology American Heart Association Cardiology,General Practice/Family Medicine Physician Consortium for Performance Improvement

29 Cardiology,Hospitalists,General Practice/Family Medicine Physician Consortium for Performance Improvement Internal Medicine,Mental/Behavioral Health,General Practice/Family Medicine Ophthalmology Ophthalmology Physician Consortium for Performance Improvement Ophthalmology Ophthalmology Ophthalmology Physician Consortium for Performance Physician Consortium for Performance Improvement Patient Safety General Surgery,Orthopedic American Society of Surgery,Otolaryngology,Thoracic Plastic Surgeons Surgery,Plastic Surgery

30 Patient Safety General Surgery,Orthopedic American Society of Surgery,Otolaryngology,Thoracic Plastic Surgeons Surgery,Plastic Surgery Preventive Medicine Hospitalists,Neurology Neurology Preventive Medicine Society of Thoracic Surgeons Anesthesiology Centers for Medicare & Medicaid Services Internal Medicine,Cardiology,Emergency Medicine,Gastroenterology,Gen eral Surgery,General Oncology,Hospitalists,Neurology,Obstetrics/Gynecology,Ophthal mology,orthopedic Surgery,Otolaryngology,Physical Medicine,Preventive Medicine,Rheumatology,Thoraci c Surgery,Urology,Vascular Surgery,Mental/Behavioral Health,Plastic Surgery,General Practice/Family Medicine Obstetrics/Gynecology,Preventi ve Medicine,Urology

31 Person and Internal Caregiver- Centered Experience and OutcomesCEO Medicine,Obstetrics/Gynecology,Urology,General Practice/Family Medicine American Thoracic Society American Thoracic Society Efficiency and Cost Reduction General Practice/Family Medicine,Pediatrics Efficiency and Cost Reduction Emergency Medicine,General Practice/Family Medicine,Pediatrics American Society of Hematology American Society of Hematology American Society of Hematology Physician Consortium for Performance Improvement Patient Safety Anesthesiology,Hospitalists American Society of Anesthesiologists Emergency Medicine,Otolaryngology,Pediat rics Otolaryngology-Head and Neck Surgery

32 Efficiency and Cost Reduction Emergency Medicine,Otolaryngology,Gener al Practice/Family Medicine,Pediatrics Pathology Otolaryngology-Head and Neck Surgery College of American Pathologists Pathology College of American Pathologists Efficiency and Cost Reduction General Oncology,Radiation Oncology,Urology Physician Consortium for Performance Improvement Urology American Urological Association Education and Research Person and Caregiver- Centered Experience and OutcomesCEO Community/Po pulation Health Community/Po pulation Health Internal Medicine,Orthopedic Surgery,Physical Medicine,Preventive Medicine,General Practice/Family Medicine Allergy/Immunology,Internal Medicine,Obstetrics/Gynecology,Preventive Medicine,General Practice/Family Medicine,Pediatrics Allergy/Immunology,Preventive Medicine Physician Consortium for Performance Orthopedic Surgeons Physician Consortium for Performance Improvement Internal Medicine,Obstetrics/Gynecology,Preventive Medicine,General Practice/Family Medicine Internal Medicine,General Practice/Family Medicine Efficiency and Internal Medicine,Emergency Cost Reduction Medicine,General Practice/Family Medicine Internal Medicine,Ophthalmology,Gener al Practice/Family Medicine

33 Cardiology American Heart Association General Practice/Family Medicine Renal Physicians Association American Podiatric Medical Association American Podiatric Medical Association Community/Po pulation Health Patient Safety Internal Medicine,Cardiology,Gastroente rology,general Surgery,Hospitalists,Neurology, Obstetrics/Gynecology,Orthope dic Allergy/Immunology,Internal Medicine,Anesthesiology,Cardio logy,dermatology,emergency Medicine,Gastroenterology,Gen eral Surgery,General Oncology,Hospitalists,Neurology,Obstetrics/Gynecology,Ophthal mology,orthopedic Surgery,Otolaryngology,Physical Medicine,Preventive Medicine,Rheumatology,Thoraci c Surgery,Urology,Vascular Surgery,Mental/Behavioral Health,Plastic Surgery,General Practice/Family Medicine Centers for Medicare & Medicaid Services Centers for Medicare & Medicaid Services Community/Po pulation Health Physical Medicine Internal Medicine,Mental/Behavioral Health,General Practice/Family Medicine,Pediatrics Centers for Medicare & Medicaid Services Centers for Medicare & Medicaid Services

34 Dermatology Dermatology Ophthalmology Dermatology Dermatology Ophthalmology Ophthalmology Ophthalmology Person and General Oncology,Radiation Caregiver- Oncology Centered Experience and OutcomesCEO Physician Consortium for Performance Improvement Person and Radiation Oncology Caregiver- Centered Experience and OutcomesCEO American Society of Clinical Oncology

35 Patient Safety Diagnostic Radiology American College of Radiology Efficiency and Cost Reduction Diagnostic Radiology American College of Radiology Diagnostic Radiology Society of Nuclear Medicine and Molecular Imaging Patient Safety Internal Medicine,General Practice/Family Medicine Internal Medicine,General Practice/Family Medicine Patient Safety Radiation Oncology American Society for Radiation Oncology Allergy/Immunology,Pediatrics Internal Medicine,General Practice/Family Medicine Thoracic Surgery Society of Thoracic Surgeons Thoracic Surgery Society of Thoracic Surgeons Thoracic Surgery Thoracic Surgery Society of Thoracic Surgeons Society of Thoracic Surgeons

36 Thoracic Surgery Society of Thoracic Surgeons Rheumatology American College of Rheumatology Rheumatology American College of Rheumatology Orthopedic Surgery,Rheumatology Orthopedic Surgery,Rheumatology American College of Rheumatology American College of Rheumatology Patient Safety Orthopedic Surgery,Rheumatology Internal Medicine,Mental/Behavioral Health,General Practice/Family Medicine Physical Medicine Gastroenterology American College of Rheumatology Centers for Medicare & Medicaid Services Centers for Medicare & Medicaid Services American Gastroenterological Association

37 Ophthalmology American Heart Association Physician Consortium for Performance Improvement Patient Safety Ophthalmology Physician Consortium for Performance Improvement Diagnostic Radiology Internal Medicine,Cardiology,General Practice/Family Medicine Pediatrics American College of Radiology Focus on Therapeutic Outcomes, Inc. Focus on Therapeutic Outcomes, Inc. Focus on Therapeutic Outcomes, Inc. Focus on Therapeutic Outcomes, Inc. Focus on Therapeutic Outcomes, Inc. Focus on Therapeutic Outcomes, Inc. Focus on Therapeutic Outcomes, Inc.

38 Efficiency and Cost Reduction Community/Po pulation Dermatology Diagnostic Radiology Allergy/Immunology,Internal Medicine,Cardiology,Dermatolo Non-clinician. Strong leadership skills with emphasis on ACOs. Dermatology American College of Radiology Physician Consortium for Performance Patient Safety Community/Po pulation Health Pediatrics Community/Po pulation Health Pediatrics Pathology American College of Cardiology Foundation College of American Pathologists General Oncology,Pathology Pathology Emergency Medicine College of American Pathologists College of American Pathologists American College of Emergency Physicians Emergency Medicine American College of Emergency Physicians Society for Vascular Surgeons Patient Safety Vascular Surgery Society for Vascular Surgeons

39 Patient Safety Interventional Radiology,Vascular Surgery Society for Vascular Surgeons Patient Safety Vascular Surgery Society for Vascular Surgeons Audiology Quality Consortium Patient Safety American Society of Breast Surgeons American Society of Breast Surgeons American Society of Breast Surgeons Dermatology,Interventional Radiology,Obstetrics/Gynecolog y,urology Dermatology Neurology Gastroenterology Neurology American Gastroenterological Association Gastroenterology American Gastroenterological Association Sleep Medicine Sleep Medicine

40 Sleep Medicine Sleep Medicine Patient Safety Neurology,Mental/Behavioral Health Neurology,Mental/Behavioral Health Neurology,Mental/Behavioral Health Neurology,Mental/Behavioral Health Neurology,Mental/Behavioral Health Neurology,Mental/Behavioral Health Neurology Neurology Neurology Neurology Physician Consortium for Performance Improvement Neurology Neurology Neurology Neurology Neurology Neurology Neurology Neurology Neurology Person and Caregiver- Person and Caregiver- Centered Ophthalmology Ophthalmology Obstetrics/Gynecology,General Practice/Family Medicine Ophthalmology Ophthalmology

41 Community/Po pulation Health Efficiency and Cost Reduction Community/Po pulation Patient Safety Obstetrics/Gynecology,Pediatric s Orthopedic Surgery,Physical Medicine,General Practice/Family Medicine Allergy/Immunology,Internal Medicine,Anesthesiology,Cardio Centers for Medicare & Medicaid Services Gastroenterology American Gastroenterological Association Person and General Practice/Family Caregiver- Medicine Centered Experience and OutcomesCEO Efficiency and Cost Reduction Cardiology Agency for Healthcare Research & Quality American College of Cardiology Efficiency and Cost Reduction Cardiology American College of Cardiology Efficiency and Cost Reduction Cardiology American College of Cardiology Mental/Behavioral Health American Psychiatric Association Internal Medicine,Cardiology,General Practice/Family Medicine American College of Cardiology

42 Patient Safety Renal Physicians Association Renal Physicians Association Renal Physicians Association Renal Physicians Association Efficiency and Cost Reduction Efficiency and Cost Reduction Efficiency and Cost Reduction Efficiency and Cost Reduction Allergy/Immunology,Internal Medicine,Otolaryngology,Gener al Practice/Family Medicine Allergy/Immunology,Internal Medicine,Otolaryngology,Gener al Practice/Family Medicine Allergy/Immunology,Internal Medicine,Otolaryngology,Gener al Practice/Family Medicine Allergy/Immunology,Internal Medicine,Otolaryngology,Gener al Practice/Family Medicine Otolaryngology-Head and Neck Surgery Otolaryngology-Head and Neck Surgery Otolaryngology-Head and Neck Surgery Otolaryngology-Head and Neck Surgery Patient Safety Centers for Medicare & Medicaid Services Centers for Medicare & Medicaid Services Dermatology,Rheumatology,Ge neral Practice/Family Medicine Dermatology General Practice/Family Medicine Health Resources and Services Administration Efficiency and Cost Reduction Health Resources and Services Administration

43 Person and General Practice/Family Caregiver- Medicine Centered Experience and OutcomesCEO National Hospice and Palliative Care Organization Gastroenterology American Society for Gastrointestinal Endoscopy Interventional Radiology,Vascular Surgery Society for Vascular Surgeons Interventional Radiology,Vascular Surgery Society for Vascular Surgeons Society for Vascular Surgeons Patient Safety Vascular Surgery Society for Vascular Surgeons Patient Safety Electrophysiology Cardiac Specialist The Heart Rhythm Society Orthopedic Surgery American Association of Hip and Knee Surgeons

44 Patient Safety Orthopedic Surgery American Association of Hip and Knee Surgeons Patient Safety Orthopedic Surgery American Association of Hip and Knee Surgeons Patient Safety Orthopedic Surgery American Association of Hip and Knee Surgeons Patient Safety General Surgery American College of Surgeons Patient Safety General Surgery American College of Surgeons General Surgery American College of Surgeons Person and Caregiver- Centered Experience and OutcomesCEO General Surgery,Otolaryngology,Vascular Surgery,Plastic Surgery General Surgery,Orthopedic Surgery,Otolaryngology,Thoracic Surgery,Urology,Plastic Surgery American College of Surgeons American College of Surgeons Diagnostic Radiology American College of Radiology

45 Patient Safety Diagnostic Radiology American College of Radiology Patient Safety Diagnostic Radiology American College of Radiology Diagnostic Radiology American College of Radiology Diagnostic Radiology American College of Radiology Diagnostic Radiology Mental/Behavioral Health,Pediatrics American College of Radiology Center for Quality Assessment and Improvement in Mental OptumInsight Mental/Behavioral Health,General Practice/Family Medicine Minnesota Community Measurement Mental/Behavioral Health Minnesota Community Measurement Community/Po pulation Health

46 Centers for Medicare & Medicaid Services Person and Caregiver- Centered Experience and OutcomesCEO Allergy/Immunology,Cardiology, Dermatology,Emergency Medicine,Gastroenterology,Gen eral Surgery,General Orthopedic Surgery Centers for Medicare & Medicaid Services Centers for Medicare & Medicaid Services Person and Caregiver- Orthopedic Surgery Centers for Medicare & Medicaid Services Centered Experience and OutcomesCEO Person and Caregiver- Centers for Medicare & Medicaid Services Centered Experience and Community/Po pulation Centers for Medicare & Medicaid Services Health Pediatrics Centers for Medicare & Medicaid Services Patient Safety Mental/Behavioral Health,Pediatrics Physician Consortium for Performance Patient Safety Mental/Behavioral Health Health Services Advisory Group Person and Caregiver- Ophthalmology Ophthalmology Neurology Internal Medicine,General Practice/Family Medicine Ophthalmology Ophthalmology Neurology Physician Consortium for Performance Improvement Patient Safety Ophthalmology Ophthalmology

47 Ophthalmology Ophthalmology Person and Gastroenterology Caregiver- Centered Experience and OutcomesCEO American Gastroenterological Association Patient Safety Mental/Behavioral Health,Pediatrics Electrophysiology Cardiac Specialist The Heart Rhythm Society Patient Safety Electrophysiology Cardiac Specialist The Heart Rhythm Society Community/Po pulation Health General Practice/Family Medicine,Pediatrics Pathology College of American Pathologists Pathology College of American Pathologists

48 Pathology College of American Pathologists Allergy/Immunology,General Practice/Family Medicine Minnesota Community Measurement Internal Medicine,General Practice/Family Medicine Physician Consortium for Performance Improvement Community/Po pulation Health Person and Caregiver- Centered Experience and OutcomesCEO Internal Medicine,Gastroenterology,Gen eral Practice/Family Medicine Allergy/Immunology,Internal Medicine,Cardiology,Dermatolo gy,emergency Anesthesiology American Gastroenterological Association Renal Physicians Association American Society of Anesthesiologists Diagnostic Radiology Diagnostic Radiology American College of Radiology American College of Radiology Hospitalists Internal Medicine,Neurology,Physical Medicine,General Practice/Family Medicine Infectious Diseases Society of America Neurology

49 Person and Caregiver- Centered Dermatology Mental/Behavioral Health Society of Interventional Radiology Dermatology Minnesota Community Measurement Internal Medicine,Neurology,Physical Medicine,General Practice/Family Medicine Neurology Internal Medicine,Neurology,Physical Efficiency and Emergency Medicine Cost Reduction Society of Interventional Radiology Neurology American College of Emergency Physicians Efficiency and Cost Reduction Emergency Medicine American College of Emergency Physicians

50 Patient Safety Society for Vascular Surgeons Internal Medicine,Obstetrics/Gynecology,General Practice/Family Medicine Efficiency and Cost Reduction Neurology Neurology Society of Interventional Radiology Society of Interventional Radiology Patient Safety Obstetrics/Gynecology American Urogynecologic Society

51 Society for Vascular Surgeons Patient Safety Anesthesiology American Society of Anesthesiologists Anesthesiology American Society for Gastrointestinal Endoscopy American Society of Anesthesiologists Anesthesiology American Society of Anesthesiologists American Urogynecologic Society Patient Safety American Urogynecologic Society Patient Safety Anesthesiology American Society of Anesthesiologists Community/Po pulation Health Internal Medicine,Cardiology,Emergency Medicine,Gastroenterology,Gen eral Physician Consortium for Performance Improvement

52 Patient Safety Obstetrics/Gynecology American Urogynecologic Society Patient Safety Obstetrics/Gynecology American Urogynecologic Society Patient Safety Obstetrics/Gynecology American Urogynecologic Society Neurology Diagnostic Radiology Neurology American College of Radiology Patient Safety Society of Interventional Radiology Efficiency and Cost Reduction Internal Medicine,Cardiology,General Practice/Family Medicine Gastroenterology General Practice/Family Medicine Centers for Medicare & Medicaid Services American Gastroenterological Association Dermatology Wisconsin Collaborative for Healthcare Quality Patient Safety Obstetrics/Gynecology,General Practice/Family Medicine Efficiency and Cost Reduction Allergy/Immunology,General Practice/Family Medicine,Pediatrics Society of Thoracic Surgeons Patient Safety Society of Thoracic Surgeons Community/Po pulation Health Obstetrics/Gynecology

53 Patient Safety Obstetrics/Gynecology Centers for Medicare & Medicaid Services Efficiency and Cost Reduction General Oncology American Society of Clinical Oncology Efficiency and Cost Reduction General Oncology American Society of Clinical Oncology General Oncology American Society of Clinical Oncology Patient Safety General Oncology American Society of Clinical Oncology General Oncology American Society of Clinical Oncology

54 General Oncology American Society of Clinical Oncology General Oncology General Oncology American Society of Clinical Oncology American Society of Clinical Oncology General Oncology American Society of Clinical Oncology Yale University