MEASURE TYPE NQF # QUALITY (QPP) ID # MEASURE TITLE NQF QPS; Endorsement Status November 2, 2017 Intermediate Outcome 0059 1 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) Process 0081 5 Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) Process 0067 6 Coronary Artery Disease (CAD): Antiplatelet Therapy Process 0070 7 Coronary Artery Disease (CAD): Beta-Blocker Therapy- Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)
Process 0083 8 Heart Failure (HF): Beta- Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Process 0105 9 Anti-Depressant Medication Management Process 0086 12 Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation Process 0087 14 Age-Related Macular Degeneration (AMD): Dilated Macular Examination Process 0088 18 Diabetic Retinopathy: Documentation of Presence Process 0089 19 Diabetic Retinopathy: n with the Physician Managing Ongoing Diabetes Care Process 0268 21 Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second
Process 0239 23 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 0046 39 Screening for Osteoporosis for Women Aged 65-85 Years of Age Process 0134 43 Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery Process 0236 44 Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery Process 0097 46 Medication Reconciliation Post-Discharge Process 0326 47 Care Plan Process None 48 Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Process None 50 Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older Process 0091 51 Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation Process 0102 52 Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy Process 0069 65 Appropriate Treatment for Children with Upper Respiratory Infection (URI) Process None 66 Appropriate Testing for Children with Pharyngitis Process 0377 67 Hematology: Myelodysplastic Syndrome (MDS) and Acute Process 0378 68 Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy Process 0380 69 Hematology: Multiple Myeloma: Treatment with Bisphosphonates Process 0379 70 Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry Process None 76 Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections Process 0653 91 Acute Otitis Externa (AOE): Topical Therapy
Process 0654 93 Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use Process 0391 99 Breast Cancer Resection Pathology Reporting: pt Category (Primary Tumor) and pn Category (Regional Process 0392 100 Colorectal Cancer Resection Pathology Reporting: pt Category (Primary Tumor) Process 0389 102 Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients Process 0390 104 Prostate Cancer: Adjuvant Hormonal Therapy for High Risk or Very High Risk Prostate Cancer Process 0104 107 Adult Major Depressive Disorder (MDD): Suicide Risk Process None 109 Osteoarthritis (OA): Function and Pain Assessment Process 0041 110 Preventive Care and Screening: Influenza Immunization Process 0043 111 Pneumococcal Vaccination Status for Older Adults Process 2372 112 Breast Cancer Screening Process 0034 113 Colorectal Cancer Screening Process 0058 116 Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis Process 0055 117 Diabetes: Eye Exam
Process Process 0066 0062 118 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 0417 126 Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation Process 0416 127 Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear Process 0421 128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow- Up Plan Process 0419 130 Documentation of Current Medications in the Medical Record Process 0420 131 Pain Assessment and Follow- Up Process 0418 134 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
Structure 0650 137 Melanoma: Continuity of Care - Recall System Process None 138 Melanoma: of Care Process 0566 140 Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement Outcome 0563 141 Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care Process 0384 143 Oncology: Medical and Radiation - Pain Intensity Quantified Process 0383 144 Oncology: Medical and Radiation - Plan of Care for Pain
Process None 145 Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy Process 0508 146 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 0101 154 Falls: Risk Assessment Process 0101 155 Falls: Plan of Care Process 0382 156 Oncology: Radiation Dose Limits to Normal Tissues Process 0405 160 HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis Process 0056 163 Diabetes: Foot Exam Outcome 0129 164 Coronary Artery Bypass Graft (CABG): Prolonged Intubation Outcome 0130 165 Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate Outcome 0131 166 Coronary Artery Bypass Graft (CABG): Stroke Outcome 0114 167 Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure
Outcome 0115 168 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 2624 182 Functional Outcome Assessment Process 0659 185 Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
Process None 187 Stroke and Stroke Rehabilitation: Thrombolytic Therapy Outcome 0565 191 Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Outcome 0564 192 Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures Process 0507 195 Radiology: Stenosis Measurement in Carotid Imaging Reports Process 0068 204 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet Process 0409 205 HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis Outcome 0422 217 Functional Status Change for Patients with Knee Impairments Outcome 0423 218 Functional Status Change for Patients with Hip Impairments Outcome 0424 219 Functional Status Change for Patients with Foot or Ankle Impairments Outcome 0425 220 Functional Status Change for Patients with Lumbar Impairments Outcome 0426 221 Functional Status Change for Patients with Shoulder Impairments Outcome 0427 222 Functional Status Change for Patients with Elbow, Wrist or Hand Impairments Outcome 0428 223 Functional Status Change for Patients with General Orthopaedic Impairments
Process 0562 224 Melanoma: Overutilization of Imaging Studies in Melanoma Structure 0509 225 Radiology: Reminder System for Screening Mammograms Process 0028 226 Preventive Care and Screening: Tobacco Use: Intermediate 0018 236 Controlling High Blood Outcome Pressure Process 0022 238 Use of High-Risk Medications in the Elderly Process 0024 239 Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Process 0038 240 Childhood Immunization Status Process 0643 243 Cardiac Rehabilitation Patient Referral from an Outpatient Setting Process 1854 249 Barrett's Esophagus Process 1853 250 Radical Prostatectomy Pathology Reporting Structure 1855 251 Quantitative Immunohistochemical (IHC) Evaluation of Human Process 0651 254 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 1519 257 Statin Therapy at Discharge after Lower Extremity Bypass (LEB) Outcome None 258 Rate of Open Repair of Small or Moderate Non- Ruptured Infrarenal
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 1814 268 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
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 1536 303 Cataracts: Improvement in Patient's Visual Function Outcome None 304 Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery Process 0004 305 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Process 0032 309 Cervical Cancer Screening
Process 0033 310 Chlamydia Screening for Women Process 0052 312 Use of Imaging Studies for Low Back Pain Process None 317 Preventive Care and Screening: Screening for Process 0101 318 Falls: Screening for Future Fall Risk Process 0658 320 Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients Patient Engagement Experience 0006 & 0005 321 CAHPS for MIPS Clinician/Group Survey Efficiency 0670 322 Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients Efficiency 0671 323 Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI) Efficiency 0672 324 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 1525 326 Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
Process None 327 Pediatric Kidney Disease: Adequacy of Volume Management Intermediate 1667 328 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 2082 338 HIV Viral Load Suppression Process 2079 340 HIV Medical Visit Frequency
Outcome None 342 Pain Brought Under Control Within 48 Hours Outcome None 343 Screening Colonoscopy Adenoma Detection Rate Outcome Outcome None 1543 344 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 1540 346 Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Outcome 1534 347 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-
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
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 0108 366 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 0710 370 Depression Remission at Twelve Months Process 0712 371 Depression Utilization of the PHQ-9 Tool Process None 372 Maternal Depression Screening
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 1365 382 Child and Adolescent Major Depressive Disorder (MDD): Intermediate 1879 383 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)
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 0576 391 Follow-Up After Hospitalization for Mental Illness (FUH) Outcome 2474 392 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 1407 394 Immunizations for Adolescents Outcome None 395 Lung Cancer Reporting (Biopsy/Cytology Specimens) Outcome None 396 Lung Cancer Reporting (Resection Specimens)
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
Outcome None 409 Clinical Outcome Post Endovascular Stroke Treatment Outcome None 410 Psoriasis: Clinical Response to Oral Systemic or Biologic Medications Outcome 0711 411 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
Outcome 1523 417 Rate of Open Repair of Small or Moderate Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged Alive Process 0053 418 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 2063 422 Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract
Process 0465 423 Perioperative Anti-platelet Therapy for Patients Undergoing Carotid Endarterectomy Outcome 2671 424 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 2152 431 Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
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 0071 442 Persistence of Beta-Blocker Treatment After a Heart Attack Process None 443 Non-Recommended Cervical Cancer Screening in Adolescent Females Process 1799 444 Medication Management for People with Asthma Outcome 0119 445 Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG) Outcome 0733 446 Operative Mortality Stratified by the Five STS- EACTS Mortality Categories Process None 447 Chlamydia Screening and Follow Up
Process 0567 448 Appropriate Workup Prior to Endometrial Ablation Process 1857 449 HER2 Negative or Undocumented Breast Cancer Patients Spared Treatment with HER2- Process 1858 450 Trastuzumab Received By Patients With AJCC Stage I (T1c) - III And HER2 Positive Breast Cancer Receiving Process 1859 451 KRAS Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who Process 1860 452 Patients with Metastatic Colorectal Cancer and KRAS Gene Mutation Spared Treatment with Anti- Process 0210 453 Proportion Receiving Chemotherapy in the Last 14 Days of Life
Outcome 0211 454 Proportion of Patients who Died from Cancer with more than One Emergency Department Visit in the Last Outcome 0213 455 Proportion Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life Process 0215 456 Proportion Not Admitted To Hospice Outcome 0216 457 Proportion Admitted to Hospice for less than 3 days Outcome 1789 458 All-cause Hospital Readmission
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
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
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
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
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
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
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
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
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
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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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