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Clinical Quality Measures, MACRA, MIPS & meeting measures within eMedRec

Reference Number: AA-01829 Views: 981 Created: 03/16/2017 08:56 AM Last Updated: 10/02/2017 03:45 PM 0 Rating/ Voters

The following measures are available to all types of practices, Primary Care and Specialists.
Six Quality Measures must be tracked including One Outcome measure. 
Detailed information is included on the CMS website. https://qpp.cms.gov/measures/quality

Measure NameeIDeNQFNQFQID 
  Care PlanN/AN/A 0326 047 
 Measure DescriptionDomain  Type High Priority?
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan.Communication and Care ProcessYes
 eMedRec ProcessHealth Maintenance item, or as a Note element in the Annual H&P or Wellness Exam - Care Plan

Measure NameeIDeNQFNQFQID 
  Controlling High Blood PressureCMS68v6N/A 0018 236 
 Measure DescriptionDomain  Type High Priority?
Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90mmHg) during the measurement periodEffective Clinical CareIntermediate OutcomeYes
 eMedRec ProcessVitals entered and Hypertension listed in Problem List - Controlling High Blood Pressure


Measure NameeIDeNQFNQFQID 
  Documentation of Current Medications in the Medical RecordCMS165v5N/A 0419 130 
 Measure DescriptionDomain  Type High Priority?
Percentage of visits for patients aged 18 years and older for which the eligible professional attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.Patient SafetyProcessYes
 eMedRec ProcessMedication List maintained - Documentation of Current Medications


Measure NameeIDeNQFNQFQID 
  Screening for High Blood Pressure and Follow up DocumentedCMS22v5N/AN/A317
 Measure DescriptionDomain  Type High Priority?
Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicatedCommunity/Population Health ProcessNo
 eMedRec ProcessEducation printed from Chart, Vitals recorded - Screening for High Blood Pressure and Follow up Documented



Measure NameeIDeNQFNQFQID 
   Tobacco Use: Screening and Cessation InterventionCMS138v5N/A 0028 226 
 Measure DescriptionDomain  Type High Priority?
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user.Community/Population Health ProcessNo
 eMedRec ProcessEducation printed from Chart, Social History -
See this article - Tobacco Use: Screening and Cessation Intervention



Measure NameeIDeNQFNQFQID 
    Unhealthy Alcohol Use: Screening & Brief CounselingN/AN/A 2152 431 
 Measure DescriptionDomain  Type High Priority?
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user.Community/Population Health ProcessNo
 eMedRec ProcessEducation printed from Chart, Social History -
Unhealthy Alcohol Use: Screening & Brief Counseling



Measure NameeIDeNQFNQFQID 
     Pneumococcal Vaccination Status for Older AdultsCMS127v5N/A 0043 111 
 Measure DescriptionDomain  Type High Priority?
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine.Community/Population Health ProcessNo
 eMedRec ProcessImmunizations or Health Maintenance - Pneumococcal and Influenza Vaccination



Measure NameeIDeNQFNQFQID 
      Body Mass Index (BMI) Screening and Follow-Up PlanCMS69v5N/A 0421 128 
 Measure DescriptionDomain  Type High Priority?
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous six months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous six months of the current encounter Normal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2Community/Population Health ProcessNo
 eMedRec ProcessVitals tracked and Patient Education printed from chart - Body Mass Index (BMI) Screening and Follow-Up Plan



Measure NameeIDeNQFNQFQID 
     Influenza ImmunizationCMS147v6N/A 0041 110 
 Measure DescriptionDomain  Type High Priority?
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization.Community/Population Health ProcessNo
 eMedRec ProcessImmunizations or Health Maintenance - Pneumococcal and Influenza Vaccination



Measure NameeIDeNQFNQFQID 
     Hypertension: Improvement in Blood PressureCMS127v5N/A N/A 373
 Measure DescriptionDomain  Type High Priority?
Percentage of patients aged 18-85 years of age with a diagnosis of hypertension whose blood pressure improved during the measurement period.Effective Clinical CareIntermediate OutcomeYes
 eMedRec ProcessVitals tracking and Hypertension included in Problem List - Hypertension: Improvement in Blood Pressure



Measure NameeIDeNQFNQFQID 
  Closing the Referral Loop - Receipt of Specialist ReportCMS50v5N/A N/A 374 
 Measure DescriptionDomain  Type High Priority?
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred.Communication and Care ProcessYes
 eMedRec ProcessTransmission of Visit Note from Specialist to PCP or Referring  - Fax on Demand