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

Reference Number: AA-01829 Views: 4405 Created: 03/16/2017 08:56 AM Last Updated: 10/02/2017 03:45 PM

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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 Name	eID	eNQF	NQF	QID
Care Plan	N/A	N/A	0326	047
Measure Description	Domain	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	Process	Yes
eMedRec Process	Health Maintenance item, or as a Note element in the Annual H&P or Wellness Exam - Care Plan

Measure Name	eID	eNQF	NQF	QID
Controlling High Blood Pressure	CMS68v6	N/A	0018	236
Measure Description	Domain	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 period	Effective Clinical Care	Intermediate Outcome	Yes
eMedRec Process	Vitals entered and Hypertension listed in Problem List - Controlling High Blood Pressure

Measure Name	eID	eNQF	NQF	QID
Documentation of Current Medications in the Medical Record	CMS165v5	N/A	0419	130
Measure Description	Domain	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 Safety	Process	Yes
eMedRec Process	Medication List maintained - Documentation of Current Medications

Measure Name	eID	eNQF	NQF	QID
Screening for High Blood Pressure and Follow up Documented	CMS22v5	N/A	N/A	317
Measure Description	Domain	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 indicated	Community/Population Health	Process	No
eMedRec Process	Education printed from Chart, Vitals recorded - Screening for High Blood Pressure and Follow up Documented

Measure Name	eID	eNQF	NQF	QID
Tobacco Use: Screening and Cessation Intervention	CMS138v5	N/A	0028	226
Measure Description	Domain	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	Process	No
eMedRec Process	Education printed from Chart, Social History - See this article - Tobacco Use: Screening and Cessation Intervention

Measure Name	eID	eNQF	NQF	QID
Unhealthy Alcohol Use: Screening & Brief Counseling	N/A	N/A	2152	431
Measure Description	Domain	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	Process	No
eMedRec Process	Education printed from Chart, Social History - Unhealthy Alcohol Use: Screening & Brief Counseling

Measure Name	eID	eNQF	NQF	QID
Pneumococcal Vaccination Status for Older Adults	CMS127v5	N/A	0043	111
Measure Description	Domain	Type	High Priority?
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine.	Community/Population Health	Process	No
eMedRec Process	Immunizations or Health Maintenance - Pneumococcal and Influenza Vaccination

Measure Name	eID	eNQF	NQF	QID
Body Mass Index (BMI) Screening and Follow-Up Plan	CMS69v5	N/A	0421	128
Measure Description	Domain	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/m2	Community/Population Health	Process	No
eMedRec Process	Vitals tracked and Patient Education printed from chart - Body Mass Index (BMI) Screening and Follow-Up Plan

Measure Name	eID	eNQF	NQF	QID
Influenza Immunization	CMS147v6	N/A	0041	110
Measure Description	Domain	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	Process	No
eMedRec Process	Immunizations or Health Maintenance - Pneumococcal and Influenza Vaccination

Measure Name	eID	eNQF	NQF	QID
Hypertension: Improvement in Blood Pressure	CMS127v5	N/A	N/A	373
Measure Description	Domain	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 Care	Intermediate Outcome	Yes
eMedRec Process	Vitals tracking and Hypertension included in Problem List - Hypertension: Improvement in Blood Pressure

Measure Name	eID	eNQF	NQF	QID
Closing the Referral Loop - Receipt of Specialist Report	CMS50v5	N/A	N/A	374
Measure Description	Domain	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	Process	Yes
eMedRec Process	Transmission of Visit Note from Specialist to PCP or Referring - Fax on Demand