High Priority - High priority measures include the following categories of measures: Outcome, Appropriate Use, Patient Experience, Patient Safety, Efficiency measures, Care coordination.CMS asks for an Outcome Measure to be reported as part of the 6 total measures (if one is applicable). An Outcome Measure is also classified as High Priority. Outcome measures are the result of many factors, some of which may be out of a clinician's control. Examples: The % of patients who died because of surgery or the rate of surgical complications or hospital acquired infections. Outcome - Outcome measures show how a health care service or intervention influences the health status of patients.Process measures can tell consumers about medical care they should receive for a given condition or disease, and can help improve health outcomes. These measures usually reflect generally accepted recommendations for clinical practice. Process - Process measures show what doctors and other clinicians do to maintain or improve health, either for healthy people or those diagnosed with a given condition or disease.If a measure with either of these designations is not included in your reporting, CMS will only score 5 out of your 6 measures. The following is an explanation of the measure “types”: At least 1 of the measures you choose (out of a total of 6) must be designated as either Outcome, or if no applicable Outcome, another High Priority measure.The documentation for all measures can be found on this link: 2022 Quality Measures. Only choosing/reporting measures where you have eligible encounters, meaning encounters where the coding on the claims matches the denominator criteria for the measure.Other quality reporting programs in use or being considered.Settings where care is usually delivered (e.g., office, emergency department, surgical suite).Types of care typically provided (e.g., preventive, chronic, acute).
NQF RHEUMATOID ARTHRITIS DIAGNOSIS CRITERIA SOFTWARE
You can access our MIPS planning tool within our software by logging into your account, setting up your dashboard with NPI/TIN and clicking on Add/Edit MIPS Plans.
Suggestions for your specialty can be found here. Note that CMS has identified “Specialty Measures Sets” for the majority of specialties. Start by reviewing the suggestions by specialty available on our website.