Transcript Improvement Activities

MACRA
Quality Payment Program
Improvement Activities
Patrick V. Bailey, MD, MLS, FACS | Medical Director, Advocacy
DIVISION OF ADVOCACY AND HEALTH POLICY
Improvement Activities Component
• NEW requirement
• Select from a list of 93 activities
- Point system: Activities with assigned point values
• 10 points or 20 points
- 40 points for FULL CREDIT
• Two to four activities
• 20 points for some rural and small practices
• Attestation
Quality Payment Program
Improvement Activities
MIPS: Final Score Year 1 – Weight by Category
Advancing
Care
Information
25%
Quality
60%
Improvement
Activities
15%
Cost
0%
Quality Payment Program
Improvement Activities
Improvement Activities Component
• List of 93 activities
- Point system: Activities with assigned point values
• 10 points – medium value
• 20 points – high value
- 40 points for FULL CREDIT
• Two to four activities
- 20 points for some rural and small practices
• One to two activities
- 50 percent reduction in the requirement for FULL CREDIT
• As compared with that in the Proposed Rule
Quality Payment Program
Improvement Activities
Improvement Activities Component
• REPORTING of Improvement Activities for
Year 1 of MIPS
- Attestation
• Traditional registries (registry reporting option)
• Qualified Clinical Data Registries
• Portal on CMS website
Quality Payment Program
Improvement Activities
Improvement Activities Component
• High-Value (20 point) Activities
- Use of a qualified clinical data registry (QCDR) to generate
regular performance feedback
- Consultation of a prescription drug monitoring program
prior to issuance of a Controlled Substance Schedule II opioid
prescription that lasts for longer than three days
- Seeing new and follow-up Medicaid patients in a timely
manner, including individuals dually eligible for Medicaid and
Medicare
Quality Payment Program
Improvement Activities
Improvement Activities Component
• Medium-Value (10 point) Activities
- Participation in a QCDR, clinical data registry, or other
registry run by a government agency or private entity, such
as a hospital or a medical or surgical society
- Provision of specialist reports back to referring providers
to close the referral loop
- Bilateral exchange of necessary patient information to
guide patient care that could include participation in a health
information exchange or use of structured referral notes
Quality Payment Program
Improvement Activities
Improvement Activities Component
• Medium-Value (10 point) Activities
- Participation in Maintenance of Certification Part IV
- Annual registration by eligible clinician or group in the PDMP
of state where they practice
- Use of evidence-based decision aids to support shared
decision-making
- Use of tools that assist specialty practices in tracking
specific measures that are meaningful to practice, such as the
Surgical Risk Calculator
Quality Payment Program
Improvement Activities
Improvement Activities Component
• NEW requirement
• Select from a list of 93 activities
- Activities with assigned point values
- 40 points for FULL CREDIT
• Two to four activities
• Attestation
• 15 percent of final score
Quality Payment Program
Improvement Activities