diff --git a/measures/2024/measures-data.json b/measures/2024/measures-data.json index 89bffe21..1c59b991 100644 --- a/measures/2024/measures-data.json +++ b/measures/2024/measures-data.json @@ -999,8 +999,8 @@ }, { "category": "ia", - "title": "Use of decision support and standardized treatment protocols", - "description": "Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.", + "title": "Use decision support—ideally platform-agnostic, interoperable clinical decision support (CDS) tools —and standardized treatment protocols to manage workflow on the care team to meet patient needs.", + "description": "Use decision support - ideally platform-agnostic, interoperable clinician decision support (CDS) tools - and standardized treatment protocols to manage workflow on the care team to meet patient needs. Clinicians should focus on utilizing open-source, freely available, interoperable CDS in completing the requirements of this activity.", "measureId": "IA_PSPA_16", "metricType": "boolean", "firstPerformanceYear": 2017, @@ -1172,21 +1172,6 @@ "M0001" ] }, - { - "category": "ia", - "title": "Consulting Appropriate Use Criteria (AUC) Using Clinical Decision Support when Ordering Advanced Diagnostic Imaging", - "description": "Clinicians attest that they are consulting specified applicable AUC through a qualified clinical decision support mechanism for all applicable imaging services furnished in an applicable setting, paid for under an applicable payment system, and ordered on or after January 1, 2018. This activity is for clinicians that are early adopters of the Medicare AUC program (2018 performance year) and for clinicians that begin the Medicare AUC program in future years as specified in our regulation at §414.94. The AUC program is required under section 218 of the Protecting Access to Medicare Act of 2014. Qualified mechanisms will be able to provide a report to the ordering clinician that can be used to assess patterns of image-ordering and improve upon those patterns to ensure that patients are receiving the most appropriate imaging for their individual condition.", - "measureId": "IA_PSPA_29", - "metricType": "boolean", - "firstPerformanceYear": 2018, - "lastPerformanceYear": null, - "weight": "high", - "subcategoryId": "patientSafetyAndPracticeAssessment", - "allowedPrograms": [ - "mips", - "app1" - ] - }, { "category": "ia", "title": "Patient Medication Risk Education", @@ -1488,21 +1473,6 @@ "app1" ] }, - { - "category": "ia", - "title": "Implementation of co-location PCP and MH services", - "description": "Integration facilitation and promotion of the colocation of mental health and substance use disorder services in primary and/or non-primary clinical care settings.", - "measureId": "IA_BMH_6", - "metricType": "boolean", - "firstPerformanceYear": 2017, - "lastPerformanceYear": null, - "weight": "high", - "subcategoryId": "behavioralAndMentalHealth", - "allowedPrograms": [ - "mips", - "app1" - ] - }, { "category": "ia", "title": "Implementation of Integrated Patient Centered Behavioral Health Model", @@ -1703,21 +1673,6 @@ "M0005" ] }, - { - "category": "ia", - "title": "Obtain or Renew an Approved Waiver for Provision of Buprenorphine as Medication-Assisted Treatment for Opioid Use Disorder", - "description": "This activity is suspended, as it is no longer available through or required by the Substance Abuse and Mental Health Services Administration (SAMHSA) or the Drug Enforcement Administration (DEA).", - "measureId": "IA_BMH_13", - "metricType": "boolean", - "firstPerformanceYear": 2017, - "lastPerformanceYear": null, - "weight": "medium", - "subcategoryId": "behavioralAndMentalHealth", - "allowedPrograms": [ - "mips", - "app1" - ] - }, { "category": "pi", "measureId": "PI_PPHI_1", @@ -1755,7 +1710,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -2632,7 +2587,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -2661,28 +2616,6 @@ ], "preprod": [] }, - { - "category": "pi", - "measureId": "PI_EP_2_EX_3", - "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician for whom querying a PDMP would impose an excessive workflow or cost burden prior to the start of the performance period they select in CY 2023.", - "isRequired": false, - "metricType": "boolean", - "firstPerformanceYear": 2023, - "lastPerformanceYear": null, - "objective": "electronicPrescribing", - "isBonus": false, - "reportingCategory": "exclusion", - "substitutes": [], - "measureSets": [], - "exclusion": null, - "allowedPrograms": [ - "mips", - "app1", - "G0056" - ], - "preprod": [] - }, { "category": "pi", "measureId": "PI_HIE_6", diff --git a/mvp/2024/mvp-enriched.json b/mvp/2024/mvp-enriched.json index 00cef5cc..f2567c96 100644 --- a/mvp/2024/mvp-enriched.json +++ b/mvp/2024/mvp-enriched.json @@ -8,8 +8,8 @@ "Rheumatology" ], "clinicalTopics": "Rheumatology", - "hasOutcomeAdminClaims": false, "hasCahps": false, + "hasOutcomeAdminClaims": false, "qualityMeasures": [ { "title": "Documentation of Current Medications in the Medical Record", @@ -973,7 +973,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -2185,7 +2185,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -2320,8 +2320,8 @@ "Vascular Surgery" ], "clinicalTopics": "Stroke Care and Prevention", - "hasOutcomeAdminClaims": false, "hasCahps": false, + "hasOutcomeAdminClaims": false, "qualityMeasures": [ { "title": "Advance Care Plan", @@ -3155,7 +3155,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -4367,7 +4367,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -4502,8 +4502,8 @@ "Family Medicine" ], "clinicalTopics": "Heart Disease", - "hasOutcomeAdminClaims": true, "hasCahps": false, + "hasOutcomeAdminClaims": true, "qualityMeasures": [ { "title": "Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)", @@ -5717,7 +5717,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -6929,7 +6929,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -7095,8 +7095,8 @@ "Emergency Medicine" ], "clinicalTopics": "Emergency Medicine", - "hasOutcomeAdminClaims": false, "hasCahps": true, + "hasOutcomeAdminClaims": false, "qualityMeasures": [ { "title": "Appropriate Treatment for Upper Respiratory Infection (URI)", @@ -7877,7 +7877,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -9089,7 +9089,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -9222,8 +9222,8 @@ "Orthopedic Surgery" ], "clinicalTopics": "Lower Extremity Joint Repair", - "hasOutcomeAdminClaims": true, "hasCahps": false, + "hasOutcomeAdminClaims": true, "qualityMeasures": [ { "title": "Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older", @@ -9911,7 +9911,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -11123,7 +11123,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -11291,8 +11291,8 @@ "Anesthesiology" ], "clinicalTopics": "Anesthesia", - "hasOutcomeAdminClaims": false, "hasCahps": false, + "hasOutcomeAdminClaims": false, "qualityMeasures": [ { "title": "Anesthesiology Smoking Abstinence", @@ -11847,8 +11847,8 @@ }, { "category": "ia", - "title": "Use of decision support and standardized treatment protocols", - "description": "Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.", + "title": "Use decision support—ideally platform-agnostic, interoperable clinical decision support (CDS) tools —and standardized treatment protocols to manage workflow on the care team to meet patient needs.", + "description": "Use decision support - ideally platform-agnostic, interoperable clinician decision support (CDS) tools - and standardized treatment protocols to manage workflow on the care team to meet patient needs. Clinicians should focus on utilizing open-source, freely available, interoperable CDS in completing the requirements of this activity.", "measureId": "IA_PSPA_16", "metricType": "boolean", "firstPerformanceYear": 2017, @@ -12021,7 +12021,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -13233,7 +13233,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -13367,8 +13367,8 @@ "Hematology" ], "clinicalTopics": "Oncology and Hematology", - "hasOutcomeAdminClaims": false, "hasCahps": true, + "hasOutcomeAdminClaims": false, "qualityMeasures": [ { "title": "Advance Care Plan", @@ -14332,8 +14332,8 @@ }, { "category": "ia", - "title": "Use of decision support and standardized treatment protocols", - "description": "Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.", + "title": "Use decision support—ideally platform-agnostic, interoperable clinical decision support (CDS) tools —and standardized treatment protocols to manage workflow on the care team to meet patient needs.", + "description": "Use decision support - ideally platform-agnostic, interoperable clinician decision support (CDS) tools - and standardized treatment protocols to manage workflow on the care team to meet patient needs. Clinicians should focus on utilizing open-source, freely available, interoperable CDS in completing the requirements of this activity.", "measureId": "IA_PSPA_16", "metricType": "boolean", "firstPerformanceYear": 2017, @@ -14505,7 +14505,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -15717,7 +15717,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -15850,8 +15850,8 @@ "Nephrology" ], "clinicalTopics": "Kidney Disease", - "hasOutcomeAdminClaims": false, "hasCahps": false, + "hasOutcomeAdminClaims": false, "qualityMeasures": [ { "title": "Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)", @@ -16619,8 +16619,8 @@ }, { "category": "ia", - "title": "Use of decision support and standardized treatment protocols", - "description": "Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.", + "title": "Use decision support—ideally platform-agnostic, interoperable clinical decision support (CDS) tools —and standardized treatment protocols to manage workflow on the care team to meet patient needs.", + "description": "Use decision support - ideally platform-agnostic, interoperable clinician decision support (CDS) tools - and standardized treatment protocols to manage workflow on the care team to meet patient needs. Clinicians should focus on utilizing open-source, freely available, interoperable CDS in completing the requirements of this activity.", "measureId": "IA_PSPA_16", "metricType": "boolean", "firstPerformanceYear": 2017, @@ -16795,7 +16795,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -18007,7 +18007,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -18140,8 +18140,8 @@ "Neurology" ], "clinicalTopics": "Episodic neurological conditions", - "hasOutcomeAdminClaims": false, "hasCahps": false, + "hasOutcomeAdminClaims": false, "qualityMeasures": [ { "title": "Advance Care Plan", @@ -19031,7 +19031,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -20243,7 +20243,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -20376,8 +20376,8 @@ "Neurology" ], "clinicalTopics": "Cognitive-based neurological disorders", - "hasOutcomeAdminClaims": false, "hasCahps": false, + "hasOutcomeAdminClaims": false, "qualityMeasures": [ { "title": "Advance Care Plan", @@ -21415,7 +21415,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -22627,7 +22627,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", @@ -22763,8 +22763,8 @@ "Geriatrics" ], "clinicalTopics": "Preventive Care", - "hasOutcomeAdminClaims": false, "hasCahps": true, + "hasOutcomeAdminClaims": false, "qualityMeasures": [ { "title": "Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)", @@ -23756,7 +23756,7 @@ "category": "pi", "measureId": "PI_EP_2_EX_2", "title": "Query of the Prescription Drug Monitoring Program (PDMP) Exclusion", - "description": "Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period", + "description": "Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.", "isRequired": false, "metricType": "boolean", "firstPerformanceYear": 2023, @@ -24968,7 +24968,7 @@ { "category": "pi", "measureId": "PI_PPHI_2", - "title": "High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides", + "title": "SAFER Guides High Priority Practices Guide", "description": "Conduct an annual assessment of the High Priority Practices Guide SAFER Guides.", "isRequired": true, "metricType": "boolean", diff --git a/updates/measures/2024/IA_PY24_CR_20230809.csv b/updates/measures/2024/IA_PY24_CR_20230809.csv new file mode 100644 index 00000000..3fc98bd8 --- /dev/null +++ b/updates/measures/2024/IA_PY24_CR_20230809.csv @@ -0,0 +1,6 @@ +Category,Measure ID,Measure Title,Measure Description,First Performance Year,Year Removed,Weight,Subcategory Name +Value: IA,,,,,Enter current PY if measure is to be removed,"Values: high, medium, NULL","Values: Achieving Health Equity, Behavioral And Mental Health, Beneficiary Engagement, Care Coordination, Emergency Response And Preparedness, Expanded Practice Access, Patient Safety And Practice Assessment, Population Management, NULL" +IA,IA_PSPA_16,"Use decision support—ideally platform-agnostic, interoperable clinical decision support (CDS) tools —and standardized treatment protocols to manage workflow on the care team to meet patient needs.","Use decision support - ideally platform-agnostic, interoperable clinician decision support (CDS) tools - and standardized treatment protocols to manage workflow on the care team to meet patient needs. Clinicians should focus on utilizing open-source, freely available, interoperable CDS in completing the requirements of this activity. ",,,, +IA,IA_BMH_6,,,,2024,, +IA,IA_BMH_13,,,,2024,, +IA,IA_PSPA_29,,,,2024,, \ No newline at end of file diff --git a/updates/measures/2024/PI_PY24_CR_20230721.csv b/updates/measures/2024/PI_PY24_CR_20230721.csv new file mode 100644 index 00000000..c85a2543 --- /dev/null +++ b/updates/measures/2024/PI_PY24_CR_20230721.csv @@ -0,0 +1,9 @@ +Category,Measure ID,Measure Title,Measure Description,Required,Metric Type,First Performance Year,Year Removed,Objective,Bonus,Reporting Category,Substitutes,Exclusions +Value: PI,,,,"Value: TRUE, FALSE","Value: boolean, proportion",,Enter current PY if measure is to be removed,"Value: Protect Patient Health Information, Public Health And Clinical Data Exchange, Provider to Patient Exchange, e-Prescribing, Health Information Exchange, NULL","Value: TRUE, FALSE","required, bonus, exclusion, NULL","** Comma delimited list ** + +If you need to remove ALL Substitutes, or for a new measure with no substitutes - enter NULL","** Comma delimited list ** + +If you need to remove ALL Exclusions, or for a new measure with no exclusions - enter NULL" +PI,PI_EP_2_EX_2,,Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.,,,,,,,,, +PI,PI_EP_2_EX_3,,,,,,2024,,,,, +PI,PI_PPHI_2,SAFER Guides High Priority Practices Guide,,,,,,,,,, \ No newline at end of file diff --git a/updates/measures/2024/changes.meta.json b/updates/measures/2024/changes.meta.json index fe51488c..479edb77 100644 --- a/updates/measures/2024/changes.meta.json +++ b/updates/measures/2024/changes.meta.json @@ -1 +1,4 @@ -[] +[ + "IA_PY24_CR_20230809.csv", + "PI_PY24_CR_20230721.csv" +] \ No newline at end of file