Clinical Quality Measures for MIPS Reporting Period 2018

Overview

You can elect to choose any of the following eCQMs to satisfy the MIPS Quality Performance Category. You must report on 6 measures. One of the 6 measures must be an Outcome/Intermediate Outcome Measure.

If an Outcome measure is not applicable to your specialty, you will have to select another High Priority measure which is defined as: Appropriate Use; Patient Experience; Patient Safety; Efficiency; or Care Coordination. The eCQMs will be reported through EHR reporting which can earn you 1 bonus point for each measure submitted.

Reporting Period

The reporting period is for a full calendar year.

Scoring

Each measure will be scored on a scale from 3 -10 points if the measure has meet data completeness (60%), case volume (20 cases) and has an existing benchmark.

If a small practice (15 or fewer clinicians), fails to meet data completeness on a measure they will only earn 3 points. All other clinicians will only earn 1 point.

If data completeness has been meet but there is no benchmark or case volume is not meet on a measure, then the EC or group will only receive 3 points.

The eCQMs will factor in all patients, regardless of payer, who meet the denominator description but you must have at least one Medicare beneficiary within the reported population. The Quality performance category will make up 50% of the ECs composite score. There are some MIPS ECs that will have their ACI category reweighted to 0 and their Quality performance score will count for 75% of their composite score.

eCQM / NQF ID:

CMS65v7 / None

CMS75v6 / None

CMS122v6 / 0059

CMS165v6 / 0018

Measure Type

Intermediate Outcome

Outcome

Intermediate Outcome

Intermediate Outcome

2018 Benchmark

Yes

Yes

Yes

Yes

High Priority Measures

See Note on 2018 Change

The change is in rate b (Percentage of patients who were ordered at least two different high-risk medications), which will be going from two different medications to two instances of the same medication. This new change aligns with Beers criteria.

eCQM / NQF ID:

CMS50v6 / None

CMS68v7 / 0419

CMS90v7 / None

CMS139v6 / 0101

CMS146v6 / None

CMS154v6 / 0069

CMS156v6 / 0022

Measure Type

High Priority

High Priority

High Priority

High Priority

High Priority

 High Priority

High Priority

2018 Benchmark

Yes

Yes

Yes

Yes

Yes

Yes

Yes

eCQM / NQF ID:

CMS123v6 / 0056

CMS124v6 / 0032

CMS125v6 / 2372

CMS127v6 / 0043

CMS130v6 / 0034

CMS131v6 / 0055

CMS134v6 / 0062

CMS153v6 / 0033

CMS136v6 / 0108

.

CMS144v6 / 0083

CMS155v6 / 0024

.

CMS167v6 / 0088

.

CMS135v6 / 0081

.

CMS69v6 / 0421

.

CMS138v6 / 0028

.

CMS147v7 / 0041

.

CMS149v6 / 2872

Measure Type

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.

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.

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.

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.

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2018 Benchmark

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

.

Yes

Yes

.

Yes

.

Yes

.

Yes

.

Yes

.

Yes

.

Yes


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