2017 MIPS Improvement Activities

Name Subcategory Weight
Patient Centered Medical Home Attestation
Additional improvements in access as a result of QIN/QIO TA Expanded Practice Access Medium
Administration of the AHRQ Survey of Patient Safety Culture Patient Safety and Practice Assessment Medium
Annual registration in the Prescription Drug Monitoring Program Patient Safety and Practice Assessment Medium
Anticoagulant management improvements Population Management High
Care coordination agreements that promote improvements in patient tracking across settings Care Coordination Medium
Care transition documentation practice improvements Care Coordination Medium
Care transition standard operational improvements Care Coordination Medium
Chronic care and preventative care management for empanelled patients Population Management Medium
CMS partner in Patients Hospital Improvement Innovation Networks Care Coordination Medium
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement Beneficiary Engagement High
Collection and use of patient experience and satisfaction data on access Expanded Practice Access Medium
Completion of the AMA STEPS Forward program Patient Safety and Practice Assessment Medium
Completion of training and receipt of approved waiver for provision opioid medication-assisted treatments Patient Safety and Practice Assessment Medium
Consultation of the Prescription Drug Monitoring program Patient Safety and Practice Assessment High
Depression screening Behavioral and Mental Health Medium
Diabetes screening Behavioral and Mental Health Medium
Electronic Health Record Enhancements for BH data capture Behavioral and Mental Health Medium
Engagement of community for health status improvement Population Management Medium
Engagement of new Medicaid patients and follow-up Achieving Health Equity High
Engagement of patients, family and caregivers in developing a plan of care Beneficiary Engagement Medium
Engagement of patients through implementation of improvements in patient portal Beneficiary Engagement Medium
Engagement with QIN-QIO to implement self-management training programs Beneficiary Engagement Medium
Engage patients and families to guide improvement in the system of care. Beneficiary Engagement Medium
Enhancements/regular updates to practice websites/tools that also include considerations for patients with cognitive disabilities Beneficiary Engagement Medium
Evidenced-based techniques to promote self-management into usual care Beneficiary Engagement Medium
Glycemic management services Population Management High
Implementation of additional activity as a result of TA for improving care coordination Care Coordination Medium
Implementation of analytic capabilities to manage total cost of care for practice population Patient Safety and Practice Assessment Medium
Implementation of antibiotic stewardship program Patient Safety and Practice Assessment Medium
Implementation of co-location PCP and MH services Behavioral and Mental Health High
Implementation of condition-specific chronic disease self-management support programs Beneficiary Engagement Medium
Implementation of documentation improvements for practice/process improvements Care Coordination Medium
Implementation of episodic care management practice improvements Population Management Medium
Implementation of fall screening and assessment programs Patient Safety and Practice Assessment Medium
Implementation of formal quality improvement methods, practice changes or other practice improvement processes Patient Safety and Practice Assessment Medium
Implementation of improvements that contribute to more timely communication of test results Care Coordination Medium
Implementation of integrated PCBH model Behavioral and Mental Health High
Implementation of medication management practice improvements Population Management Medium
Implementation of methodologies for improvements in longitudinal care management for high risk patients Population Management Medium
Implementation of practices/processes for developing regular individual care plans Care Coordination Medium
Implementation of use of specialist reports back to referring clinician or group to close referral loop Care Coordination Medium
Improved practices that disseminate appropriate self-management materials Beneficiary Engagement Medium
Improved practices that engage patients pre-visit Beneficiary Engagement Medium
Integration of patient coaching practices between visits Beneficiary Engagement Medium
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes Patient Safety and Practice Assessment Medium
Leveraging a QCDR for use of standard questionnaires Achieving Health Equity Medium
Leveraging a QCDR to promote use of patient-reported outcome tools Achieving Health Equity Medium
Leveraging a QCDR to standardize processes for screening Achieving Health Equity Medium
MDD prevention and treatment interventions Behavioral and Mental Health Medium
Measurement and improvement at the practice and panel level Patient Safety and Practice Assessment Medium
Participate in IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS(R) or other similar activity. Patient Safety and Practice Assessment Medium
Participation in a 60-day or greater effort to support domestic or international humanitarian needs. Emergency Response and Preparedness High
Participation in an AHRQ-listed patient safety organization. Patient Safety and Practice Assessment Medium
Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive. Beneficiary Engagement Medium
Participation in a QCDR, that promotes implementation of patient self-action plans. Beneficiary Engagement Medium
Participation in a QCDR, that promotes use of patient engagement tools. Beneficiary Engagement Medium
Participation in a QCDR, that promotes use of processes and tools that engage patients for adherence to treatment plan. Beneficiary Engagement Medium
Participation in Bridges to Excellence or other similar program Patient Safety and Practice Assessment Medium
Participation in CAHPS or other supplemental questionnaire Patient Safety and Practice Assessment High
Participation in CMMI models such as Million Hearts Campaign Population Management Medium
Participation in Joint Commission Evaluation Initiative Patient Safety and Practice Assessment Medium
Participation in MOC Part IV Patient Safety and Practice Assessment Medium
Participation in population health research Population Management Medium
Participation in private payer CPIA Patient Safety and Practice Assessment Medium
Participation in systematic anticoagulation program Population Management High
Participation on Disaster Medical Assistance Team, registered for 6 months. Emergency Response and Preparedness Medium
Population empanelment Population Management Medium
Practice improvements for bilateral exchange of patient information Care Coordination Medium
Practice improvements that engage community resources to support patient health goals Care Coordination Medium
Provide 24/7 access to eligible clinicians or groups who have real-time access to patient's medical record Expanded Practice Access High
Provide peer-led support for self-management. Beneficiary Engagement Medium
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. Beneficiary Engagement Medium
Regular review practices in place on targeted patient population needs Population Management Medium
Regular training in care coordination Care Coordination Medium
RHC, IHS or FQHC quality improvement activities Population Management High
TCPI participation Care Coordination High
Tobacco use Behavioral and Mental Health Medium
Unhealthy alcohol use Behavioral and Mental Health Medium
Use evidence-based decision aids to support shared decision-making. Beneficiary Engagement Medium
Use group visits for common chronic conditions (e.g., diabetes). Beneficiary Engagement Medium
Use of certified EHR to capture patient reported outcomes Beneficiary Engagement Medium
Use of decision support and standardized treatment protocols Patient Safety and Practice Assessment Medium
Use of patient safety tools Patient Safety and Practice Assessment Medium
Use of QCDR data for ongoing practice assessment and improvements Patient Safety and Practice Assessment Medium
Use of QCDR data for quality improvement such as comparative analysis reports across patient populations Population Management Medium
Use of QCDR for feedback reports that incorporate population health Population Management High
Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement. Beneficiary Engagement Medium
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination Care Coordination Medium
Use of QCDR to support clinical decision making Beneficiary Engagement Medium
Use of telehealth services that expand practice access Expanded Practice Access Medium
Use of toolsets or other resources to close healthcare disparities across communities Population Management Medium
Use of tools to assist patient self-management Beneficiary Engagement Medium

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