Choosing MIPS Quality Measures for Emergency Physicians

Medicare has brought MIPS system for Quality Payment Program with the number of options to improve the quality of treatment for the patients and the clinicians get incentives and payments for the service they have offered. The payments and incentives have been awarded for based on the quality of treatment and it is weighed using scores for each category.

Different categories of treatment are categorized under MIPS for QPP so that the weighing scores also categorized as per the type of treatment. MIPS for QPP are open for all clinicians and those who wish to participate in it can join as an individual or as a group. Most of the eligibilities for taking part in MIPS is same for both individual and group of clinicians yet it differs slightly as per the norms and standards that differentiate individual and group. The quality measures for the emergency physician falls as per the aspects given below.

• Determining eligibility
• Picking your pace
• Choosing whether to involve as a group or individual
• Data submission option
• Choosing measures

In the above steps, the submission option and choosing the measures need some more analysis. The centers for medicare and Medicaid services have formed the speciality measure sets for the emergency medicine in terms of wide range of measures. Those that participate in  MIPS has to report in a proper way but here the health care provider in the emergency specialties need not report all the measures that they have been taking.

15 measures in the emergency medicine

47        Care Plan Claims and registry

66        Suitable testing for Children affected with Pharyngitis – EHR, Registry

91        Acute otitis externa Claims and Registry

93        Acute Otitis Externa Systemic antimicrobial therapies – Avoiding the inappropriate use Claims, Registry

116      Avoiding of Antibiotic Treatment for the adults suffering from Acute Bronchitis

130      Documentation of existing medications in the Medical Record EHR, Registry

226     Preventive care and scrutinizing: Intervention of cessation and screening for tobacco use CMS Web Interface, EHR and Registry

254      Determination of pregnancy location for pregnant patients using ultra sound.

255      Rh Immunoglobulin for Rh-Negative Women having risk in pregnancy. Claims and Registry

317      High blood pressure screening and the documenting the follow-Up Claims, EHR and Registry

374      Receipt for the specialist service EHR

402      Helping to quit tobacco use especially in adults Registry

415      Utilizing UT in the emergency department for trauma especially for the patients of age 18 years old and more.

416    Utilizing UT in the emergency department for trauma especially for the patients of age 2 to 17 years old. Claims and Registry

431      Screening and counseling to help the patients to get out of unhealthy alcohol use.

These 15 measures not added in the outcome measures of emergency medicine in MIPS.

The seven high priority measures included in the list are

• MIPS 76
• MIPS 130
• MIPS 404
• MIPS 424
• MIPS 426
• MIPS 427
• MIPS 430

Providers can search about the measures found in wide range of MIPS categories so that they can identify the specialty measure set. Quality measures, high priority status, data submission method and specialty measures set.