Improvement Activities

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 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